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HomeMy WebLinkAbout0025 PAANANEN CIRCLE � ���a. a� ��-.v�,v�,v g� k I i i o �. n...�.�-..-''� �p r rr .•. 02U zq0 706E oFs► ram, Town.of Barnstable *Permit# Expires 6 months from issue dole Regulatory Services Fee Z snxxsTnar.E, . amass.163y. Richard V.Scali,Director �0 ATED MP'I A Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � Not Valid without Red X--Press Imprint Map/parcel Number r 1 1 b d f 1 , Property Address 4 �� ��`�h G wtN G r`✓ w G ''w 5���� v�'1 Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1_-1 Contractor's Name C. Telephone Number Home Improvement Contractor License#(if applicable) ( S 13 C Email: ::2%per., Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance IT Check one: X�PRESS PER�1 ❑ I am a sole proprietor /� ❑ I am the Homeowner 15 2014 ❑ I have Worker's Compensation Insurance OCT Insurance Company Name Z ` - �"'''t �-i Tn�n�N OF BARNSTABLE Workman's Comp.Policy# (✓fir 3�� 3 7��^ ��D- l) l `/ Copy of Insurance Compliance Certificate must accompany each permit. Permit Re est(check box) ` Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Yn✓6 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the ome Improvement Contractors License&Construction Supervisors License is equ' ,� SIGNATURE: QAWPFILES\F0RMS1bui 'ng permit f XPRESS.doc Revised 061313 f ate ComrrxaTMIEl th OfM;7ssaeh11(sefts Dipurftuent ofIaulrzsft a1 Accidents --- - Office-of gmestigoons 600 Washington Street Bastan�MA 02- I wmv.mas&gov/dia Workers' Compensation Insurance 4 ffiidavit:Builders/ContractorsMe-ctriciauMumbers Applicant Information Please Print LegiMy Name(Husme Orgapnizationlladividnaq: ( `C C c9 Address V ci, P 0�,- l J C.ty/Stat&Zip: t k w k---7'11-e— Phone 47 7 S 3 4' Are you an:employer?Check tIm appropriate boz: T , of o ect r . 4- ❑ I aim�general contract and I -- 3'p� !�' � ( �=� - .. _ 1..�I am a employer with 6_ ❑New comstax-toa employees(full and/or part-#imee)* have bired the sub-coniraotats. -2_❑ I am a sole proprietor orparfner- listed on the attached sheet 7- ❑Remodeling ship and have no employees These mb-contractors have g_ ❑Demolitioa working forme in any capacity employees and have workers' g- ❑Building addition [No Workm comp_insurance comp-msumcel reqaira] 5-❑ We are a corporationand its 10.0 Electrical repairs or additions officers ba-m exercised thei r 11-.❑Plumbing airs or additions 3.❑ I am a h,ameowner doing all wart g mP , Myself [No workats'comp right of esrmption per MGL 11.0 Roof repairs insurance ]I c-15Z §1(4) and we h2s,',n8 employees-[No workers' !3.0 Other comp-insurance regmred:ji *lay aapYcarmt tbat checks boa#,-1 mast also fill out the section below shnwing ilea woacere mmpensadou polio}-iufarma[imt #Homeowners aho submit this affdavSR+ +'er g they are doing a1T vro do an3 Hreahae outside contxacmrs must submit anew affid3vit iarbcaf n such =C ntr&ctmrs that check ibis box mast attached an additional sheet sbowh6-the name of the scat-coxftsctors and st-h-vchether ornut those exi ides have. anployees- Ifthe sub-contractors bwe empIogees,they must pruvide their warless'comp.policy number. I am an employer that is prmdditrg itorkers'compacts u on irtsrcrance for my emp ayeas Below is the polity artd job site informatzan_ Insurance CompanyName- Policy rf or Self-ins-Lie.4-`- -7 intiou Date: A Job Site Address: 2 ACCri c City/State/Zip: r i3 l, Attach a copy of the workers'compe-nsati m policy declaration page.(showing the policy number and expiration date). Failure to secure coverage as required under Sectioa 25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,500.Oa and/or one-year imprivonment,as well as civil penalties in the form of a STOP WORK ORDMand a fine of up to$250-00 a.day against the violator_ Be advised that a copy of this statement may be:brwarded to the Office of Irrtestigations of the D for� ee overage,- - 'cation_ Ida hereby c erfi r t �t td papa s ofp,,iw y fhatthe irrformtd&n protided abaue is.true.and correct Signature: Date- Phone 9: ©f Ecial use ant,}. Do not write in this area,to be completed by ciiy or town ofjiciaL City or Town- PertuitUcense# Issuing Authority(arcle one).: 1.Board of Health 2.Building Department 3.Citylfown Clerk 4.Electricatl Inspector S.Plumbing Inspector 6.Other Contact Person: Phone U.- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"_..every person in the service of another under any contract of hire, express or implied, oral or written_ An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shalt'withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for may applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants — Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their cer-1 ificatt(s)of insurance. Limited Liability Companies(I.LC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'Me affidavit shoui_d be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the taw or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Seli insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/licease number which will be used as a reference number. In addition,an.applicant that must submit multiple pennitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations is (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call_ The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department Gf Industdal Accidents Office of�. v(' Sti oliom 600 Wa sh__,_'noan gft t BQston,MA all 11 Tel.A 617 72-7-49QO W 406 or 1-$77 MASSAFE Revised 4-24-07 Fax# 617-727-7-149 .mass gm,/dia ,Estimate Date Jun 11,2014: Cape & Islands Construction Co. P.O. Po Box 210 Terms Centerville Ma. 02632 508.775,7663 Ship Via .Ship Date Mary Paananen 25 Paananen Cir. W. Barnstable Ma. 508-299-7987 Po Box 99 � . . - . CERTAINTEED Certainteed Shingle Roof 9,860.00 Strip existing shingles from roof. Secure any loose sheathing. Install New aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes,valleys and all protrusions. Install Surround brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME architectural shingles. Storm nail all shingles. (State building code requires 4 nails, we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there! Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we fix it,forever! It's The Best In The Business. Please note our wind warranty is also the best And longest available ANYWHERE! Total $9,860.00 Signature AC R CERTIFICATE OF LIABILITY INSURANCE 5m2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certfte holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTACT PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME: FAX 44 BARNSTABLE ROAD AIG N°` PO BOX 250 E-MAIL HYANNIS, MA 02601 ADDftEss: INSURERS AFFORDING COVERAGE NAIC A INSURERA: LM Insurance Corporation 33600 INSURED frINSUR CAPE & ISLANDS CONSTRUCTION COMPANY IN ERC: PO BOX 210 ERD: CENTERVILLE MA02632ERE: ER F: COVERAGES CERTIFICATE NUMBER: 20102526 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY CY OLI EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDDUJCED BY PAEFFPIID CLAIMS. INSR ADDL SUBR _ POLICY NUMBER MMIDD MMIDDIYYYY LTR TYPE OF INSURANCE INSD D EACH OCCURRENCE $ COMMERCIAL GENERAL LIABLLIrY $ CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ {y POLICY❑jE LOG $ 1� IN IN 1 $ OTHER: Es accident AUTOMOBILE LIABILfrY BODILY INJURY(Pe(Pelson) $ ANY AUTO BODILY INJURY(Par accident) $ IS ALL OS OWNED SCHEDULED PROPERLY DAMAGE $ AUTOS PeracrJdent NON-OWNED $ HIRED AUTOS AUTOS EACH OCCURRENCE $ UMBRELLA LIAS OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE $ DED RETENTION WC5-31S-377540-014 5(7/2014 5R/2015 p RR UTE ER $/A WORKERS COMPENSATION 100( AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT ANY PROPREETORIPARTNERIEXECUTNE NIA001 OFFICERIMEMBER EXCLUDED? E.L.EL.DISEASE-EA EMPLOYE $ 5001 (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ If yas,describe under DESCRIPTION OF OPERATIONS bebw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE POLICIESDESCRIBENDTI BE C VVILL BE CDELWERED I TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 _ AUTHOR¢ED REPRESENTATIVE LM Insurance Corporation U"11 0 ©1g88-2014 ACORD CORPORATION- All rights reset ACORD 25(2014/Q1). The ACORD name and logo are registered marks of ACORD I �' CERT NO.: 20102526 Luey Garfield 5/7/2014 7:38:38 AN (PDT) Page L of 1 Massachusetts -Department of Public Safety vize �anvncwa�uew N�p'��ww- �• w r, Of U Board of Building Regulations and Standards fice of Consumer..Affairs:&Business Regulation ; — OMEIMP.ROVE.MENTCONTRACTOR Construction Supen7isor — Type:. x ,3• ",, egistratign y1�;65936 € License:.CS-074660 r` zp,rat,on: 4/.9/2016 Private Corporatio JOST3UA X KOUI� ',. CAPE&.ISL VO BOX 2101AND GONSTRUCl_tION�C`O INC. ! CENTERVILLE MA 0263 JOSH UA KOURI c 55 EWAVE: � �c : y HYANNIS MA0'66 Undersecretary ' Expiration 02/12/2015 3i Commissioner ' - .. ___� . _. y: —.,_,;:_... ........... ..._.._._..__.._— ._._.._. -. r. License or registration valid•for individul use only before:the.ez•piration date. If found return to: Office of Consumer Affairs and-Business Regulation 10 Park:Plaza;. Suite 5170 I ` Boston,M,02-116. r v id w Bout signature � sFy'. 7/�9/7 OFTHE Tpt�, Town of Barnstable *Permit# ® � 9 yP� tip` Expires 6 montlis frwn issugdate 1ARNSTABILE. : Regulatory Services Fee v Mass. 0� Thomas F.Geiler,Director � t63q. A � '039`p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS Office: 508-862-4038 Fax: 508-790-6230 JUL 2 2004 EXPRESS PERMIT APPLICATION - RESIDEN DNU , Not Valid without Red X-Press Imprint t —� Map/parcel Number Property Address�,'j PCL -n(c ne.l1 �r rC,�• �.il kh i 1,5 �'1/� ®'Residential Value of Work Owner's Name&Address a_Llo • ��S-Viso►-S Contractor's Name Al a Telephone Number Home Improvement Contractor License#(if applicable) h v i of /u y 7 qJ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation In (n� Insurance Insurance Company Name (�u CcJ2 .4 �J rx :)Uh 4,T, 4 Workman's Comp.Policy# C} jJ C. 40 0`13 i Permit Request(check box) ' ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 210ther(specify) �,(.�u ttt_i n t -m 4rl M UI(1q� 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature wj a24��( Q:Forms:expmtrg Revised121901 gulaBoard o uil ing e o ns and tan ards One Ashburton Place - Room 1301 Boston. Mass4phusetts 02108 .. Home Improvement:Contractor Registration Registration: 100740 Type: Private Corporation Expiration: 6/23/2006 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card ��ie't°aonvrnauueal� a�✓l/�ama�u�,lta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100740 One Ashburton Place Rm 1301 Expiration: 6/23/2006 Boston,Ma.02108 Type: Private Corporation CAPIZZI HOME IMPROVEMENT, I %omas Capizzi,jr. ' 1645 Newton Rd. Cotuit,MA 02635 Administrator Not valid without signature I S S .•:. .>�8 � �11C Vl�mtAn07t�VGr,L4Ci4 v�. ./I�ry/��4��Q%p�LUOQ� 14 BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR Number: CS 057032 Birthdate: 09/26/1963 ' Expires: 09/26%2005 Tr.no: 7171.0 Restricted: 00 i ' THOMAS X CAPIZZI JR I; 1645 NEWTOWN RD COTUIT, MA 02635 Administrator p k i 1�.Lbbl l�•�r.,r-ui 1'LHIYIVlIYb i IV..Jla_ ' •�" " Application to �� fib' ittg'> igh �8 legionst Jbiotaric Aiotrict (Cam ¢— In the Town of Barnstable MAY 2 0 2004 CERTIFICATE OF APPROPRIATENESS ! TOWN OF BARNSTABLE Application Is hereby made,with four complete sets,for the Issuance of a Certificate of Approp atM Wc" ` 26ION 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, MUM LE drawings,or photographs accompanying this application for. CHECK CATEGORIES THAT APPLYe 1. Exterior building construction: ❑ New 0 Addition Alteration Indicate type of building: House ❑ Garage ❑ Commerolal ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure. ❑ Fence Wall ❑ Flagpole ❑Other _ h� co TYP>R OR PRINT LE016LYc DATE ADDRESS OF PROPOSED WORK ASSESSOR'S MAP NO. /// Arn.5&b 10 rt' N OWNER (i✓1 1 (Ln(i C)Lj) l,I ASSESSOR'$LOT NO. HOME ADDRESS 41 a t W• &Lnn• ab( _ —TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners acrose.any public street or way. (Attach additional sheet If necessary.) Q C_ AGENT OR CONTRAC`TO 'l lbuw_ TELEPHONE NO, ADDRESS 1(n ql) )O i L ,2 ' �: / DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, Including materials to be used. Please include locations of proposed signs. / I�CxiU�r5)-f Anr-) 1!?Jm CUV on C=,);rrct, c��ca% ,nc�ccd,ny ric,eZE L�in�ec�) S<<-�5� Wdn4ciJ Cr}S:�J�,� �udr� CnS ncrs� CJco4Ef.. P>Ua/WS �iCl�;Y�� �dC./4J V,NYt- SivNb- )nCLccr�,r1/cr j ChGnncJS rlstctCC IU �eTS ►� I/rny/ SPItA4,Y Signed Owner-Contradlor-Alghtf For Committee Use Only This Certificate Is hereby `4 ' a /D nl Committee Members' na ryes: L_ I .30.2001 10:20AM PLANNING N0.512 P.4ib Town of Barnstable Old King's Highway Historic District Committee MAY 2 0 2004 SPEC SHEET TOWN OF BARNSTABLE � HISTORIC PRESERVgTION FOUNDATION 1''� SIDING 'TYPEVl*�W COLOR �t! +MIMNET TYPE COLOR ROOF MATERIAL COLOR PITCH rgO�gS COLOR SIZE TRIM COLOR `✓1-�/G DOORS COLORS SHUTTERS /� )��ti�Ic�. COLORS T GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS , SIGNS COLORS FENCE COLOR MOTR9 Gill out completely; dnelucing meaanraatenhim and materisle/solox■ to be wed, soup oopie■ of thia ferias are required for submittal of an application, along with lrour.copie• of the plot plan, landscape plan and •ltvatien lace, when applicable. SMUT Revinod 11/98 I The Commonwealth'of Massachusetts — ( Department of Industrial Accidents 0I1'ICD01/Ol��adOOS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Allidavit location- r� phone rl I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comnanv name: ..:.: :... :. ..:;:.;::::;::::;::;::>::;:::•::;:.;..,::::':.; : ; address: city: :::::;.:.::.::...::;.: tmurance co. am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name• . address: .. ... . _,•phone#• :;..; ; .. : . . :.;::<..: ::•:.. :. . insurance co. :L 77 �/, comnanv name, address: ....::. :. ...:. : :. city' phone#• insurance co. no A3ta—'b�ihoaa• :neewa -- --- _ - Failure to secure coverage as required under Section 25A of MGL 152 can Ind to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. !do hereby certify under t s an penalties tjury that the information provided above is true and correct. Signature Date Print name !/t enO;7— Phone# officiai use only do not write in this area to be completed by city or town official F r` [_ cat} or town: permit/license p riBuilding Department Licensing Board check if immediate response is required OSelectmen's Office i. t= Health Department ! contact person: phone#• nOther _• IrmsW Jeri PIAI i The Town of Barnstable ' P Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis MA 02601 Ralph Cmssm Offl= 503-790-6227 Building Commission F= 508-775 33" For office use only Permit no. Date AFFIDAVIT HOME DWROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION that the"r+eaonstruction,alterations,renovatiM repair,n��non`'conversion. MGL 14ZA requires addition g owner occupied • remo%al, demolition, or oonstrnc d= a>z building Ong at least one but not more than four dwelling mots or to to such residence or building be done by registered coatrac tors.with=tan==Vwns+along with other requirements- Type of Woric: ot/ / i�✓ Est Cost l��o Address ofwork: e2� Ow•ner.Name: s�i✓ C Dais ofPermit Application: I hereby certify that: Registration is not required for the following reason(* Work excluded by law Job under S1.000 Building not owner-occupied per pulling°am permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN P WORKALING WrM OT DO NOT HAVE ACCESS TO THE FOR APPLICABLE HOME IMPROVEMENT ARBITRATION PROGRAM OR GUARANIT FUND UNDER MCI c 142A SIGNED UNDER PENALTIES OF PE&MY I hcrcby apply for a permit as the agent of the owner: 007,41 Or /p 2 ZT . Registration No. Date OR �% &ww ealdt ; HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards , One Ashburton .Place — Room .1301 Boston, Massachusetts 021.08 HOME IMPROVEMENT CONTRACTOR ----------------------- ------------100740 Expiration 06/23/96 r Type -PRIVATE CORPORATION I YOKE INPROVENENT CONTRACTOR..-. islegistratiom 400110 Capizzi Home Improvement , Inc . i Type -'.•PRIVATE CORPORATION• II Thomas --Capizzi , Sr . -Eipiration - --06/23/96 1 1645 Newton Rd. Caplzzl Nome Improvement, Inc I Cotuit MA 02635 - � i I Thomas Capizzi, Sr. (��.►�,� Newton Rd. I , Aommmaw -Cotuit NA 02635 leslricled To: 10 OEPARINENI OF PUBLIC SHETI CONSTRUCTION SUPERVISOR LICENSE I 10 — Noee Nxeber: . . Expires: lirlldele: IA - I1soery Illy CS 146189 10/21/1191 10/29/1148 16 - 1 I 1 Will Noee$ leslricled To: 00 OAVIO N NEBB I Coeearssa�a '100 PLUM NOLlOY RD . E fitBOUTN, NA O2S36 , Tt. Assessor's Office(1st floor) Map Parcel P-�ermiit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee Engineering Dept. (3rd floor) House# �� —� ®�C9 �� , a,t„e►q,� Planning Dept. (1st floor/School Admin. Bldg.) ���., *ivelaned by Planning Board ' l M� { 19 TOWN OF BARNSTABLE Building Permit Application Vi Owner Address Telephone - Permit Request ooi- c iN y6 First Floor square feet Second Floor square feet Estimated Project Cost $ /Z-,ck�,PO Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family t/ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway /� ��n'`� �e���c:`�5 %xcSJ- w L.-b�► u`iv �`��',� e Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other �/' Builder Information Name :0.4-VI D li( Jz Telephone Number S/L Address /G VS- 44t.A77 V1,1 �.� .�T►/�T License# a ffC/BJr' 2-2-1 �� / �.P,.da-Yr� Home Improvement Contractor# /ao 7VO Worker's Compensation# O,0 Ale-bl✓ 535�J7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I ' SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. t-10 DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION " FRAME INSULATION " FIREPLACE ELECTRICAL: ROUGH FINAL , ;PLUMBING: ROUGH FINAL _ GAS: ROUGH `FINAL FINAL BUILDING DATE CLOSED OUT ; ASSOCIATION PLAN NO. A BAMSTAILE MASa TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19:^5"' TO THE INJECTOR OF BUILDINGS: —4 The undersigned hereby applies for o permit according to the following information: Location Proposed Use Zoning District Fire District Name of Ovjner£.}..,77.Address Name of Builder .S3Ait.Address Name of Architect .Address Number of Rooms Foundation CX..., Exterior Roofing Floors HMBm.Interior ..13£.A..ZAA.C..K Heating Plumbing C.C£3.£:.&.-...^....dfP.f.^s, Fireplace '^r:.Approximate Cost Difinitive Plan Approved by Planning Board ..19.4Z_./C,/r /^e <2Diagram of Lot and Building with Dimensions 4 M '^"yfo <\ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl^,re^ardlng the above construction. Name^/ \ Paananen,Everett C>^ No 1.9.321..Permit for s^gle fdwelli]^ 55 Pfl C /V<^1^ Location ,'^S®¥«==^.....y?..^.i?./?J. ,West,Bstostable..^ Owner Type of Construction Plot Lot Permit Granted .P.®Se?fcer l6 ......965 Dote of inspection ...,3'.—-.*. tVQA/* Dote Completed ......'.1......19 ^ X PERMIT REFUSED 19 Approved 19 I t 3 X5i I / (I