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HomeMy WebLinkAbout0012 CAMMETT LANE 67071 � ., ,. - .:, r � ., '. � v�� «� t� �� -. � ,., �' „ �r Q,, �� ,� - n� �. ., �l ir, � � o - .b - �, �� � ,. ��. ii � �� -�� � -, � � m _ e �, � � � - .b a � , ,, . �, �:� r. .R. ,.. .- o ��, �, ❑ � ,� � o d �� ., ,�, , - -.. � ., - �� ��. - - �e ,� a � i �a �. ., - „ .. � ., r � �.o o ri. , � �, ,. ,.u ,� t� ",,. � o� .. ,- .. „ - �. , �� � .ti ., :� �, .. - .. ,. � �, ,. rs � o ', ... n ,' ,. - � � �� , o �. „ ' � � '. � , u .: gg a �. � ii � rc .. , u � 'i� _ .� .� - - � � � ��� �, � � y .- - � �. - o �� � �, � �, - , 4 �.� y �: � �i - i � L- . �', � ., � n � ,� � ��. � a ° - � r L �^.I ,� � - .. , ,, � r - .� ,rr � � �� .. - .. _ a �� - i� ����i .. ''' t ' r r,' i, � " �. o a .,- ,. � �, n - � r T �, � � .-/� err ������� 0 4 0 n � � ,�. � � � � ,"W-��,� n � -. � .. a - ° - .qi, o - - n �.� �� .. � D q � �I�', n - � � ,. � '�l p .' � , r, .. `y' � r� n a - _ -. � ri - ,. -. � � ' Ab ,. 14M p aV o n a n i 1 o e j e o - PERMIT PAYMENT RECEIPT - TOWN OF BARNSTAK E BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, -MA 02601 DATE: 09/19/06 TIME: T1:3a, PERtiIT $ PAID 7t 00 AMT TENDERED: 45.00' AM"',APPLIED: 25.-O.D CHANCE: .00 APPU CATION NUMBER,. Oi1613 't PAY',ME-NT Mf~Ia,. CHfCP, PAYMEITI Rif240? s i \ . q ,oFVE Town of Barnstable *Permit#a,60( 3331 ti Expires 6 months from issue date 41. MSTABM Regulatory Services Fee o?S.unss. �A iGs9. .10� Thomas F.Geiler,Director 'r IEDMA�p •�1/� 11/ Building D1viS10n Torn Perry; Building Commissioner X-PRESS PERMIT 200 Main street, Hyannis;MA 02601 Office: 508-862-4038 SEP 19.2006 ' Fax: 508-790-6230 TOWN OF BARNSTABLE :EXPRESS PERMIT APPLICATION .= RESIDENTIAL ONLY Not Valid without lied X-Press imprint vlap/parcel Number Q 991 Q 03 'roperty Address__ a m m'P-,-4 CA n-z- I'Yl at? tesidential . Value of Work Minimum fee of$25.00 for work unSU der$6000.00 )wner's Name&Address M C 1)v.O LU2— 1 z LA �n.9 ;ontractor's Name 7 �. q� TelephoneNumberZQj V. lome Improvement Contractor License.#(if applicable)_ , I D 0 7 "l :onstruction Supervisor's License#(if applicable) ]Vvrorkman's Compensation Insurance Check one: ❑ I am a sole proprietor "I am the homeowner I have Worker's Compensation Insurance isurance Company NameaA-i&d. cauAcLA- c lorkman's Comp.Policy#_ Q-,AW an CPS 'opy of Insurance Compliance Certificate must be on file. ermit Request(check box) bQVe-roof(stripping old shingles) All construction debris will be taken to l SQ.. r 0 Re-ioof(not stripping. Going over existing layers of'oof) :Re-side, . ❑ -Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exenipt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. 1ature Forms:expmtrg vise063004 i Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT I a CA m rn L IN I _l . M It , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. j I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. ] / SIGNATURE OF OWNER: '��`�'/G�//� T• i�G~ �c�, . , OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: Owl APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER:• RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I Lace: 6/13/2aub 'Dime: u:4u AM To: (9 9,1,S064281S47 R&G Ins. Agoy. Page: 001 -' Client#:47298 CAPIHOM AC-RRD,. CERTIFICATE OF LIABILITY INSURANCE o613/06 �'' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.0.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Ins.Co. Capizzi Home Improvement, Inc. INsuRERe: GUARD Insurance Group Capizzi Enterprises, Inc.1645 Newtown Road INSURER C: Cotuit,MA 02635 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fNbK AD LTR INSU TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MMIDD DATE(MWDDrr0 LIMITS A GENERAL LIABILITY MP010707 06/08/06 06/08/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENPREMISE _(Ea TED $SOO OOO CLAIMS MADE a OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PER LOC A AUTOMOBILE LIABILITY M1010707 06/08/06 06/08/07 COMBINED SINGLE LIMIT $500,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $HAUTO ONLY: AGG $ A EXCESSIUMBRELLALIABILITY CU010707 06/08/06 06/08107 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE s5,000,000 DEDUCTIBLE X RETENTION $10000 $ B WORKERS COMPENSATION AND CAWC702365 12/25/05 12/25/06 x wcSTATu• oTI-L- Fp EMPLOYERS'LIABILITY' ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yes describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL l_ DAYS WRITTEN I. NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #M22681 MEE 0 ACORD CORPORATION 1988 l'I�fic r t►j �lit'CArl�rlilfll]C '// X3os10r1, AM 02.11) N"Yorhers, compe salluM IX)SM-:aY)OC.Affidnvii: 3uiltjea;s/C;c�7�i1-arir�1 till��Gr.�.riciaYas/ '�uxx�l.►cz ti ;>�3kc•.a>I�� 3nii�rn�aiif�z� 7'l��asr �'�-ini 1e�il►l�? . 3717C; (3:3u5 3asS/Ur aniLati.o»/J�3t3i�idual): CBpIzzi Me Improvement In3c. � rn F?n,)d 3dress_ Cotutt, MA 02635 ' Tel A2&9a18 1 1 800 262-5J6D "' ty/.Sia:t-el�zP: P�ooe�: • , 011 an mployer7 Checl;tbe•appropriat.e box: Type of project.{req'<xireslj: . 1 am a euloyeriRv �_ 9_ 1 am a general contradorand 1 • G.• El Nei?ions Do6om employees(fuD andlor pa3t-ime).=,: have hied be sub-contndors ' 1 am'a solciiropxietororpartner- listed'on-Le atlacbed sleet . 7- ship-and 3iaj?e no'employees Tb6se sub-cont bvr; 8. El �Demoliiion worming £or me Sao any capacity. workers' comp.insnxance. � 0 $rcilding add3tioxi' . FNo ,�vorlsers'eon'ice 5_ ElWe�e a coiporation and it re�rtir � Officers have exercised ib i 10.[]33l�eal xepai�s or acldiiioi� I am a homeomer doing all Work- Wil of exempiim per MGL 11_ED Plumbiag repairs m additions To elf [[ o vorl ers'comp.. C. 152,§1(4),and vvreIzveno 12.0 Roofrepairs I33.S�zx ante required ' empiO3rees_ [No rcTorliers' � !comp.imsim ee 3requimLJ �n3icsn=Yhat cliecss boa-T w si?o flier vroers' - ovancas v vbo snb Yids sffidsrsi mdic i�e��s� ��g �°Iboxi PD14 adozmaiifln curs�na1 r iee7 $xis�ox,n„d �g:0 wo&-end Then lire oaisderonI=j4Drs must subn3h s=-efdavii idc5csf3 snch c �an sddd?'�ionsl s7�eei sl�oriing�e name oiflze sul>-arr�iTaoiors and Y�e�n.oi�.eis'aoz�o �o7ncy afor..aeiion... rz en7Ploy&-YIzoYisprwr>id Zg xorke�s'�rnpazs�iorz raxsxcr�rzce�na rr�r exzlplaoyses $e�or� rs f;�ie�n;ric3 +rnrd�o>?r site s�3z_ ac;e- {✓Q333pamy,, II,- cm1 IN L� ozSel s.l ic. 1: CAt`VC-7 Q(a aS Expiration,Dates: e Address:1 City/StalelZip: t a copy of the' 'or)j- exs'cox�rt rensa oxr poXicy decl�ar-atxoxr page(Si Ming 44P-poIXcp aaxuoaber mad exp o)a date)_ to secrize coNrerage as required lind-cr Section 25A of MGL e_ 152 can lead ib ie b3posidou of clbmb a1 penalties,of a ,. to $1,500_00 and/or tine-year m3o'Prisonmmt as'vdell as ChrRpenaltesiu 9iye forams of a.STOP-WORK ORDER and a fne o $250_{}0 a day against;the-ViQ atPr. Ee advised that a copy of ibis statemmt:may be fox rded to the Office of ' gaiionns of-&e M�tar zasnzance coVexage)?e33�j, a- y cexzx=f?rrxzdey} � ns.�rzrdpc It s.dfP&7uy3,3a urd ihLe kyio- nzadan Pr aVi&d above is iLx- a mud ror7 i �. . are: : 6-0 9- q 9 75-19 c--w use on.Iy X)o rxat 1vr7,i`e xrj'h's a!"er,'fO rise coarz,Pde;Fed bjr city or Xna?x:offirriaL ?or TovPs u: bag �'Cr'�l[tlxxCCnBC� ' A'utliox�� (Circle e)ae): oarwed of Realth 2,laxdld ng Depart�oo exit 3.QtYrro'16%Qex k a.BecU ical Impedox• S-klumbbag Lupedox tact;re son: 21.31 91te &v���� Board of Building Regulations. and Standards One Ashburton Place - Room 1301 . Boston. Massachusetts 02108 Home Improvemen.hdbntractor Registration MERE. Registration: 100740 _ T' Type: Private Corporation Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT(,"([N;C� Thomas Capizzi, jr. `�� 1645 Newton Rd. '� Cotuit, MA 02635 Update Address and return card.Mark reason for change. DPS-CA1 Co 5OM-04/05-PC8698 Address Renewal Employment ❑ Lost Card "C/J097Y1J201/Zc!/Caaz, 9e�/UGCJ40QGYG�6cC�.6 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: = Re,gistr.-ation:_:::100740 Board of Building Regulations and Standards " ====j One Ashburton Place Rm 1-301 �Ezp�ation:=_6/23/2008 Boston,Ma.02108 f Type- Private Corporation CAPIZZI HOME IMPO�VEMENT�INC. Thomas Capizzi,`j('�, 1645 Newton Rd. �` 5 Cotuit, MA 02635 V Deputy Administrator Not valid without signature t AP IZ2 Lorne f Improvement Inc. I, Thomas Capizzi Jr., owner of Capizzi Home Improvement, hereby authorize Lisa Haworth, to sign on my behalf for permit applications filed through the town. Signed: Thomas apizzi, r. Date: rl�aIaworth Date: 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 �90 a Assessor's map and lot number ............. . . SEPTIC SYSTEM MUST BE rwr .Sewage Permit number .................A�... ........ INSTALLED IN COMPLIAN '`♦,� .."""' WITH TITLE 5 House number f aNVIRONMENTAL CODE oo�939'ems ...................................................................... q MA86 TOWN REGUI,ATIOMS �o 39 d� OR TOWN OF BARNSTABLE BUILDING INSPECTOR x� APPLICATION FOR.PERMIT TO .................� ...... ..../....y! TYPE OF CONSTRUCTION .............�sra.4e.............0 ................................................ .../o./�x/........................I9 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...............��.......C ........J.a.T ...... G.........'..................................................................................... ProposedUse ........... .�'/9. ..f.. G............................................................................................................................. Zoning District ............... Fire District .............................................................................. Name of Owner ��� �o�. /�� 9 '�'�� ......................................................................Address ...................�.........................................'.............. Nameof Builder C� N. ���............... ........... ........ ............................Address ........ ................................................................}......... Nameof Architect ..................................................................Address .......................................................................r......... Number of Rooms Foundation `JQ.L�fG................. Exlerior ........../.........................................................................Roofing ...�........c4x...................................... ............. Floors ...c� v -............................................Interior ............. .............. .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate. Cost �'� Definitive Plan Approved by Planning Board ---------------____-----------19 . Area ......��r" .....:4�..'... all Diagram of Lot and Building with Dimensions Fee. ........................... ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ' D OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above . construction. No .................. ...r!y .................. Construction Supervisor's License BOOKER, KIETH No .... Permit for ..Build...Garage„_.... ..........Single... ... .. ..FA.m.- -Y .................... Location ....12...Camp,.t.t...Lane........................... ................... ............................. Owner ......Ka..P,.th...D.Q.qx.p,.r................................. Type of Construction .......Frame........................ ................................................................................ Plot .............................. Lot ................................ Permit Granted ........October r...2.1..............19 85 Date of Inspection ..:.................................. 19 Date Completed ........... ...............19 ® -3 jj 1A Assessor's map,.and lot number .............. pf THE t0 Sewage Permit number ................ t 4 Z 33AR33TADLE, i House'number ......................................................................... - �.._ °oo MAM q. 3 �0 a NP-4 a' TOWN OF BARNSTABLE BUILDING, INSPECTOR APPLICATION FOR PERMIT TO .................6:__ ......4—Z..�? .........4 TYPE OF CONSTRUCTION .............�44;0 .4�#............... .............................................. .......................i ge..' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:. location'.............../�..........................., ..................G...........:..................................................................................... Proposed Use ,T%�s .� .. . i ZoningDistrict .................�......................................................Fire District ..........................................................:................... Name of Owner /„� �� �7 ...................................... .........................Address. ................... ........................... Name of Builder .......... .............................. . ;W.�. ...........Address ....`-«. l Cf . Nameof Architect ..................................................................Address ........................................................... Number of Rooms :.............................................................:...Foundation /�p�✓p L/ j/G. .............................................................................. Exterior .Roofing '............................................................... ."... ...................................... .... Floors ......... .Interior Heating ..................................................................................Plumbing .................................................................................... 01 Fireplace ...............................Approximate. Cost ..............................................................�'�� Definitive Plan Approved by Planning Board ------------------------------19--------. Area . 1...�.....S�.�...'.... Diagram of Lot and Building with Dimensions Fee ov �...................... SUBJECT TO APPROVAL OF BOARD OF,HEALTH IN r i f u 5 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NcrfY4 ................... - '................... Construction Supervisor's License d.. BOOKER, KIETH 99-3 No ...28574... Permit for ....................................Build Garage ..............Single...Fam.i.1.Y..Dwe.11.i.n.g....................... . . ...... .... . . Location .....12...Camm.e.q..L.a.ne.......................... Marstons Mills ....................... ....................................................... Owner .......K.i.e.th...Booker................................. Type of Construction ...F.r.ame............................ ................................................................................ Plot ............................ Lot ................................ J Permit Granted .........October 21, 85 ..........I............ . Date of Inspection................................ Date Completed ..................................x19 9i -ro