Loading...
HomeMy WebLinkAbout0006 BROOKSHIRE ROAD eeases�reE za . - - -- -- �7HEfr y Town of Barnstable *Permit# -7 Expires 6 months from issue date BAMSTABLE, » Regulatory Services Fee y MASS. gjpl i6g9• _ ,_. ... Thomas F.Geiier,Director � IT Building Division NOV 2 1 2006 Tom Perry, Building Commissioner Of 200 Main Street, Hyannis,MA 02601 fic R038:yy;i%�STABLE Fax: 5 e0§90-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Aap/parcel Number 4' 1�, _ �� ?roperty Address4 ,^ Residential Value of Work Minimum fee of$25.00 for work under$6000.00 )wner's Name&Address_ m((DTI AR..,) "-PA 4 i oz.)a j r �I C f'1 t S :ontractor's Name , �ZZ� 1- Telephone Number a [ome Improvement Contractor License#(if applicable) 16� 'onstruction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance surance Company Name 'orkman's Comp.Policy spy of insurance Compliance Certificate must be on file. .rmit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value ( mximum.44M *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,, onK ***Note: Property Owner must sign Property Owner Letter of Permission. O No2 me Improvement Contracto Hrss License is required. nature mns:expmtrg ae063004 I G � PIZ Homo- Improvement21 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: 4 6 L, Thomas apizzi, r. Date: aworth Date: 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 ±: Date: 6/13/2006 Time: 8:40 AM TO: @ 9,1,5084281547 RAG Ins. Agcy. Page: 035 Client#:47298 CAPIHOM k ACORD. CERTIFICATE OF LIABILITY INSURANCE 0613106 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR, 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 -1601 DING COVERAGE NAIC# A 02660 ERS AFFOR South Dennis, INUUR B INSURED INSURER A National Grange Mutual Ins.CO. ' Capizzi Home Improvement,Ina,' INSURERB:-GUARD Insurance Group Capizzi Enterprises,Inc. INSURERC 1645 Newtown Road INSURERD: Cotult, MA 02635 IN SURER 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 CONTRACTOR 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. r - POLICY EFFECTIVE POLICY EXPIRATION : :LIMITS - LTR NS TYPE OFINSURANCE POLICY NUMBER DATE MMIDD DATE MMIDD A GENERAL LIABILITY MP010707 06/08106 06108107. EACH OCCURRENCE ' $1 OOO OOO Ly X COMMERCIAL GENERAL LIABILITY PREMI ES[Ea RENTED Ce $500 OOO i I: CLAIMS MADE a OCCUR MED EXP(Any one person) $1 Q ODO - PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2000000 I POLICY JPERCT O LOC A AUTOMOBILE LIABILITY M1010707 06/08106 06108107 COMBINED SINGLE LIMIT $5OO OOO (Ea accident) , y, ANY AUTO ALL OWNED AUTOS BODILY INJURY t (Per person) X SCHEDULED AUTOS a X HIRED AUTOS BODILY INJURY $ ' X NON-OWNED AUTOS (Per accident), � � X Drive Other Car r PROPERTY DAMAGE (Per accident) GARAGELU161LITY AUTO ONLY-EA ACCIDENT $ ' ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CU010707 06108/06 06/08107 EACH OCCURRENCE $5 OOO 000 X OCCUR CLAIMS MADE, AGGREGATE s5,000,000 DEDUCTIBLE $ t X RETENTION $10000 OTH- $ I B WORKERS COMPENSATION AND CAWC702365. 12125I05 12/25I06 X WCSTATU- - EMPLOYERS'LIABILITY E.L.EACH ACCIDENT 000,000 s ANY PROPRIETORIPARTNER/EXECUTIVE - -- - E.L.DISEASE-EA EMPLOYEE $500,000 i OFFICERIMEMBEREXCLUDED? i If yyes,dasaibe under E.L.DISEASE-POLICY LIMIT $SOO,000 SPECIAL PROVISIONS below p` OTHER r` DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS = 3 n ;r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN ,. NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL VA,1011:• J 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 J O�li� hj1'r.•�Yi�iliiUh,ti' r ,•' .I r U/0 f'i ClSlilifl f<!11 i�Il'�;P.� C;c3 ]XISDr-;aMe Affidnvil_ 3��ilc3cr;lC�z��3 rir�7 sJ i; cc.�.z-i� �x�slX'I��z 1:►c:z; 'ai01 )xt Y 1 Iv DTJC; (3313siy)cSS�Ua'?ariixaii.t>13�3id� dual): Capin! Home lmprove.'Ment Inc. ^5—KJe% rlwn �d7'C;SS: Cotult, MA 026-3 r Tel 42E9518 I J 800-262-5O6Q trzz ail emp)oyer7 check lie a}�}�roprlat,e box- Type of�xo,�ecl.(required): . aaxa a ear lloyea mill _ 9. El am a gtl3ml con acioimd T . �ar�o ogees andJoz apt-ti�e).�' havc bin--d fbo snb-cmindors e,)v cons coo aua'a sold Pr OprietorozparLDCT- listed on tic attacbed short 7_ El R MOd.Cing ship'and"re no•employees Tb6se sob-coDtaaciors 8. bemolaiion VA'orjZh3,g for arse jo airy capacity. �e7orls eas' comp.insarrance. [NQ -roTkers' coaii�l_•in�;rran $_ 9. [ D�ldiag nddidoA' . E �c a1-c a coTporatioD aad iIs - r I�ia j officers have cmercised tli6y ID-❑ D-I&bical repays or arldiiio- I nTll a b9meowner doing all wotL, rigbi Of eaeaaapiion per MGL ILEI I'P Inmbzrag repairs or additions r_pyself No Worbeis, corms>_ ' c:352,§1(4),and x rehaveno sur ce equar j i 12-El Roofrepairs . ez�aplo3rees_ �No7orliers' 1.3- Oilier 'comp-msm -act T:NnizeLj c3�ecl s 1?0�.,i must also 03 oriiilie _scoii ,on i�e�oV,slio cig iiie v rozkers - ozamcas V16h (--I-f i h s risY*st dicai g Y e* doing uli r,+o'I-mmd fuea 1we'oxsisdeoo i rs mLlsi.sUb it exv zdavzt iadicaing sue? ciozs s�1$Y ec7 f�tis i�o�mrisl clJecl sa add iionsl slaeei slaor ing•be 53ame of flic sulb-mairaciors end i.1pir cones_policy informaiion.• r�rz7��oy�r-tlzcrt xs,�r-o��zc�ilz���orl�ers',cnlr�p.exzs�iorx z�rszrxzzrzce�oa-mp exz�•p�p��.ees_ �n.�nn��s�ie�.�;lic}>>arxr�'�v�i sr�e . CAW C-7 zrrxixr�� race Coxo�a���I*T.arue. �- �a r(d.. I ���CI�.Jb�, - . • a-3 b5. Expiration Dale: !oO k�lI - :e —� - t_----- CiLylStaielZip: a c Py ofthe orl+exs'+compe sat ola o is dcetara�iQra pace�(.S�o' g policy namber a)ad e:q3 c►la dal-4- to jCol SeCLL�e re c as re o 'q u'red Iandex Secdon 2-5A ofIAGL c_ 152 canlead In l e imposi-domL of climmal penalises,of n ,. to 1, 00_ D aradlor flrae year n'OPziSonment,as-i=ell as c eoa7tiesza-Ene.form of a STOR-WORK.ORDER_aid a_f e a day against:floe violator, :13e advised ibat a copy of bats sbtemmt ]�13e for riled to#sae Office of galiozis Gf�ae Dl.for Msorance CON?-0mge jredficatinaa- sof,�ez, x ,�r��ilr# x�pro? x�rdr7 emu! zsXauerrzzdorr �. .••. Ire: lei Ar: ase onlj>_ DO not Ypres in this area tfo' e coo . b .� j '� vr•�ottYXa xl�cici�. stag A'tWixori.�, �clx clue��aej: oax-d of)aeattt� Z_�rtildiug�epa�`t•naet�i 3.�>-L�71'1r o���.C�exk �_l�ieci.�cat�.n.spect.oz• �_�Xtrxlabing�xaspecloX�fiiea- . -tact pemou. ' rote 3Y_ Board of Building Regulations and Standards -< d One Ashburton Place - Room 1301 " Boston, Massachusetts 02108 Home Improvement Contractor Registration • Registration: 100740 Type: Private Corporation Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT,.INC., Thomas Capizzi, Jr. 1645 Newton Rd. — — Cotuit, MA 02635 Update Address and return card.Mark reason for change. DPS-CA1 a 5oon-04i05-PC8698 � Ej Address ❑ Renewal Employment ❑ Lost Card 9XI -e.w-2u J6a&1, O�✓!/G2J0(LGfZLIJP. b Board of Building Regulations and Standards - IJr a License or registration valid for individul use only _I HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: J' Registration: 100740 Board of Building Regulations and Standards Expiration:" One Ashburton Place Rm 1,301 Type Private Corporation Boston,Ma.02108 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi 1r �--- __ 1645 Newton Rd Cotuit, MA 02635 Deputy Administrator Not valid without signatw a—� _ OAR A r,2; oBUI LDING R G'.UR 40iSf -icense. '�CONSTRJCTION S• Aumb j - CS, 057032 Ex ires�'0j2fi12bD7 ' l THOMASX CAPI i 1645 W ,_ COTi11T, MA 063 " `f, COhlrnissi6rier f oFSNE T Town of Barnstable *Permit:q .() 76j/,)-o. Expires b montJis from 'sue date • BArtN6TADLl Regulatory, Services Fee 9 ass. $A Y6g9. Thomas F.Geiler,DirectorrED MAt a p Building Diviisioxi I Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 IT Office: 508-862-4038 Fait: 508-790-6230 JAN 9 - 2007 EXPRESS PERMIT APPLICATION - RESIDENTIAL N OF SARNSTABLE Not Valid without Red X Press hiprt,i Map/parcel,Number?a� d 3 Property Address Lann l S Residential Value of Work Oq A inimum fee of$25.00 for work under,$6000.00 owner's Name&Address keze LPLb21 contractor's NameC)04�j����� Telephone Number Some Improvement Contractor License;r#(if applicable)_ � -o--7 ` 4 n construction Supervisor's License#.(if applicable) U�� -1Workmain's Compensation Insurance Check one: E] i am a.sole proprietor I an the Homeowner I`have '. Worker s Compensation Insurance nsurance Company Name nnt� C . Vorkana.n's Comp.Policy#L / 7(ul-I q � = .py of insurance Compliance Certificate must be on file. 'ermit Request(check box) �u( 1 Re-roof(stripping old shingles) All construction debris will be taken to � . Re-roof(not stripping. Going over existing layers of roof) [� Re-side [] Replacement Windows. -Val ue (maxinnum.44) I *Where required: Issuance of this permit does not exempt compliance with other lovm dep"nent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner-must sign Property Owner Letter of Permission. Home Improvement Contract rs License is required. ignature :rorms:expmtrg ,vise063004 ------------- Client*47298 CAPIHOM AC®R®,. CERTIFICATE OF LIABILITY INSURANCE DATE(MO7DIYYYY) 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 SYTHE POLICIES BELOW. South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER.4: National Grange Mutual Ins,Co. Capizzi Home Improvement,Inc.Capiizi Enterprises, Inc. INSURER B: American International Gr 1645 Newtown Road INSURER 0: rrotuit,MA 02635 INSURER D: " INSURER E COVERAGES THE PCLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABO'r/E FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEF.TIFICATE 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 POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INISK AUDIPOLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER AT T r 'YLIMIT9 A GENERAL LIABILITY MP010707 06/08/06 106/08/07 EACH OCCURRENCE $1 000.000 )( COMMERCIAL GENERAL LIABILITY DANt4GE 70 RENTED PREMISE rr. $600 000 Ij I CLAIMS MADE OCCUR 101ED EXF(Anyone person) $10 0OO r!•-��� PERSONAL d ADV INJURY $1 000 000 I I GENERALAGGREGA.TE $2,000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG JECT $2,000 000 ?OLiC.Y PRO- LOC .. � i AUTOMOBILE LIABILITY I •=MBINF.D SINGLE LIMIT ANY AUTO Ea accident) $ .ALL OMEDALTOS - BODILY INJURY SCHEDULED AUTOS (Perperson) $ HIRED AUTOS BODILY IN lUR1' $ NON-OWNED AUTOS (Per accdent) . PROPERTY DAMAGE $ (Pa-as dent) GARAGE LIABILITY A1,70 ONLY•EA ACCIDENT $ .ANY AUTO DTI-ER THAN EA ACC y AUTO ONLY: AG $ I EXCESSiUMBRELLA LIABILITY EACH OCCURRENCE $ j -OCCUR ❑CLAWS MADE AGGREGATE $ . I 3 OHDUCTISLE $ RETENTION $ I $ B WORKERS COMPENSATION I NI T AND 1764953 12125/06 12125/O7 WC SLIMIT 6TH. EMPLOYERS'LUABILITY ANY PROPRIETORiPARTNERlEXE6,UTI4E. I E.L.EACH ACCIDENT $500,000 I m,d scr be u de EY.CIUDECd -'e.L.DISEASE-EA EMPLOYEE $500,000 Il Yes,descr he under SFECLAL PROVISIONS to cw E.L.DISEASE-POLICY LIMB $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE H OLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,iTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4 y ACORD 25(2001MS)1 of 2 Q6435 pMyy ACORD CORPORATION 1988 P� P I Z G 21 Home Improvement Inc. I, Thomas Capizzi Jr., owner of Capizzi Home Improvement, hereby authorize Lisa Haworth,to sign on my behalf for permit applications filed through the town. Signed:. Thomas apizzi, r. Date: aworth Date: 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 CAPIZZI'HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES - r -x STATE OF NiASSACHi7SETTS a n-t LETTER OF AUTHORIZATION TO APPLYFOR A BUILDING PERMIT ' y., - .w-a�.,+�+an-,.w4-ro,,..:'»� ....-<-a-�r+a'k�.. ..-hex'....- s�. _�'�.,p�, .,...t.,.,,�,a,.,:n.-cw.«.p.�<.�- ...,.:st4.��_'r..p,.;s..•....:..+.—. =-,-.^ +-.K..-., � ::-.•F�,i:r ...r .�".'Ed'� we..�•e�. w4�-a,s. s..�E �h. xT4 -s-....r ..C-.ws.aT hi+q- w_,..^.r- w ..<+ 'OWN THE MASSACHUSETTS' ` y a x s u �: a s � y •$�� I HAVE AUTHORIZED » CAPIZA.HOME YIVIPROVEMENT TO ACT AS�MY AGENT-TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMF, THE MASSACHUSETTS STATE BUILDING' CODE: >. r i I GIVE MY'PE RMISSIONTO LESSEE x 4� ABUILNG PERMIT ICCONCEW0CTO APPLY FOR M , MAS,SACHU.SETTS. r STATE BUILDING CODE 4 '� .• N.• 4t ..^e Si4`xu � y, M w, - *T e.F SIGNATURE OF OWNERS) _ OWNER'=S DD ARESS OWNER'S TELEPHONE a � � � ` } LESSEE'S SIGNATURE LESSEE'S ADDRESS ..IV s. t S � P a 3 iH qr 4 � 4 APLLICAN URE T'S'SICNAT f f APPLICANT'S"ADDRESS 164 e�vt®wn IZd;donut;IVIA�02635 "" � �. APPLICANT'S TELEPHONE 1­ 508 428 9518 RESPONSIB LE;OFFICER RESPONSIBLE OFFICER-ADDRESS 70 : RESPONSIBLE`OFFICER TELEPHONE The.Commonwealth of Massachusetts Department of Industrial Accidents r _ Dice of Investigations 600 Washington Street -oston 'MA 02111 www.mas&govldla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letibly Name (Businessoganization/individual): :.: vement Address: 1645 Newtown Road .06t6.�� . Cl /State/Zl Tel. 428-9518 800.262.5060 ty p �hone#: employer?Check he appropriate bog TM* 3 with general Type of proleet(regmred): Are ou an I am a employer _* 4. ❑ I am a' contractor and I [7.6. ❑New con triictlon employees(full and/or part-time): :have hued the sub=contractors 2.❑;I am a sole proprietor or partner- listed'on the-aftached sheeO 9,R emodeling ship-:and have no employees These•sub-contractors-have 8. [] Deniohtion working for me in any capacity. .. workers' comp. insurance. 9; ❑ Building addition (No workers' comp. insurance 5. ❑'We are a corporation and its required] officers have exercised their 10.❑ Electrical repairs or-additions 3.❑ I am xhomeowner doing all.work right of exemption per MGL l I.❑ Pluinbing'iepairs or additions myself [No workers''co c'.152, 1 4 :and we fiave no comp.- § O� 12:❑ Roofrepaus insurance.required] t employees Mo workers' , 13.❑ Other' comp. insurance required.] *Any applicant that'checks box-#1 must also fill out the section below-showing their workers'compensation pohcy infoirnation: t Homeowners who submit this affidavit indicating they are doing all work and then lure'outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing.the name ofthe sub-contractors and their workeis'comp,policy i ifoi47iatibn. I am an employer that is providing workers compensation:insurance formy.employees-Below is the policy.andPb.site information._ Insurance Company Name: �— // Policy#or Self-ins Lic #. tionDate: Job Site Address: City/State/Zp: . _ _� _... Attach"a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required,under Section 25A.of MGL c.152 can lead to the imposition of criminal penalties'of a fine-upto$1,500.00 and/or one ear. , t,y unprisonmen as well as civil.penalties in the form of a STOP WORK ORDER'and a fine__. of up 0$250.00:a day-against the violator.* Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do hereby f etW#under the pains and penalties ofpe17 ry that:the information provided above is true and correct Si ature: Date: Phone#: 0f,1acial use only. Do not write in'this:area,to be completed by city or town official City or Town: Permit/License# Issuiiig`Authority(circle one) 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - : Board of Building Regulations and Standards k One Ashburton Place - Room 1301 . ; h Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100740 1 Type:. Private Corporation CAPIZZI iHOME IMPROVEMENT, INC. Expiration: 6/23/2008 I Thomas �Capizzi,jr. 1645 Newton Rd. Cotu it, MA 02635 1 Update Address and return card.Mark reason for change. DPS CAi ca sonn 04ros-pcesse Address Renewal E] Employment- Lost Card r { zoo 1�DOJ��izo4ztu p�✓�tadQaoltttQeffd Board of Bufiding Regulations and Standards License or registration valid for individul use only WOMI=IMPROVEMENT CONTRACTOR . before the expiration date. If found return to: lReglstration: 100740 Board of Building Regulations and Standards I Expiration:' e/23/2008 One Ashburton PIace Rm 130I Type: Private Corporation Boston,Ma:02108 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,Jr. 1645 Newton Rd. � Cotuit, MA 02635 Deputy Administrator Not valid without signature i i t t BOARD OF SU1LDING Rice i_icense: ,�f7NSTRUCTION S 5 ONS i Numb' :GS 057032 i B Ii3i e3 { } } i THOMAS X CAP14NN } COTUIT, IVIA urt;3 5�fif=� I Coiiirnt:c�v�,;w , _