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0490 OAKLAND ROAD
� TAD ORKLAnJD VDI"D, _� -- ---- - ---ACT1VE Town of Barnstable as . " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-1172 Date Recieved: 4/24/2017 Job Location: 490 OAKLAND ROAD,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: MARK E MORDINI State Lic. No: CS-057645 Address: N ATTLEBORO, MA 02760 Applicant Phone: (508) 280-0156 (Home)Owner's Name: MURPHY,JOHN E&PAMELA J Phone: (508)364-1419 (Home)Owner's Address: P O BOX 604, CENTERVILLE,MA 02632 - Work Description: strip roof shingles and re-roof per GAF specs(12 square), ice and water shield 6' from fascia and 3' from rake boards and in valleys,install GAF deck armor to remainder of exposed sheathing,install soffit and ridge ventilation,install 5/8"CDX plywood to low slope roof area Total Value Of Work To Be Performed: $9,306.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;.and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Mark Mordini 4/24/2017 (508)280-0156 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $9,306.00 Date Paid Amount Paid Check,#or CC# Pay Type Total Permit Fee: $47.46 4/24/2017 $47.46 X)=-]XXX-XXXX- Credit Card 4147 ........ ..... ......... Total Permit Fee Paid: $47.46 t„E Town of Barnstable Perm�l Expires 6 months from issue date Regulatory Services Fee Ai nntuvnABM v '""9'1639. Thomas F.Geiler,Director �`� �fp UAAr 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 a m - Property Address 1/y 0 041(`J aifa ``U _ ' L Y l�yf S [Residential Value of Work 00, 06 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Yd htl i- P,4n& NI 4 P,I Z5 Cx 6 o Y eeiruile Mg . 026 3,;.- 1,UtmConntracttor s NameY,612261:11ivde f Telephone Number Home Improvement Contractor License#(if applicable) f D4'7 y� Email: ,! IZAJ�1 9 �Y/ eIf/Y T • Construction Supervisor's License#(if applicable) c S 06 7 11 PRESS PERMIT ❑Workman's Compensation Insurance Check one: AU G 16 2013 ❑ I am a sole proprietor ❑ I am the Homeowner [ I have Worker's Compensation Insurance WN F BARNSTAELE Insurance Company Name . c ` P Workman's Comp.Policy# /G ✓ o � ! [ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to `/d�,t/ fl Y//1/z era(-Irll ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) 1 ❑ 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 t Home Im vement Contractors License&Construction Supervisors License is quir /SIGNATURE: 2If/7 C:\Users\decollik a\Local icroso indows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 Office oflnvestigations I Congress Street,Suite 100 ' - Boston,NIA 02114-2017 ` www-mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information . PIease Pratt Le 'bly Name(Business/Organization/Iudividual):Capi=i Home Improvement Address:1645 Newtown Road City/State/Zip:Cotuit, MA-02648 Phone#:508-428-9518 . Are you an employer?Check the appropriate box: Type of project(required): 1:❑✓ .I am a employer with 40+ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6= New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have g- ❑Demolition working for me in any capacity. employees and have workers' No workers' comp.insurance comp:insurance.$ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1. ❑Plumbing repairs or additions myself. [No workers' comp- right of exemption per MGL 12 Roof repairs . insurance required.]t c: 152;:§1(4);and we have no employees. [No workers' I10 Other comp.insurance required.] *Any appacant that cheep box#I must also fill out the section below sliaering their workers'compensa ion poly information+" fVilomeowners who submit this affidavit indicating they are doing all work.ar r then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet sliowinat'se name of the sub-contractors and Mate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. < Lain an employer that is providing workers'compensation insurance for my employees,. Below is the policy and job site information. fnsurance Company Name:Associated Employers Insurance Company Policy.#or Self-ins.Lie.#:WCC5010 547012011 Expiration. 12/25/201 Date: 3 Job Site Address: City/State/Zip-- yIAIIV - /' 4 OZ 6 d/ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failute.to secure coverage as required under Section 25A of MGL c. 152 can lead to.the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment. as well as civil penalties in the form.of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I dq hereby certi fy and r the ai s and p nafties ofperjury that the information provided above is true and correct .Signature: Date: �. a Phone#: 508-42 518 Offieiat use only. Do not write in this area,to be completed by city or town Eluspector City or Town: Permit/License# Issuing Authority(circle one): Y:Board of Health 2.Building Department 3.Cityl-Town Clerk 4.Electing Inspector 6.OtherContact Person: Phone# CAPIHOM-01 CBENISCH ,Q►coRv° CERTIFICATE OF LIABILITY INSURANCE DAT 612/211212D/Y013 �.•-� 3 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 certificate 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 endorsement(s). PRODUCER CONTACT Chris BenISCh Rogers&Gray Ins.-Dennis Branch NAME:PHONE 434 Rte 134 A/c No Ext:(508)398-7980 1 a ,No):(877)816-2156 MA 02660 E-MAIL South enisc ro ers ra Dennis,, b h ADDRESS: � 9 9 Y•com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance Co. INSURED INSURER B:Associated Employers Insurance Co. Capizzi Home Improvement,Inc. INSURER C: Capizzi Enterprises,Inc. 1645 Newtown Road INSURER D Cotuit,MA 02635 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP /Y LIMBS LTR INSR WVD POLICY NUMBER MM/DDYYY MM/DD GENERAL LIABILITY FACH OCCURRENCE $ 1,000,000 ED A X COMMERCIAL GENERAL LIABILITY MPB1075H 6/8/2013 6/8/2014 PREMISEST Ea�occurrence $ 500,000 CLAIMS-MADE Ful OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PE O- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ A ANY AUTO M1 M28044 6/8/2013 61812014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS 500,000 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS PER ACCIDEN _ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE CUB1076H 6/8/2013 6/8/2014 AGGREGATE $ DED I X I RETENTION$ 10,000 $ 5,000,000 WORKERS COMPENSATION WC STAT1- X OTH- AND EMPLOYERS'LIABILITY TORY LIMITS OR B ANY PROPRIETOR/PARTNEIVEXECUTIVE Y/N CC5010547012012 12/25/2012 12/25/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601-0000 AUTHORIZED REPRESENTATIVE n 4nOO 0H14A A^r%nr%/-A0nf%nAT1/1\I All a urtm. t of Publw. Board Of a WIAS ReiWWVUOns and Stgmdarts Lice- s ; CS 64$17 Bursa-rds R ... - :yap10 01 t.:oaexMtr AIIOtis 4:3f115i31t5S Xegn13liva 1s6CC�SC Dl CCLYt27lEfult YUU4 tUr.mlltYltitt wzo tally OrAE 1MF €hE� CONTf3AL7t7f t before the expiraami date. it fo i return:t ` r r t 0 Tyne: Office'Of Cu,=Mer and Btrsi mu Rej ukdo 10 Parke' 51 S SuMfement Card Boston iaa Susta7i1 �� ,B�It�i Q211S f• J©Pahl SI RUMS Im Nev&n End. IT\ -�s�',4= � e MA 02635 '� Undersea tbry Not v d oat sigaatnre Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, PArli Plukfif-J ; OWN THE PROPERTY LOCATED AT ' r�P IN 14 1,41YWI J 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: I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE: x SIGNATURE OF OWNER: �x `" y OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: t LESSEE'S TELEPHONE: _. :APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd. Cotuit MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER . RESPONSIBLE OFFICER ADDRESS: - RESPONSIBLE OFFICER TELEPHONE: TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION„ o - :t p Parcel:* Applicatioh # �� Health Division "'Date Issued Conservation Division ;Application Fee Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH - Preservation / Hyannis - 4 Project Street Address Village *A 1 Owner Q �� c� Address ;' f �[�/ '►,v' Telephone Permit Re, qu st ?a e e S"pare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoni District Flood Plain Groundwater'Overlay Project Va tion Construction Type Lot.Size Grandfathered: Ll Yes ❑ N If yes, attach supporting documentation. Dwelling Type: Single Fa 0 Two Family El Multi- ily (# units) Age of Existing Structure Historic House: es ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ther Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing ew Half: existing ` new Number of Bedrooms: xisting _new Total Room Count (not including b s): existing ne First Floor Room Count —i Heat Type and Fuel: ❑ Gas ❑ Oil •❑ Electric ❑Other 3. o Central Air: ❑Yes ❑ o Fireplaces: Existing New fisting wood/coal stove: `❑Yes ❑ No Detached garage: xisting 0 new size_Pool: ❑ existing ❑ new size _ n: 0 existing ❑ new size_ Attached gara ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other:i= Zoning bard of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - Proposed Use-- Acnk APPLICANT INFORMATIO �' (BUILDER OR HOMEOWNER) �J Name Telephone Number y° 7 Z 9 Address �D License# Home Improvement Contracto # Worker's Compensation # tc ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUEDxl ' MAP/PARCEL NO. ADDRESS ° ' VILLAGE r"J, OWNER DATE OF INSPECTION: i FOUNDATION 4 FRAME INSULATION - FIREPLACE , i ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL~ -GAS: ROUGH FINAL FINAL BUILDING . ,. DATE CLOSED OUT - __4' ASSOCIATION PLAN:NO. ; r 1 I J The Commonwealth of-M�.ssachiisetts Depdrttnenf of Industrial Accidents: Office.of lnvestigations 600 Wrtshingion Street Boston,MA 0211.1. www:naass.gov%ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/.Electricians/Pl.umbers Applicant Information Please Print Lc> ibly I v Na me(BusitiesslOrgan•ratiion/Individual): Address: city/State/Zi P Phone#: �1�..`f �. Are.!on an employer?Check the appropriate box: Type,of project(required):' 1. 1 am a employer with 4. Q I am,a general contractor and 1. /// "' 6. �New constriction employees(full and/or part-time).* have./iced the sub'-contractors 2.❑ lam a sole proprietor or partner- listed on theattached sheet.# Remodeling 3 a ship and have no.employees. These sub-contractors have 8. Demolition corking for:me:in any capacity: workers'cotitp.insurance. 9. []Building addition [No workers'comp.insurance 5 Q We are a corporation and,its required:] officers have exercised"their 10.❑ Electrical repairs or additions 3.0,1 am a.homeowner doing all work right-of:exemption per MGL 1 i.[]Plumbing repairs or additions myself,[No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t _employees.[No workers' M. comp.insurance required.] 1 Other *Any applicant that checks box#1 ntuscalso fill out the section'bolow showing their workers'compensation policy information. } t Homeowners who submit this,affidavit indicating they are doing all work and themhirc outsidccontractors intst submu anew affidavit indicating such. 'Contractors that check this box:must attached an,additional sheet showing the name of the subcontractors and their workers'comp.policy inroimalion'. '< i I am an employer that is providing workers'compensation insurance for inyemployees. Beloit,is the policy and joh site information: cmn Name:Insuran a Policy#or Self-ins.Lie.#:� 1� L4t®'� �— Expiration Date: Job Site Address: H-Q)_ Ckaan City/State/Zip: 4 6X Q Attach a copy of the workers'.compensation policy declaration-pagejshowing the policy.number.nd expiratintr date). i Failure to secure coverage as required under Section 25A'of MCYL c" 152 can lead to the imposition of criminaFpenalties of a P day copy _ } 4 fine up to S,1,500.00 and/or one-year impnsorunent,as well as civil` enalties.n the form of a STOP WORK ORDER and a tine of a to$250,00 a da• d amsEthe:violator, Be advised that co of this statement be forwarded to the Office of : Investigations of the.DIA for insurance coverage verification. I do hereby certify nder the wins a p�ratties of perjury that the inforinatior:provided abz7ve i true and correct Si nature: -Date: Phone#: L. . Official•use only.. Do,not write in this area,to,be completed by,city or town official h City or Town: Permit/License"# Issuing Authority(circle one): is Board of Health 2.Building Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person; Phone#: ACC ORG7 SPERTEN-01 DESA DmvY) E(MM/D CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER (508)676-0309 THIS CERTIFICATE .IS ISSUED AS A MATTER OF INFORMATION Viveiros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER'THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River, MA 02720 INSURERS AFFORDING COVERAGE NAIC# INSURED Sperry Tents Inc. INSURER A:Peerless Ins(Commercial Lines) 24198 15 Dexter Lane INSURER B:' Rochester,MA 02770- INSURER c:' 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.` ' INSR DD'L - - POLICY EFFECTIVE POLICY EXPIRATION - LIMITS LTR S - E O INSURANCEPOLICY NUMBER - - GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 4549986 10/15/2010 10/15/2011 PREMISEs Ea occurence $ 50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 y PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE -$; -2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i► PRODUCTS- AGG $ 2,000,000 POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS - _ BODILY INJURY $ - SCHEDULED AUTOS (Per person) HIRED AUTOS 'BODILY INJURY - $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ - - OTHER THAN - AUTO ONLY: AGG $ - - EXCESS I UMBRELLA LIABILITY - .. EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH AND EMPLOYERS'LIABILITY _ TORY LIMITS ER WC -- A ANY PROPRIETOR/PARTNER/EXECUTIVE Y 4615559 OFFI 10/15/2010 10/15/2011. E.L.EACH ACCIDENT $ - 500,000 CER/MEMBER EXCLUDED? .. - (Manda—y in NH) E.L.DISEASE--EA EMPLOYE $ 500,000 If yes,describe under - - - SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Hyannis Yacht Club DATE THEREOF„THEISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 490 Ocean Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER;ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2009/01) ©1988-2009 ACORD'CORPORATION. All rights reserved: The ACORD name arid logo are.registered marks of ACORD MYANN N VArHT ri,iiq JftQ.41 El R!!•inn. Town of Barnstable Regulatory Services Tbon a F.Geller,Director Building Division _ 1 Building Commissioner 200 Main Street, Hyannis,A4A 02601 ,Mwn.bsrnstable_eus.us Office: 509-SU 4039 Fax; 508-790.6230 Property Owner Must $' ...�a.6u e+wvad4raa 'If Using A Builder as owner of the jubj&_j pruperiy hereby authorize �G to on my behalf, er 11►_ _ .__ nt=_ �s-�4'I w, r�'!n-S�o�1 1. .L.�L 7f�,rmn�!!!l►tt an r .. . hl rn-lion fen Axe, P (Address®t job) a/ ' Signature of veer �� y, a' i(ii iviuuc eV�W1i0�1��' IT Property Owner is applying for permit,please complete the Homeowners License It:emption Form on the reverse side. C:1U$M'4 111MApp[lavaiL9C4l Miuosoti'wi OvtTsn4iOmW I mnet F'kalConreat WdwMDDV87AA.WJQ RESS.don Revised 072110 Q gt e , c a:te q.f F, a m e, es] an c Manufacturer Number ry ails .'`Date of Manufacture 350 28 Jt�1-05 . 11 IVlarconi. Lane Marion;,MA 027348 (M4 748-2581 I This:is to certify-that the materials described have.been flame-retdrddnt,treated or are inherently hon-flammable. and were supplied to Name: S" er :Tents s City:, Marlon State: MA - Certification is herby wade than The articles described on this.certificate have:becn treated with a flange-retardant approved clieinical::and that the ag>,placat'ion of said chemical was done in conformance with California"Fire Marshal Code equal. to®r exceed as NFPA 70I CI'A ! g 9 I it4 Method of Application: Coated' Fabric Color, ! e'and'1iei ht: fl Ater polyester 7.2 oz;. Descri Lion of Item Certified:: 32x7O Pole Tent Flame-Retardant Process s_ed Wilirof e e m ov Washing: n is Effective �er'°Tt�e Life_ f °he' a nc Name of Applicator of`FR Finish Signed Kolon ; - Club Axvnin Beach Parking Lot Hyannis Yacht Club 32'x 90'Option 13 Tables of 8, 9,or 10 Guests Club Awning s� Beach .32'x 70' Option Par .ii.I.-Lot (19)'36"'Tables WWI ;F Club Awn I . . Beach Parkin .Lot 32'x 50' Option x r -6 T les of 8, 9, or 10 Guests !! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION WA Map Parcel O/7 �� Permit# 5Q Health Division (— — ?or, 06 Alo Date Issued dt [.?,Ob( � Q 4K ^ ",a n k a Conservation Division 6 MA-1 'A.,f� �"`'^ ? Fee Tax Coll a Aa �i'� loioq'or Treasure Y Planning ept. Date Definitive Plan Approved by Planning Board - Historic-OKH Preservation/Hyannis . Project Street AddressJC7 /-Village \ Owner Address r.,Ja M a Telephone Permit Request co C[ o i Gt/1. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation rr Zoning District Flood Plain Groundwater Overlay 3,V,/ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ,r • £y r , ., Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new 1`'-Ember of Bedrooms: existing new )' tal Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Cl new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION c /p Name LWj Telephone Number qf Address S License# l'� om-2;7W Home Improvement Contractor# C)07�1 Worker's Compensation# ciC,3 d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUREV4&tzl� DATE /0 4J o J FOR(WFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE F OWNER DATE OF INSPECTION:; ; FOUNDATION FRAME 'a _ INSULATION {o-) Ig /o � rT FIREPLACE ` ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 FINAL BUILDING d , DATE CLOSED OUT ASSOCIATION PLAN NO. l' _ RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW.LIVING SPACE ,:_:,2 6,41 -square feet x$96/sq.foot= c�5, 3 y x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l .>120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x,$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost I 1 , MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit s I MASchock Software Version 2.01 I I 1 I Chocked by/Date ) CITY: Barnstable STATE: Massachusetts 1 MM: 6137 OONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-24-2001 DATE OF PLANS: 4/16/01 TITLE: Chase 422324 PROJECT INFORMATION: Garage Conversion to a bedroom. bath. and wet bar. COMPANY INFORMATION: Capizzi Homo Improvement 1645 Newtown Rd. Cotuit. MA 02635 500-420-9516 COMPLIANCE: PASSES Required UA - 85 Your Home - eS Area or Cavity Cont. Glazing/Door I Porimeter R-Value It-value U-Value UA ---------------------------------------------------------------- CEILINGS 264 30.0 0.0 9 I WALLS: Wood Frame, 16" O.C. 451 13.0 0.0 37 f GLAZING: Windows, or Doors 60 0.390 23 DOORS 17 0.160 3 FLOORS: Over Unconditioned Space 264 11.0 0.0 13 -------------------------- ------------ - COMPLIANCE STATEMENT: The proposed building design described here le Consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Coda. i Tho.heatinq load for this building. and the cooling load If appropriate, has boon determined using the applicable Standard Design Conditlohe found in the Code. The HVAC equipment selected to heat or cool the building shall be no greeter then 125% of the design load an specified in Sections 780CHR 1310 d J4.4 _ Buildor/Designer Date LY# i i r (f' Massachusetts Energy Code MAS check Software Version 2.01 Chase 822324 DATE: 8-24-2001 .. Bldg .l .. I Dzt.1 Usa I I CEILINGS: ( 7 ( 1. R-30 I Comments/Locatlen - I . I WALLS: [ ] I 1. Wood Frame, 16n O,C., R-13 I Comments/Locatlo^ - I I I WINDOWS AND GLASS DOORS: - [ ] ] 1. U-value: 0.39 I For alndowe without labeled U-values. describe features: I a Panes_Frame Type Thermal Break? ( J Yee [ ] No Comments/Location I f ( DOORS: [ ] ( 1. U-value: 0.16 I Comente/Location I ( FLOORS: [ ) 1 1. Over Unconditioned Space, R-19 I Comments/Locatio^ I I AIR LEAKAGE: [ ) I Joints. penetrations. and all other such openings In the building ] envelope that or sources of air leakage must be sealed. When ( Installed in the building envelope. recessed lighting fixtures i shall mast one of the following requirement.: ] 1, Type IC rated, manufactured with no penetrations between the I Sneide of the recessed fixture and calling cavity and sealed or 1 9.keted to prevent air leakage into the unconditioned space. 1 2. Type IC rated. In accordance with Standard ASIM E 283. with no I more then 2.0 cfm (0.944 L/el air movement from the the 1 con dl tl oned apace to the eei lln9 cavity. Tha ligheing fixture 1 'hall have been tested at 75 PA or 1.57 lbs/ft2 pressure ' i 1 difference and shall be labeled. - I I ( VAPOR RETARDER: y i [ I 1 Required on the warm-in-sinter aide of all non-vented trnmsd 1 cei?Inge. wells, and floors. 1 MATEP.IALS IDENTIFICATION: ! ( ) I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all Installed heating 1 and cooling equipment and service water heating equipment must be 1 provided. Insulation R-values and glazing U-valuee must be clearly 1 marked on the building plans or specifications. � I J DUCT INSULATION: [ ] I Ducts shell be insulated per Table J4.4.7.1. I I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return 1 ductwork located outside conditioned space, including stud bays or ! 1 joist cavltiaa/spaces used to transport air, shall be reeled I using mastic and fibrous backing tape installed according to the I manufacturer`. installation instructions. Mesh tape may be I omitted where gape are lase than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing 1 air and water systems. 1 ] TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual 1 or automatic means to partially restrict or shut off the heating 1 and/or cooling input to each zone or floor shell be provided. j I ' 1 HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is ] not greeter than 125%of the design load as specified I in Sections 780CMR 1310 and 34.4. I I ) I SWIMMING POOLS: 1 All heated swimming pools must have an on/off heater switch and 1 require a cover unless over 20%of the heating energy is from I non-deplateble sources. Pool pumps require a time clock. I I 1 I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids ] below 55 P must be Insulated to the following levels lin.): 1 y 1 t PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (P) 2"RUNOUYS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200. 0.5 110 1.0 1.5 - - I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: s 1 Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant. De low 40 1.0 1.0 1.5 1.5 , I I ] 1 CIRCULATING HOT WATER SYSTEMS: ., Insulate circulating hot water pipe. to the following levels (in.): I PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS 6.RUNOUTS - .- I HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0-" . 1 170-180 O.S I 1.0 1.5 2.0 I 1410, 0.5 ( 0.5 1.0 1.5 1 100-170 0.5 I 0.5 0.5 1.0 ^ ----NOTES TO FIELD (Building Department Use Only)----------------------- October 24, 2001 Building Inspector Barnstable County Barnstable, MA Re: 490 Oakland Road Hyannis, MA Dear Sir, This is to confirm that the proposed remodeling project converting our garage to a family room will not result in rental property or separate living quarters. The house will remain a three-bedroom home. Gary H. Chase Linda C. Chase Date: U/z�j/�� Date: /D/zjr—lp COMMONWEALTH OF MASSACHUSETTS ss 02 , 200 / Then personally appeared the above-named �• e Q and /T acknowledged the foregoing instrument to be his/her ree act and deed, b e Y (Seal) Notary PubJX My colmnission expires: 7namQ: o2Co 46 0A_ ri arse !ct uuuu mom us LOT 16 Curr vv 4SE,GARY H&LINDA C 490 OAKLAND ROAD ils MA 026 1 uu 000400 sae, to 19 9590 008 artu St r.HAqF- GARY H&LIN DA C 000041600 B UP 11 0000899u0 -xtraq; 90 OAKLAND ROAD HY 000 WAMEM-M........... V `' �. The Town of Barnstable 9� MAM �e� Department of Health Safety and Environmental Services; 59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 _ Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Co fU Estimated Cost L Jl = �YYL Address of Work: l / oak- l aM /U Owner's Name: Q. Q Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I he reb a pp y r a permit as the agent of the owner. / 100 7 D' a Cppp�tra or Name Registration No. 0 C RP f ZL too Wttk 2rUlPlCD11F,MEuY OR Date Owner's Name q:fbnns:Affldav f 4011-, The Commonwealth of Massachusetts Department of Industrial Accidents Office 0//11yestfgaUoos - 600 Washington Street s Boston, Mass. 02111 Workers' Compensation Insurance Affidavit t city�•'itl�n !�1 S phone tt ��1" b0 ❑ I am a h meowner performing all work myself. ❑ [ am a sole proprietor and have no one working in any capacity �( I am an employerer.pr�oviding workers' compensation for my employees working on this job. company name: cti,i l city: CQ / r.l Q 2 03 -5" phone insurance to V/✓l C��T �f7 �/�7C� �•S �Q policy# ! ', tP ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who r;:,. the following workers'compensation polices: company name: address:. city:: z phone#• insurance co policy# INEML companynam address city: phone#• insuranceco, policy# Failure to secure coverage as required under Section 25A of N1CL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 andnr 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 copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature- • C�-P Date 6 Print name �f��Je tUL V �/(:��f , I i4�t✓•%f 1-.Phone# ���� "7`�� 9�0 Ccontact ly do not write in this area to be completed by city or town official permit/liccnse# r�Building Department Licensing Board '. mediate response is required �Scicctmcn's Office 01-1calth Department n: phone#; 00ther tme iced 3/95 PJA) mile J ;J/yeY V09lYI/2dILlU da '1"&'0adW4'4(.o BOARD OF BUILDING REGULATIONS 771 License: CONSTRUCTION SUPERVISOR k Number CS 057032 `^ . MENEM HOME IMPROVEMENT CONTRACTOR Registration w ` it Expir@s Q9/26/ Q01 Tr.no: 5.742 Expiration: 6/23 02 Re xrict��I;To:"00 Type Priv4ie Corporatio THOMAS X CAP17.ZI 280 PERCIVAL DR CAPIZZI HOME IMPROVEMENT, W BARNSTABLE, MA 02668 Administrator' i Eta/ Thous Capiui, Sr. � 1645 Newton Rd. ADMINISTRATOR _._ ',.. •- .=.s+. - Cotuit MA I . . a Tie Comz�nvouuca . o��<Gaac�iudelld �, if BOARD OF BUILDING REGULATIONS ht+ , '"?I DEPARTMENT OF PUBLIC SAFETY ! License: CONSTRUCTION SUPERVISOR CONSTRUCTION SUPERVISOR LICENSE ! Number: CS 007454 g„ Number: Expires: RWrlcted"TOS 00 p Restricted To: 60 j THOMAS CAPIZZI �— FNEDERIA V.: R9SCH III 1645 NEWTowN RD ✓ ...+W Comma 1060 BOURNE,RD I Administrator COTUIT, MA 02635 PLYMOUTH, MA 02360 � \ s- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel © 1 _ Permit# Health Division Date Issued Conservation Division Fee �- Tax Collector Treasurer � JZ�dd Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address q® 6) k k"b J Wr ge `i Address �09'1fi'e" Telephone � �-- Permit Reque 6 J 6 • lL nc� s r.,qLL � :�- �jt� Square feet: to : exis ing proposed nd oor: existing proposed Total new Valuation �1.1 �fo�D LtO.(31D Zoning District Flood Plain Groundwater Overlay Construction Type (;� / �- Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family 4.1_�Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: 0 Yes 0 No Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:[]existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes UAO If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name l�-� �� � ��✓�/�-! Telephone Number Address y�. �, e 4-4 License# Cs6 XP 7 � Home Improvement Contractor# V0 Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 440 SIGNATURE f� � ,G'��DATE Lev FOR OFFICIAL USE ONLY PERMIT NO. = -, w , DATE ISSUED MAP/PARCEL NO. ADDRESS .� ' ,VILLAGE 1 OWNER „ DATE OF INSPECTION:"' FOUNDATION ` FRAME INSULATION p't e r; 1' FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . t F J, ASSOCIATION PLAN NO. F The Town of Barnstable s B�arrsr�si.E. t659. ���� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. t Date AFFIDAVIT E HOME UYIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,.demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements.' lam" Type of Work: / L • 5 Estimated Cost T �/� 'xJ , Address of Work: s n � Owners Name: l� Date of Application: �� ' C) I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IM[PROVEIVIENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. - - e?�IZS4�14-7— lDD Date Co tractor Name Registration No. • . �AP 1 ZL, �'o rn� 2MPjCDVF,ME�t OR Date Owner's Name f _ q*mis:Affidav t Tile Commonwealth of Massachusetts Department of Industrial Accidents, -- Office offnYestfgaUoas - 600 Washington Street 3 Boston, Mass. 02111 : Workers' Compensation Insurance Affidavit city ❑ I am a ho wner 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. . / r company name: city: CO%tt:.l T &A 0,�21oz er phone#• t 5A x insarantx>c4 �a1 E�T�/�}'[G�r �/971� cS W- policy# ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who h4, the following workers'compensation polices: company name- address. city.:. . phone#• insurance co.: Poticv# companynamc address: phone# irisuranceto. policy# Failure to secure coverage as required under Section 25A of A1CL 152 can lead to the imposition of criminal penalties of a fine up to S1400.00 andim 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. t do hereby certify under the pains and penalties o perjury that the information provided above is true and correct Signature ltno-P Date G "0 b Print name t U L y• Rt TSC�. ' QI� C'�"f,T Phone# ( .mod / "�a�' 9S� official use only do not write in this area to be completed by city or town official city or town: permit/license it nBuilding Department L oLiccnsing Board check if immediate response is required ` ❑ P q OSelectmen's Office r 0fiealth Department x> contact person: phone#; nOther " (revised 3/95 PIA) I It�y,>,x• .I BOARD OF BUILDINl. G REGULATIONS r� 1 i License: CONSTRUCTION SUPERVISOR �amnnaruaeal0i�il� , F�„ a+ Number. CS 057032 s I HOME IMPROVEMENT CONTRACTOR ,�� Ezplces Q19/26/ l�01 Th'no 57, 3 IMFtRe9istration, 100740 �T Expiration " 6/23/02 ;R�B�ricte 3 Type Private Corporatio THOMASX CAPI2�ZIJR .. �� 2130tPERCIVAL DR r CRPIZtI HOME IMPROVEMENT, 1 W.BARNSTABLE; MA 02668' Administrator Thous Capizzi, Sr. ; 1645 Newton Rd. ADMINISTRATOR Cotuit MA 02635 t 'I � � � ,.�,r.�...vY •J1W.V�.`�'a✓2`-aYri4��i✓�•y � �// (JL lf(��Q.OtI�LUOeIA.O _ . � - �• ; ....•• ` ✓lei ��/����72'.1 BOARD OF BUILDI.n( G REGULATIONS ask License: CONSTRUCTION SUPERVISOR q. ;I j' DEPARTMENT OF PUBLIC SAFETY fah"' Number: CS 007454 1 !, CONSTRUCTION SUPERVISOR LICENSE I Number Expires: IReStr � ed�7:0� ' 00 Restricted To: 00 " THOMAS CAPIZZI FAEDERIGK�V RRSCH III ! 1645 NEv fOWN RD 1 $k(L t21 L )I 'I I COTUIT, MA 02635 Administrator 1 __ ._` _ • i ` Page_='� Prime Products ester, NH 031 - W i ndow & Door Harvey Industries, Inc. 725 Huse Road Manch HA� Order Form Delivery Request Dale Ordered ® . o Ship Via nn i �P--— -- Account It(�A" 1 I` ❑Warehouse Truck O Standard Dealer Name P Z.Z ❑Factory Direct ❑Special Cust. P.O. D Factory Pickup Address ❑Pick up at — Ordered by, -- AL, G (Delivery Area) Job Name Bay/Bow Screetf: Angle: Flankers: Wall Depth: Veneer Glazing: &Alt O DH In Window Specifications: interior. Exterior ❑Clear O 10° D 1'5° D 4 then STD) D Oak Colo ❑ Full O CSMT ❑30° ❑ 1'9" ❑Other TYPO' Piz L /hite UJ'' �w E ❑Birch Co Opening White D Low-E Argon ❑None ❑Center DH ❑45, D 2'0" inyl ❑Almond ❑Almond ❑ Center PW ❑Wood D Buck ❑Med.Bronze O Obscure ❑2'4 ❑Bronze U Special Temp. Gn O Multi-point lock ❑Aluminum ❑TTT ❑Dark Bronze p Colonial In Glass (#of lites) U Stock D Pine U Other ❑Oak 6teplacernent Lt Colonial Snap-In Sash Type: U Catalog Size D Oaktone ❑Diamond In-Glass COMMENTS: ❑ chanical ❑Nail Fin elded CommentS ObscUre glass-bottom o ' ' x Example VDH 771 ti Vinyl patio Doors Colonial Color Quantit Size Style Grids Glazing ❑ Standard D Low-E ❑ Argon Cl Bevelledj Wail Hardware Prep Depth O Brass ❑Multi point Locking ❑Stainless system In❑Wood cludes custom ❑Deadboll Steel Wheels polished brass handle Customer Signature: F 1111% 4 W N f 'S yax bt A D D 1 7 7-1 A.6, a7 )9-20 -f- I;z -A, M OC'rr H 7 A 3 4 9 4A V-r�-1� -7 77)Q. A re- rot u E- Pt PA-Tr- r.d a-T-n-A C. AJ;VL Ti 0 k30 L L- IN3 tz I L 0 CARVt- Pti CLit,,Jlr 1Z. I) cvAt. /A)L� r 06 a X,,�),k v L(�,k-A P i CUf to L :Q 7- 14 i NT:. P;4-- A) W 11h G LE CUT W*q N;f-- To P e A o I c !K x Lf rk T, TT' HUTT 2j 7Z710 Al-A T E ....... wr \91 ;k .Xy HID rA 1A %5 4-- &L 4Td A6 ^1 Fr } � �__._„�'��- -- �� ice, % ��� L. 17 k) (It, ✓ L) L D e C 0 L 1 0' L) E GA D A 710 A.) A JQ jo R_ HAk-out-. %)iiF y -rc<O 2e) v- }fi tf j< 15 1 FOLD A "n 6�t T -r- o K 4 T q4 D 6 0A V 0#4, AWl..VhbAj Ov T ------ ll.f I ?:� /1--"o Goff kt, v) ^1 V Cj'-'--.------.---..- T L �3o A k, L 3 OPT P 1 5 P,Pu G Lt- Pt: rTl)f f-f� 104 1 A L L PA _ _-(1-L(—,14_Z____k t F A-Li Ch.) ---- --._ f' Ff E f `_�_-_ - IT Thesis drawings were prepared by C;apizzi Home Imrrovement iar the use of Ca; fz7j Horna irnplovement e(n, yes and su�,;ccintrac�xrs. Anyorta using these (..7iaii ,"'P`4 iiioutl fiaid veril"Yall ex4sting corrditions, k-CALE�. ', it APPROVED BY: — � r DRAWN BYLit"?a t:tlr, -C�;,:fy tt> ATE: ' REVISED CCU...:.:.,r3r;;: r +'tc 4�il at:y'•,�t thes6 +':}rawitigs. capi%zi mote %r µiscialms any respo;tsit"RN for any a;d ali r� p=t. 13 Wr Ijch ars>)1r01=1 the use c)f these drawings by _ ttE r'Anvo ,',a Other than eitlpjoyees �, surr�nrttractors of DRAWING NUMBER 1 Ca�+i7..?i Hamra Imprcwernent. r��� r� s.