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Home My WebLink About0049 STETSON STREET �9 Sfefisonl S� � — - - � � - � T � . 0F THE e Town of Barnstable Permit# 7/ BARNSTABLE. +" Expires 6 montiss from is a d,q� MASS. ,39n. erg Regulatory Services Fee - V tFp ,�a Thomas F.Geiler,Director Building Division Tom Perry; Building Commi X Office: 508-862-4038 PRESS PERMIT ssioner ERMIT 200 Main Street, Hyamus,MA 02601 r Fax: 508-790-62 JAN 30 13 2006 EXPRESS PER APPLICATION _ TOWN OF BARNST RESIDENTIAL ONLY ABLE of Valid wid'outRed X-Press Imprint lap/parcel Number 4� roperty dress I esidential Value of Work 4 �. 0 Minimum fee of$25.00 for work under$6000.00 wner's Name&Address f intractor's Name "17 AA -:::Telephone NumberJU 4d-&, 7 Vur me Improvement Contractor License,#(if applicable) o o 740 astruction Supervisor's License#(if applicable) Workman%Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance rance Company Name Gua.,fd, ff -6wua kaman's Comp.Policy# / ! 1 �j Y of Insurance Compliance Certificate must be on file. it Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to .. �,(Re-roof(not strippingr. Going over existing layers of roo fl BU Re-side I; -Flo/ e LcLn' ' st IM boa.ids ❑ Replacement Windows. U-Value . (maxunum.44)� n`7"""" fD rdi arsk-, *Where required: Issuance of this permit does not exem t co �� r 2 70 P mpliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. rovement Contractors License is. �i.. .. ... equued. _ r expmtrg 3004 CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, �o /V/f C /�0/(i.A/ OWN THE PROPERTY LOCATED AT ` Al. IN C e-f I/, Ile MASSACHUSETTS. I HAVE AUTHORIZED CAPT77T 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. SIGNATURE OF OWNER: O OWNER'S ADDRESS; 11�� OWNER'S TELEPHONE: T �� LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: r APLLICANT'S SIGNATURE: \I APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508.1428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # s, e>.:, ;�:„„}:' P ...,,- sue. � ,..'�+��. ,.z,,��..�,.... ,. .!m r-x. �•a..,E.^ ... ,.�': :.� , t r s ; i^. - 5 p �..a i�. ,?N y,,.. r ?1 <.v� ->c3?;ar; s z. sa .+.� � « 9 /mow x :';. °�», 't 'z -" �€ "� s x�«-�^ q�•/`,'. °y,� - � � a�� 4 �.. { iP i � t� '.^,>,.-`"�'. Sim ,,. ,e.,,,'3" e.,.. i:. a, k,�.""2" v..,:, ?�.�s�n'�'?.R v ei.,:"4 ,s'1. ,"�� t'>`•' i s.- :,.. � ,, _ ✓„�.>..: r. hk. .a...sv ...v,.,.: r.,. � :r.Y::. •+,. ,. ... ^,: .,, ,.:. �, 't" 1 ,6 �.i.: 'h �, k:'\ C ��' .k•.^ , � ,u.. 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Town of Barnstable *Permit# -7 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner R 200 Main Street,Hyannis,MA 02601 - www.town.barnstable.ma.us SEP fi (�r Office: 508-862-4038 Fax: 508?P!9 6230 EXPRESS PERMIT APPLICATION - RESIDENTIRSK BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number / yerty Addressjsw I ��DY esidential Value of Work Minimum fe of$25.00 for work under$6000.00 Owner's Name&Address _ Contractor's Na [b 0 Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) dworkman's Compensation Insurance Check one: ❑ I am a sole proprietor �I am the Homeowner I have Worker's Corlipensation Insurance ,t Insurance Company Name Workman's Comp.Policy# (� Copy of Insurance Comp ' ce Certificate must be on file. Permit Request check box l� WAA ( ❑ Re-roof(stripping o shingles) All construction debris will be taken to r ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) v *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. Home Improvement Contraptors icense is required. SIGNATURE: Q:Forms:expmtrg Revise071405 CAPIZZI HOME IMPROVEMENT INC . v SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN 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. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN APPLICANT'S TELEPHONE: 508/428-65I8 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # 5 PERMIT PAYMENT RECEIPT i TOWN OF BARNSTABLE 'BUILDING DEPARTMENT 20�0 MAIN STREET HYANNIS, MA 02601 DATE: 09/06/06 TIME: 13:05 -----------------TOTALS--------------;,--- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20063017 PAYMENT METH: CHECK PAYMENT REF: 24473 0 , t ti Town of Barnstable *Permit#C °"�-'C/ OT Expires 6 months from issue date snxtasrnat Regulatory Services Fee 6 q. ,0� Thomas F.Geiler�Director AIFD MA't A Building Division ® �- Tom Perry, Building Comnvssioner � 6R 6P®C�S� Pep�e .200 Main Street, Hyannis,MA 02601 X RE Office: 508-862-4038 Fax: 508-790-6230 SEP 0 6 2006 EXPRESS PERMIT APPLICATION RESIDEN'IF&M SARNSTAECE Not Valid witly.out Red X-Press Imprint vlap/parcel Number W 'roperty Address �- �`� �'� Mtcmn Residential Value of Work Minimum fee of$25.00 for work under$6000.00 )wner's Name&Address A UASi �7)AH e-� 'ontractor's Narue 9 �;�iZ2 �b11f1 �! Telephone Number. zz 9S I [ome Improvement Contractor License#(if applicable) ®6 onstruction Supervisor's License#(if applicable) a 5`7 0 lWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner -� I have Worker's Compensation Insurance t isurance Company Name orkman's Comp.Policy `,Q opy of Insurance Compliance Certificate must be on file. :nnit 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 (maximum.44) *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 Pernussion. Home Improvement Contractors License is required. ,nature oTms:expmtrg rise063004 r Late: b/lye/ZUUb Time: U:40 AM To: fV y,'l,SU842B1b47 R&(; Ins. Agcy. Page: UU1 "# Client#:47298 CAP IHOM //{{CC)RDTM DATE(MMIDDNYYY) H - � CERTIFICATE OF LIABILITY INSURANCE I 06/93/06 rRooucER 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.O.Box 1601 ALTER THE COVERAGE AFFORDED BY TH E POLICIES BELOW. � - South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER A: National Grange Mutual Ins.CO. Capizzi Home Improvement,Inc.Capizzi Enterprises,Inc. INSURERe: GUARD Insurance Group -; 1645 Newtown Road INSURER C: INSURER D: Cotuit,MA 02635 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR INQ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PDLICY EXPIRATION DATE MMIDD DATE MMIDD LIMITS A GENERAL LIABILITY MP010707 06/08106 06/08/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES $SOU OOO CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 00O 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JPERT1-1 LOC A AUTOMOBILE LIABILITY M1010707 06/08/06 U6108107 COMBINED SINGLE LIMIT ANY AUTO $50U,000 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIREDAUTOS .'BODILY INJURY X NON-ONMED AUTOS (Per accident) $ X Drive Other Car PROPERTY DAMAGE (Per accident) $ GARAGE llABIUTI' - AUTO ONLY-'EA ACCIDENT $ ANY AUTO DTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLALIABILTTY CUO107O7 06/08/06 06/08/07 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 00O 000 DEDUCTIBLE $, - X RETENTION $10000 $ B WORKERS COMPENSATION AND CAW C702365 12/25/05 /2/25106 x WC STATU- OTH- T.LIABILITY IR - ANY PROPRIETORIPARTNER/EXECUTWE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$5 If scribe under 00,000 yes, SPECIAdeL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER - DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 4 CERTIFICATE HOLDER CANCELLATION ` SHOULD ANY OF'HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ry DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 DAYS WRMMN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #M22681 MEE o ACORD CORPORATION 1988 uns , I J/P* MA C()xa��c;��a��x� r3�$kt:�X�7f 3xa��3r.�z�a�iax� . l73lC: �J:3�S JLSSIU�'gariicafi-03i/3ndjv3 dual)- Papizzl flume Improverient 19. G. Y 5-I�1�1ht�ab-tn Rrnri Colul'l:, MA 02635 Tel,428-9613 1-800,262-,506Q tyls aiezip PhODC�. >ttxx ar3 e)MP)GYer?c6cl a3 a ,elr��r � 3 at,e i3� ' ire o rod ( reYxi raj: . f�3(raj C01111a.� dor and I �z oy cs a dloz a l e).�' �aaaTe hio-+ed ti-O s 7r con a (ors 6. D New x onsimcom` . T 'a sD3 iD zieic�3 oz azine�- lisitA on fk atacbed 6(et1, R�Mfld_ g s p'x-3 afire ho' Wiese S13b-Cori-adois � D��O)rcB l3at C �. � - r1'Zn. �D30�1OJ3. zoz .g me in any caPa�j? �s?oz��t�s'Wimp.bSn3Mice. [NO -roxkt`o0 9. $ d ndd�xA s.. .art �J aze a wrpomtion Wit officers ha�?e eexarcisd ibex 1{3 cal re�aM S-G.T aadidi aeo ?J3ezdoiug au wowIiOA oeciione�11�C'rL _� Pbian xas ox addioxzs rrryso o or e i CDs_:' o.152,§1(4),and vire lave no 12-E Roof I'VIO�rDeS_[No WID3�iCTSo. Comp-1[1 cD 11:Tqu tq r>>ic.�, c�er��;�.��T,,,cf�3So�3 axtt�3ie seCd3oxi.3?elovd ox ncµs who 3IIL�tt�y�=�13r - � �D73 �3 3�fl�.3flA" cis sY r iecki isi?ob mesf g a33 to+or3csnfl �"see ox�sdcoonixscYgrs zaStsi s1$ ct sxex�Ada c i�c cisiing s�1e� R'figt`�el�as�dti��io�s3 s�.?eeis?�or,+i?ag$ie�ame a�i3ze suv-eo�iracYors�nd'�?.e�r.o�.czs'cow_�ai�cy�ar�aiion.•.. rz��,;�.�cr.�'�-�z��s,�rr�rz�3'zxz�-�s�or:��•s',c+�rrz,�.eazs�oxx zr�su�,c�rxr.,8 ;03- ?r� �p �.�s �8n.�o� �s a5"ze ,cr � ? `rr�i sz�e . nz�a�� : hard n ;z, -t C' o ems.�.�c.�1:• � � -3 to 5 f •= - txp�tiou Date: �dd�e�s:� - • Oi�rl #a��1Z : x a c��y ns ox odic d e ai �x� ale suw e c�Ilc 3axx �e d o flxx daie)_ is s +CD1rEI�e as zeq�-mod xx��der S . . 'iO >3��-I3D a33CID3Pr �� D33 r� ectio�23 o � GL c_352Canlead -Bae�osi� i-�a7 fl3ao c3:i penal 3 $25O- D a tea3 r a �e s 6 a P es1.tiesia i�3.e fog of a STOP-ir0 ORDER and a�� o a r �e ad? sed fit;a WPY O:rd is sba--Mtn may be fDx-% e t #fie obe,o g�fl-u.s Of�e DIA for �sara�ce.+co�tr�ze•�r•� �_ .. ,�rrrxz.��as�".tj�;�,es•�..�,� >��r`i'x,e,�z��nrn�rr�,�,�r are" � �u�;:s �.�zd'rrin� , /� e•� v 3�a�e: � lJ � . , czr ry e +�xr�j� .�A zurx��r e in fixzS arew,zq 6z,Cur rz,��ex`er��>, .. ' . hag A, �r�l dlCCnSC QL oxkiy aid o �9Cea�tla 2,jBrxilt pax tx3a aoi 3.�t3a�x S oYKrO Cie-& �.Xdlcctxx 3x3s fox �_ 'kkimbiDg hasp ectox -t'att hex.sow J e �� — _ Board of Building Regulations. and Standards One Ashburton Place - Room oom 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 100740 Type: Private.Corporation Expiration: 6/23/2 0 08 CAPIZZI HOME IMPROVEMENT, INC.,. Thomas Capizzi, jr. 1645 Newton Rd. Cotuiti MA 02635 Update Address and return card.Mark reason for change. DPS-CAl C, 5oM-04i05-PCa698 Address Renewal 0 Employment Lost Card \ ✓,ze �om��za�aurecz� o�✓f�aaaac�zccaeCta ` Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individui use only before the expiration date. If found return to: Registration: 100740 Board of Building Regulations and- g g Standards Expiration: 6/23/2008 One Ashburton Place Rm 1301 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 s BOp,Rb OF BUILDING license: CONSTRUCTION S - Li4T70NS - Numbed >CS 057032 a•r. ' Birfitrdate t�9/26/1 63 {FKt3u'es:'t7I26/2007 ` } =+ I. fiestr tec7=7)D i i r ` Ft� 41 THOMAS)( c � + ��ct �v1 169SN CAI?lZi� •=i. •: ' � r�L� . EWTOWN COTUIT, MA 02636 E� Comrnlssioridr s - CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES PAGE& OF 6 STATE OF MASSACHUSETTS LETTER: OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT t mom a OWN THE PROPERTY LOCATED AT �-.Q-�-s Orl S� IN 1!.4 innI' MASSACHUSETTS. I HAVE AUTHORIZED T TO ACT As MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE .BUILDING CODE. I GIVE MY PERMISSION1T0 LESSEE TO-APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: " APPLICANT'S SIGNATURE: (mil APPLICANT'S ADDRESS 1645 NEWTOWN ED. !'OTUIT, `A 02635 APPLICANT'S TELEPHONE: 5031428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THLS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL Z4? 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 6apiizzi, r- Date: aworth Date: 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547