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0016 WATSON STREET
/ Cv TO TIME,,,- �/ DATE- / t��� � C/��":: ���. � � UR6EHTr ❑'Celtee� M ❑"gnfur (�€eller#to yow cc� Y see you OF Please [j Wantsta cad see you PHONE ❑YYrllcall C Ys1# -7 7/ -- ��d3L again know ' MESSAGE OPERATOR: Oh 23.024-400 SETS 23-027-200 SETS Town of Barnstable Building l`l} Post This Card:So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept R1`+'ALLerm t./ O Posted Until Final Inspection Has Been Made. � so►uil. Where a-Certificate:of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-17-4315 Applicant Name: CAPIZZI HOME IMPROVEMENT, INC. Approvals Date Issued: 12/14/2017 Current Use:, Structure Permit Type: Building-Sid ing/Windows/Roof/Doors Expiration,Date: 06/14/2018 Foundation: Location: - 16,WATSON STREET, HYANNIS Map/Lot: 324-100 Zoning District: RB Sheathing: Owner on Record: CABELL, DONALD L& HUDSPETH,.AMY R Contractor Name: CAPIZZI HOME IMPROVEMENT, Framing:. 1 Address: 181 GROVE STREET INC. 2 NORWELL, MA 02061 Contractor License: 100740 Chimney: Description: Replacement Harvey Classic(3) U-Value 0.26 Est. Project Cost: $2,500:00 Permit Fee: $35.00 Insulation: Project Review Req: Final: Fee Paid: $35.00 Date: 12/14/2017 - Plumbing/Gas 'Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permitshall.be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this.permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building:and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of.occupancy will not be issued until all applicable signatures by the Building and.Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to.Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,.separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site AII.Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f e, C,4F1 a2lwl-4ege— oe0,44 �� - >I �, Town of Barnstable Permit# 8- � S Building Department EXeees 6 issue da &UMSr,►BM : Brian Florence,CBO 9 '059. Building Commissioner sb39. s� CW1, 200 Main Street,Hyannis,MA 02601 "l www.town.barnstable.ma.us �I Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY j o n Not Valid without Red X-Press Imprint Map/parcel Number 3d Property Address 16 WATSON 5+P-46-- [Residential Value of Work$ f'Z ��U° �� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0 Ma I iD C A 13 11 J- A m Li I-F 1 k i 6 Roo e. s-f A 0VLue l i/ HA 0 206 t Contractor's Name �O 14 A! I - S1_✓-V 1 5"e 6 V�5 S t �5� Telephone Nwnber ('A P 1.ZZ! l 4 0 M e- 2' vYl (!!�'✓� ea f-1- �Ne. T 14.n Home Improvement Contractor License if applicab e) I a/lam. 0 Email: �J�G� C CA / zZ� lie . C a U-j Construction Supervisor's License#(if applicable) C S 'd & -/ 7 , dworkman's Compensation Insurance Check one: C 1 4 zQ3� ❑ I am a sole proprietor I am the Homeowner TOWN % 8 i NI RRS IYABLF have Worker's Compensation Insurance l llJl Insurance Company Name—A-0 6M,R U __1:N ��Ml N y Workman's Comp. Policy# R a w C 7-7 .,5� 3 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 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side (Replacement Windows/doors/sliders. U-Value (maximum.32)#of windows �� #of doors: *Where required: Issuance of this pennit does not exempt compliance with other town department regulations,i.e.I listoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improve ent Contractors License&Construction Supervisors License is r wired. SIGNATURE: 6 C:\Users\deco)I ik\AppData\Loca 1\M icrosolt\Windows\tNeiCache\Content.Outlook\9NNOKXY W\RESI DENTI LON L Y EXPRESS.doc 09/26/17 Y Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I/WE,4u / ` I , OWN THE PROPERTY LOCATED AT,6 w 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 ONER: ;W OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: 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: f Tk4o Conrntonweelth t fM *w dts DeparMWW©f dm*W AcckknO 650 woshbs in Street Dogon,MA 02111 www.mss gtreldk s/p}�bers �V©rkexs' ComPenswon Ins aAIMSYW BuHdeWGentrscftnPi n Ns p on/tadividuel): CAp=HOME IMPRaVEMEIVT IPIG 1ea NEWTOWN ROAD Phone t 608.42M646 ,a „� Cube bm 4. Imsgoollconuadormcli 6. N oon G. 1wcdm .,/ I sM s"V wlth 40, * bx"Wwd 7. RemodWft employees hu> � UOW om to attached ewrorpuma- brave $. 2. 1 am asoloprc� $ DemoMm appOwsmooMptoym employees and have worms' 9. Building oddWo forme inffw Y- addidow 1No w �A- S. W s ompaa don and� 10. � or �vmer daft an work o b � 11. P ar ad�a�s 3. Iama of omperM4L 12. Roof rqubs 'lwo wor>sms' mix §1(4),and we bave no 1? oworksrs' 13. lfoy homudm t!�;� imx#1tm�also0�a�8urseotian � u=fsfbd-a ffideowhas�oarrna8m bm #e ab 4mepa wPoU9 • ogees lfthe �etow depot mob s I am46 thee is prow mgwmtm—* 0s�ut�tCefortnD► two ,CoupyName: gMt3UARD INSURANCE COMPANYbswmm 12/25l2D17 WC7753M B�Imo' Policy#or.$e =3os.Lim. • Vj- 16 DIM sa'a Jv�2 chym -- � — e Job SiteAAdtm., ds4 ptt a work s' °`p°n'd�ratim pop nombec s� of a Attacks und�r,8 2sAof o.15a cm�lesdtoffie n of p iadfe farm of a STOP v�rt3Rg 01iD�t aml a entfte l as as.civilpe tlas `a fi .uF io 'OD 00 andfor:c►n�-y be ftv&%W ►*6 0ffioe of afup to3330.DD a day a ' �e viols Be adv�l a coPY of thls ata6ameat mat ire��F� k>nte corte±c� ' t p WL B pT:pae a ut ,tdbtlp � b'artmvn permit/Lieense tom►arVa�ws: r ( , 3, om Cb* 4.FbcW el S.rb�blsi c-.0"—t A`�p° E1W2/30123D12 CERTIFICATE 4F LIABILITY INSURANCE OATD/YYYY) 016 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 endarsement(s). PRODUCER NAMEACT Rogers and Gray Processing ROGERS&GRAY INSURANCE AGENCY INC aoCNE 508)398-7980 Pa c No: ADD TRESS: mail@rogersgray.com 434 ROUTE 134 INSU AFFORDING COVERAGE Nmd# SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWfOWN ROAD INSURERE: COTUIT MA D2635• I INSURERF: COVERAGES CERTIFICATE NUMBER: 114656 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. R. ADD UB POLICY EFP POLICYExp iNS LIMITS S YYPEOFINSURANCE POLICYNUMBER M]DD MIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE F—IOCCUR PREMISES occurrence $ MED EXP(Any oneperson) $ NIA PERSONAL&ADVINJURY $ GEN'LAGGREGATEUWT APPLIES PER. GENERAL AGGREGATE $ POLICY❑�Ra LOC PRODUCTS-COMPIOPAGG $ e $ OTHER AUTOMOBILELIABILITY EE,a.Nd�tf NGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ITOS LL OW ED ALCKEDULED NIA BODILY INJURY(Pei accident) $ NON-OwNED PROPERTY DAMAGE HIREOAUTOS $ AUTOS Per aeeiden $ UMBRELLALIAB HoccuR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE WA AGGREGATE $ DEO REIENT]ON$ $ WORi� Sf T UTE RS COMPENSATION X ERA AND EMPLOYERV LIABILITY Y/N ANYPROPJETORIPARTNEWEXECUTIVE EL EACH ACCIDENT $ 1,DDO,ODO A OFFICER]MEM EREXCLUDED? 0 NW NIA R2VVC775326 12/25/2016 12/25/2017 EL DISEASE-EAEMPLOY $ 1,000,000 (Mandatory in NH) D 0umder EL DISEASE-POLICYLMrr $ 1 moo Pb OF OPERATI ONS below N/A DESCRIPTION OF OPERATIONS I LOCATIONS]VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more spare is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 0613,no authorization is given to pay claims for benefits to employees in states other than Massachusetts If the Insured hires,or has hired those employees outside of Massachusetts. This certi5cate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Issue date of this certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verffraton Search tool at www.mass-govAwd/workers-compensationAnvestgafions/. CERTIFICATE BOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I ED 13EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS_ AUTHORIZED REPRESENTATIVE C Daniel M.4ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988 2014ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD �.--� CAPIHOW01 CLEDDLIKE �.� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYYY)06/28/2017 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.iW 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. A PRODUCER N CAMEONT:CT Rogers&Gray Insurance Agency,Inc. PHONE Nn (AArc,No:(877 816-2156 434 Rte 134 E-MAIL South Dennis,MA 02660 ADD Ess:mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC N INSURERA:Arbella Protection Insurance Company,Inc. 41360 INSURED INSURERS: Capizzi Home Improvement,Inc. INSURER C: Capizzi Enterprises,Inc. 1645 Newtown Road INSURER D Cotuit,MA 02635 INSURER E: 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 INSJRANCE AFFORDED BY THE POLICIES DESCRIBEQ.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 N p U p 'POUCY NUMBER POLICCYEFF POLICY EXPLTR DNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR 8500067380 06108/2017 06ID812018 DAMAGES(E.T ED 500,000 SET R ccti ce $ MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: IGENERALAGGREGATE 2,000,000 POLICY N%& F—xl LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABIUTY COMaB�INdED SINGLE LIMIT $ 1,000,000 ANY AUTO 1020064960 06/08/2017 06/08/2018 BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY X AUTOSyy� BODILY INJURY Per accident $ Ix AUT0.S ONLY X AUTOS ONLDY PeOeEIdeMDAMAGE $ $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMS-MADE 600067381 06/0812017 06/08/2018 AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABIUTY YIN AA�NNpYPROOR!PMRIEfORIPARTNERIEXECUTIVE � EL EACH ACCIDENT $ INTandap En NE,12 EXCLUDED? N I A n) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICYLIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remark Schedule,may be attached it more space is required) WORK COMP CERTIFICATE TO BE ISSUED DIRECTLY BY THE CARRIER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I c�•.� r'�/tr. �Y���tt�trrtrectr!!I e n1'lrru Massachusetts Department of Public Safety ncrrce of'Consumer Affairs&Busiae�Re Board-of Building Regulations and Standards gulatior License: CS-064817 OME IMPROVEMENT CONTRACTOR Construction Supervisor # '" Registration: 100740 TYP ExPhitlon: 6/23/2018 Supplemen JOHN T STRUMSKI $ CAPIZZI HOME IMPROVEMENT,INC. 18 ALDEN AVE BUZZARDS BAY MA 02532 - JOHN STRUMSK! 1645 Newton Rd. Cotuit,MA 02635 Undersecretary �„CK- Expiration: •. Commissioner 0611812018: _- _ ted-1maiftgrs of MW use group Vrw& Iss thm 35,000 cubic felt(991ms)of space. C Issess a current edition of the WkssachuseM L'We is cause for revoration of this license, ins irrfonznaVon visif: bMw.N&w.BovJQPS License or registe*ion Wand for individual age only before the expiration date. Ef ford return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite S170 Boston,hfA 02116 A' Not wvithoat signature L t9t �I, 6 Iz DocuSign Envelope ID:AB8A3BE1-1876-42A0-A784-D92E7AB40BFA ?� Capizzi Home Improvement 1645 Santuit Newtown Road, Cotuit, MA 02635 P: (508)428-9518 -Toll Free: (800) 262-5060 - F: (508) 428-1547 - FID # 80-0014011 a CSL# 7454 -HIC# 100746 y www.capizzihome.com Date: December 5, 2017 WORK AUTHORIZATION Name: DONALD CABELL 1 Job Address: 16 WATSON STREET Address: 181 GROVE STREET City/Town: ! HYANNIS City Town: NORWELL Home Phone: 617-646-9520 State: MA Cell Phone 1: ZIP: 02061 Cell Phone 2: E-Mail 1: ( DONALDCABELL@HOTMAIL.COM Estimator: JACK STRUMSKI E-Mai12: Job Number: ! 3S926&A We hereby submit specifications and estimates to replace the dining room window: • Remove existing dining room window. • Install Harvey Classic new construction mullion window with 6/6 grids between glass. • Install new exterior and interior trim to match existing. • No change to opening. • Dispose of debris. Labor&Materials: I $3,071.00 Less 8%In Progress Discount: -$246.00 AWA-8 Total: $2,825.00 Thank you for your business. Sincerely, Jack Strumski (S08) 648-9949 Capizzi Home Improvement ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are hereby accepted. p��o°°S'9"ed b�' � 12 5 2 Capizzi Home Imp v en i a llt ,or ed to do the work as specified. Date of Acceptance: / / 017 Signature: �(940 294B18C34049405... V/ i FIKE Town of Barnstable *Permit t _' Expires 6 months from issue date Services Fee tan STABM ASS.Mass. FEB 0$A294?d V.Scali,Director M s6gq. A, F D N1Ar TOWN OF 8AHjV8fflAh8 Division Tom Perry,CBO,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY , 32 Map/parcel Number y Not Valid without Red X-Press Imprint Property Address p W,4-1'10AI �f400i:S (Residential Value of Work$ 10 000 ° OV Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V n PJA 1,0 G h D AM C A 13 01 kI kovt/ s J- Notladell, A?, 4;04l Contractor's Name �et fn Al �• J!'t✓+��(S kt Telephone.Number 10y1� !o Home Improvement Contractor License# (if applicable) c� L Email: J4C.� � �'7!ZZf t9%�• ?'f Cons uction Supervisor's License# (if applicable) C 6 0 G / / 1 Zorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [7I have Worker's Compensation Insurance / Insurance Company Name 4-q V U,4Kb !:r4J'° (OVA AJ Y Workman's Comp. Policy# °tip G 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 Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) Re-side We, 5hio6kf ��J ❑ Replacement Windows/doors/sliders.U Value_. (maximum.32) #of windows of doors:R � A ew EA to Pool/ ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. y 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. 4Acopy the Home Impro ent Contractors License&Construction Supervisors License is SIGNATURE: C:\Users\Decollik\AppData\Loc icrosoft\Windows\Temporary Internet Fi1es\Content.0ut1ook\2PI01 DHR\EXPRESS.doc Revised 040215 r Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT UWEA Gi'r�v PT , OWN THE PROPERTY LOCATED AT)b IN l�yyi� %l• , 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: 1 t OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: 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: ,.MassachUsette Department of public Safety lkard•ar Building R J eguiatians and Standards �_-- ce of Consumer Affairs&Business Regulatioi License: CS-0648V bME IMPROVEMENT CONTRACTOR Cans4ructton Supervisor ._ r7 ' Registration: 100740 Ex iration: 6/23/2018 TYPJOHN T STRUMSKi Suppiemen 18 ALOEN AVE R > CAPIZZI HOME IMPROVEMENT,INC. 3UZZARDS RAY MA 02632 JOHN STRUMSKI i 1645 Newton Rd. � A , Cotuif,MA 02635. ZCK- l.� Undersecretary COM Missioner E:cPi ratiion: 06/18/2018. :L-d-Bailtlmgs ofaRW va y group which rss 9=35,000 cubic feats(991m3)o woo. c assess a current edition ofthe Wkssachuset$s 9 Cade is cause for revocation of this license. ing inroma;aon visrc: uj%rw.afias.,savJDPs License or registration valid for individual use only before the expiration date. If found return to.. ®id'tee of Consumer Affairs and Business Reg—uLation 10 Park Plaza-Suite 5170 Boston,MA 02116 ,t• I Not valid without signature t I � 1 ® DATE(MMIDD/YYYY) A6 o7RL CERTIFICATE OF LIABILITY INSURANCE 12/30/2016 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 terns 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 endorsemen s). PRODUCER NAME:CT Rogers and Gray Processing ROGERS&GRAY INSURANCE AGENCY INC (A No : (508)398-7980 FAX c No): E-MAIL ADDREss: mail@rogersgray.com 434 ROUTE 134 INSURER(S)AFFORDING COVERAGE NAICA SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURERS: CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWTOWN ROAD INSURERE: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 114654 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 I DDL SUBR POLICY EFF POLICY EXP TLIMITS LTR TYPE OF INSURANCE POLICYNUMBER MMIDD MMIDDNYYY COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ DAMAGE TO RE NTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ JECT $ POTHER: AUTOMOBILE LIABILITY Ea a.d.ntSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ Per accident HIRED AUTOS AUTOS � $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION /� STATUTE ERA AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED7 NIA N/A NIA R2WC775326 12/25/2016 12/25/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or.has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdtworkers-wmpensaton/iinvestgations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of BamStable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE C, Hyannis MA 02601 Daniel M.Cro y,CPCU,Vice President—Residual Market-WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD _ The Commonwealth of Massachusetts Department of Industrial Accidents - --14h, Office of Investigations — 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): CAPIZZI HOME IMPROVEMENT INC Address: 1645 NEWTOWN ROAD _ City/State/Zip: COTUIT , MA 02635 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 ha ve ave ship and have no employees These sub-contractors8. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.t 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, 11. Plumbing repairs.or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] fi c. 152, §1(4), and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an,employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AMGUARD INSURANCE COMPANY Policy#or Self-ins.tic.#: R2WC527200 Expiration Date: 12/25/20 Job Site Address: wh �J�'�/ ✓ 4 dQt1i! City/State/Zip: 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 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 Investigation f the DIA for insurance coverage verification. I do hereb c tify der the pains and penalties ofperjury that the information provided above is true and correct. Si ature: Date: 0 I 11- 7 Phone#: 508-428-9518 - Official use only. Do not write in this.area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance..Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.ma5s.gov/dia - / LAND COST ' Cone.Walls Fin. Bsmt.Area Bath Room Base "o p G (7 BLDG.COST Cone.Blk.Walls Bamt.Rec.Room St. Shower Bath Bsmt. _ ' PURCH. DATE Cone.Slab Bsmt.Garage St.Shower Ext. Wells PURCH. PRICE. Brick Walls Attie Fl.&Stairs Toilet Room Roof RENT Stone Walls Fin.Attic I Two Fixt. Bath Floors — � - Piers INTERIOR FINISH Lavatory Extra Bsmt. 00rc,6 f 2 3 Sink O s/4 r/x y. IV Plaster Water Clo.Extra Attic EXTERIOR WALLS Knotty Pine Water Only Doubts Siding Plywood No Plumbing Bsmt,Fin. Gr 8AIY Single Siding Plasterboard Int. Fin. Shingles TILING �U nc.Blk. G F P Bath Fl. Heat D �8 �!7 /0 `3 g Face Brk.On Int.Layout Bath Fl.&Weirs. Auto Ht.Unit veneer Int.Cond. Bath Fl.&Wells Sp. Fireplace FP' 0 •?4 Com.Brk.On HEATING Toilet Rm.FI.. f? Plumbing Il Solid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling Steam Toilet Rm. Fl.&Walls �tf ? Blanket Ins.- Hot Water St.Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS ' Asph.Shingle �oo' Pipeless Furn. G G S.F. O Wood Shingle No Heat VY-I S.F. Asbs. Shingle Oil Burner S.F. S Slate Coal Stoker S.F. S O /U .Y/$�. / �. NO Alt 4 T A4/O A/D Tile Gas S.F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S.F. 1 2 3 4 5 6 7 8 9 10 1121314 5 6 7 819110 MEASURED Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace / Sgle.Sdg. Roll Roofing Cone._ LIGHTING _ _ Dble.$dg. Shingle Roof - Earth Na Elect. DATE Pine 10 Shingle Walls Plumbing Hardwood Rooms Cement Blk. Electric .. Asph.TO Bsmt. 1st j TOTAL a Brick Int.Finish ffPRlC,.EC,Single 2nd 3rd FACTOR REPLACEMENT al 0C•.� OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. I Irip ..S 3G .Z OSS - UO 1 2 3 4 5 _.-. 6 7 M.s 8 9 10 TOTAL 1/6 RESIDENTIAL PROPERTY MAP_ NO. LOT NO. 16 FIRE DISTRICT STREET , atson St. Hyannis SUMMARY y 32�t loo H LAND BLDGS. OWNERS-CEO[-e✓7 t TOTAL - LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � BLDGS. _ TOTAL J / 21a LAND GtJ l C'J atr +. .., -• Qo� � 0) BLDGS. _. f TOTAL LAND BLDGS. -- TOTAL LAND C) BLDGS. TOTAL LAND m BLDGS. - TOTAL LAND BLDGS. Of TOTAL LAND INTERIOR INSPECTED: BLDGS. ` TOTAL DATE: LAND ACREAGE CO UTATIONS rn BLDGS.' AND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HODS 4�o°7D G O`�� p V LAND CLEARED FRONT BLDGS. REAR' TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. 0I _. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND �.. C%i:? BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH. TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. .j ROPERTY ADDRESS ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY No. 0016 WATSON STREET 07 RB 400 07HY 07/09/95. 1041 . 00 70AC237737 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T,, UNIT ADXD.UNIT Land By/Date sae omen=:on LOC./Y R.SPEc.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS I VALUE Description HUD.S PET H. WILLIAM 8 MAP- . CD. FFDeptn/Au es a E #LAND 1 39,600 CARDS IN ACCOUNT - 10 113LDG.SIT . 1 x .21 =10 290 6499,9.9S 188499.9 .21 39600 #BLDG(S)-CARD-1 1 50,100 01 OF 01 #PL 16 WATSON ST . HY COST 89700 BATHS 2.0 U x ' C= 100 7000.00 7000.00 1.00 7000 B 4DL LOT -122 8 123 MARKET 101700 BSMT S X C= 100 6.9 6.95 960 6700-8 #RR 1796 0090 INCOME A L PLACE U x i C= 100 3100.0 3100.00 1.00 3100 B S£ D APPRAISED VALUE i 890700 U PARCEL-SUMMARY - AND 39600 + T LDGS 50100 -IMPS M TOTAL 89700 E N CNST N DEED R_ TYpe DATE A RIOR YEAR VALUE T B0 Page Ir•51. MO. Yr.1DI SeIBe P(pe A N D 39600 S I 3599/273, V111/82 15000 LDGS 50100 TOTAL 89700 2 BUILDING PERMIT _ III LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS Number 0- Type Amount 39600 1 3400 Total Year 8uill Norm. Obsv. gnl Roortrs Rms Batbs I'Fia. Put II Fae. Class Units Units Base Rate Adl.Rate A r I Age Depr. CiOntl. CND _oc 4p R G Repl Cosl New Atli Repl Value Stories Hei yWe Difft 000 105 105 62.45 65.57 36 60 34 56 100 56 89506 50100 1:0 5 .3" 2.0 7.0 iplion Rale Square Feel Repi.Cost MKT.INDEX: 1.00 IMP_BY/DATE. / SCALE. 1/00.66 ELEMENTS CODE CONSTRUCTION DETAIL B„ lOD 65.57 960 62947 R EA TWO FAMILY DWELLING CNST GP:00 fEP 65 42.62 80 3410 *--1 N. STYLE 04 APE COD 0.0 --- --1- - - --- 1 G 4 FF 19.67 240 721 !FSF ! 6 8 GN ESI AD M T 0DES---I G-N- ADJUST---------5-.-0- --------------- --- ---------------------- y 59.01 1$0 10622 ! ! � "' xTER.WALLs 01 OOD FRAME 0.0 ---T ----------- ---------- 812 7 4.59 960 4406 18 18 *-8--*-----------38-----------* EriT%A C YP 0 -E 04- -IL 0.0 ! ! !FEP ! 812 INTER.FINISH 00 0.0 ! 12 10 ! NTER.LAYOUT 02 ------------------0.0 ! � � � � �NTER.DUALTY 02 AME"AS EXTER. O.OI *-- *--- - IOR -- --- --------------- -- 0.0 - --*-8--* 24 IF STRUCT OU 0.0• ,.. -------------------0.0_ W 26 BASE ! E_LOOR_ COVEr2__ 00 - Q.Of E Total Areas Au .1280 Base= 1140 ! 00F TYPE_ OU T -' BUILDING DIMENSIONS ! ! L£C T R I C A L DO __ Q 0 _____________- _ _ _-_ __ _ _ BA;: W14 S02 W24 N26 FEP WO$ FfG ! ! OUNDATION 00 99.9 ------------- --- - --- ----- A N08 W12 FSF •W10 S18 E10 N18 .. ! *---14---X -�--- -- -------------------� FFG S20 E12 N12 .. FEP S10 E08 *-------24-----* NEIGH80RH000 70AC HYANNIS L N10 .. BAS E38 S24 - B12 N24 LAND TOTAL MARKET W38 S26 E24 NO2 E14 .. PARCEL 39600 89700 AREA 8730 VARIANCE +0 +927 STANDARD 20 - SENDER: ■Complete items 1 and/or 2 for additional services. 1 also wish to receive the N ■Complete items 3,4a,and 4b.: following services(for an 0 ■Print your nAMe and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. d ` ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N « ■The Return Receipt will show to whom the article was delivered and the date « delivered. Consult postmaster for fee. EL v 0 3.Article Addressed to: 4a.Article Number m 01 4b.Service Type V 3 �--' ❑ Registered ❑ Certified rNn / ❑ Express Mail p Insured c 0 72 o-h e�.c_ O a0�' 1 ca ❑ Return Receipt for Merchandise ❑ COD G 7.Date of Delivery z 01 n 5.Received By:(Print Name) I 8.Addr ssee's Address(Only if requested C w A m kj 5 and fee is paid) s fr f. 6.Signature:(Addressee or gent) T 1 PS Form 3841, December 1994 Domestic Return Receipt j UNITED STATES POSTAL SERVICE 11 � „�._—Postaps&_Fees Paid PM Permit No.6-10 I • Print your name, �ddress;-and ZIP Code in this box • I � I Town of Barnstable Building Division 367 Main St. Hyannis,MA 02601 P 229 805 295 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to_ Street&Num e 3 Pos Office,State,&ZIP C e dz-zO4 i Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee 'Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ S� C'') Postmark or Date 0 in d Stick postage stamps to article to cover First-Class postage,certified mall fee,and' charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). L' l 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. in 3. If you want a return receipt,write the certified mail number and your name and address rn i on a return receipt card,Form 3811,and attach H to the front of the article by means of the i gummed ends H space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. H you want delivery restricted to the addressee, or to an authorized agent of the 6 addressee,endorse RESTRICTED DELIVERY on the front of the article. W ! 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in Rem 1 of Form 3811. ti 6. Save this receipt and present it H you make an inquiry. a , - he Town of Barns able a s • MUMSPABI.E, + Department of Health Safety and Environmental Services 'OrEc �" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 26, 1997 Mr.William Hudspeth 163 Grove Street Norwell,MA 02061 Re: 16 Watson Street,Hyannis,MA 02601 Map/parcel 324-100 Dear Property Owner: A review of our records,including the permitting history of 16 Watson Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are herebyordered to discontinue the use of the above referenced roe as it is now being used and property�Y g restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If I do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/1b r� CERTIFIED MAIL P 229 805 295 R.R.R. Q960712B "V - z�--CUT bu y TOWN OF BARNSTABLE �L REPORT S LEMENTARY/CONTINIIAT REPORT NAME (LAST, FIRST, MIDDLE) _ y` L��II v `moo DIVISION /DEPT NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC- w �P l - - %ez4, oLel /9. /V+ SUBMITTED BY / PAGE 0 mot' ....::::.. ..... ..:..::.::..:..::..::.::::. ........ �•324:«::0 y:: ........... ::::..::.::::::.. .......... ....::...:. ............. x. U-ILDING KIM ..:......:....:.... . << : . < <> UDSPETH WM... .......................... <` :: SON ST. :::.:: ............. :: i : s ? > > >ZONING < < } ..................... >`.:. :....:............ :..:........:..:.;: aaaaaaaaa . ..... ....... .............. .. . .......................... � < LEGALa. . . . . . . . . . .......... :.SEARCH „> ............:....... .......:.:::::.::.:. ............... ..> i QS . : ` : • �k Y AMY R. HUDSPETH ATTORNEYAT LAW 1214 Arboretum Way Canton, MA 02021 (617) 828-7124 February 28, 1997 Ms. Gloria M. Urenas Zoning Enforcement Officer Town of Barnstable Department of Health, Safety and Environmental Services Building Division 367 Main Street Hyannis,MA 02601 RE: 16 Watson Street,Hyannis,MA 02601 Map/parcel 324-100 Dear Ms. Urenas: I represent William Hudspeth with respect to the above-captioned matter. This letter confirms our telephone conversations of earlier today,wherein you informed me that your office will refrain from seeking any action, civil, criminal, or administrative, against William Hudspeth with regard to alleged building code violations. In addition,this letter confirms that you have been contacted within the required 14 days of Mr. Hudspeth's receipt of your February 26, 1997 letter which alleged building code violations. As we discussed, William Hudspeth , who just had a heart attack on February 26 and is about to undergo open heart surgery and a six week rehabilitation period(at least), will take the appropriate steps after his convalescence to ensure compliance. Should you have any further questions about this matter, I can be reached at 617-828-7124. Thank you very much for your cooperation in this matter. Sincerely, Amy . Hudspeth �t cc: William Hudspeth, .. .1 -. a .. t i ` r i I •`.. ; barn 1 HUDSPETH " 1214 Arboretun Way I. Canton, MA 02021 p 572 953 258 U.s POSTP-bE y I Y•WW1 _ -I Ms. Gloria M. Urenas Zoning .Enforcement Officer Town of.Barnstable Department of Health, Safety .and .Environmental: Services Building Division 367 Main Street Ej a Hyannis, MA 02601 '`0-0'i :! AI ji it i !i {{ �ii i{ t ? iii{t 7SItt ii{ f i 1 z � 41_ < x .x�,q�.,«.. ... .��i _., e�,,,�;fi.�,.•..e"`Wit- � ...._ .�... �^ :��� J. ./� ` , ^ �,/`' J � `, ��i �Jf\�11` / V V, .. ;��; ��..+� �, . � -� 1 r✓ { %, ,. ��'✓ � � r r � i J .. ��i •.. T .. J�,. .1 �'� x"" '�,. ,t.�� ,'•, }.�A - { T .._ate t�. ;= :i� �� .�„�� � ` , '�� � V �'� _ ,� �� � �o� r -: Ja �� i. -� _'J .� '�i� i r �,./ `� � f '� +�„ - j^r [ ] [R324 100 . ] LOC10016 WATSON STREET CTY107 TDS] 400 HY KEY] 237737 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 HUDSPETH, WILLIAM & MAP] AREA] 70AC JV] 313958 MTG] 0000 HUDSPETH, FLORENCE E SP1] SP21 SP31 163 GROVE STREET UT11 UT21 . 21 SQ FT] 1140 NORWELL MA 02061 AYB11936 EYB11960 OBS] CONST] 0000 LAND 39600 IMP 50100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 89700 REA CLASSIFIED #LAND 1 39, 600 ASD LND 39600 ASD IMP 50100 ASD OTH #BLDG (S) -CARD-1 1 50, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 16 WATSON ST HY TAX EXEMPT #DL LOT 122 & 123 RESIDENT' L 89700 89700 89700 #RR 1796 0090 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 11/82 PRICE] 15000 ORB] 3599/273 AFD] V LAST ACTIVITY] 08/22/94 PCR] Y x R324 100 . ,P P R A I S A L D A T 14 KEY 237737 HUDSPETH, WILLIAM & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 39, 600 50, 100 1 A-COST 89, 700 B-MKT 101, 700 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1140 JUST-VAL 89, 700 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 70AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 70AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 396001 LAND-MEAN +0% 897001 130961 IMPROVED-MEAN -620 200 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R324 100 . • P E R M I T [PMT] ACT*R] CARD [000] KEY 237737 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT f `Er �� t 1-4 AN iff '- a u { f J l �V ` "i Q f i f 6 -7 i f To Date a D Time W ILE YOU WERE OUT I M 4 of * Phone r/�,�� 7 a2 ad oA5710 Area Code Nu m P Extens'On TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator ' a AMPAD 23-021-200 SETS EFFICIENCY® 23-421,400 SETS :CA�RIESS f o� 1%dG, e I/� 7".,,� 71f 7 J�lrlf 7 71?11r7