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H � /J '.tit .7••m b'; r. ., r�r r� ��a- � ��° fi °h.ax•:���.',X�'. �fs,: "a- t� >I ,7�F15t�s¢�i!Ikrs� , i t• .r. -h:vt1+.-+,7i .�. _ „ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im ^AC C DATA I OFIHE rj Town of Barnstable *Permit# 3 ,,p�'^ 0• Expires 6 months jrom issue dare • BAaNSTABl.E • Regulatory Services Fee Thomas F.Geiler,Director AlEDN10`p Building Division Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601w X-PRESS PERWIT Office: 508-862-4038 Fax: 508-790-6230 t` G F} 2003 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without RedX-Press Imprint I UVVN UF BARNS TAB LE Map/parcel Number Property Address ZD , 667A17a7R V/LCeF 3 Residential Value of Work ��D© Owner's Name&Address 66 chit/ -�"�cs da-All .�yi . 414, contractor's Name Alt'7-6:' P`C&WO Telephone Number 111,pme Improvement Contractor License#(if applicable) 40,3 to Construction Supervisor's License#(if applicable) workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ leam the Homeowner I have Worker's Compensation Insurance Insurance Company Name t ; P7 o Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) de-roof(not stripping. Going over existing layers of roof) ❑ Re-side lee oPoovma�zuea/! o�,/�aaaa��uaelld i Board of BuiidingRegul.ations and Standards. ❑ Replacement Windows: U-Value (maximum HOME IM�IZOVEMENT.CONTRAC.TOR 19 , ❑ Other(specify) Re t ior�-�=1;00503 ExPi it+Qn 661 /2004 *Where required: Issuance of this permit oes not exempt compliance with oth ;t 1.fflq,In upplement.Card CARE FREE HO`lyll= NCB . .. '�{�C 1 NATHAN.PICKUP;; l f 239 Huttleston ave. - Signature Fairhaven,MA 02719 � ' Administrator. Q:Forms:expmtrg:rev-070601 01/04/1995 10:40 915087906230 PAGE 01 ., Town of Barnstable RAMITABRegulatory Services La Thomas F. Geller,Director ' o'a 06 Building Division Tom Perry, Building Commissioner 200 Maiu Street, Hyanuis,MA 02601 Office: 508.962-4038 Fax: 508-790-6230 Property C*merMu.st Complete and Sign This Section If Using A: Builder I►�� � as Owner of the subject property hereby authorize to act M my behalf, in all matters relative to work authorized by this building permit application for (address of Job) 6 6 G it/ ��s �� � �✓r� Si patdi bf Oy aer bate �s M-� Print Name - 1 r t C)5 � t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a s Map ' Parcel Permit# Health Division fD 27 Q3 Q ` "rDatess"u�ed Conservation Division Z ' l -'.° 1_2 7 Applic?tiop Fee -eri c`, !4 Tax Collector A Permit Fee Treasurer Id �'°jiSf SYSTEM MUST�4�TIG S � Planning Dept. 0ISTAUID IN coMPL Date Definitive Plan Approved by Planning Board '� 10 � ® CI' Historic-OKH Preservation/Hyannis °roM REGUI-J IONS Project Street Address ern y,4C5' )e_c - Village Owner �fiZ Address (Jwyz �_he 65 Telephone 2 to Permit Request ��-C'.� I V� Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District / l Flood Plain Groundwater Overlay a Project Valuation `7�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family @�- Two Family ❑ Multi-Family(#units) 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 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:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION q Name - IZZI Telephone NumberDA Address a License# ( —7d32 Home Improvement Contractor# 100-7 y b Worker's Compensation# CAW ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATELAI I L-n? ti FOR OFFICIAL USE ONLY j w 1 _ PERMIT NO. i 1 DATE ISSUED �. MAP/PARCEL NO. ADDRESS. VILLAGE OWNER •A ., DATE OF INSPECTION: l Y FOUNDATION FRAME INSULATION FIREPLACE ' h 1 ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL t w GAS: ROUGH FINAL FINAL BUILDING c s 4_ DATE CLOSED OUT q ASSOCIATION PLAN NO. i E{ File number. L1531 UA :,ISTERED LAND Attorney: KELLY S. JASON Deed Book 10146 Pare 73 Lender: NORWEST MORTGAGE,INC. Plan Book 379 Pare 70 Lots 17 Owner: KATHLEEN M.&RUSSEL BELINSKI REGISTERED LAND Applicant: KATHLEEN M.&RUSSEL BELINSKI Reg. Book Sheet Lot(s): Date: 2r23196 Cerfificateof Title Assessor's Map R194 1 : Lot 58 Census Tract 132 MOR TGA GE INSPECTION PLAN Scale: 66 CAPN JACS ROAD, CENTERVILLE, MA rf "Lot 17i.. �.i ' S. r . •� ai�t'" k F+' y _ .� d k��1 r 4' c.I Lot#23 { Lot#24 W 0 22' #66 v1 > 50' v CL 113.35' t CAP N JAC ' S RO AD ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON'EITHER WAS IN COMPLIANCE WITH LOCAL APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT•TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.G.L.TITLE VII,CHAP.40A,SEC.7,UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. FLOOD DETERMINATION THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY#25D 0010015 C AS ZONE C DATED 8l19B5 BY THE NATIONAL FLOOD INSURANCE PROGRAM. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 t Workers' Compensation Insurance Affidavit Applicant Information: n� PLEASE PRINT NAME LOCATION �' ACC g ru ��"" CITY STATE ZIP CODE PHONE# ,3t1/ 2-2?b 0 O 1 am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity. 01 I am an employer providing workers' compensation for my employees working on this job. ke Company Name �.� ZZI 1 I V I "` 01L V VC M e a Address �9 "1 �/ V wfyWA. Qd City l mot/,V State Zip Code V Zb 3S Phone# Insurance Co. (d, Tris/ona e-igyd Policy#- C 1VV C"t U*U —l3 Expiration Date 0 I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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. I do hereby certify under the pains and penalties of perjuryythhat the information provid�11�e is true and correct. Signature ` Date 3 6 ,/fin n Print name I VA�Y "l�� �Q9� ZZ1 r Phone#A79� �5/ Official use only—do not write in this area—to be completed by city or town official City or town Permit/license# O Building Department D Licensing Board O Selectmen's Office 0 Health Department 0 check if immediate response is required 0 Other Contact person Phone# /4e �onr��w�u o���creaac�iueeCte Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 100740 tom` Expiration: 6/23/2004 Type: Private Corporation CAPIZZI HOME IMPROVEMENT,I T(linas Capizzi,jr. 1645 Newton Rd. ,.—mow✓ Coluil,MA 02635 Administrator GTfie -�omrmioouaea� o�✓�aaac�u�eaa 1, BOARD OF BUI LDING REGULATIONS License: PPNSTRUCTION SUPERVISOR s'... Number'-GS. 057032 irA� `/ �`' Blittidate O'9126/1963 Ez9-)lll6s 09/26/2l305 Tr.no: 7171.0 Restricted UO THOMAS X CAPIZZI JR i 1645 NEWTOWN RD COTUIT, MA 02635 — Administrator �:I ' CAPIZZI -HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 • STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, L ;S t l4`` � /11 �1 z OWN THE PROPERTY LOCATED AT ' Co,17-A, IN C ewe,-v'l��. MASSACHUSETTS. I HAVE AUTHORIZED TO ACT AS MY AGENT TO APPL FOR A BUILDING PERMIT IN A CORDANCE WITH 780 CMR, THE MASSACHUSTTS STATE BUILDING CODE. I GIVE MY PREMISSION 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: 3 6 Z" 'Z'?O( LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02619 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 # U,7/Lb/LUuj 1.J.-1 UUd I bU14U! I'JUI<l Wbb & Ltlhlll UlV 1-"UL ul ACORD_ CERTIFICATE OF LIABILITY INSURANCE„p " /2610 ILi1 03/26 03 PRODUCER THIS CERTIFICATE Is ISSUED AS A MATTER Of INFORMA'"ON Noreros■ t Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.J.mccarthy IG�La.Agency,Inc. "OLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 station Ave ALTER THE COVERAGE AFFORDED EY THE:POLICIES BELOW. go.Yarmouth NA 02664 phone: 508-394-0946 lax:508-760-140 7 INSURERS AFFORDING COVERAOL� INdUREO INSURER A: National orange Mutual. Ins. Co INSURER 8: safety Xnsurance COUP&TWy C zzi Home X roveB►ent Inc. INSURERC: Guard Insurance graRp 1�45 NentovT� ) INSURER a Cotuit !4A 02a INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INNOATED.NOTWITHSTANDING ANY REQUIRETuENT,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 POUCIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPE OF INBURANCE POLICY NUMNER TE M yMMUMM LIMITS GENERAL LIABILITY EACH OCCURRENCE ! 1000000 A X COMMERCIAL G6NERALLIABILITY MP902733 04/01/03 04/01/04 FIRE DAMAGE(Any amfin) 1300000 CLAIMS MADE a OCCUR MED EXP Nay pn Pnfon) R 10000 PERSONAL AADYINJURY $ 1000000 GENERAL AGGREGATE !2000000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS.Comm AGG $2000000 POLICY O• LOC AUTOMOBILE EDIBILITY COMBINED SINGLE LIMB H ANY AUTO 1601064 04/01/03 04/01/04 (E'�6"'I"M $ ALL OMNEDAUTO$ BODILYRIILMY ! 1000000 X SCHEDULED AUTO$ (Pa P—°") X HIRED AUTOS BODILY INJURY !1000000 X NON-OWNED AUTOS PROMTYDAMAGE 1500000 (rw 000ld«�p GARAGELIMWTY AUTO ONLY-EA ACCIDENT ! ANY AUTO OT{IEa THAN SEA ACC ! A ONLY: AGO I) EXCESS WABIUrf EACH OCCURRENCE ! OCCUR CLAIMS MADE AOOREeATE ! DEDUCDBLE ! RETENTION ! ! VVDRK[RSCOMPENEATkMAND X 1706 Lim C EMPLOYERS'LIABILRY CANC401043 01/01/03 01/01/04 E.L EACH ACCIDENT $ 100000 LL.owrAss.PA EmpLoyet s 100000 Lt.DISEASE-POLICY LIMIT !500000 OTHER DESCRIPTION OF TK)HKOCATIONGIMICLESTEXCLUSION&ADOED BY ENDORSEMENTISPECIAL PROYISKNIB CERTIFICATE HOLDER p ADDITIONAL INSURLT;INSURER LETTER: CANCELLATION &MOULD ANY Or THE ABOVB DESCRIBEO POLK:IdS OE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,TNB ISSUING INSURER VALL INDEAYOR TO MAIL ,.D--DAYS WRRTEN NOT"TO THE Cl UlTIPICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SMALL IMPOSE NO OBLIGATION Oa WBILITY OF ANY KIND UPON THB INSURER.ITS AOEKTO OR Rr,FRe�ENTATNe&. AUTHORULD RnSMATIVE ACORD 2E-6(7/97) OACORD CONPORATION 1M1 I - POST_ G. 6cR) ._.. -- - - -- ----- -- - 0767 - --- T.._H�¢ov_�,ERS _C��e� n� Le -- - _--- ---- . - 9 A )L►N�, - _bErR_!L --(ALC A.T. 41AmACI0-- -- ---— ----- -- ---- -- - y �� —Ta--oc/t-A�.yr,� ---- —- ----- — - - ----r---- - -- --- 0 9 - - - - - -- -— - - — - - A oLASE..- -- - - .. - - - 31/YIF.4OA,) Z XF, .�1DiST tli9 _. ---- r 1 � Z-2.7� OUTS���E r3bJl i /D fOoVOTu6Eko�Do?'iNls. i - ice. . •—_� ` �E �• "'*� TOWN OF BARNSTABLE t°�* P ' ermit No. Building Inspector �anx.n Cash ---------- �___-- ---- rua OCCUPANCY PERMIT Bond X Issued to Address TLsta .. Wiring Inspector Inspection date A- Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19......_.... ................................................................................................................. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT t ssEaST S TOWN OFFICE BUILDING 039. HYANNIS, MASS. 02601 MEkO TO: Town Clerk 1 FROM: Building DepartmentIr DATE: tl / s An Occupancy Permit has been issued for the building authorized by Buildin Permit # r' .. 1 .. ". }........t........... ............................. ..: ....... ..... . _. issuedto ............................ ......_.... ........... . ...... ._ .. ....._ ............._............... .._...... Please release the performance bond. Q C,L ;7AM t L.:,( 3 - _ram... -. ---'�,_' •. ,, �r�•r«'1 ., .:7116 -C.At-t. 5Ef'RG rTA4�C•�-330`� kl .�'o's �;SG� - � ' � i ' ' ; i' , U S E` \oc)ca G PAC- S�1tiG .TAti'�. • ' ! j ;' �� 1 a +_ �� �. 015POSAt_. .PI'�(''..,V;Es S r .�w/ALL A SA 7- Z.<e '5 F. '- 5 or ' i�• , f tf3CTTOnn , � '•{ s. x` .I } �V'1 I�I.rI R �•+ W ,'� 7 �-�•.G..� �� 1.',� t t ' � , ' ( C-6- •+' PEzGot..aTtcr.l :,�,'TC-. '_ tl,t u 4� IWy • oQ JS:' ^; ! /�� .. irk ;;r p6 :s C`T .-. Ida . I �.�, t 1 1• , , f 1' .p , � 1 ( ' , � 1 �`! �;,,e � 1 ' t4. wa aw(rr►TR.+rT'1 0AV1TT C yG ! v, } ! I ! 1 ! i t x } rl1 �f;.i. p` !;!111LL1AM ' �G ,.., •�. ! , , �.�� T�!ULMI•• .�". ,•: } -.I,1 • `` { ' -��r�� J �,� �� 1 .Z ,2997-6 o tt ri, -No. 49344,j , t !I�Q, 'gP��Q� . �� ► not t , Y _ G l x � 1 s N ST `'9 •' ',�..T.......�,w• ,i„� :wri.•►w•r.l^..Ir.I JJr.�,,► •rr..F�'—t T^_'I"�;"•� .: ����,� 3„ ..��.�-. r• Z p- 1 I10 i- i t r t rt ILJ ' t:NO1..Er~ t � � ..�1' ' � , �!V- �N".. �f'r�� �• �� N �•� 'r �r • I.d 1 sul! pKr wu 4AL.. •or,wr;c 1 !�� t lP� t!, r�fi l'Gl?C) ��I�'IG tt3V 1►Jd..., ._ ., �: �., 1 � .,� � i`. � +; - '.PIT VjtTYV-,1 I , I. ', t; �;, , 1'* 1 I ,. 1 , 1 '.� :, .i�•• ''., 1 ��• t^'�vj•A';• ! LAGbT1c)w C:j.EQrE"LLe IV.Ir Z,: 'f' IO! ••' . ._ �-10 .;:SC'gl,.�.aa`} • � SGhLt= ' 1- �,1 , d AT��.4'ZUa� (; CasCT1f6 - TKAT T�� �G fGV1.r�3 StrwwN t { 1-IER.E0�1 C.OMP�-`l rr 11JtTH R�6. i k i OF T G lC6�QJIB�IvIt'+►1T5 t.•t P. � ! LAO,-) ! h< �(Uwa1 OF. L+AGAT WITI 11 1�1; _ Tt,•'1E i LDATE: �-�2�1 �u��,: :' tax T�t S_;.p ►a... u o U 1.LittJ�rT v L-LL- 4 r •f•f 1 gUevc( >� T0G., OFFSGT; itrtOULVI UOT .1Q6 Sec> APPL.IGANT ' . essor's map and lot number .� ... f� a 7 SHE Sewage Permit, number ..�1...217... TI *a} _ . U ( f'Q� - °# 0 �.i0tk L� BAB33TABLE, i House number 6....../`c . ��� : �- roo M639 "Js t`y YITLE }-� ,� O MAY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO. .....:..:.'OriStrUGt Ih^lelllri ...... ... .............. .................................................... ............. I TYPEOF CONSTRUCTION ..................Wood..:f frame............................................. ......................................... ..........X--ay..$.,... ........ TO THE INSPECTOR CIF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Lot 17 Capt. Lijah' s Road, Centerville Location .......................................................... .... .......... .........................................................._ .. ........................ ProposedUse .............:n:gle..family.......................................... .... . . ...... ......................................... ............. Zoning District .....Res!... ............................. ... ...................Fire 'District ......,.Cent,—OSt............... . ......................:.......... James K. Smith Address ................................Barnstable Nameof Owner ..................................................................... . ..................I............. .r. ....... ... James.. ` K.....Jmlt..... Address ........................................... . .............. .............. Name of Builder ... !.. Nameof Architect .................................................... ' ..........Address ............................. ....... .... .. .......:........... ' Number of Rooms ....5.................................... ... Foufidation ,pOured...COriCre................ ....... - Exterior Clapboard & W.C."'.'...............,......,.............Roofing. ................aSphal�....,......................................... .. i wall to wall Interior drywall e Floors .. ................ . arm air .. baths ' A .......Heating ................... g ............ ... Fireplace .......ne.......................................... ........ ........Approximate Cost .:.........A55,000........................ ... � �o finitive Pian Approved by Planning Board ____._�____�,_____._____19 ______ . Acea .L / 'S, ................................ Diagram of Lot and Building with Dimensions Fee ..`..: ......` ' SUBJECT TO APPROVAL OF BOARD OF HEALTH s ' \�A Y a-y �CLA cL(a U , .. ._ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ajry �r.... ............................ Construction Supervisor's License.Is`C... ................................ .i SMITH, JAMES K. ft`t 26435 Permit for .... e.s4?Y....... Single .F�???? Y..1�^'e��, xiJ. {..... , . . ... . . . . .. .. .. Location ad Owner 3.:...JameS a TYPe of Construction-, ....FXane......................... 6 '... `~.. .......: .......... .... .. t•.. .............. .Sr i` r • _ Plot p ............ Lot.. ........ ................. �. Permit.•Granted, ..,. '. 15.%:...........`.........1.9 84 Datel,6'Inspection 9 1 Date rComplet d .: -19 4 y s