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Home My WebLink About0118 FOX HILL ROAD _ i/ / '.. �� . . � - .. � 4 .� k. ;, �' ,a ` _.. ,i F _ �, i. .. .. 9. � - - c .. R c s .� � - ., S � .. � • 6 �oFroE� y Town of Barnstable *Permit# 4�?00 (4 2.1P f Q �-n Fxpirca d m.onllis from issu dare >saarasTne Reegulatory Services Fee 4-9 on ESS PERNWas F.Geiler,Director SEP 14 2006 Building DivW'01) Toni Ferny, Building Comn-&loner TOW N OF Scree Hyannis, 6 1v�o ro ARN �, y z l STAB Office: .508-862-4038 Pax: 508-790-6230 EXPRESS PER.IMT APPLICATION - RE'SIDENTL4L'ONLY Not Valid without Red X-Press Xrnpriiri V1ap/parcel Number / g 17 ?roperty AddressCFO (Residential Value of Work_ l 1 �C)V Minimum fee of$25.00 for work under$6000.00 3wner's Name&Address � � fox N � � ► 12c� l�Q�t��► � � ;ontractor's Name _ Telephone Number_422• R� 12 tome Improvement Contractor License#(if applicable) ®0�' b ;onstruction Supervisor's License#.(if applicable)_ 0 ]Workman.'s Compensation Insurance Check one: I am a.sole proprietor fl I am the.homeowner have Worker's Compensation Insurance ' assurance Company Name_c-:�I(KA Q.o n ue Pk A !c D 0,0 m IN Jorkman's Comp.Policy#_ :opy of Insurance Compliance Certificate must be on file. ermit Request(check box) [] Re-roof(stripping old.shingles) All construction debris will be taken to E1 Re-roof(not stripping. Going over existing layers ofrooj) :Re-side Replacement Windows. U-Value (Inaxinuun.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 Properi3>Owner Letter of Permission. Home Improvement Contractors License is required. ignature Torms:expmtrg -vise063004 ,ate: b/1j/ZVUb -X3-MG: 8:40 AM TO: W 9,1,SU84281447 X&G Ins. Aqcy. Page: 001 a Client#:47298 CAPIHOM ACORD,-.- CERTIFICATE OF LIABILITY INSURANCE 061 31�°'Y `' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED Improvement, INSURER A: NatlDnal Grange Mutual Ins.CO.'' Ca Izzi Home Im p p I INSURERB: GUARD Insurance Group Capizzi Enteiprises,Inc. INSURER a 1645 Newtown Road ' 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 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. LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE YY) POLIt)ACY IEXPIRATION DATE LIMBS A GENERALUAsItm MP010707 ' 06/08/06 06/08/07 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LABILITY - _ r DAMAGE TO RENTEDPREMISES(Ea occurrpncel $50 OOO CLAIMS MADE a OCCUR M.ED EXp (.An Y one person) $10 000 I PERSONAL&ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN1.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 O00 000 POLICY jE LOC ' A AUTOMOBILE LIABILITY M1010707 06/08/06 06/08/07 COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Perperson) $ X HIRED AUTOS BODILYMJURY $ . X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO F OTHER THAN EA ACC S - AUTO ONLY: AGG $. A EXCESSIUMBRELLALIABILITY CU010707 06/08106 06/08/07 EACH OCCURRENCE $5 00O 000 - X1 OCCUR CLAIMS MADE AGGREGATE $5 000 000 $ HDEDUCTIBLE « $ X RETENTION $1 OOOO S B WORKERS cOMPENSATION AND GAWG702365 12125/05 12/25/06 x WC STATU- OTH- EMPLOYERS'LIABILITY �r ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $SOO,000 OFFICER/MEMBER EXCWDED7 E.L.DISEASE-EA EMPLOYEE $500,000 If es,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF'NE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE 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 � � a ACORD 25(2001108)1 of 2 #M22681 MEE 0 ACORD CORPORATION 1988 (Ijfiei r,f �r,a'r�r>tii�livl�l' -j2" :oz��xa�s Aff"Onvil: Bui)t3�'� l33lC: �J:3�� 3LSSIU�'?ariica�ii>]1g73�)1'a�ua1)= Cap17Zi Home Improveplen Inn. h_Ney avn Znaj r �d c;Ss Cololt, MA 02635 t�xx employcr7O ca I a a �e Io3ter e of project(required): . 4. a a gmerai cont-adoramd 1. '-'z�Iayees(jiib nndJorpai t-fie).* have bred c s 7�- on1�a ,iars �*ew eonstmo ' S 'a sfl��i-op�eio�-oz�a�cx- lis�.ed'on�.eatiar.bed sS�ee�L 3. 3- � �emfldg s33 'aida'veoa3lees Tiese 8. �3eion zoa'Me:iD aay CaPaC-Y• V1101-3cm,cDinp.insuraroee. [No woTke3t°cob �' i �. D $ 6d±qg nddiioA 5 "We it - T� {�_ o ]��aus oi-add�oi; officers Sae e�ercase� I aTn am� ,�erdoiug a 'duoriOlt ofOaC33�piaon Pei MOL II-El Plnmab ag rpais ox additions myse j 3o v�r;;eis cfl c.-52,§1(4),-md.xrehveno 12-El RoDrea3rs lan�P3.OTees-END wmll=' CO, 3_ 4 r ce�e 13[ OlxeT OvVXI �;�2aaic3�echs z 3an�sisiso 3airrt escc on�e7or,sl�o *n -&e ror3�ers' oxi 33' mo ifln oza�xzcas��o �3tis a�dsr( g � � � - ' •. ciors sYo ec7: sboam�sf r. g r�oz�ana e�a.tm-eox:isdcconi Ygzs�Lmbmit szery cgs cT3csi3vgsa1cL { s#inc�et��adti��io�is3 s7,eeis?zo'raiug�ae�sme Ai�ze�tb-ro��ctoas�d'�7ze�v,o�crs'r��_�o�ncy�or�a'ison.•• rz ��ix �nyzaxsxr��>zdxrzi�orxs'c3 n�exzsorzzxrsx�,Y;�rxce�`r�3m��,�u, a � zsie,gnc� �is . OL:,e Camp y'- ce G- r''si-C3I'S��-32'iaS_L3�..�•: �•�i'Y�� O�V'��. J ')r'� - • �.Addx-4S- copy � cazexs'.cow !. ,1� sai ova oXZcy d darafiwa Page� uille,pency Amuaber mad expicxxtio)a•date)_ is seo +DDlr��e as re-qubned x�:der S •�• - 0-'t1�aitd�D eC iD31 t i3 �1 G3 C_ 2+CdIl e3d�D £?I 3D$i�3oI3 fl c�',rr�rna7 DDa1�3eS D�r3 a day ��°�Mt as re31 as c t Penaldesma the.fbTmof a STOP-i7Q ORDBRacad a fine � si e vaola r_ $e ads sed Hai a co ,r o is s�ai emm±may be krwzrded to#fie Office+off �a flz�s he DIA for Imm-anct Co'4'ezage'tTeca#�o�,- I 7ab!12,c,ex - ��nr �arrz ,irxz . t? �s-Ofpejq ,aur4 axe z,�r ur i x�, r ar>r, ire s r e rt�ar3 r nn Dade r��s+nxT�j a zxciz�Yx e zxz 4..07r,e g to conz lag AJit3tOJC i r11CC31&G odd �Ceat�)u 2,lBri�cepax'#aooea3t 3_' YI�oY'x�Ckex 4 Xilc1Osecor �_ kruaaizgasox tackrexsom. _--.._.___.-----. _.. � .._.. _.,_.�._....-- -- •._ _._•_. , _..._...... ._.__ _.. 91?w a T Board of Building Regulations and Standards One Ashburton Place Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100740 Type: Private Corporation Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. oas-CAI Co 5oars-04io5-PCe698 E] Address ,Ej Renewal Enplo}ment Lost Card . �. ../ftC ZJ007U/)Z097A.fJCCLLGIL O�.✓l�dClG1LLLQ�LLp k Board of Building Regulation's and Standards - License or registration valid for individuI use only HOME IMPROVEMENT CONTRACTOR before - e the expiration =. p date. If found return to. Registration: 100740 Board of Building Regulations and Standards Expiration: 6/23/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma. 02108 . CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,Jr, 1.645 Newton Rd. � � Cotuit, MA 02635 Deputy Administrator Not valid without signature 130ARb OF BUILb1NG R!=I U i4rbNs license-`-CONSTRUCTION S :•.F'`' - Numbed;>CS 057032 _ t ! J.. ate i19%25�f063 , tEKpires'B;3/26I20�7 j;.,.. �f i Rest ii ;:Ptp L7=1 _ �41 MAS XCAP1Zt`}Z, 1645 _• �d_-....• r i NEWTOVUN RL7.�` COTUIT, VIA 02636\ - Cot-n'rnlssiotior f - APIZZ Home Improvement Inc. r 1 Thomas Ca izzi Jr. owner of Ca izzi Home Improvement, hereby authorize Lisa r r r Y Haworth, to sign on my behalf for permit applications filed through the town. Signed: Thomas apizzi, r. Date: Haworth Date: , 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 rage i 01 1 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS ' LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I G2 L i 0" II ./ OWN THE PROPERTY LOCATED AT i IN 6`�JK v v f, MASSACHUSETTS. j ENT TO APPLY FOR AG I HAVE AUTHORIZED � CAPIZZI HOME IMPROVEMENT TO ACT AS MY , A BUILDING PERMIT IN ACCORDANCE,WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. i r I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN CORDANCE WITH 780 CMR, THE'MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNERS OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: ci CSC' APPLICANT'S ADDRESS: 1645 ewtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 I - RESPONSIBLE OFFICER: i RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: r ,