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HomeMy WebLinkAbout0142 MOORING DRIVE J I I 4 0?a�aoyas� Town of Barnstable *Permit# Fapires 6 months from issue dame Regulatory Services Fee 3's snatvsrMIM X PRESS PERMIT Mnsa Thomas F.Geiler,Director - Building Division JUL 16 2012 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 wwwaown.barnstablema.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint . Map/parcel Number OC cv ;Residential e Address �' % \� Value of Wor' IVCJ . Q Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address�7(ALI d W.LA Contractor's Name `DC}, e, ► ff\ ` Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) on <7� Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name! � � Workman's Comp.Policy# 00 Copy of Insurance Compliance Certificate must accompany each permit., Permit Request eck box)' II 1 Re-roof(hurricane nailed)(stripping old shingles),*All construction debris will be taken to U f1 l � ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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 the Rome Improvement Contractors.License&Construction Supervisors License is r ed. SIGNATURE: C:\Users\decollik\AppData\Loca]\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 - °F ti Town of Barnstable Regulatory Services KAUMS $ Thomas F.Geiler,Director Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must k Complete and Sign This Section If Using A Builder as Owner of the.subject property `hereb "autlionze to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) _— -- 711�12 d r Signature of Owne ate 7 Print ame d d Office of Consumer Affairs&Bf ines,Reg tjlo License or registration valid for,ind HOME IMPROVEMENT CONTRACTOR before the expiration date. If foundividurn to: nly WMAL-h Registration: M1136160Type: Office of ConsumerExpfrat(on: <f3h19l2 014 Affair s an dI Bundivi smON Individual 10 Park Plaza_Suite 5170 Business Regulation Boston,MA 02116 MARK LEMON 1 490 PITCHERS WAY r` r HYANNIS,MA 02601<., � r/ Undersecretary Not valid without signature a�ment of Public Safety Massachusetts"DeP Regulations and Standards Ila Board of Building near specialty C on'tru�KiWu Sttpe 7 License.CSSI..100Z0 �. >�J Lam s" ��'• PO gpg 423 WIST Hy 'i. . Expiration ,_.,,mission, a 1 ne c.ommonweaan uJ lnussacrlusecw Department oflndustrial Accidents " Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electric ians/Plui>ealbers Applicant Information Please Print Legibly Name (Business/orgm=ation/individual): Address: P(—) City/State/Zip: �� ail���S Phone#: �l Are ypu an employer? Check the-appropriate box: Type of project(required): 1.Qr,am a employer with_ 4• ❑ I am a general contractor and I k. El New construction i employees (full and/or part-time).* have hired the sub-coutracton 2.❑ I am a sole proprietor or partner- Listed on the attached sheet. $ 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.❑ Oth f repairs . insurance required.] t employees. (No workers' comp.insurance required.] 13• er��Q V�JG *Amy applicaufthat checks box#1 must also fill out the section below atrowmg theiz workers'compensation policy iafomzetion' t Homeowners wbo submit this afdavit 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•contrabtors and their workers'comp,policy infonnation. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. #: 60 5 5 V, 0 Expiration Date: Job Site Address: f Y) C)&6 Q City/State/Zip:_ A 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 Investigations of the DIA for insurance coverage verification. I do hereby eerti, r the pains and of peryury that the information provided above is true and correct Signature: Date: J0 - � Phone#: �� 2� —- - 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): I.Board of Health 2.Building Department 3.City/Town Clerk a.Electrical Inspector. 5.Plumbing inspector I 6. Other Contact Person: Rhone r• To: Page 1 of 1 2012-07-16 13:31:04 GMT-05:00 16175880432 From:Cristina Medeiros A'Co CERTIFICATE OF LIABILITY INSURANCEF7/16/2012 DATE(MMIDDIYYYY, 4®i 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 Cristina NAME: T. Edmund Garrity & Co. , Inc. PHONE (617)354-4640 te17,35e-582e AIC No Ext: A1C No 545 Concord Ave. MAIL ADDRESS:RESS:cristina@garrity-insurance.com INSURER(S)AFFORDING COVERAGE NAIC p Cambridge MA 02138 INSURER A:Scottsdale Insurance INSURED INSURER B:CITATION 40274 Mark Lemon, DBA: ML and Son Construction INSURERC The Hartford 490 Pitchers Way INSURERD: PO BOX 423 INSURERE: West Hyannisport MA 02672 INSURER F: COVERAGES CERTIFICATE NUMBER Master COI 2012 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 AUDILSUISPOLICY EFF POLICY EXP LTR TYPE OF INSURANCEINSIR WVD POLICY NUMBER MMIDDIYW MMIDDIYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 A CLAIMS-MADE X�OCCUR PS1399527 /7/2012 /7/2013 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY F FRO LOC $ AUTOMOBILE LIABILITY EOMaBINdEDt SINGLE LIMIT $ 1,000,000 B ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BSTLT /14/2012 [/14/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS - (Per accident) $ $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ - ' f$7344 - C WORKERS COMPENSATION WC Sf610} OTH- AND EMPLOYERS'LIABILITY YIN CTOR ANY PROPRIETORIPARTNERlEXECUTNE - E.L.EACHACC(DENT �$^ `° 00 000 OFFICER/MEMBER EXCLUDED? NIA3_ (Mandatory in NH) 80515N280 /18/2012 /18/2013 E.L.DISEASE`-EA EMPLOYE $ " 00 000 If yyes describe under - -• - DESCRIPTION OF OPERATIONS below E L.DISEASE'-POLICY LIMIT »$_ ;*s500 000 DESCRIPTION OF OPERATIONSI LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION (508)862-4784 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL .BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE W Garrity/CRISTI >� - c — ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS095nninn.51 n1 Thin aCf1Rn name anrl Innn ara ranictererlmarkc of arY1Rn Assessor's ma and lot number ............................................�/pC [• �FTHErO Sewage Permit number ......................................................... d �� Z BARISTODLE, i Housenumber ..................`I ................................................ ro 1639 O i639• \00� 21 �E p MPY a' = TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... ..................... TYPE OF CONSTRUCTION ............ ' :f.r ....l. ! L .......,>�...... t '. ......................................... d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a?�permit according to the following information: Location .... /..... .......... !?Z3`�t'.irta ,• �Cl���, fit;li ................................ .......................... Proposed Use ........ /................... : G ....,.. . ..........�........ .............. ..... yy ....... ..............�.......................................................... Zoning District ........... �...............................................Fire District ..... ..................................................' Name of Owner ....... ........... ...........Address .......... .�� Via; `t�.:..&!�:............................... _ Name of Builder ............ Address .......: .:..... /II..L•'�t'............................................................ . .... Nameof Architect ....................................................................Address .................................................................................... Number of Rooms .........:._,...... ..........................................Foundation .....%� f l�'• :`Pss�'4 (1 _../...... /... `............................... Exterior ...1/ ...... �'?. ... ;E-!1 �1/..............Roofing .. /.. !f tr� tr :...a?,vj.. f :%1............................ Floors ...... G ...................... ........ ��' ' .......................................i .....Interior ...f Heating z�y .•l A{ ........Plumbing ✓' 1=- j -'7......................................................... Fireplace ....... ......................................................... ..Approximate Cost .........d r........... Definitive Plan Approved by Planning Board ____ .. ---------------------- Area ' Diagram of Lot and Building with Dimensions Fee .......'..... ;o-,,,.„ .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. A Name /�y..'...........:::��............................ Cedar Acres Realty Trust A=24=109 No .... Permit for .......Ora.&--ztG-ny..dwellin ............................................................................... Location .lQt.AN.....1.42..MQaving--Dr............ ..........................Q�tui-t........................................ Owner ........QfWAC..A-CX.P-.9..R-eal;t-y..T.pu&t..... Type of Construction ..........frame..................... ............................................................................... Plot ............................ Lot ............................... Permit Granted ................ -J-Uly.....26...19 79 Date of Inspection ..../.........................19 Date Completed ......................................19 PERMIT REFUSED .................................... ...................... 19 ........................a. . ..... ..... 30 .....................t.......................................................... .................... ............... .... .. .. . .......... ........... ................... . . ........ ............. ....................... AppFovecl ................................................ 19 ............................................................................... ............................................................................... �„�'""'• TOWN OF BARNSTABLE 21505 e Permit No. -----___-�- Building Inspector cash ----_---- OCCUPANCY PERMIT Bond X No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Cedar Acres Realty Trust Address tat #90 142 tboring Drive, CQtuit Wiring Inspector r Inspection date Plumbing Inspector -3—n-1114., Inspection date Gras Inspector y � r Inspection date Engineering Department9�.� r�/� �t � 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. Sir` Building Inspector i T i , S r. - •�oT T/ zo oaa d ' .Lcl T g a 0 , 4s v •oo �aa�s�r/G ��iyE 3� G W�i pY 7yE6 caysr,�. CO.�Z'r? Jv LY E 7.!') +�o MAIJ C--� TC'OSSAAAN HIFRU3r CERTIFY THU WIS FOUNDAT*N jt►CF it, UICA TE O OAF THE'LOT AS U'�t'FCFIMS ICY THE TOVM,'-Of'-j��1+1S3'JAjS'1.1g ?J`f+':G f?�GULAT#£?hIS RLaG t K$ NORMAN -R0fo s—rKET LwE5 AuD ;Or L1Nm GROSS. A 127 Assessor's map and lot number ... ....../ .. .3..... / t �/x/ SEPTIC SYS1M MUST ``o Sewage Permit number ......:................. .......................j....... INVAU"tN COM . BARISTADLE, i House number ..... ..J..L�.Q ......................................... WN TITLE 5 90 rasa 639 ENVIRONMENTAL CODE yaY.a\0e� TOWN OF BA-RNST"ILAIJEJL T'O' S r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... 4644 (l�. ........................................:..............................................:.. TYPE OF CONSTRUCTION .........:.. ..... ? .�....... ......... ... ........................................... ...7. �/...................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... . .../...� ............ ..... ..... ... ..A ............................................................... ProposedUse ......... .................... .. ................................................................................................................................ ZoningDistrict .......... .....................................................Fire District ..... .. . .. . ........................................................ Name of Owner ... .... .... ...Address ........ l.=.. . th4%! ............................... a Nameof Builder ............Address G, ..... ?...................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......:. .. ..............................................Foundation .... .0.. . ..................................... _ e Exierior ... ..... ..nlA ,,..............Roofing ...16 ... . ...... ............................. Floors ...... ............................................Interior .......f-t ��t...... .............................................. Heating �. .......................Plumbing .......... / Fireplace .......�iTl. ...........................................................Approximate Cost ..... f. o..... �. �r.. z...�.... .................... Definitive Plan Approved by Planning Board 4 ,__________19 _. Area .......115.2.9 ............... Diagram of Lot and Building with Dimensions Fee �� ........ . ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH gotdlD , e 1/6 3G I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r .. __ Name ..... .... ... ..... .... ..................... Cedar Acres Realty Trust No''..21506..• Permit for .... ne..story...dwel-ling ............................................................................... Location ....19k 119Q.....142..MoorIng..Dv ..... f .................... .............................................. Owner ........... ede'..keres..Realty...�rta,�t• '{ ' - t' Type of Construction .......f:rame........................ ; l ............................................................................... Plot ............................ Lot ................................ J 1 • „ ti - r Permit Granted duiy.....26...........19 79 f_.I spection L19 F% ..! V� Date Completed �j .:....1.....19 PERMIT REFUSED ..... . .. ....................................... 19 . . ..�C....................................... ............ .r.. .. `...................................................... .f�..I................................................... ..... . ...................................................... pp% r ............................................................................... ............. ......................................................... Assessor's Office(1st floor) Map ®-Z, Parcel /O Permit#' I f - Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) . _.. Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) ee, Y� 7 Sd Engineering Dept. (3rd floor) House# / 2 SEP'T► INSTA MUST BE Planning Dept.(1st floor/School Admin. Bldg.) PLIAi�CE Tec1t Ian Approved by Planning Board 19 ENVIRO • E 5 TOWN �E�UhAT®�DE l�® TOWN OF'BARNSTABLE: Building Permit Application et Address i��oO,ej,r✓6 _D,1P/118F Village,Owner ` Address G X1,✓S�,y 1VV a 2173 Telephone G/ 7_8 G Z 6/3S Permit Request /1S 7L �s�lh2 /J�,yl,0 - yA, r,�c/�✓�G"s, serrx�e�e . f t First Floor ? square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House 0 Unfinished Old King's Highway A o Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds ; Other Builder Information Name �- 2 ✓,. Telephone Number Address lG WA2 AD 45_?�v/7 License# a, 3 Z 14W,6;' Z=Ze? o1/D� Home Improvement Contractor# le 2 r,7,V ' Worker's Compensation# OB-44041 9.3Y8 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �972�vv�t/ SIGNATURE — DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) { 4 FOR OFFICIAL USE ONLY , PERMIT NO. 4 _ DATE ISSUED MAP/PARCEL'NO. -' i u 1 _ ADDRESS _ i VILLAGE 1 ' F OWNER DATE OF INSPECTION: FOUNDATION ,- •.' � _ - _ ,, -- � ._ 1 ". r i. FRAME' �'7' 1 r INSULATION FIREPLACE r + ELECTRICAL: ROUGH FINAL = , f PLUMBING: ROUGH 1 FINAL rn GAS: pUH 'r . FINAL `. mb FINAL ImLDA 4 Q ! ` 01 DATE CLOSED ASSOCIATION PL`NN4NOt ;: . . • The Town of Barnstable rvices Department of Health Safety and Environmental Se.', Building Division 367 Main Street,Hyannis MA 02601 Ralph Cry Offcc 508-790-6227 Big Cammussione: Fax 508475-3344 For office use only Permit no,, Date AFFIDAVIT HOME EWROVEN=CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the-reconstruction,alterations,-renovation,repair,modernization.oDn 'S'M improvement,.remotial, demolition. or construction of an addition to'any pre-existingwhich are t building containing at least one but not more than four dwelling units or to sM==xs to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Vo Type of Work: Est.Cost /T— Address of Work: Oarner.Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work caduded by law _ _ob under SI,000 Building not oaner-Ooarpied Owner pulling own permit Notice is hereby given that: LIN _ OWNERS PULLING MiMR OWN P OW RKG DO NOT HAVE ACC-SS To TTBE FOR APPLICABLE HOME VaROVeAENT ARBITRATION PROGRAM OR GUARANTY FUND UNDER MM c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 3-� Date Co Registration No. OR ' Owner's name ,, The Commonwealth of Massachusetts Department of Industrial,-Accidents Of/ICd 01/Bi�CSI/pfl/I/t 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: PT61L_�l�i f� � r— nam•: Incation Qi. / /' t�Z�� phone I am a homeowner performing all work myself. I am a sole proprietor and have no one Nvorkin2 in anv capacity �m an employer pro%iding workers' compensation for my employees working on this job. company name: address: city: phone#• insurance co �� / .✓ policy# Q£ fie 4_C2_4 ! 9L3 k12 I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below oho have the follo%t insi worker compensation polices: company name: address: city: Phone#• insurance co Rey# company name: address: - suy• phone#- insurance co nofi a 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 SI M.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verifieadoa. I do hereby certify Unde th ns and pe res of per'ury that the information provided above is true and correct Signature Date 4e- .2 7— Print name /fZD ��8�� Phone# official use only do not write in this area to be completed by city or town oMcial = city or town: YaxMouT>� _ permit/license# r'1Building Department pLicensing Board 0 check if immediate response is required 261 ❑Selectmen's Office Health Department contact person: phone#;_ (508� 398-aZ231 ext. rtOther (revised 3,95 PIA) /te V/ 4'j)ti!lZOIt.IUP,CLGC/L O� ZIIGP.�d 1 I , HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards 1 One Ashburton Place — Room .1301 1 Boston, Massachusetts .021.08 t HOME IMPROVEMENT CONTRACTOR -Registration 100740 Expiration 06/23/96 Type — PRIVATE CORPORATION 1 HOME IRMWENEXT CONTRACTOR..., 1 -.."l,tratloe 400740 Capizzi Home -Improvement , Inc , i Type -*-PRIVATE CORPORATION•• Thomas Capizzi , sr . i 'ENplritlon • 46/23/96 1645 Newton Rd . Cotuit MA 02635. i CAplul Hole I1provelelt, Inc Thous CAplul, Sr. ' �ce�►�o-e O!ii 4lb Newton-Rd. I I AD"4 •Cotuit MA 02635 •~t�� � � ✓iEe osuuealD( c�..��aaeacr4ueel?e ._. ... •• v• . _ . , Restricted to: 10 UEF)ARTMENT ' REPARIAENT IF PUBLIC SATETI ONE AS11BUf: CONSIRUCTION SUPERVISOR LICENSE I 10 - Mott L'OS FON, Rrtbtr: . Expires: lirtldtte: IA - luotry oily CS 141117 IO/21/1116 10/27/1148 16 - 1 1 1 Will Notes VSTRUCIION SUPERVISOR LICENSE Restricted To: to obey: Expires: BirtlWaLe . - 057042 09/26/1997 ' U9/26/196 �«-L• '• OAVIO N IEBB >tricied 1u: UU "' 000+Mrssa a 100 PLUN BOLLOR RD 1 E EILNOUTB, RA 02536 CIAL'.SECURITY : 030-58-74j94 . :: _:,';:,_j. • • • OMAS'X CAPIZZI JR D PERCIVAL OR BARN.STABLE, MA O2668