HomeMy WebLinkAbout0303 GLENEAGLE DRIVE �. 1�f "I!,
-
a
P
}
� > Town of Barnstable *Permit#
O„ Expires 6 ma tths from issue date
Regulatory Services Fee
9 1659. ,�� Thomas F. Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.towmbarnstable.ma.us -
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Nat Valid without Red X-Press Imprint
Map/parcel Number
Property Address-'' '.a 1 (i✓VleA si l i°
❑Residential Value of Work,, D Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address r fl
r
3c�3 �let,er� f— v Caen erv��l�e
Contractor's Name Telephone Number /rJ q
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
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
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
5Separate 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.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: Ll a
Q MPMESTORWbuilding pennit forms\0TRESS.doc
Revised 053012
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations.,
+ d 600 Washington Street
Boston,MA 02111
i
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Avolicaut11nformation ` Please Print Legibly,
Name(Bus ess/Organization/Individual): . �til�'lL �v!/� lrZi v
�I
Address: 36 /, r .
y 7 �
City/State/Zip: ceil fee✓r.l 2. Phone.#: �7
Are you an employer?Check the appropriate box: Type of project(required):,
1.❑ I am a Y emP to er.with 4. ❑ I am a general contractor and I
nstruction 6. ❑New co . .
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, _❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P t3'• 9. ❑Building addition
/(No workers' comp.insurance comp.insurance.$
/,,iequired.] 5. ❑ We are a corporation�and its 10.0 Electrical repairs or additions
officers have exercised their 11. Plumbing re airs or additions
Yfkr I am a homeowner doing all work ❑ g p
V myself [No workers' comp. right of exemption per MGL' 12.❑ Roof repairs
insurance required.]t 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: —
Policy#or Self-ins. Lie.#: Expiration Date:
Job Site Address: 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$250.60 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.
Ind t hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
S1 '' ature: Date:
Phone# 7 l�a`( '
t
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#:
r•.
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 CommonwWth of Massachusetts
Department of Industrial Accidents
Office of Investagations
604 Washinpn Street
Boston, ILIA 02111
Tel. # 617--727-4900 ext 406 or 1-977-MASSAFB �
Fax##617-727-7749
Revised 11-22-06
www.mass.gov/dia
OF SHE Tp� '
Town of Barnstable
Regulatory Services
`. BMW rest E g
y MAS& g Thomas F.Geiler,Director
Qj 16 9 ,0
Building Division
Tom Perry,Building Commissioner.
200 Main Street,Hyannis,MA 02601.
www.town.barnstable.m a.us
Office: 508-862-403 8. Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
If Using A Builder.
h , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authbrized.by this building permit
(Address of Job)
**Pool fences and alarms are the'responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final '.
inspections are performed and accepted., }
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMSSIONPOOLS 6/2012
r
�t r Town of Barnstable +�
Regulatory Services
11ARNWABM : Thomas F.Geiler,Director
y MASS.
1639.�"•� 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: Q (:?kll�a le h V C,94rill11'e—
number street /y village
«HOMEOWNER!':— tar _ i64e_21,Q
name // home phone# work phone#
CURRENT MAILING ADDRESS: ,3 y_� 6/,en 41 e br
@i1&rVi le /VI it
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
Wallow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
P {{ DEFINITION OF HOMEOWNER
eLn(s)who owns a parcel of land on which he/she resides or intends to xeside,on which there is, or is intended to
b'e,+,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
pprson who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section 109.1.1)
1 �
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other.
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
' 1 i
r quirppents_
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use-this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
'Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:foims:homeexempt
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
S
Map ' ParcelA >3 °, Application
Health'Division m Date Issued Z
Conservation Division Application Fee PG�
Planning Dept. Permit Fee
Date Definitive Plan Approved,by Planning Board
Historic OKH _ Preservation / Hyannis
Project Street Address 3 Q:S 6 LC-tJ G.A&LF_ I>p,1 V
Village CQVT_EKV1L(-E-
Owner GAWIE 4-0HA) 5dEZ Address SAMAC
Telephone
Permit Request REY"aJL rx)SDNG 84 W i W1149w,, ANC )NW-ALL. C696SS
~ W IA)J>Oial U/EI-L-
Square feet: 1st floor: existing proposed/Xl 2nd floor: existing O proposed ® Total new
Zoning District C..► Flood Plain do Groundwater Overlay
Project Valuation R50 Z) Construction Type 1 Ioq Cra►ri e.
Lot Size 0 1 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units)
Age of Existing Structure . L Historic House: ❑Yes J4No On Old King's Highway: ❑Yes XNo
Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Areas"Ot) --�
Number of Baths: Full: existing I new Half: existing Z5ew
Number of Bedrooms: _ existing new Le
a
;
Total Room Count (not including baths): existing new y First Floor Room Covet
Heat Type and Fuel: )(Gas ❑ Oil ❑ Electric ❑ Other a
Central Air: ❑Yes XNo Fireplaces: Existing 1 New Existing wood/coal s1Q)ve:rU Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage:)<existing ❑ new A6o SV� d: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # '—� Recorded ❑
Commercial ❑Yes XNo If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �'4 I `+� � ���` y Telephone Number J D81 0117-10 C�
Address aZ7� 14P uMoV -e License #
yL�,e—ryl1l'e Home Improvement Contractor#
Worker's Compensation # 1,11A
ALL CONSTR CTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO as"A -1kf-
�1 r J IIvv�
SIGNATUREA�z DATE -3 �� /'
ti
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
k_
G
OWNER
DATE OF INSPECTION:
-,FOUNDATION
FRAME
ANS.ULATION' 's
` FIREPLACE _
'p
1
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL—
GAS: ROUGH i FINAL
.-FINAL BUILDINGlL.
DATE CLOSED OUT,
ASSOCIATION PLAN NO.
{ ti-
{
.' The,Commonwealth of Massachusetts.
Department of Industrial Alccidents
0fice of Inveskgatians .
600 Washington rS`&eet
Boston, MA 02.1.11 - r
www.mass gov/dies .
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Pltimbers.
Applicant Information Please Priest Legibly
Name (Bvsmess/organizefionadivi&,4: r ' 1 C%41 ACL,,, C- 4 O 77CA0
Address: c;L- 9 f14 o N om e/ C l
City/state/zip:Ccoy rck V/CL E MA Phone
Are you an employer? Check the appropriate box:
4. I am a 4�=
project(required): .
1.❑ I am a employer with ❑ general contractor and I
employees(full and/or part-time).* have hired the sub-contractors New construction
2,, I am a sole proprietor or partner- listed on the attached sheet. odeling
ship and have no employees These sub-contractors have
'8, []Demolition
working forme in any capacity: employees and have workers' 9.
[No workers'comp.instance comp,insurance,# ❑ g addition
required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself.[No workers' camp. right of exemption per MGL. 12. Roof repairs
insurance required_]t c. 152, §1(4), and we have no ❑
employees. [No workers' 13.0 Other
comp.insurance required]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors mast submit a new aidavit indicating such.$Contractors that check this box must attached an addition]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 th:ir workers'camp,policy number.
I am an employer that is providing workers'compensation insurance for my employees, Below is the po&cy and job site
information.
hmnmce Company Name: /l✓ /Q
Policy#or Self-ins.Lc.# Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Fainse to secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of crinmal penalties of a
fine up to$1,500.00 and/or one-year iroprisommem,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
Iuvestigations of the DIA for insurance coverage verification
I do hereby certify undeMcr(
penalties of perjury that the information provided above is true and correct
Si tore: Date: 3 ��••
Phone# �-o -all
--------------------
F
only. Do not write in this ar8q to be completed by city or town ojjicial
n: PermitlLicense# k
hority(circle one):
Health 2.Building Department 3. City/TownClerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#:
Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration -
Registration 1"52991
�- Type. Individual
R = P : Expiration: 10/23/2012 Tr# 204525
MICHAEL G CROTEAU .
MICHAEL CROTEAU �
279 MONDMOY,CIRCLE
CENTERVILLE, MA 02632
...__ ff /
Update Address and return card..Mark reason for change.
:-� Address 0 Renewal D Employment Q Lost Card
DPS-CA1 Cj 50M-04/04-G101216
p� ✓tie Vo7r�rreaoaaiea�� o��✓ aoaactZuaetta _
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to;
Registration -i'152991 Type: Office of Consumer Affairs and Business Regulation
Expiration 10/23/2012 Individual 10 Park Plaza-Suite 5170
Boston,MA 02116
MICHAEL G CROTEAUr x
MICHAEL CROTE U' 1
279 MONOMOY CIRCLES ! yam
CENTERVILLE, MA 0263Z Undersecretary Not valid without signat e
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Constructiun,.Supery isur
License: CS-086639
MICHAEL G 6AOTEA1i,
279 MONOMQY
CENTERVIQ E �0263Z r� j
N�14 -
Expiration
Commissioner 1 013 0/2 0 1 3
- I
BIKE Town of Barnstable
Regulatory Services
MASS. Thomas F..Geiler,Director
s639.
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us .
Office: .508-862-4038 Fax:;:508-790 6 0- 23 _..
Property Owner Must
Complete and Sign This Section
If Using A.Builder
{
as Owner of the subject property
V 4. �
hereby authorize Y2 ( � � to act on nap behalf,
in all matters relative to work authorized bythis building permit
(Address.of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools-are not to be
utilized until all final inspections are performed and accepted.
Signature olOwhetzv 41
Signature of Applicant
61cwl►1e,. .§�e S i zio
Print Name Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOLS
THE tn.�
Town of Barnstable -
Regulatory Services
1AMSTABLE, : Thomas F.Geiler,Director
MASI
9�plE1 wr�•�� 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides,or intends to reside,on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building_permit (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws, rules and regulations.
The undersigned"homeowner"'certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official-
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION ,
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
QUITCLAIM DEED
PAUL E. HARRINGTON and LORRAINE A. HARRINGTON of Centerville..MA
In consideration of$250,000.00 paid,
Grant to JOHN F. SPIEZIO and ELAINE M. SPIEZIO,of 5 Community Way, Harwichl
MA 02645, husband and wife, as tenants by the entirety
With Quitclaim Covenants
That certain land with the buildings and other improvements in the Town of Barnstable
(Centerville),Barnstable County,Massachusetts,described as follows:
Containing 15,051 square feet and being shown as LOT 28 on a plan entitled
"Subdivision Plan of Land in Centerville, Barnstable,Mass., for Charlene L. Johnson to
be conveyed to James F. Ruhan scale I"- 100' June 1, 1972. Barnstable Survey
Consultants, Inc..West Yarmouth,Mass,"which said plan is recorded with the Barnstable
County Registry of Deeds in Book 260,page 71.
Subject to all other rights,reservations,.restrictions and easements of record insofar as,the
same are in force and applicable.
Meaning and intending to convey the premises recorded in Book 19915,page 174.
Property Address: 303 Gleneagle Drive,Centerville,MA 02632
Executed as sealed instrument this <_day of U& ,2008.
Paul E. arringto orraine a gton
COMM€ NWEALT I OF IvIASSACHUSETTS
County: t* Bate: Cl .5. of
On this T day ofbgALs 2008,before me,the undersigned notary public,
personally appeared the said.Paul E. Harrington and Lorraine A.Harrington,proved to
me through satisfactory evidence identification(driver's licenses to be the person whose
name is signed on the preceding or attached document, and acknowledged to me that
he/she signed it voluntarily for its stated purpose.
yaEAGq
a�(0�d(✓✓r�'O.�.� a�E.X2 PN^tary fssion
My comxpires: p jFS*fX j.j.
7e
t
Q' Page 1 of 1
IMA
My
'R l r � 1
Mt WWQ
f- ���,*},��za.� iEs�'"-rw. tom.• '�' =rs'" c z -
Ex-�'�fiXG �Af�M CST '
wbo�.0 CA 0 tj
http://www.town.bamstable.ma.us/sketches12/13683_14143.jpg 3/26/2612
® ► ®/
® Additional Products
n u�
ScapeVIEWT"' Series 650 Hopper Windows
Window Well System
ea
k py R 5
_ f4�. >M�'.'.ra"arw• arch..'.:. "';'r x.:;....
The Series 650 Foundation.window is a two-piece , b
system that consists of a window and window buck.
The high density vinyl window buck does all of the dirty
Two-tier work.The buck is set into and secured to the form
model while the foundation is poured.The buck also featuresr A y
Applications: shown a reinforced"Insert"that acts as security bars
• Ideal for new construction throughout the entire construction process. ,
and remodeling projects The second piece to the 650's innovative design is a d
snap-in window unit that stays clean and safe while it's
stored away until construction Is"complete.When the`
Features:' � ^tl
window is,ready to be installed the security bars are G
• Corrosion resistent high-- i r
easily cut away and the self-contained window unit is
density polyethylene simply snapped into place.
construction --
• Maintenance free and SNAP 1T . . . SET IT >^ `
UV stabilized for Ion life
9 i . . . SIMPLE
Sa s es basement of
ti fi r- � r e em e
gencY egress codes
P.
»
-Section 310.4 of UBC i = Features: .
Section 310.7 of CABO1.,,. ; �" 3/4""Warm Edge" �r
-Section 370 of IRC 2003 Insulating Glass o
Structural • Built-in Steel Lintel -
Attractive sandstone foam core ensutes ',,
t
Color complements structural integrity • Aluminum Screen
ii
basement interior and Frame with ..,x
>
w, �
blends with the T�,u, Fiberglass Mesh
�w
`Y..
architecture of any home a' • Drywall Receptor "
• Reversible,aluminum mounting flanges can System
be attached directly to the foundation or • Fin-Seal®
window buck. Flange hole pattern is Weather stripping
compatible with most window bucks. • Heavy-Duty Hardware "
n
y di' Injection Molded
ay c Construction t
Standard Sizes: R
32 x 16"
x 20"
32"x24" it e. esy b.•r
Options:
RF' Argon Gas
� Low- ass AE Glass
� s
4 A F�
" � ,
r _
s n � 8 and step panels that simply snap together.
of Four Basement
�'"—"`._..,_�� /' d i Window Buck Mounting":Simply attach side panels.
using window buck back-out screws(complete
ith today's rising housing costs ! installation instructions provided with window well).
more and more homeowners Foundation Wall Mounting*:Side panels are easily
are discovering that basement attached with a few simple measurements,a power drill
and appropriate concrete anchors.Requires a
a areas are the best and most eco- minimum of(6)1/4"wedge type masonry anchors per
nomical way to increase the amount Ar'l side(complete installation instructions provided with
of living space in a home. window well).
" ' '" ' Slot and tab feature allows panels to snap into place
.SCQr1eWEiL°. Window Wells from outside,or inside the well,for a firm,secure fit.
I" " Cross pinning steps to side panels completes the
• Add light and ventilation to your r ' � 4
assembly•
s �
lower level living areas making r 2 x 4 cross bracing placed diagonally and vertical
them as warm and comfortable ' support(not shown)ensure that the well will not shift
as any other room in the home. U. I during back-fill operations.
Back-filling completes the installation. Clean 3/4"free-
• Provide safe, code compliant, draining rock must be used inside and around the
emergency egress for finished. outside of the well.Complete back-filling Instructions
basement rooms. The terraced
are supplied with the window well.
step design allows.you to.easily
escape your basement in the Window Well Models
event of a fire. No.of Inside Projection Height*of Side Panels Extension Maximum Width of Optional Cover Models
Model from Model Opening
Tiers Width Foundation Standard +Extension Number Wall Mount Buck Mount Dome Metal Grate
• Step design can be landscaped
� - 4048-42 2 42" 41" 48" X X 42" 38" 4042C CG1
I with your favorite flowers or 4048-54 2 54" 41" 48" X X 54" 50" 4054C C62
plants for further visual 4048-66 2 66" 41" 48 X - X 66" 62" 4066C CG3.
enhancement. 4862-42 3 42" 49" 62" 81" 3019-42 42" 38" 4842C CG4
4862-54 3 54" 49" 62" 81" 3019-54 54" 50, 4854C CG5
• Are constructed of corrosion 4862-66 .3 66" 49" 62 81" 3019766 66" 62" 4866C CG6
resistant materials that will not •Side panels must extend 4 inches above grade level and 3-1/2 inches below the window sill
rot or rust making them virtually Optional Window Well Covers Window Well Specifications
I maintenance free. Window well shall be model(s) as
mane-Dome Cover factured by The Bilco Company.Window well shall satisfy
• Are more economical than site Keeps well area clean of
basement egress codes, IRC 2003, section 310.4 of UBC
built window wells. The compo snow,leaves and debris. and Section 310.1 of CABO one and two family dwelling.
nent system simply snaps Constructed of pimpactolycar- Window well panels shall be blow molded from high den-
sity polyethylene resin and filled with rigid setting,closed.
together on site for fast, easy ` a �, cover Is UV-resistant and cell polyurethane foam for added strength and rigidity,
• ';: designed for durability Panels shall be UV stabilized for low maintenance and
installation. and long-life. sandstone in color. Mounting flanges shall be mill finish
•r,�• , aluminum and include pre-punched keyhole slots for
mounting directto foundation wall(keyholes to earth side)..
ll;al', Metal Grate Cover (keyholes )
y� y or window-bucks ke holes to window side with screw
Keeps well area clean of anchoring systems.Side panels and step sections shall be
leaves and debris while packaged separately and snap together on site for easy
f I providing maximum installation'.Assembly,installation and backfilling shall be
® ® + in accordance with manufacturers printed instructions.
Is constructed of steel _
ventilation.Cover grate Manufacturer shall guarantee against defects In material
' and protected with a or workmanship for a period of five (5) years, provided
that the window well has been Installed in accordance
- baked on primer finish. with these instructions.
c
�.J
File number 081023-17 UNREGISTERED LAND
Attorney: LAW OFFICE OF STACIE HIGGINS,P.C. Deed Book 19915 Page 174
Lender: CAPE COD CO-OPERATIVE BANK Plan.Book 260 Pa a 71 Lots 28
Owner. PAUL&LORRAINE HARRINGTON REGISTERED LAND
' Re .Book Sheet Lot(s):
Date: .10/30/2008 Cerli ecate of Title
Assessor's Man 192 Blk: Lot 138 Census Tract
MORTGAGE INSPECTION PLAN Scale: 1"=40'
303 GLENEA GLE DRIVE, CENTER VILLE, MA
N/F
CROSBY
=a 132.55' (DEED .128.55'}
LOT 28
15,051 SF.
STY
LOT 27 #30TY
3 •`
LOT 29
PAD A0 S+`_b
:�L�:
"Q
r
TO OLD STAGE RD 132.50' . .
GLENEAGLE DRIVE
CERTIFICATION
I CERTIFY TO THE ABOVE ATTORNEY,BANK,AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR
DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO
STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL
LAW TITLE VII,CHAPTER 40A,SECTION 7.
FLOOD DETERMINATION
BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF
COMMUNITY#2500010015C AS ZONE C DATED 8-19-85 BY THE NATIONAL FLOOD INSURANCE PROGRAM.
s
NEILJ.
Olde Stone Plot Plan Service Co. KELLY
k P.O. Box .1166 No.36036
R Lakeville, MA 02347- s N
Tel: (800) 993-3302 S
_ Pax; (800) 993-3304
PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate oilyVnd
An inst ment survey
would be required for an accurate determination of building locations,encroachments,property line dimensions,fences lot configuration
and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map&
occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or
surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded.
FLOORPLAN
Borrower:John and Elaine Spiezo File No.: o810000g
Propegy Address:303 Gleneagle Drive Case No.: ' '
City:Centerville State: MA Zip:02632
s Lender:Cape Cod Co-Operative Bank
l 15.0
First Roor
1
1 Z tY 12.0' Pali o
Family
18.0 7.0' 15.0' '
Bath
Bedroom Dini ng Kitchen
1 Car Garage
24.0 249
26.9
i
Bedroom �Bath
Living
22-0' 15.0'
18.0
i
NOT TO SCALE
t
t
II
I S
s ]
a Baum:�y --
18.0 7.0` 15.9
Bath
Bedroom Dining Kitchen
1 Car Garage
i
24ff 24.9
Hag
Bedroom F58ath
Living
22.0" 15.0
18.0
i NOT TO SCALE
r
i
,
I
S
i ..
i
i
I
SKETGH CALCtLATtONS Perimeter
Al:15.0 x 120= 180-0
A2:40.0 x 24.0= 96D.0
A2 A3:SO x 2.0= 36.0
i
First Floor 1176A
Totd Living Aim 117ra0
Saben Appraisal Services, PO Box 877, South Yarmouth,MA 02664
Assessor's map and lot number - �- -� G� -- t, <4.
Sewage Permit number ...... u.-.-.....�./..{. .. ......... ro�Q� ��
_...-�. Z BAHB9TADLE. i
House number 3a� jt 9 MUa
... .................................... OO z639 e00
• �Dil YPy a\
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......5"r.r s? '� ''� !� /�r�e �".......................,..............................................................................
TYPE OF CONSTRUCTION P.u�c� .rX'�%.. ... ..........................................................................
........................................
..........................19..c y
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... j ...... ? r.............<9.. ... .'..' .^✓ ...... 7 .. v`............... ..r. .. .......................
ProposedUse ...........:5........ '........................................................................... ..................................................................
ZoningDistrict ..........°�.:. .:.................................................Fire District ........ .......... a r .......................................
Name of Owner .'� ?!;i l� u�'� i crc�.....7,-a,ST..Address ..... ... � '................
...............................a. ....... ..............................................
Nameof Builder .+..................................................................Address ... ...............................................................................
Nameof Architect ................................................................Address ....................................................................................
Number of Rooms .........:'3.. ...............................................Foundation .....c�oc: Ff! r�D.r;.;
........................ .........................
Exlerior ... ra �?r.....�$h� � (.G !9 .9e ?- �fji �- !'c 5 ...................
............................................Roofing ..............r�..�a...............................f......:.
Oli'f2'
Floors ........... ......... fa.......Tz:', 1- f.0 Interior ..................... . .. .....................................................
Heating < g .........................................
l.�i', 5)/ O." e... .....................Plumbin .
Fireplace s/Cst" .....�..........s..! ......................................Approximate Cost ....c'..C.,!,c? c,
Definitive Plan Approved by Planning Board ---------------- ________19 Area
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
\ti j
J
E2L]
_ J
C�
t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform` to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..... ..................................................
Construction Supervisor's License Oc? °� �� ai�'
....................................
DAVID BUILDING TRUST A=192-138
No 263(?a.... Permit for ..One Stogy'.............
,I Single Dwelling
Location Lot 28, 303 Gle.neagl. .e..Drive....... ........ . .. ...... ....
Centerville
Owner ..David Building..Trust....................
Type of Construction Frame
................................................................................
Plot ............................ Lot ..............................
Permit Granted .APXi1..17.c...................19 84
Date of Inspection.
Date Completed ......................................19
. 1
Assessor's -)ap and lot number ...../.. - ...... . 2.
- �� %THE rO
Sewbge Permit number .q...........�..... ...�......... ... ........
Q S eP71®y L BASB9T11DLE, i
douse number ............................3a 3....... ................. �, A� rues
TOWN OF BX PiSfTrARLE-�'ocz
•; co
r �BUILDING. IASPECTQ_R
APPLICATION FOR PERMIT TO .....5:....?.`i......'...... . .�....{:C................`. 'a .e....................... ............................
r
TYPEOF CONSTRUCTION ........................................................................:............................................................
................................................" 19..:�
TO THE INSPECTOR OF BUILpINGS:
The undersigned hereby applies for ,.a permit according''to the following info "a ation:
C(G �...........�...Location ......... ...... � .... .. G
..........................
ProposedUse ...........: :.. ................................: ...........................................................................................................
ZoningDistrict ..........'fit `..��...................................................Fire District .....L; ........ ........ ......:....................................
Name of Owner ress .....157 Vol C &='v le--v%C
..................... :......... ........ & ,
Nameof Builder .............:.................................................,�..Address ...�........................................................................:........
Name of Architect ..........................................................Address
Number of Rooms ....... �................................................Foundation ' elb,?,o .................. .........
Exterior ........ ..............................y .....................................Roofing ...... ...... .'..........r......-s...............:.... ,
Floors .........r7<`lC?�iLj c�t� � S t. 3• c c('. .Interior -��y`r✓'9'[:. ......................................................................... ..� ........................ is
r ,
Heating ... ...... . ......... ......... ......... .........Plumbing .....................
Fireplace .... 11/C •�G�C/�......................................Approximate. Costc?c>.�............................
........ ....
Definitive Plan Approved by .Planning Board ________________IV *___19_��, Area ....,�........... ....
01
Diagram of Lot and Building, with Dimensions Fee. ............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
c
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 ..................................................
Construction Supervisor's License ��' a . S
DAVID--BUILDING TRUST
�h Permit for ..
One Sto
i
Single Family Dwelling....................... .:
.... .. ..... .. .... v
Location Lot 28, 303 Gleneale
... ....
Center ville -
t : David Building -
Owner' .............. ................................................Trus..
» - r
Type+of Construction Frame................ ....... ...... a `
Plot ........................... Lot ....... ......... ........
Permit Granted ..�pril..l7.'.........,R'.......i9 84 r if s 1
t. Date of Inspection ....... ..........................:19
t Date Completed . .. 1.:-4..............
r
s'.
. s
r � t } _ f•' �- _ o of
y
E M M ;
CE,e T/.�/EO G,C07'
L is � C,4 7101U Cvrv144
7-N , EacE,eT C i
ff�OWit/f,�E,2E0�C/COM.�L YS k//Tfi� -5CA L ee-7 / �<<lp' ' 0.�4 TE 4 •/Z B.1
{2Egv/.eEME.vTS OF 7,4/E �"ottiNaF
1
28
�p cA TEr� W17-,h-'/N- 'T//E .4—LoaDPG41W /x 14/J Fog eW,41244-W&
/9 72
• QA Tom'•.�._.�.. r; ., � /
TiS//S P.CA///S it/oT BASSO D�/A,-V /e 45TEeegg-4:) L-4AIO SU.eI��S'b�I
A�f'�/C,�j✓7" D�✓i D s'/�f/!ZO
41i »�,.. ..,,.,.f.,.
StNGLG- •FAM'tt-�(..T,r ':� BCpRhoM N .,-.
►.10 GARBAGE -6►LlWDEs2
pow; Ila x 3' 33o G.P. R .. I 9 i 94 fi. -
DAtLY%G A JK'4 330x15o% ' �9/%G.P. R L._ /,/ r 4
5EPT1 'T 7
G ...5Po5L. .P-1T ryµ U'6E4 tooO GAI_.
of � �8 ,S ► , ��� r
1 5�a 6A . /137
• 4 }
§o-S.F ; x I•.0 �j o G.P. iao� /�'• /�S �1 I r ='
ToT 1Q.51GN *42 &P.D.
r oTAt..tDA►�Y F�ovf 330E
--� `� � N � '-'-.,s.To• 'fir? /�� � ' � `• ��I "�
i PE�LGOLATION RA,T I•'IN ZMIN 69-LE55 Ham; F.✓a MW
ALAN c�G
. r off wiLLlgnn."
r cJONES
Ic
N
. 251
su
of.
i
Nil
({ �! } ^ .y.�.,,, �a m .+7�� I6f3'�r 77/�++�"�. F��• .. � it -�^n �i*v..,.r•� r�}�
l } Top It gw
�' ' no � . . ' ��� � Imo• 98: ```
i ,Gcu�/ 10
( { 2 •�; Is FPTIC
BOA
Poo
E " `µr Lt'slaGti / INV. ' INY
t `WAI,".P
I GawrtFiGA PI-oT P1•.AIJ' k
d
tlo� 5CA1.E 5c^ A�E/
PLAN REF6czENGE 4
1, GE R^( TH'tFY A'� T,NE PPoP, 1=�J� 5No1rYN
NEREo�1 `GOMPI-`[5 yJITN THE S 1 cEt.►N x '' T
=A1,ID SEb-r5ACX R.6Qt�1R.fcMEN�'�
F .-To WN OP Eg,A6��1,5"T'>a.3.� v
1AN ►S
LOCp.TED WITNI ,T F1..00D P IN 3 - � .i•• "
t3AXTEcZa WYE
6U11..A►.►D.5 u Z•V E�o1�S s
?uls PLo.N 15 WaT t3�5�T- c AN OSTE�VILLE - S5• ` ;
I. Iw5•ZTZuMeNT 5u9-ve-Y J�-rNE a
NoT t3F USEDTCr pE'TEP.l^Itltr �,®'r �-1►•II_�j APP�—IGAti1'r•
FROM -
TOWN OF, BAR STABLE,
Mr. Francis Lahteine BUILDING DEPARTMENT
Town Clerk 367 MAIN STREET HYA€NIS, MA 026M
Phone: 775-1120
SUBJECT:
FOLD HERE
DATE
September 12, 19 4 MESSAGE
Work has been completed under Building Permit #26309 (David Building Trust) .
Please release Bond.
h
.. DATE -
REPLY F
- - SIGNED
Ne7•RMI - - RECIPIENT: RETAIN WHITE COPY•RETURN PINK COPY
PRINTED IN U.S.A. -
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
o r. TOWN OF BARNSTABLE 26305
PermitNo. -------------------------------
' e
Building Inspector
lVAUSTM a Cash -----------------------------
Dug,( OCCUPANCY PERMIT Bond -------
Issued to Iayid Buildict Ttu.gt Address
Lot 28, 303 Gleneagle Drive, Cente_rvi Lle
Wiring Inspector � / Inspection date r�
Plumbing Inspector Inspection date
Gas Inspector 1 rt 1. y:, �r /°' Inspection date A�r n 7 0G�1
Engineering Department � fr Inspection dated
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.
4� z I9&.... .... .. ...............__....____._
Building Inspector
pFtHE 1p� Town of Barnstable *Permit# 2.
y p� &rpires 6 moat/is from issue date
1ARNSTAt3LE, : Regulatory Services Fee
9 MASS.
i639, Thomas F.Geiler,Director
ATED Mp'1 A
Building Division
Tom Perry, Building Commissioner X®PRESS PERMIT
200 Main Street, Hyannis,MA 02601 MAR i n Z003
Office: 508-862-4038
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERMIT APPLICATION - RESIDENTIAI. ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 91 i
Residential Value of Work Cv (D -31 . 00
Owner's Name&Address P>E LA I
3c)3 QlPr earl xe (Z - C -A4,ertjiIk 02(032
Contractor's Name -A 12:7 j obw dye p 4&944 Telephone Number y'LQ Q5'ls
Home Improvement Contractor License#(if applicable) ( n D 140
Construction Supervisor's License#(if applicable) jC_g p_5'? 0 3 2
[ orkman's Compensation Insurance
Check one-.
❑ I am a sole proprietor
❑ I am the Homeowner
[91I have Worker's Compensation Insurance
Insurance Company Name(=U dr[k7►" ;ur&4-%t a Artt .p
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value' (maximum.44)
2-110ther(specify) 6GlY'��j2pt11^ C CiNA 13 . sThaS Zirl;M 0Of-r t3Aek W�.1dovJ M+D
Clem vu* c rvt
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised 121901
i
°ME 1ph, Town of Barnstable
P �
Regulatory. Services
BARNSfA$LE, Thomas F.Geiler,Director
P MASS.
�pTFDMP�A�m Building Division
Tom Perry, Building Conun issioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
as Owner of the subject property
hereby authorize 1 ,1 �mE 1--morboe to act on my behalf,
in all matters relative to ork authorized by this buil ing permit application for(address of
lob)
Signature of Owner Date
Print Name
J }�( y e r r•(} t ,.7t1 '° < t"1" 'r, ,s i;b; �.c$t�rr is tirJn `tt�ot'ai`E�Y±u.
a
0
-
a ,
The Commonwealth of Massachusetts
Department of Industrial Accidents
_-- 91fice ollnrest/gadoas
600 Washington Street
Boston,Mass. 62111
/ Workers' Compensation Insurance Affidavit
location* 303 !9 S er l e e s tw I o-e-
city C��V1 111 I I`e. phone#
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
company nam1 wpro V
LAt-T
civ
VpcitxV phone H: lot
O I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who hi—;-
the following workers'compensation polices:
companx name: _ ,. .... . .
address•.
1nsuranC t:os:: poP licy#
companymame:
cilyi phone#:
insarantxco: policy#
Failure to secure coverage as required under Section 25A of 1%1GL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 andnrc
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 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.
1 do hereby Bert• under the pains and penalties ojperjury that the information provided above is true and correct
Signature Date T:s ZQ I
l 4/1FC
Print name Iif - Phone# ^ I
official use only do not write in this area to be completed by city or town official
city or town: permit/license N flBuilding Department +
Licensing Board
O check if immediate response is required E]Selectmen's Office
011calth Department
contact person: phone N; nOther `
(mired 3/95 PIA)
�r��,. ✓1cv, %�ov�vnw�uoe� o�./�.ad�ac�ui4elta
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 100740
Expiration: 6/23/2004
Type: Private Corporation
CAPIZZI HOME IMPROVEMENT,I
%omas Capizzi,jr.
1645 Newton Rd.
Coluil,MA 02635 Administrator
�. .r ✓�ie l�o��mwnu�ea`U n�'✓l�Caaurclueel�a
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057032
Birthdate: 09/26/1963
Expires: 09/26/2003 Tr.no: 5790
Restricted: 00
THOMAS X CAPIZZI JR
280 PERCIVAL DR
W BARNSTABL.E, MA 02668 Administrator
i
� 7 .
3 leti e-an le- � �
Ie- fe r- V M n as 3 a SMOKE DETECTORS REVIEWED
BON T BI E UI DING DEPT. DATE
FIRE DEPARTMENT DATE
p ?7.N.ci:?�1:17'!i S a7 ? n�JincD FOR PERMITTING 3
15 o Floor
' t of .L.i c:;
C �leYY� F J f
I � _
co >
IF
... r
7-31t5pmeyif r0
C?9 I
Ga ran c,
Cv
F �
V-L
%'
fix ,
�7� 93 ' /50 `
� Pao.",
fie � 1,� .
3o3 irl e-an I e-
M n �a
SMOKE DETECTORS RE W'f:VE�VEC
� lZs�iz
B N L BUILDING 0FPT �
. DATE
FIRE DEPARTMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERNf1177NG
0 I=ivS'f �to�r
I
( Li
t
�z S ;
_ CD
4' e
i
Colo)
C r
r�
34S�YYIC h
/d o2Gt ! I S.(Cp, w
G:J'S
Ga-ra, C.
C,o
V-i
Ric 1 • 1% 1 /3
5�e S poora
� r
��' 93 ' /50'
Jobli. �l t J ,.��j"
0
Mn of 3
SMOKE DETECTORS RC. IEWED
q D
/R BWBIE—
DATE
FIRE DEPARTMENT DATE
BGTH SIGNATURES ARE REQUIRED FOR PE,9M/TTjNG
17!d F=ivg-f Floor
5 ay d
(3adr°ooM �i U�nG1
s
73 Se-'rn6rl+
v41./:-fj A rea f
E9�s5 Roots .
i7� 93 /50
{ '
1
I �_ fT11 I
--
,
I
I 1
I
r t
4
_t -t
- -�-- - -�--� - -� -� - --t-- -- -- - .� ---�--}-
TT
{ s
-
1 ,
i
I
— t
I I -'t--
1
I i I
I 1 1 I I
---r—
I
1
-- I
L