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HomeMy WebLinkAbout0048 MADDAKET LANE 't.M ,�. � � �� �. . .� ... . b�' - -, _. � ,� �.. �„ '.:. -�� .. .;. ?. ice.. .,. e � .. n � .. o �. 1 O _ .. !) 0 a w _ n l•llllt g-V 1 -0/0 � �v 0FTHE Tok, Town of Barnstable *PeTTrpires 6niondisfrorn issnedate NPR ~�T Fee �( -� . O O • Regulatory Services BARNSTABLE. = , y Mwss. $ Thomas F.Geiler,Director 1639 �ArEnrta 13wlding Divisive Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PEA'IL,7 Office: 508-862-4038 1 Cr Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA�A f) 4 Not Valid rvithotit Red.Y PIeSS Imprint TOWN OF BARNSTAELF Map/parcel Number hAW property Address � l Value of Work [Residential Owner's Name&Address - Telephone Number -"( �C?j Contractor's Name 1 6/1 Home Improvement Contractor License#(if applicable) O - CSD S-7 03�- Construction Supervisors License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner lensation Insurance ave Worker's Comp + Insurance Company Name_ Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑ Re-roof(not stripping. Going over existing layers of roof) 9 r Vside maximum.44) `nl n 10lacement Windows. U-Value ( �1 v` �r�,A ❑ Other(specify) Vj *Where required: Issuance of this permit does not exempt compliancc with other town department regulations,i.e.Historic,Conservation,etc. Signature t Q:Forms:expmtrg Reviscd121901 CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT INC. TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: L OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: a LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 I APPLICANT'S TELEPHONE: 5081428-9518-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # --`��\-- `Tire C'omitroirnperrlth of"Alassisclrtrsells ___ 'f� - _ 1,).:I�rirl►rrc►rl of Its drr.tlrial vI cciderrls f t ri 0/fire D//11►es//m/Offs 600 11,ashinl;h�n .S1reel ` — ' 13rrsrvrr Afuss. 02111 Wit IIters' CoInl►ensalitrn Insurance Affidavit Dauer.'��a�►'1_a_a.S �,a/a� Z"T..I '�-•! ii1,_;, Iv�nliwl: — ' city [] I am it homeowner perltitming all l.votk myself. (] I nnl A sole propricklr nrtll Flnvt•. no one working ill ally capncily (] I atn nit employer ptoviding woikels' CUlllllctisatiml for Illy eltlployces wotkillg oil this job. -------- ,� ndllr_eaa.�•�r�����•�.(/�tC3�:11� "Jf�. silx' �C" ��� 1 ����-- uhtur sJG'�[_P� � • ���r* � . Insur_Ancc cn._ U�' Ll r � �]�•� � i� _J�._._.—_....j�:I��3_G+CG�►1CI� / G!k. ItnllsY_N�/� "'�--^ _�l [� I ant a sole proprietor, general Conlrnclor, m homeowner(circle(rne) and have hired the contractors listed below who 11 the following workers' eompettsalitm polices: �VJIIRAnJUlA1nS: • IttlJiess:. - , p_ItoJte M.. Ln.ai�ranss_cu; mIlry_ff 9:_O.Il1UAnY_IlAfilt: _ ' AMOS tint U11911_t H; ittitttnitc!_ev� - _p��licy H _ paihtre In secure coverage as retinirtd under Section 25A of AKA, 151 tan trod in live Imposition of triminal pennitits of 11 nn!Np le 31,500.00 ft one ytata'Imprisonment as tvtit as civil pcnahica in the form of a S 1 01'WORK 011IM11.and it nne el$100.00 11 day rgainsl►it, 1 undttiltnd ll copy of this slalcmtnt play lit f ro drd to 1h0 Office of Invtsligalions of file OIA for ioverage vt011rollon. I do hereby "if),under le poih "chip rinlrirs ice jrrrY that rite irtfernrntiort provided shore is fret earl correct. SiRnnlurc l�llL —�( 9— -- Ualc 0 t 04-Z cv--'JA1n.r 1'iwnc N C ly do not wrlle In Ihis nrti ht he eompletO 11%.till.fir loon niticial permit/license N (]nuildinR Otpiultotuln: phone H: UI}Ihti r irc�I,cd IM3 elAl .� From:Maurabeth Chils—CIC AI:The McCar81Y Companies FsAD:9T898BU030 To:Cap9zzl Home 11TIPIoveRlell( uate: I1/IW[uuo IL.11 ed� • - DATE tNMV00M'YY) A�OD CERTIFICATE OF LIABILITY INSURANCE cA$iL 1 12 10 03 PRODUCE" ,Tills CP_RTIFICATE IS ISSUED AS A MATTER OF INFORMATION Norcross i Leighton Cape Loa. ONLY AND CONFERS HO RIGHTS UPON THE CERT1fICATE C.J.LNcCarthy Ins.Agency,Inc. HOLDER.TH19 CERTIFICATE DOES NOT AMEND,EXTEND dR ALTER THE COVERAGE AFFORDED NY THE POLICIES BELOW. 431 station Ave so.Yarmouth ice► 02664 NAIC N phone: S09-394-0946 rax!soo-160-1401 INSURERS AFFORDING COVERAGE INSURED ---- im"ER A: National Gange Mutual Ins. Ca alsueFRe: Sarety Insurance Company . D� INSURER C:13uard Insurance OVOUIP rovesnent inc CasANNe�iHoaue ITap 16 nr tee►02636 ------aaslxlEn INSURER E: COVERAGES TE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 11 E INSURED NAMED ABOVE FOR 1HE POLICY PERIOD INDICATED.IJOIWITIS/N•OING ANY REOIIIREM-frr.TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCLMFI4T WITH RESPFCT TOW 40 1 1111S CERTIFICATE MAY RF ISSIIFD OR MAY PERTAIN.11E 114SIIRNICE AFFORDED B TICY E PM ICIES DFSCRIRFD 1FRF.IN IS SIIBJFCI TON 1.TI jr TF.IiMS•FXCI DSIOHS AM)COIDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BFF.N REDUCED BY PAID CLAIMS icy EFFE LRAff! Lla S rgE OF INSURANCE POLICYNLIMBFR DATE(MWDU DATED 1DH EACH Occlm sm 1 1000000 GENERALLIARLITY AE ��A�IOFtENT1�— 1500000 04/01/03 04/01/04 PREMISES(EeocculMc�— A X COWRCIAL GENERAL LIABILITY Mp90213 3 IdED EXP(Any«1e Poi:on) .1 10000 CLAIMS MACE J K J OCCUR PERSCILAL a AM 111JURY 1 1000000 GEIERALAGGREGATE 12000000 PRODUCTS-Comm AGO 1 2000000 GEm AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC AUTOMOBILE WeLIT/ COMBILJED SINGLE LIMIT i g ANYAIno 1601064 04/01/03 04/01/04 (Eeeeelded) - BODIIY INJURY ;i_100QQQQ ALL OWNED AMOS IPer pe�sonl X SCIEDLLED AUTOS - X I+IRFDAvros BODILYINARY 11000000 (Por ecciderl) X NON.O%%ED AUTOS PROPERTY OAMAGE 1 S00000 (Per waded) _ AUTO OILY-EA ACCR)ENT 1 4 GARAGEUARILIrY EAACC 1 OTHER RAN ANY AUTO Arlo ONLY, AGO 1 EACIIOCCLMS1,10E 1 E%CESIIIMBRELLALUBLITY ,. AGGREGATE 1 OCCUR CLAIMS MADE 1 1 DEDUCTIBLE 1 RETENTION 1 . X tORY Its Ea WORKER!cowEHIATON AND G' EMPLoYERs•UABLIfY CMC401043 01/01/04 01/01/05 E.L.EACHnca[7ENt 1100000 MY PRROPRIETOyPARTWP)EriECU11VE E.L.DISEASE-EA EMPLOYEE I'lOOOOO OrFICERAAEMBER EXCLLAED7 IL yos,deeelibo undor E L.DISEASE-POLICY LIMIT 1500000 SPECIAL PROVISIONS below 0711ER . DES IPt1oN OP S ILOC A I VE ECLE91 ExcLUtlloN . DEb BYE DORSEMENT 19PEC1 PROVIs ; CERTIFICATE HOLDER CANCELLATION __—__—1 $I IoULb ANY OF 71rt ABOVE OEicR1BEb POLICE!BE CANCELLED lE 0 TDA 11 WRITTEN 1 DATE THEREOF.T1IE IeeL*0INjupER WILL ENDEAVOR To MAIL 10 .OAY�WMTEN NOTICE TO 711E CERTIFICATE HOLDER MAW*10 TILE LEFT,RVT FAILURE TO Do to CHILLI IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Nll1REa•I"AGENTS OR • z REPRE9FITTA1NEl1. • A IOT V RE aEeB ITV ! CORD C RPORATION 1999 ACORD 25(2001109) ons anht4matds - Boar o g a One Ashburton Place- Room 13 01 ' Boston_Mass4chusetts 02108 Home Improvemei�t C'anttactor Registration Repistration: 100740 t Type: Private Corporation , - , Expiration: fi12312D06 � _ , CAP1771 HOME IMPROVEMENT; INC. - Thomas Capizzi, Jr. - 1645 Newton Rd. ; Cotuit, MA 02635 Update Address and return card.Mark reason for change Address Renewal J Employment Lost Card ' ✓� r.�s,�,,caealtlz a�'✓�iaoaarlu�oP.tto � . Board of Building Regulations and Standards License or registration valid for individul use only s HOME IM?ROV=—M^NT CONTRACTOR before the expiration date. If found return to: - Board of Building Regulations and Standards + Q Registration: 100740 One Ashburton Place Rm 1301 1_0 . expiration: 6123'2D0E Boston,Ma.02108 ' Corporation Type: nvate Corpoa _ CAP=1 HOME IMPRO�CMIEN'T, 1 i nomas Capizzi,ir. . a 1645 New[on Rd. . Cotu: hAA G_E35 . _Not valid lid without s,a_ nature Aoiistrat r - — - I / • ✓/rP. ZOO N►.fltllftfUQd�IR G�VN.ttdAd�llA�c(A - t 8OAR0 OF 13UILbINd PtOULATIONS Llcetrse: 1PONSYRUCTION SUPERVISOR Nittnbern Ch. 057032 Expire§: 0012421 005 Tr.no: 7171.0 • � I Re�lrlcled: 00 , I I IOMAS X CAPIZ7_I JR I 1645 NEW7OWN RU � 1 COtUIT MA 02635 A miNislralol 1999 12/14 TUE 12:09 FAX 1 508 771 3217 IIARVEY IND.INC. 001 ANDERSEN WINDOWSDOORS Double Hung Windows Residential Specially Shapes (continued) Residential Tiltwash (HP) 0.31 Elliptical (HP) '0.30 Tiltwash (HPSun) 0.33 Elliptical (HPSun) 0.32 Double-Hung Transom (HP) 0.30 Circle and Oval (HP) 0.30 Double-Hung Transom (HPSun) 0.32 Circle and Oval (HPSun) 0.31 Double-Hung Picture (HP) 0.31 Flexiframe (HP) 0.30 Double-Hung Picture (HPSun) 0.33 Flexifrare (HPSun) 0.32 Builders Select Double-Hung (Clear) 0.47 Arch (HP) 0.30 Narroline Double-Hung (HP) 0.32 Arch (HPSun) 0.32 Narroline Double-Hung (HPSun) 0.33 Springline (HP) 0.30 Narroline Transom (HP) 0.30 Springline (HPSun) 0.33 Narroline Transom (HPSun) 0.32 Narroline Picture (HP) 0.31 Skylights & Roof Windows Narroline Picture (HPSun) 0.33 Skylight (HP) 0.47 Skylight (HPSun) 0.49 Casement Windows Stationary Roof Window (HP) 0.52 Builders Select Double-Pane Insulating 0.46 Stationary Roof Window (HPSun) 0.54 Double-Pane Insulating (HP) U_30. Venting Roof Window (HP) 0.52 Picture Window Insulating (HP) 0.27 Venting Roof Window (HPSun) 0.54 Awning Windows Patio Doors Builders Select Double-Pane Insulating 0.46 Frenchwood Hinged (HP) 0.31 Double-Pane Insulating (HP) . 0.30 Frenchwood Hinged (HPSun) 0.33 Picture Window Insulating (I-IP) 0.27 Frenchwood Outswing (HP) 0.32 Frenchwood Outswing (HPSun) 0.33 Specialty Shapes Frenchwood Gliding (HP) 0.30. Circle Top (HP) 0.29 Frenchwood Gliding (HPSun) 0.32 Circle Top (HPSun) 0.31 Perma-Shield Gliding (HP) 0.29 Circle Top-Double Hung (HP) 0.30 Perma-Shield Gliding (HPSun) 0.31 Circle Top-Double Hung (HPSun) 0.32 Builders Select Gliding 0.49 Clad Windows Clear Low-E w/Argon Primed Windows Clear Low-E w/Argon Casement 0.52 0.37 Casement 0.48 0.32 Awning 0.52 0.37 Awning 0.48 0.32 , Casement Picture 0.52 0.33 Casement Picture 0.48 0.29 Double Hung 0.53 < 0.36 Double Hung 0.50 0.34 Double Hung picture 0.50 6.32 Double Hung Picture 0.47 0.28 Vista Slider 0.55 0.37 Vista Slider 0.52 0.34 Sash Look Transom 0.51 0.34 Sash Look Transom 0.49 0.31 Round Top 0.50 0.34 Round Top 0.48 0.32 Spandrel 0.51 0.31 Spandrel 0.48 0.28 Clad Doors Primed Doors French_ Manor 0.47 0.31 French Manor 0.46 0.30 Manor Entry 0.47 0.31 Manor Entry 0.46 0.30 Manor Center Hinged 0.47 0.31 Manor Center Hinged 0.46 0.30 Manor Sliding 0.51 0.35 Manor Sliding 0.49 0.33 Manor Outswing 6.47 0.31 Manor Outswing 0.47 0.31 Manor Sashed Transom 0.54 0.42 Manor Sashed Transom 0.45 0.32 Hallmark Hinged 0.46 0.31 Hallmark Hinged 0.46 0.31 SPD Sliding 0.56 0.36 SPD Sliding 0.54 0.33 U-Value test results in accordance with NFRG - 100 AN-JAR AV� A © 1998 Harvey Industries, Inc. 1 a Town of Barnstable *Penult#( OCR Tf' OF 114E Tpk, o� Expires 6 eiondrs iron►issue dare NWP�MQ ~ itegulatory Services Fee pAIrMASS. $ Thomas F.Geiler,Director tbg9• �� �pTED rnA�" Building Division,Tom Perry, Building Commissioner X-PRESS PERITT 200 Main Street, Ilyantiis,MA 02601 MAY 13 1003 Office: 508-862-4038 Fax: 508-790-6230 I+,XPItE5S PERMIT APPLICATION - 1tL � SIDENT A1dfVST6�BLE Not Valid►vithout Ked.y P►ess In►pru►t Map/parcel Number Property Address ��q I Value of Work [Kesidential Owner's Name&Address -A. J M fly © �6-3�- 19 Ftn ' (C-- Telephone Number_ Contractor's Name Howie Improvement Contractor License#(if applicable) }construction Supervisor's License#(if applicable) torkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ 1 m the Homeowner VI have Worker's Compensation Insurance Insurance Company Name 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 tnnun.44) — UNTO t`�S' , �eplacenient Windows. U-Valuer(nnaxi , &",other(specify) *Where required: Issuance of this pennit does not exempt compliancc with other town deparlineut regulations,i.e.Historic,Conservation,etc. r Signature z4a—ga— Q:Fornis:expintrg 3 t �oF,►+E ro,,, Town of Barnstable Regulatory. Services BARMSPABLE, 'Thomas F.Geiler,Director 9 MA53. `bAIE 6.39- `0 Building Division Tom Perry, Building Cotmuissioner 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 s I t ;as Owner of the subject property 2� c� to act on m hereby authorize Y behalf, in all matters relative to work a thorized by this building permit application for(address of job) -2 Signature of er Da e r, -V'k ("T- Print Name ,r 20037 03/19 WED 09:54 FAX 1 508 771 3217 HARVEY IND. INC. 000.3 ,1�03/19/03 WED 09:39 FAX 6036279559 HARVEY INDUSTRIES SYANNIS WESE 001 A AN ENERGY STAR p�/ Isosooi TEST RESULTS Harvey Manufactured Windows and Doors • U-Values in accordance with NFRC-100 Based on,residential sizes • U- and R-Values are subject to change Without notice +Whole window values • Air infiltration results are subject to change without notice All vinyl windows with Low-E/Argon qualify for the ENERGY STAIr program thmighout the u.s_- Revised 1131103 - Clear Insulated Low-E Low E/A•rg'Un* r U-Value R-Milike U-Value It-Value t1-Va1118 It-vlr�o Infllralinu tlndrr Classic Double Hung (Mechanical) ; 0.50 2.00 0.37 2.70 0.34 2.94 .05 Classic Double Hung (Welded Sash) 0.60 2.00 0.36 2.78 0.33 3.03 _04 Classic Double Hung(Welded Sash•& came) 0.49' 2.04 0.36 2.78 0.33 3.03 •10 Classic Acoustical double Hung STC40 0.23 ' 4.35 oA 8 s,56 0.17 5.8g .09 Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 _04" Signature Double Hung (Welded Sash) 0.50 2.00 0.37 2,70 0.34 2.94 11- 'Slimline Double Hung (Welded Sash _ ) 0.51 1,96 �0.38�2.b3 0.34 2.94 .08 Sllmline Double Hung(Welded Sash& rame) 0.50 2.00 0.38 2.63 0.35 2.86 0�l Slimline Single Hung (Welded Sash & rame) 0.50 2.00 0.38 2.63 ° 0.35 2.86 08 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 •01 Vinyl CasemenVAwning and Thermal Panel 0.31 3,23 0.25 4.00, 0.24 4.17 .01 Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33 - Vinyl Hopper 0.47 2.13 0.35 2.86. 0.32 3.13 ,U$ Vinyl Picture Windo�iv .` 0.46 2.17 0.31 3.23 Q.2t3 3.57 ' .01 Vinyl Welded Deadlite' 0.50 - 2.00 0,34 2.94 0.31 3.23• Vinyl Roller-2 Lite and 3 Lite - 0.50 2.00 0.36 2.78 0.33 3.03 .09 �7es1 result;;are ba!iecl on soda iwclal 512(6 Temp.Clear T�rnp Law-g Temp,Argon :fir p������n V-VAtVc R-"lue 11-value X-Volua U-Value R-VAIut Inithradon . NA C3Lgolr rr.wlr Harvey Solid Vinyl Patio Door 0.49 2.04 0,40 2,50 4.37 7.70 .09 Air infiltration is in accordance with AaTM E283@a 25 mph. *The use of tempered Low-E glass may effect ENERGY STAR*qualification in your region= - U-and Ft-values are subject to change without notice_ The Commonwealth of 1Yfassach userrs �-i Department of Industrial Accidents A "t �- = MCC 011OYC5I19211UOS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit �onlit:an7-t' ormation: _ :v�-'T ease PRIM 7. - name: QS CAVAI- :2-1 0-- location: /BALL A C T Lam-/"`��✓ /� I am a homeowner pe f-or:ning: all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation ror my employees working on this job. comoanv`name: l� A'r I��I Pi�1 (EQ �i �"�E address:-[, city: 6,►otai :.. Q 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hued the connectors listed below who have the following worker;' corcensation polices: company-name: address: cin-: phone : insurance co, policy — — --• - - — - comnans• name: address: cir- phone=: insurance co. policy=' •'At[ach sddtaonal sheet tCne- - _ "�`�T"�"•" ____—_ - - _'--_'--"'-""'�""^—"'_ -.�,�. _ F:Iiiure to secure coverage as r-4uircd under Section 25A of 1'IGL 152 can lead to the imposition of cr:-anal penalties of a fine up to 5l 400.00 and/or one years' imprisonment as �eil as :i.il penalties in the form of a STOP K'ORF:ORDER and a fine of 5100.00 a day against me. I understand theta cope of this statement mac be rcr-arded to the Orrice of investigations afthe Dl.> forcoveraec verifies.^""on. l An hereby e nder the errs and penalties ojperjury that the irtjorn[atiorr provided above _s tr-1 e and correct. Sionatur: - Datc `3 Ze-:2 — �--Ir P:ininamr ��� . 2'Z� P^cr._ _ _fig ' ZS" t—r P oMcial use only do not -. .:e in this area to be completed by tiny or town afrcial E '4cin or tnMn- permit/license = -'Building Depart e t C C.Licensing Board check: if immediate res^;-,. is -equired C-Seiectmen•s Office C:,Health Department contict person: phone 9; r Other i .SaIx ✓/rc �y�wsw�aall� o� aafac✓u�eeQ$ Board or Building Regulallons and Standards � HOME IMPROVEMENT CONTRACTOR Registration: 100740 Expiration: 6/23/2004 Type: Private Corporation CAPIZZI HOME IMPROVEMENT, 11 omas Capizzi,jr. 1645 Newton Rd. Coluit,MA 02635 Administrator x y ✓�e �0017lro"'Veal(I6 n/-A6dl"-J.&d BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r ii'.;. Number: CS 057032 Expires: 09/26/2003 Tr.no: 5790 Restricted: 00 TI IOMAS X CAPI711 JR 200 PERCIVAL DR W BARNSTABLE, MA 02668 Administrator 2 ACQRv CERTIFICATE OF LIABILITY INSURANCE OPID DATE(MMIDDN'Y) APIZ-1 01/17/03 PR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Norcross 6 Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.J.McCarthy Ins.Agency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 Station Ave ALTER THE COVERAGE AFFORDED BY-THE POLICIES BELOW. So.Yarmouth MA 02664 Phone: 508-394-0946 Fax:508-760-1407 INSURERS AFFORDING COVERAGE INSURED y INSURER A: National Grange Mutual Ins. Co INSURER B: Safety Insurance Company Ca izzi Home Improvement Inc. INSURERC: Guard Insurance Group 1645 Newtown Rd INSURERD: 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. ILT TYPE OF INSURANCE POLICY NUMBER —POLICY EFFECTIVE- POLICY EXPIRATION LTR � DATE MM/DD/YY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY MPS02733 04/01/02 04/01/03 FIRE DAMAGE(Anyone fire) $ 300000 CLAIMS MADE FX]OCCUR - MED EXP(Any one person) $ 10000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO- ECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B ANY AUTO 1601064 04/01/02 04/01/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ l000O00 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ 1000000 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 500000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE ti AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WC IAlU-LIMITS JUR i C H EMPLOYERS'LIABILITY CAWC401043 ' 01/01/03 01/01/04 E.L.EACH ACCIDENT $ 100000 E.L.DISEASE-EA EMPLOYE $ 100000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER L DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY'ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION -----1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town Of Wellfleet 300 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF A IND UP THE INSURER,ITS AGENTS OR Wellfleet MA 02667 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Bob Lindquist 14, ACORD 25-S(7/97) ACORD CORPORATION 1988 C.J.McCarthy Insurance Agency Inc. { Assessor's office(1st Floor): Assessor's map and lot number �O v -P7r� 1C SYSMFA PUAD IN M� o*'TNE [E / >o Board of Health(3rd floor): q �L"Ce Sewage Permit number / d Engineering Department(3rd(3rd floor)! } ATPROMPAENTALCODE AND = oaks&tLOS House number iT� a OWN REQUILATiow 'oiO�Fo rar A,\ Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR 9 / ) APPLICATION FOR PERMIT TO 111 ✓// TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit cording to th followin information: Location ' �T Proposed Use // - — B ,q Zoning District Fire District � ~A.L/- UQ�1�O u,( � jzz�wb Name of Owner L�l, � , � /� AddressiT' Name of Builder_ Oil ��� Address T�)AP ' 1p,41 - 1 .� �0 ✓� Name of Architect Address �5 /1A/5,1� ��il� (..fir -E✓ .(il j �, - Number of Rooms Foundation n. Exterior Roofing Floors Interior `�C✓ Heating Plumbing AV Fireplace Approximate Cost d Area Diagram of Lot and Building with Dimensions Fee�c 50. l-._ 3� 9 t P flu - -�- ff A 1 OCCUPANCY PERMITS REQUIRED FOR N_ WELLIA I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' ame Construction Supervisor's License 69:,4, rlJ�� =' LE E, k PAUL J. No 33204 Permit For Enclose Exist. Porch Single Family Dwelling Location 48 Maddaket Lane ' l Centerville Owner Paul J. Leone Type of Construction Frame R Plot Lot A. Permit Granted September 14, 19 89 `4 Date of Inspection 19 `. Date Completed 19 1 Ma- � - ' k .. �-:- a �. ,�.Jv�.�'V"a1"'y.t`.w 'E'd.iy.�j;yr��•�v'�-�..1,. 7 .II. � .�'.. Assessor's office :1st Floor): ) Assessor's map and lot number Board of`Health(3rd floor): Sewage Permit number / ^� �T Z BAHd9T&BLL i Engineering Department(3rd floor): �(r, ��5. ruse House number �i-rj °o 1639. Definitive Plan Approved by Planning Board 19 14 �0 Mav APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P. only. ` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION � }_/f or7rf�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit/according to the following information: Location /� � ?, �, -i P �i ;. � , ./.E%�-,,LI 6-07 3� Proposed Used '" Fire District I �-,n.t s�' rt.a�.�./ - ,It%t4 l-�A //1.x'.11'�-� ,9111111 Zoning District _ _� �`.�` /_� Name of Owner 3 r 1 A Address ,�/�� All A h J .� ? AA L � C , + Name of Builder ' ? c it Pr Address '/- s- Name of Architect Address Number of Rooms Foundation' /?0✓ Exterior ' , 0/ Roofing Floors f �` k Interior Heating Plumbingfi�,_�s Fireplace % `.: Approximate Cost /,7 ' Area Diagram of Lot and Building with Dimensions Fee" �0. 9 9 s 1 t y A OCCUPANCY PERMITS REQUIRED FOR NE WELLINGS-'-`�"-----•--~--`-' 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 Fes.. - ]�EOT:E, PAUL J. A=190-226 No 33204 Permit For Enclose Existing Porch Single Family -Dwelling Location 48 Maddaket Lane Centerville ' Owner Paul J. Leone Type of Construction Frame . Plot Lot y � � Permit Granted September 14, 19 89 Date of Inspection 19 Date Completed 19 1 ��°/�..�•� Assessor's•,��.�. _..., ^, ,r;:r ..�.. S•7w....r•r ,iY r Y.v w ,•.r...�r � r . } .�� map and lot,number _rn1 ,'` C! ;:.�a7"=,?�� „_ e/hr 7 9- r� Se`w6get:Permit' number .:. ?........................ ......... ................ TOWN: OF BARI STABLE . . " "A°` i639 RUINS. ` INSPECTOR • u .• G' 1, +P ri Gl� � APPLICATION FOR PERMIT4•_TO ...............................................:..::........::........................................ ......:.. h TYPE OF CONSTRUCTION .................... ................................................... ........................... ....................... v 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned h-e-r{e/bye applies four ,a%npeerrymiitnt according to the /following information: I/�WAlJ LGLK//....:!7(,..... l„ ^„ i Location ......................:.....-........... ...r.............. :......... ....................................................................................... ProposedUse ...................................................................................................................................................................... a al Zoning District ...................................::���............Fire District................................................................................Name of Owner �'" . ...... ..... ..... .............Address �. �- - Nameof Builder ....,!..5..Q` '� ...........................Address................. ...................................................'................................ Name of Architect..{{ f .:......�.,.-.........,....'.,-.........:...................:..Address ..................:................................................................. ,4 Number of Rooms ..............`........................................::..........Foundation :.........-t)-`^-C-<.li ......................................... ,I Exterior ...............:..rT o rD.OLA C"-(\-A N S'"tX9.....::..................Roofing. G���O ........................v......... ....................../........ ........................:...,; ..:................ Floors .... ........./.:....................................................................Interior' ............. .•�V•UM........... ......... ............... Heating 7 l 2/Q ZJy L............ ............Plumbing ..........4J.VY„�.. .....�/.f...."" .:�"..................... ............... Fireplace ......Approximate. Cost ..................:...dil-P) "�. Definitive Plan Approved by Planning Board•____________ _----------- e/... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH tl-` f J � A h i u 3 7 I hereby agree to- conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '...........................:................../........................... ..... ti �,L 9 'i .. ._• ....a „L. : .)1 .ah�.-itrbct,r>a.LL$°i.-xJ. ..tn ..♦'s.. _>v'_.; ,x..t.:.r. J B ..!Albert A=190-226 { assett, ' 194 n 40 one story u &i _._. No .. ... Permit-for .................................... r single!4amil' dwelling ' r Location '.. Maddaket,Lane S r r r... .. Centerville ; :..........:................................................................. I• � y J.. ert Bassett n Owner ..................... 4 _ Type of Construction frame 3 Plot•....... ....... Lot ... - - — - - ---- - c t July. 28 77 1 -Permit Granted ......... ...... 19 ` Date of Inspection . ..........19 s :w. Date Completed ......... ..................19 - L PERMIT REFUSED .............. ................A, .. 19 } ...9� . ' ... :..'M7, :. 1 .. .................. ........... .............................. - .................... ... .................... ...... ...........•••.•••..•.• ,•...i •.••........................•.••••••.••• �, • M1. Approved ................................................ 19•, t , . ................/.....................................:.:. ` f.................... ........................................... . . . . ... rAssessor's map and lotnumber . .. ..: ...�.�...................... ` �� � �� 00 SEPTIC SYSTEM MUST BE C�7)7•I^:. { �/ 7� NSTALLED IN COMPLIANCE Sewage Permit number w s .z � - L. "'�� WITH A�TICLE II STATE SANITARY CODE AND TOWN i �Q�pFTHETO�yO ,a # TOWN. OF BARNSIPAMEE f MARBSTODL& '$039. BVI`�L-DI�NG INSPECTOR ♦� DO, APPLICATION.FOR PERMIT TO 7 ................ ...... ..................................................... Y' TYPE OF, CONSTRUCTION ........ ..........:...............''. ............................................ �F } .................................................1:9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acycoording to the/following information: Location ........ ..Zn ....... �cC � / I�U�iLt L �. L ........ ProposedUse ........................ .... .................. ...... ......................... ...................... ....:.................... ZoningDistrict ........................................................................Fire District .............................. ............................................ L� /(J Gc....�� Name of Owner .:. ............................. .................................Address .:................................................................................... Nameof Builder ... ......Address. '..:.. ..—............................... ..................................................... .... .......... Nameof Architect .......2— ` �................................Address ....._......................... .................................................... Numberof Rooms ..........�.................�................................Foundation ..........................................�................................... Exterior ...... 1...C ..'.`"''^� ..........................Roofing Floors ......................................................................Interior ..................... ......�V„� L' ..:. Heating .. ...............Plumbing ....../......... . �.. C -..,.................. .. ........ . I Fireplace Approximate Cost.............� Definitive Plan Approved by Planning Board -----------------__-----------19________. Area r . pQ Diagram of Lot and Building with Dimensions Fee .td.......................... .i SUBJECT TO APPROVAL OF BOARD OF HEALTH l q I hereby agree to-conform to all the Rules and Regulations of the Town of Barnstable regar ' g the above construction. Name .... ..94ZA.....:............... :-Bassett, J. Albert 19440 one story No Permit for..................................... single family dwelling ....................... I............................................ Maddaket Lane Location ............................... .................................... Centerville ............................................................................... J. Albert Bassett Owner ..................................................... ............ frame' Type of Construction ............................ ............. ................................................................................ Plot ................ ............ Lot ............#3................ Permit Granted. .......July 28 77 .....:.....:.....19 Date of Inspection .7Z ...... .........19 ................19 Date Completed fs PERMIT REFUSED ................................................................ 19 74 ............................................................ ........................................... 6 ............................................................................... ......................... ..................................•................... r9 Approved ................................................. 19 ..............................................................*........ ................. ............................................................. MOIL LOIN • \XY1�>�II:IYa\VnNv-x/K�r/I/�..�tj�wVi.i�A/ily.CJvz ' - •��'s. 2°.PEASTONE —LOAM �d .FILL 12'MAX. -• 11 ° u00, 5 `1 41IC.1♦ DIST. - 1 I,e. o°, c„op f BOX I °o I GA& /O 24"MIN..1000 � D, a°° 1000— GAL.- GAL. PRECAST OR ° ° ° SEPTIC s,l: p° o I 9 7• "° BLOCK ' ° ° r TANK SEEPAGE PIT 0° v GCc �s• . v p p D p 20` MINIMUM �}�o°°°• �0 10 p' FOUNDATION 1 93. W ' -1 %:" WASHED STONE - 1o' - Papt° WATIR � �0 2MI� ELEVATION SKETCH � - � ` - � -• •_ ' SCALE- 1°= 4` TEST BY : 1"/,1F'?4 it e'v' ' g . TOWN INSPECTOR: ocx` ej L7- 2 BACKHOE OPERATOR : 'S• 3�+sssTt` 2 T gc—ee �y CE2T,;:/!hv-r -74a �p TEST MADE ON /291 >7 t?y �4cT��vt�7•^,+�+>�♦fit c am{/� u�?u(11�~r �_ 1 ZjS, /977 Il r 1 C)j ��' � ��)M C� +J'9IF,tr S�T`�5/,e • '1'41�3'�I. � /• -v }7 u' } ' r� of a elk JAMES WISWELL' No.11029 O �4' lec L �� Nr d)bcn hQ SURY�• ;D ,. � - '+., s- 4t .w- . rar irk .. "N(? r.�_ �f-. ` �► ._ F ' f I 36_ �p � `�'�! ,, tie •� �� �. .i /o '. ENWIC lK 1,. CHAPMAN ti / `27654 ! ELEVATION SCHEDULE PROPQSED SITE PLAR1 I. INV. AT FOUNDATION - _ SEWAGE 8V8TEM 0181'60 2. INV. INTO SEPTIC TANK = 14 IN 1;.o'f' • � lei 4D',ta+�;�E'�` �A 1�1� 3. INV.!, OUT OF SEPTIC TANK - .. . . Y. C. E ,Q jJ 1# rYIIa 4. 1NV. INTO DISTRIBUTION BOX = }G r SCALE:: 1 ZuY -19 77 i C— 5 20 5. 1 NV. OUT OF DISTRIBUTION BOX = }�3'�y .` ! i 6. INV INTO SEEPAGE PIT 1a3•l�Q •CAPE „ COD SURVEY CONSULTANTS _ ROUTE 132 ssa 7 B'OTTOM OF PIT - u! � �' NYANNIS,MASS. 6 ` •+ �.A DIVISION 11104"0 • SURVEY CONSULTANTS,.INC. 8. SOT=TOM OF STONE -LAYER =