HomeMy WebLinkAbout0017 VICTORIA STREET l
Town of Barnstable Illdgng
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
SAW
"" S Posted Until Final Inspection Has Been Made. Permit
1639 �O 11 Jl
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-18-3378 Applicant Name: Christian Valle Approvals
Date Issued: 04/02/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/02/2020 Foundation:
Location: 17 VICTORIA STREET,CENTERVILLE Map/Lot: 148-040 Zoning District: RC Sheathing:
Owner on Record: LECLAIR, RICHARD N&BEATRICE H Contractor Name: ICHRISTIAN T VALLE Framing: 1
Address: 17 VICTORIA ST Contractor License: CS=092040 2
CENTERVILLE, MA 02632 Est. Project Cost: $ 10,000.00 Chimney:
Description: Re-roofing and trim Permit Fee: $51.00
Insulation:
Project Review Req: Fee Paid:, $51.00 Final:
t :D Date: 4/2/2020
Plumbing/Gas
Rough Plumbing:
�.. Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance.
All work authorized by this permit shall conform to the approved application and theiapproved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be'in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas:
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site
its-��o C All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
THE Town of Barnstable
*Permit#
w BARIVSPABLE, Expires 6 rttonths fr0M issue date
y nrAss
Regulatory Services Feed
1639,C pie Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner IT
200 Main Street, Hyannis,MA 02601 JUL 1 2 2005 -�
Office: 508-862-4038
Fax: 508-790-6230 E TOWN OF BARN$T,gBL
9
. XPRESS PERMIT APPLICATION
Not Valid without Red X-Press Im.p{r SIDENTIAL ONLY
lap/parcel Number.
-o erty Address 6 A '1P
Residential Value of Work 1V Minimum fee of$25.00 for work under$6000.
CIM00
wnei•'s Name&Address ��
I
Q
ntractor's Name
r Telephone Number_
me Improvement Contractor License#(if applicable) D
nstruction Supervisor's License#(if applicable)--.Cs 0 �6
Workman's Compensation Insurance
Check one:
❑ I am,a.sole proprietor
I am the Homeowner
F.
I-have Worker's Compensation Insurance
r
rance Company Name
kman's Comp.Policy#
y of Insurance Compliance Certificate must be on file.
ut Requ st(check box)
Re-roof(stripping _
( ppmg old shingles) All construction debris will be_taken,to..-.
-❑Re-roof(not stripping, Going over existing layers of roof)
❑ Re-side Sb. +/Ow"h,
VW
<I'4
❑ Replacement Windows. U-Value
(maximurn.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is re uired.
ure
s:expmtrg
63004
o•m� 1 r1c uommonweu[rn vf-Irjay,)u,,"NV91,3
'! Department of Industrial Accidents
` Office of Investigations
600 Washington Street
Boston,MA 02111
Workers' Compensation Insurance Affidavit.: u B disrs/C
Applicant Information eontractors/El ectricians/Plunabers
Please Print Le 'bl
Name (Business/organization/ludividual): /
Address: A.
City/State/Zip:L b
Phone#: f '.
tyou an employer?Check the-appropriate box:
am a employer with 4. ❑ I F6- ,v
roject(required):
am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors construction
I am a sole proprietor or partner- listed on the attached sheet. 1 • ❑Remodeling
ship and have no employees These sub-contractors have
Working for me in any capacity. workers' co 8• ❑ Demolition
. mp, insurance.
[No workers' comp, insurance 5. ❑ We are a corporation and i 9. El Building addition
required.] is
officers have exercised their 10•❑ Electrical repairs or additions
❑ I am a homeowner doing all work right of exem
ption mption per MGL 11.❑ lambing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no
insurance required.] t employees. o w 12.Z Roof repairs
' [N workers
comp. insurance required.] 1.3•❑ Other
y applicant that checks box#I must also fill out the section below showing their workers'compensation policy infommation:
'meo ors that
who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
stractors that check this box must attached an additional sheet showing the name of the sub contractors and their workers comp,av t n infoiYriation.
n an employer that is providing workers'compensation insurance for my employees. Below is the policy►rmation, p cy and job site
�►�ctrance Company Name:
cy#or Self-ins.Lic. #: ��'
Expiration Date: `
Site Address: 0
tch a copy of the workers' compensation policy declaratio City/State/Zip: Laul
ll
ire to secure coverage as required under Section 25A ofMGL c 2(cari lead thng the eoimponumnboer and expiration date),
up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP criminal
�penalties of a
to$250.00 a day against the violator: Be advised that a co WORK ORDER and a fine
3tigations of the DIA for insurance coverage verification. Pypof this statement maybe forwarded to the Office of
hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
ct:
•. Dater
e#: D _
Pcial use only.-:.Do not write in this area,to be completed by city or town official
ty or Town: p
Permit/License#
suing Authority(circle one):
BoardofHealfh'"2:Building Department
Other
3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
ther -
p or
ntact Person:•
Phone#:
LECLfflR
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 �J-Y\V/V�A �V_- MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT
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.
I
SIGNATURE OF OWNER:
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE: (�A
APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635
APPLICANT'S TELEPHONE: 5081428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
ACCEPTED BY DATE
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL #
J2n-05-05 03:5TPm From-AIG 9T9-816-6903 T-724 N,ouuuuZ t-Iii
lt• j1"r'•1. - �V.1' .� ,' �t'M .I.: f. •.r 11 r'- ,.f J1c<.�'•.. •y+ :'T''f"
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I ��_,�• l• I. — •,�.q� '�4 ;•IIInP•• ;,i 1,, .I •. VNI.�('.,� .fir '•5 , `�� }, 'S� '
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE
Employers Ins Group Inc HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2e1 Main Street,Suite#1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Fitchburg,MA 01420
COMPANIES AFFORDING INSURANCE
COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
Resvurve Martagaments Inc
261 Main Street,Suite 96
Fitchburg,MA 01420
I
.. _ f •I.. .7. "1 .IA.. �1.'1 al •Uli.rl, F1,.:
THIS IS TO CERTIFY THAT TH12 POLICIES OF INSURANCE LISTED RELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 THE
POLICIES DESCRIBED HEREIN LS SURJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN
MAY HAVE BEEN REDUCED SY PAID CLAIMS.'
.TROF aauRANca voucY NUN6ER POLICY f FG"T►UG DATm !OrJCY EXPIRATION DAM
A COMPENSATION
D C►APLOYOW UABUTY LIMITS "
AR'rNER9�CUTIvE !.`.� ' ' "1:1µ. ,•
fROWA APtC
NCL o 6xCL 0 C Group 12r262004 12125l2005 AYvrORIrtFMITB + S;�+, 1;:,;�••';•�' `„
0477192 he
v�
APP11-m19omzrtiu sQ*.
cH ACCIDENT 5 100,0
MZM POLICY LIKUT S 500,0DO
$ 10QIqDQ
6 ON OF OPERATIONSIVIkM KINS aECIAL ITEM
RE:COVERS THE EMPLOYFEES OF TtiE NAMED INSURED LEMED TO:CAPIM HOME IMPROVEMENTS INC,1645 NEWTON ROAD,
OTUrr MA 0Z635.
CERTIFICATS HOLDER CANCELLATION
SHOULD ANY OF THEAKWE DEBCRIDRO POLICIES K cANM11 0 E6POMTM
CAPIZZI HOME IMPROVEMENTS INC WIRAnONDAYE`rt0* ,THEt9SU1NGCOMPANYW;LLMDUV0RTQMPA12
1645 NEWTON ROAD DAYS wRrrTEN NO'n0E TO THE CEKnFICATE MOLIMR NAM®To THE LEFT,BV'r
COTU.IT,MA 02636 FAILURE TO MAIL SUCH NOW SHALL IMMSE NO OMM710M OR UASIUTY OF
ANY Kt=UPON THe COMPANY,ITS AMNTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
r
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,.M4 02111
www.mas&gov/dia
Workers' Compensation Insurance Affidav
it: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/orgmization/Iudividual): .0'I'�'Ij�
Address: t "J LA -
City/State/Zip: I Phone#:
AUoau an employer?Check the appropriate box:
Type of project(required):
1.. m a employer with 4. ❑ I am a general contractor.and I.
employees(full and/or p -Time).* have hired the sub-contractors 6. New constriction
2.❑ I am a sole proprietor or partner- listed on the attached sheet I. ❑ Remodeling
ship'and have'no'employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. ,
No workers' co 9..:❑ Building addition .
mp--insurance 5. ❑ We area corporation and its
required.] officers have exercised their 101-1 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
insurance r uued t 12.9Roofrepairs '
eq ] employees. [No workers'
comp. insurance required.] 13.❑ Other 7 '
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
Homeowners who submit this affidavit mdicating they are doing'aii work and then hire'outside contractors must submit s new affidavit indicating such a
$Contractors that check this liox must attached an additional sheet showing the name of the sub contractors and their workers'comp:policy information.
I am an employer that is providing workers'compensation`insuran
information ce for my employees Below is the policy and job site
Insurance Company.Name:
Policy#or Self-ins.Lic.#:
A z
Expiration Date: tV V2 O
Job Site Address:_ l V I LAW /+
V Vi 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 a fine
�f 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 DLA for insurance coverage verification..
.'do hereby certify under the pains and penalties.of per' that the information provided above is true and correct .
C T f
>i ature: 1 .
- Date:
'hone#: s._..
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.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Cd �,B o uTlilg Regula ons and =d�ards��
One Ashburton Place - Room 1301
Boston. Mas,a. husetts 02108
Home Improvement l;�ogtractor Registration
Registration: 100740
Type: Private Corporation
Expiration: 6/23/2006
CAPI=I HOME IMPROVEMENT, INC.
Thomas Capizzi, jr.
1645 Newton Rd.
Cotuit, MA 02635
Update Address and return card.Mark reason for change.
Address Renewal Employment Lost Card
✓fie V�arvmauuea� o�✓�aaaac�waet!a
Board of Building Regulations and Standards License or registration valid for individul use only
- HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
_ Registration:. 100740 Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Expiration: 6/23/2006 Boston,Ma.02108
Type: Private Corporation
CAPIZZI HOME IMPROVEMENT,I
%omas Capizzi,jr.
1645 Newton Rd.
Cotuit,MA 02635 Administrator - Not valid without "r
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number:'-CS. 057032
-_
___ Expires 09/2612005 Tr.no: 7171.0
Restricted 00
THOMASX CAPIZZI
1645 NEWTOWN RD ,
COTUIT, MA 02635 ` . Administrator
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
s -
1.
Maps Parcel 40 Permit#
Health Division ' SUN Date Issued
-� °/ N D
Conservation Division ItFee • ��
Tax Collector
Treasurer" 'l— "' EPY I ° nT BE
1�957°ALL t FLIANCE
Planning Dept. ;
,11r
Date Definitive Plan-Approved by Planning Board ENVIR® E AND
N�
Historic-OKH. Preservation/Hyannis€' F ®� �� ;r �
Project Street Address I r 1V !Clp 2,1 R . - 3-r. Pik
Village - - -- �•.
Own�rV /( 1 CRAIQ C_" JL Address 17 ' V)el A 3T. , Gil der a Lie.
-Telephone 3 0 (o
Permit Request G 1 a I ``) h 6 b tW WA i t
Square feet: 1st floor: existing proposed 2nd floor:existing proposed 1 9a Total new
Estimated Project Cost OZUI Zoning District Flood Plain Groundwater Overlay
Construction Type 1iO4.) �
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family -Two Family ❑ MultkFamily(#units)
Age of Existing Structure f 3 Historic House: O Yes )Q No On Old King's Highway: ❑Yes kNo
Basement Type: 11<11 ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) +
b
Number of Baths: Full: existing new Half:existing new
"Number of Bedrooms: existing new
Total Room Count(not including baths):existing 5 new First Floor Room Count
Heat Type and Fuel: 2 Gas ❑Oil ❑ Electric C]Other
Central Air: ❑Yes M No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size
Attached garage:Rexisting ❑new. size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name anf it u4 On c- T&e&w_,ugwr Telephone Number ����q5/8
Address C WE W .� License# e S
—att r Dab3.3.i Home Improvement Contractor# toe) q go
Worker's Compensation# g-) n
ALL CONSTRUCTION DEBRIS-RESULTING FROM THIS-PROJECT WILL BE TAKEN TO 1,4VrniAN W)95T JISADsl4t_
SIGNATURE DATE
• i
FOR OFFICIAL•USE ONLY
PERMIT NO. Z i
DATE ISSUED=
-MAP/PARCEL'NO,'
ADDRESS ,, - - E ,
OWNER I _ w
Zp
DATE OF INSPECTION.
FOUNDATION �Ir3
FRAME
INSULATION
FIREPLACE
" ELECTRICAL: ROUGH , + FINAL
ca
i PLUMBING: ROUGH L,_ R FINAL
GAS: ROUGH'/ FINAL' f4ev4ck
,• A _;
FINAL BUILDING
•! 4 ; � �. - ' • � - _ 4 - - .' .�t is ..
IY1
DATE CLOSED OUT456
ASSOCIATION PLAN NO. � � • . � s
The Town of Barnstable
o�
BA MASS.LE.p Department of Health Safety and Environmental 1 Services
MASS 6
039,�a'0 Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
I Inspection Correction Notice
Type of Inspection a
Location Permit Number 3(c:, 4 91
Owner -Builder'? ,
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
Alww r�
l 0 � I` � ��cs ►'� 4r�is 1
�� or,a � � b
L1 , ftZ, 1 % a �
Please call: 508-790-6227 for re-inspection.
Inspected by .. S
Date Z'f • 9
DaiskfE.Bnwwn,P.E.
189 9fardor Point PV
cununagaid,MA 02637-0361
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F, rti The Town of Barnstable
o�
RARNSTABLE. ` Department of Health Safety and Environmental Services
MASS.
039, Building Division
QED MAC a >
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection o
Location Permit Number ' -e
Owner Builder ?-7 t�2? ,
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
r
0 u�2 �CtSk�T io ►-,
Please call: 508-790-6227 for re-inspection.
Inspected by P` SIjft
Date
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The Town of Barnstable
9 MAM Department of Health Safety and Environmental Services
.659. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissiore7
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
e or building be done by registered contractors, with
structures which are adjacent to such residenc
certain exceptions,along with other requirements.
P g CO,nw(
Type of Work:�,T�j r�mri n�lol� � vim-- �jst. Cost
Address of Work:
5TX C- e
Owner's Name OVA r � l
Date of Permit Application: 'I o
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under SI,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
ell P
OR
Date Owner's Name
e Lommonweaun o
Department of Industrial Accidents
?� -= _�� Ofllcr ol/orestlgatloos
- - _ 600 Washington Street
- - Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name:
location: i r] V l yz�?J"4 C114er-a IJc—
city phone.4 �gQ�
❑ I am a homeowner performing all work myself.
❑ I am a sole clot and have no one worku in any acity
%/
I am an employer providing workers' compensati n for my employees working on this job.
v com an name.. :
Piz
:.
j.
....
: ::..
❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who
have `
the following workers' compensation polices
.......... .
a v sure..
aadreas.— .... ,..
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MEMMUMMMMMUMMUMMON
Failure to secure coverage as required ceder Section 25A of MGL 152 can th lead to e impaaitiom of criminal penalties of a fine up to s1,So0.00 andtor
one years'tmprisorment as well as civfl penalties in the form of it STOP WORK ORDER and a fine of$100.00 a day against me. I understand&d a
copy of this statement may be forwarded to the OtIIce of Investigations of the DIA for coverage veriZ=tion.
I do hereby certify under the parrs and penalties of perjury that the information provided above is true and correct,
/J - Dater i��
signatures r�/.,2,�. // /C cc <.1 (p• 1
Print name
oiHdal use only do not write in this am to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
l]ch�ift:,.�,,that.response is required ❑Selectmen's Office
_ ❑HsalthDepartment
contact person: phone#; ❑Other
Urvued 9195 PJ.0
(`\ ✓he 700�M�tOn(I.�¢ .O�✓NQd60GRUdB� ✓f1Q "V/dllL)YlO�I2(112QGL�L 6!a-"&,Uad,.;e ,
HOME IMPROVEMENT CONTRACTOR DEPARTMENT * PBi.T( _E=ETY
Registration 100740 CONSTRUCTION SUPERVISOR .:TENSE
Type - PRIVATE CORPORATION Number:
Expiration 06/23/00 CS 107454 02124 M
CAPIZZI HOME IMPROVEMENT, INC Restricted To: 0
�,ih as Capizzi, Sr. HOMAS CAPr?':
ADMINISTRATOR 1045 Newton Rd. HOX NEwCAP!
Cotuit HA 02635 ,T.:IT,
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OEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires:
Restricted To: 80
THONAS X CAPI2ZI JR
280 PERCIVAL OR
k BARNSTABLE, MA 02668
. �,.y ' r � �� ✓11C 1�Q'pLlJ7.071UJEllGCIL 6`�-l��t�CfGICJCUJ 3
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s; OEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LIENSE j
Number: Expires:
j Restricted To: 00
_ FREOERICK V RASCH III
W e�'106O BOURNE RO
PLYMOUTH, MA 02360
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ADDITIONS OR ALTERATIONS
If located:
M North of Route 6 any work visible from outside- needs approval from OKH
In Hyannis -If work visible from outside- Check to see if it's included in the
Hyannis Historic Waterfront District- if so it needs approval from them
APPLICATION PACKAGE MUST INCLUDE:
Map/parcel number
Sign-offs from
Health
Conservation (if exterior work)
Tax Collector
Treasurer
Street address
Owner's name & address
Permit request- full description of proposed project(u-value of replacement windows if applicable)
Square footage - proposed project
Estimated project cost
[� Complete Dwelling information for Assessor's Office -
Builder's information
(� Signature
Plot plan
2 sets of reduced (8.5" x 11: or 8.5"x 14")plans with cross section& framing schedule
Home Improvement Contractor's Affidavit
(� Worker's Comp form must include: Insurance company's name & Worker's Comp policy
number
Energy Compliance Form
[� Copy of Construction Supervisor's License& Home Improvement Specialist's License OR
Homeowner's
License Exemption Form.
� Fee
'NOTES:
CHIMNEYS
Need Home Improvement License
No plot plan required
PIERS & DOCKS
[]Need Construction Super license AND Home Improvement License
Owner cannot pull own permit
q-forms-PERMITS 1
Rev 2/9/99
o• " TOWN OF BARNSTABLE 25171
,� . Permit No. ----------------------------
Building Inspector cash
OCCUPANCY PERMIT Bond ----------x-- _
Issued to COOLIDGE HOMES Address
Lot 6, 17 Victoria Stree•C ,Centervrille
Wiring Inspector � , `"' -- Inspection date
Plumbing Inspector , Inspection date
Gas Inspector { f ^ Inspection datesj '�
4
X Engineering Department '� = , Inspection date
Board of Health �-'� 1G Inspection date
THIS PERMIT WILL NOT S VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND iIN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Building Inspector
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Assessor's map and lot number 1' g. .L40........ .�" SE- —i Ic SY '° ri.
THE
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Se%4age P�rmit number U.. ( 1'K �T �L�� T a a:...... . ... ........ ', . . IT £C( ':�
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House number ENVIRONME�N�1 A 11°......................... .........................................
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' TOWN .a .7 1» i l )t'r,900 1639•
YPY P"
TOWN OF BARNSTABLE
BUILDING -INSPECTOR
APPLICATION FOR PERMIT TO . .......f........... ...... ............
TYPE OF CONSTRUCTION ....... O.��GI...!... U !. . ...........
.. .. ...............19-63
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fo a permit according to he following infor a ion:
Location
r .. ,......s..... . r. c./ (f......................................................
ProposedUse ...lf.. ........................................... .. .... ..........`
Zoning District ,?.�dexk. / Fire istrict �-�.. .�`- /��.......
...
.. . ... .. .. ........ . .
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4*1M.15
Name of Owner ....... ............ ..... ............... �..
f Name of Builder f Address
Nameof Architect ..... ...` l 1 ` l......,.(...............................................Address ....................................... ..........................................
Number of Roo s ... ............................:........Foundation .., (�. �.�1..... �� ...................
Exterior ........ ,..a. .S.�.. /� . :.................... ..........Roofing ../ .7. ul... ......../.. ... ................
104
„�f• /
Floors" ... . /. ..� y4oc.
I terior ( P� OC.... :.................
Heating /7 .Plumbing ... � ...........................................
.. .. ....................... .... .. ...... . .................... ............
Fireplace R � /Ta �.. ................................Approximate Cost ......... , .. ......
Definitive Plan Approved by Planning Board ________________________________19_______. Area '..........................................
Diagram of Lot and Building with Dimensions Fee .. w — ................ ,
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS'REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the To a stable regarding the above
construction.
Name ........................ ........ .................................:..........
J.
Construction Supervisors License ....................................
COOLIDGE HOMES
2,5171 One Story
No ................. Permit for ....................................
Single Family Dwelling
....................................................................
Lot 6 ,- 17 Victoria Street
Location ...................................................
Centerville
................................................................... ...........
Owner..... .........................
Type of Construction ....F.ra.m.e............................ .... .. ..
.1.............................................................................
X,
'Plot .....— .................... Lot ................................
V
June 9r -9 83
Permit Granted ...... ............. ................
Date of.inspection ......
........19 Date Completed 7�1
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Assessor's map and lot number ....� kiQ... .. .,... TNEr
3- Po �ttccl-fit jj ff f�
Sewc�ge� P;Srmit number �..................................�!,....'Y .........�. d
A \..
33 9T IDLE, i
House number ........................... ...00.. ........................ rasa
0� 1639.a
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TO N OF . BARNSTABLE
BUILDING INSPECTOR
P�f///IAPPLICATION FOR PERMIT TO ................ ...... .......... .............!............................... ................/ ...........
TYPE OF CONSTRUCTION ....... C,. ....�&rh.I°................................................................................
. . ..?...............,9..
TO THE INSPECTOR OF BUILDINGS:
The undersi ned hereby applies fo a permit according to ;he following infor a ion:
�� .. .. ..... .. ......s .. .... .. ..... 1. .......................................................
Location ........... ..........
....... .... "t„
Proposed Use ......<
ZoningDistrict s / / A�t /�.�•• • ••{.s••• •••r '�•:•••�......••.••
U%`•• ,,,,:/�'`,;, Fire istrict
...... . .............n.../............ Fi
Name of Owner ..... .............. ��tJf-��./.�A �ss .��..!..�c®�lr.�r... ..�`.��..��....�.'.
-. .....
Name of Builder " ..... 9 �P1.........................Address
.................................... ..... .................. ......................11.......... .
Name of Architect t ` , t \ ` •••••••••i••......•••••
......Address \
Number of Rooms ...........Foundation ... f/ .. ..
....................................................
Exierior . ...a. ".'..�J .. Roofing .. :!. . .: �!1.... ....... .. .....................
Floors .. I terior � ��C/ ..................
... ..Y............./....if . ... ....... • ... �...............
Sy'.Pmbin � �� "
Heating ....... ................ ... .. ..........� .. , g. ...... ................................................
Fireplace R fC?�M �? _� .j�.............................Approximate Cost .......... �'>.r�. ............................................
Definitive Plan Approved by Planning Board ________________________________19_______. Area ..........................................
r -
Diagram of Lot and Building with Dimensions
Fee .................. . ...........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the To 0 or stable regarding the above
construction.
Name .....................................�..........................................
Construction Supervisors License ....................................
^
COOI'IDGE HOMES A=148-40 °
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No ....35—l7l Permit for —Ou—e S—tory
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__�S-nqle. I�ami _DwelIi.���____.
Location —G. .......l7_ ia_Stzeet
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Owner Cooli���.
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Type of Construction .....TKAgVQ........................
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Plot ..................... . �� ' ^
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PPermitG,ono�6 --I.�ame.-------.lg '
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Date of Inspection ....................................lg
Dote Completed -------_----l�
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SCALE: 'APPROVED BY: DRAWN BY
DATE: ,' U / REVISED
DRAWING NUMBER
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