Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0030 SEAGATE LANE
f �� �� Page 1 of 1 Anderson, Robin From: Mckechnie, Robert Sent: Friday, April 21, 2017 10:19 AM To: Anderson, Robin Subject: 30 Seagate Lane, Hyannis Reference the complaint you received via Paul Roma dated 4/13/17 about the subject property. -';I visited the property around 12:00 noon on Thursday, 04/20/17. The homeowner, Donna Morrison answered the door. She explained that she was having issues with her son and had taken out a restraining order on him (active). Went on to explain that he had done a few things(damage)to the house and was no longer there. She also stated that a "friend"was coming over today to help her fix these things. She wasn't specific about what had to be repaired or the extent of the repairs. I reminded her that a permit would be required to repair damage such as wall removal, sheetrock or other regulated work and that her friend should make sure one is obtained. She was reluctant to allow access to the residence. She positioned herself between the partially, opened front door and the storm door. There were two vehicles on the property(Small green Ford Ranger;dn'e' Yukon type SUV). There was no evidence of construction on the outside of the house. Robert McKechnie Local Inspector Building Department Town of Barnstable. 20.0 Main Street Hyannis, MA 02601 50&8.62-4033 G 0 i'`'... .. . 5 4212017 Parcel Detail Page 1 of 4 i $Alittisudo a - Y m Logged In As; Pa rce I Detail Thursday,April 20 2017 Parcel Lookup • Parcel Info Parcel ID 129-140 I Developer Lot m OT 2 Location 130 SEAGATE LANE I Pri Frontage 6tf - I Sec Road � � Sec Frontage I Village Hyannis Fire District HYANNIS Town sewer exists at this address NO - I Road Index 1455 I r ASbUllt Septic Scan: Interactive Map 249140_1 = � " Owner Info owner IMORRISON,DONNA R� co' Owner Streets 130 SEAGATE LN I Strew city 1,11YANNIS I smote MA I zip 02601 I country, I w Land Info ...............................................................................................................................................................................................................:................................................................................................................................................................................................................................................................................................................... Acres 0.34 � � -I use ISingle Fam MDL-01 I Zoning RB Nghbd 0105 Topography Level I Road Paved Utilities Public Water,Gas,Septicl Location � I Construction Info Building 1 of 1 Year 1930 � � S�of Gablep wM Wood.Shingle Living 1176 Roof sph/F GIs/Cmp nc None Area Cover Type style Conventional Walj D all Rooms p Bedrooms model RBath esidential Floor Carpet Room 1 Full-0 Half GradeHeat Total �Average Type Rooms 6 Rooms Stories 2 Stories Fuel Gas F a i n Blk/Pour Ftgs rn Gross 1632 Area • Permit Histo Issue Date Purpose Permit# Amount Insp Date Comments 9/7/2004 New Windows 79083 $4,958 5/6/2005 12:00:00 AM 11/1/1989 Addition B33359 $4,000 3/15/1991 12:00:00 AM HY ADUN visit-History..............._.........._....................._ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18117 4/20/2017 i Parcel Detail Page 2 of 4 Date Who Purpose 9/14/2010 12:00:00 AM Nancy Finch In Office Review 5/6/2005 12:00:00 AM Martin Flynn Drive by inspection only 11/26/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 1/15/1989 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 7/31/2001 MORRISON, DONNA R 14095/267 $160,000 2 11/15/1995 MEE, JOHN T&SETHARES, LINDA A 9932/172 $80,500 3 7/15/1995 VETERANS AFFAIRS, SCR OF 9739/182 $61,286 4 6/15/1989 JOHNSON, CHRISTOPHER MARK 6757/116 $105,000 5 11/15/1988 TENNEY, GARY M 6522/124 $91,500 6 9/15/1986 PUTNAM, BRADLEY I & 5293/255 $1 7 11/15/1984 PUTNAM, BRADLEY I 4312/60 $54,000 8 11/1/1979 CATIGNANI, LAURA G 3007/60 $0 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2017 $76,800 $2,300 $2,600 $107,700 $189,400 2 2016 $79,100 $2,300 $2,600 $70,500 $154,500 3 2015 $90,600 $2,700 $3,300 $68,300 $164,900 4 2014 $90,600 $2,700 $3,500 $68,300 $165,100 5 2013 $90,600 $2,700 $3,600 $68,300 $165,200 6 2012 $92,700 $2,400 $2,800 $68,300 $166,200 7 2011 $113,400 $0 $1,300 $68,300 $183,000 8 2010 $113,400 $0 $1,300 $73,500 $188,200 9 2009 $118,900 $0 $600 $155,900 $275,400 10 2008 . $118,900 $0 $600 $166,900 $286,400 12 2007 $118,900 $0 $600 $166,900 $286,400 13 2006 $102,700 $0 $700 $149,100 $252,500 14 2005 $92,000 $0 $700 $135,100 $227,800 15 2004 $74,700 $0 $700 $114,800 $190,200 16 2003 $64,200 $0 $700 $44,600 $109,500 17 2002 $68,500 $0 $0 $44,600 $113,100 18 2001 $68,500 $0 $0 $44,600 $113,100 19 2000 $53,400 $0 $0 $33,500 $86,900 20 1999 $53,400 $0 $0 $33,500 $86,900 21 1998 $53,400 $0 $0 $33,500 $86,900 22 1997 $56,000 $0 $0 $26,800 $82,800 23 1996 $56,000 $0 $0 $26,800 $82,800 24 1995 $56,000 $0 $0 $26,800 $82,800 25 1994 $58,700 $0 $0 $30,100 $88,800 26 1993 $58,700 $0 $0 $30,100 $88,800 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18117 4/20/2017 •• '.•• � 11 'rl 'rl 11 •• •11 : •• '.• •11 '.1 'rl •11 11 • ••1 '. 1 •11 '.1 'rl •11 '. 1' 11 1 •:• '. 1 .1 1 '.1 'r l •1 1 'r 1' 1 1 •:: ' 1 1 1 '.1 'r 1 1 1 'r• •1 1 •:• � 1 11 'rl '.1 11 '.• •11 q�tt �aP�u 6 lid I WIN CF k S Ilk i tia Sib zm a a �-40 tk 1,41 SO ���< �� � � -� -? s,;� e i � � « �� sus ° ��a�R ��`�`����•�����a ��`,�# r v Y1lFS t ,x /.�J �I � • I Parcel Detail Page 4 of 4 ra XX b kf," xi 3 , r 3 f http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18117 4/20/2017 Town of Barnstable Regulatory Services Richard V. Scali,Director STAB Building Division HAMM MASS. � Paul Roma,Building Commissioner 1639. ♦0 '0ri�p Mo:1° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79230 Approved: ' 7 Fee: J�J Permit#: HOME OCCUPATION REGISTRATION Date: Name: .�Shown M o t,( ',s D!1 Phone#:� D Q, ?Z 1 Z'? Address: Z h SO n . "LJ Gti)A Village: Name of Business: l_e nd 4 apj Pcilf)bn dJ o ei C9 Type of Business: Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation-. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be r included. ` , • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the . dwelling unit. 1,the undersigned,hav read ee with the above restrictions for my home occupation I am registering., a Applicant: Date: Homeoc.doc Rev.06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do'by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: $€ VM ' ' , APPLICANT'S YOUR NAME/8:1 C4 t.�k2s ' BUSINESS YOUR HOME ADDRESS: 5 bg 2Z,( 29 Syr TELEPHONE # Home lephone Number `aa NAME-OF CORPORATION: NAME.OF NEW BUSINESS TYPE OF BUSINESS_P 61fi n ISTHIS A*HO.ME,OCCUPATION? YE13, NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST .GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individual has been i r d/qf any per uirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO Authorized Sign tute** CO PLY MAY RESt 1LT.IN FINES. COMMENTS: l 2. BOARD 4 HEALTH vV _j2 This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: � I � `� � � � � � � � � � I � � � ,� I � �. � � ' I � � � �� I i r t i ��� � i � ,� ���-�. ���� � �� � � � �� � � �� I� ,�; � � � E �� � � f � � � ► I �� ,�' � I � 4 � � � � i � � � � N � � � ;O ��� I � �� l I � � � ' E � � . I � � � ► � � � I I -_ f _ 4 ti„ C r ~: 40 i 4 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:5' 2 / Fill in please: Ir CI G tv t APPLICANT'S YOUR NAME/ . m1�s3 BUSINESS YOUR HOME ADDRESS: O A HOW ,.,WIMM �TOELE�ONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IV IS THIS A HOME OCCUPATIO A/ YES NO ADDRESS OF BUSINESS OZPO MAP/PARCEL NUMBER I (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMjhab R'S OFFI MUST COMPLY UITAHT OpSE C FAILURE TO N This individu e infnrme o a p rmi equirements that pertain to this type of business. RULES AND REGCOMPLY MAY AESUt T ICI FINES. r d i.gnature ,COMMENT Q '. '�(� -\ 6,1 -tc u) i 2. BOARD OF EALTH "` " ' r.. e This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i own of Barnstable oF'THE ram, Regulatory Services �y` o Richard V.Scali;Director Building Division v$ 1 Tom Perry,Building Commissioner 'Oren►v►Nt a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: . — HOME OCCUPATION REGISTRATIO< Date: 7— Name• nQS►ce (^ ox.r Phone#• '50 9 7 q.�—d5 9 I Address: 7?t7 SQ (nCh(4e J ) gyn✓lnis Village: Name of Business: Len eand PwG1 TI' 0 n r ln -c u r,n r4 J �\ Type of Business: Cn iT l Map/Lot � v E*TEN . It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a residential use,no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. 0 Any need for parking generated by such'use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot'containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation.. • If the Customary Home Occupation is listed or advertised as a business,-the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the enders' ed,have read and agree with the above restrictions for my home occupation I am registering. Applicant Date: Z (� Homeoc.doc Rev.103113 R I Assessor's'office(1st Floor): /q J� + M � OT ,� fill! �oS YNss Assessor's map and lot number �`'� >o� Board of Health(3rd floor): -�� � � VWTH Sewage Permit number. � � 2 EeaasTsntL o,� E� IRONMENTAL CODE ADD Engineering Department(3rd floor): # D TOWN REGULATIONS House number � Definitive Plan Approved by Planning Board 19 �0 mi d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . - OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO I3 v IS /a-no)7-iv-w, TYPE OF CONSTRUCTION i Di�=A-J-f I C� n/ '._7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 30 3 _ gu - I-Al, d Yr11J,U 1 ' 4/1 A 0 d '01 �60 7�lf Proposed Use I�?CoAl Zoning District Fire District Name of Owner t"f. ,✓�� ADO HU CV Address 'fib 6ez1,ncLt C Lx/ f c,,n ;s i_� ,�'<A Name of Builder (fil -TO Address s✓"Yv�'_ Name of Architect Address Number of Rooms Foundation �t�a�LsG2�7� �>� ,r✓� �,� Exterior t )TL SIi1 iU(?L_E Roofing i��) ri c,'T f4, s-i%LEer Floors 14R 5) Interior Heating /F Plumbing Fireplace A/v av Approximate Cost G ' Area 2-L'14 0 S 42 Diagram of Lot and Building with Dimensions Fee J �o I 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 M G 46Anh Construction Supervisor's License '. JOHNSON, C. M. :No 33359 Permit For BUILD ADDITION Single Family dwelling Location 30 Seagate Lane =_ Hyannis } Owner C. M. Johnson Type of Construction Frame • Plot Lot Permit Granted November 14 , 19 89 =Y` Date of Inspection 19 pate Completed 19 C) r ;t _ a 3 6 • A 4 , .000000 , a HOME OWNER'S EXEMPTION ------------------ The Code state that: "Any Home Owner Permit Is required shall be exempterforminghework for which a building provisions of th (Section 109.1 .1 — Licensing of Construction Supervisorrs) ; .'ProvvidedithatcIfoa Home Owner engages a persons) for hire to do such work, that such Home Owner shall act as supervisor. Many Home Owners who use this exemption are unaware that they are the responsibilities of a supervisor (see Appendix Q, Rules and assuming. e for. Licensing Construction Supervisors, Section 2.15) . This lack ofawartions often results In serious particularly when the Home Owner eness unlicensed pi^oblems, persons. In this case our Board cannot hires proceed Owner nating unlicensed person as It would with licensed Supervisor.. The Home Owner acting 'ass'supervisor is ultimately responsible. To ensure that the Home Owner 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 responsibi lit les of a superv.ls'or . . On the lasta'page of this Issue is a form currently used by several towns. You ma care to amend and adopt such a form/certification for use in your Communit . y Y }i . f V f TOWN OF BARNSTABLE BUILDING DEPARTMENT t HOMEOWNER LICENSE EXEMPTION Please print. DATE % q JOB. LOCATION C� 3 ,9TE L/u � N�vc.S um er treet Far ect n o , town "HOMEOWNER" 14 Aj5dV 0—Z L 3 7- E y 3 - 3d 0� Name ome p one Work phone PRESENT MAILING ADDRESS p:r y town to a ip: co e. The"current exemption, for "homeowners" was extended to include gwner occupied dwellings:, of six:;un its :or 1 e s s an to aIIow:such homeowners`to engage. an..in- ivi ua for hire. who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section ;DEFINITION OF HOMEOWNER: APerson(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 al I. such work performed under the bui1 ding permi ection The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. ;The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department. fiinimum inspection procedures and requirements 'and that he/she will comply with said procedures and requirements:a. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 00 cubic feet,``or'larger, will be required .to .comp.ly with State Building Code Section 127.0, Construction Control. `Ir 8 ... � I � I � I I I I I I I � I I I I I I I I.--. I �� -�--- * - '-' � i � 1 i I I ' t ; + ' I I I .. I I I I i I I I ' I i I I � � � I I I i _" � a I_;--�- ---,-- /�— j I � � � I I �" �— I I � ; I ----�— I , i �� I ��`—rT�—' � I I I 1 I ' I i � I 1 I I ' I I I I I - I I I I i �,✓''�� � � a � � � I � I i I � 1 I � ' ��� � � I ` � � � � I r I i I I ' , � � I f i f � I I i � � � _ —t I ��... I � I � � I i i � � � I - -� � � � � � I I _ , I � -, ' . . ---�- I , � _ , � � i 1 � r--,— 1—. I ;--j--� f -�--- I I I � i � I I I I � I � i —1-1 � I � � ! i —� I I i r � 1 ' � I I I I I + �_- � � .-1-----F. I � _i i I I � I I l i � �.I � � � I I I I � I � I I � I -�— r I ' �� ,. I � � � � � i I __�__ I 11 I � , ' I I ' i I i i I I I i I --r-- `�-- I I I � I 1 I i 3 I I I , � � I 1, ` � I � I i i I ., � � I I I I I I i l � . J I f i __ i _: ,. --;`-1--�+-' -- i � + � f •—i — .^I--�--------j---��---t---`r I i 4——}--�---+—f'--t—�+'�---'�—�' -t—'�^t...—Z--.'�._..�'r'E'.----i_ .e{�'r.—�,.-t, ! I I I � _ I_ I I ! I ! I I 1 I t � � I ' + �. 1 I ' I I � , I I � ' 1 � i � � ' I T y I' I I I � ' 1 I � it �► ;__♦. I I I. I 1 { � � I ( � � I I ! I I I � � I t + I I 1 i I � � 1 ' � I � � I I � � , I � � I I i � � � � I ' t ! I— ! --� i— 'j i � , —�—l—T— J-_—� �I I 'f---! i ! � � —� r � I- , + ! , I I r„ I � � t ! I ! I ! i. I ; ' ! I I � � t � � I ! ; i f 1 I - I � I � � I I I � I I + ' � � �--1— � I � � ' I i ! I I � � � — � � � � � + I � I (— �— I I ! I � � I t I i ' I I—��—T i f i I ' I I ; j ' �I—#— r a � s f 1 I i 1 I I � i f � I I I I � i �—� �� I ! I I I ' �—. ' —( 1 i 1 I i I i t � I � (—�—� { I I ; � I I � I ' i I I � I� F I ( I I � ' � I , ' i 4r I I I { i i ! I I { i ! ( I��--c. � I 1 t I � � t I � I I I i I I I I � 1 � I . ��—�-f �'�'— 1 � '� � I �_. � I I I I 1 ' I ! .' I + + I � � � � I � — — i ! ! _�_� , ! � I I I I I I � I I I s i i I � ' I -- � � � � __ 1 I I I ' I I I l � �r � � � ' I + 1 � I � ! I I I { i I ! I I + I � I i I I � � , + I ! , i I ( I I � I I I I� I—�T—I { �1 � � ! � ' I i � � I ( I ' ! 1 � t 1 + ! I � i i 1 I ! I � ' , j f I I , + I I I � I ! I i ' I I ' � I I ' � I I _ I }�� 1 � t 1 • , � 1 I + � I I ! I 1 I I I � � , I t � � � l I , I { 1 I I i •r I , �_.. I •� � i r I__ ' I � I •� � ! � � I I i f I , I ,. t I I I I I � ,. I I ,_�. t 1 I � I I r ' I I + I I � � �,— �— i I+ � + _ I i—T-- _� , �i—� _ I z _ I I I I I I I ' i � � ! i I � .; � I I I ! I ' � � I + i �r i i i 4 �I '6_,C � fo .s...--.i r Y' 1 -•f- 'TT r i I ' i I I 1 1 I i I 1 t I I , I 1 1 I I I 1 4 I r ' I I 1 •1 t � T i 1 I i 1 1 I I I s . r4—i ! I L—L 1 1 ' I —1—r-- t.../J---i--- I I I •� � ( I i , j I I � 13 ;. I ��l �• � 1 I' I I � I I. 1 ( h c ' . I � r i .! I I I ' ' I '�I - � , ;"�. � I ra, � I � I I I i } I I I � � t • '. I�—�� � � I I 1 I } ? s I I I �— I I i , � .I I �I I - I. 1 I � I '� } - •, ( i ' ' I { � I j ; I 1 li I i j � } I I � :} I I •.I � 1 ;.. ` .� I � •. ( i I 1 ;' i � � , } i I i I I F I �>r� '� .,i 1 � •--..� -----I. L } �tom. � I T 1 �_���7_'._. ' I I � 1 I •fi � I IS r 1 I � ' � i i ! t I , , ! . c I i , { 1 ( , -�� ' - - I+ ' r.' 1 I .` sl j ' _�_ I I .1 + ' I I I 1 , i � �•, �" I � 1 .. II 1 r I ' i -- � - Aip r I C i I I if N + i 77 1 ; i 1 ! 1 ' " 1 + ' f f- ' .T—L I ' I I F i .__I I I I ' ! I I ' 1 � I ' I + ' � I ' I I I I. I �-L.�t_... i 1 .I � i 1 I _ I I � .1 I `{ I S. i I � I j I i t. I r--•—�- I I I' I ,L� I , _ _ I —T -�---`ram,^� ' 1 �_.�.. -- I j I � I ' 1 ! .{ ` I —�— t ` I j 't ' � ' � ' � I � f I� I I I '� j_. � ! i ( i � �I 1 I � '11 � ! I I 1 � � 1 ' i r I ' i_`._..... I � .,.__ i ,1. _. I I I I I � I . .# � ,„_,I—�._I_.�_I � a �', -t �- ' I I I ( � r � ' �I ' I I 1 I ' ,.. i ' ,r ( I , I I i I 1 ,__,_,.. , �� L.__.._. � .. � , I 1 I ( 1 I I j ' 1 I I I I L I I I,., I i 1 � t I ' _.� I I , ' + ' .....�._ I I ' 1 I I I � I 1 i. r II 1 I I { ' I 1 ' ' ' ,—r-- �..,,-�—,--�--+---�—i--{ , 1 � 1 1 - � T , I � , , I_ i I i •v ' ( I � � � � �.��� ' L ` I i i I. � I I . ���-�!�T-� � I I I , 1 � I ..'_. � � I �-- I I I I 1 �� 1 � I: , I ' ; �'� ' I I I � I I I I , ___f___. ! I 1 �I�,I - �-yi I I_ I � I`�.� � � I , I���I�...yl. � � � ' ' ' � � I I I ! 1 1 1 �� I I I � y� ? I � 1 :.I.' l� I I I �~� , � f�. I � � � ' 1 I I a r .-a . I I 1 I I I i , I i r I 1 i r � ' � I� '� I I 1 �: .,y I , I j 1 i i r , ', 1 I i �' � t__ I I !.. F i � — .h I , �_� � i I 1 � I I ,— � i- r � I I i• � l i I I � 1 I I I -- 1 I , i I I , I I I # �-�' � I I � ! , ' I ��— I I I I , , I I , I I I I I , � I i . , , , 1 I , I I ��I I 1 I �•-j T-1 � I f 1 ± � � � I j i � , IIII II j r I 1 ' � ' � I T I . ,. �--.-I- I i , _ I I , 1 �.. I I I I i �. , I I I i r, ! i I , I ' I I I I � I ! i I I I I I I '� j ! I � - �----j--t- E I- -t � ._...i.�_ I s_ �._j �_�, {1 1 �� � � � i I 4 �_;__, Ir r � , I � Y, I � � I �;; I I r � � Tt ' I I f j � , I I � .._. � ' r t i i I , I i i r I i 1 � � � r i 1 � I i I I I { , , ;..... I , �, .._. i I I I � I � ' I I I . r I , � , 1 1 , i I �" , j .. i I , i I. ! � _ 4 � ' I I , I I I , , � r � I I ` � i � ._�_ , . I � � I I I , � I I , I I I I ! I I � , I f I I j I I I � I I I I ' , I ' • I I I I I I I i I " ' I r l I • I I I .app i I I � I ' I ! I I � T! 1 t• ( � 1 I r I I I I sa -FU l - I 1 r • , j i I I ; I ,j I i , , I ( 1 I ( I I I j I I I , I { + + I T- �_�_. I I �.�,•* ' ` ! .__. i '1 t I I, I I � � ' I t + I 1 i I ' � i ' i I I � I !! 1 1 11 i I , oll 1000, I � 1 77 17-1 ------------- , �- -� L_ P 1 ' 1 , i i The d*W111no shown on thls pAon does not fall w/thin a spec/of flood hazard roar as dellneoted on o mop of the community.- \ 1 MAP �•• �w—t I cerfify the /ocatlon of , r the dwel/Ing shown on M/s N..3o plan conforms to the loco/ l zoning lows; now or of me //me of construction. Aso xz N ' N This inspection was performed In accordance with the techn/ca/ stondords for mortgage loon c Inspections as adopted by the N Mass.Assoc. of Lend Surveyors a � o Civll Engineers, Inc. I ?A.16.� 1A OF o��! MICNAEL SEAC,AT s P. _ ANTONINO/ %+ No. 2941, E IST I LL11� This(plan was not mods CERTIFi C i4TI N PLAN from on instrument survey OF and these cert1flcatlons brs for mortgage purposes No.30 S F-AGA-r E L H. + only. This plan opp//es only HYAN N I S, NA Al sS Yn conditions existing as :Of the dote here on;and not Scale:I IN =A-OFT Date:FEB.13,1989 for recording purposes. MICHAEL P. ANTONINO REG. LAND SURVEYOR �. 7 CAROT PLACE STOUGHTON, MASS. i L i Mckechnie, Robert From: Mckechnie, Robert Sent: Friday,.April 21, 2017 10:19 AM To: Anderson, Robin Subject: 30 Seagate Lane, Hyannis Reference the complaint you received via Paul Roma dated 4/13/17 about the subject property. I visited the property around 12:00 noon on Thursday,04/20/17. The homeowner,,Donna Morrison answered the door. She explained that she was having issues with her son and had taken out a restraining order on him (active).Went on to explain that he had done a few things(damage)to the house and was no longer there. She also stated that a "friend"was coming over today to help her fix these things. She wasn't specific about what had to be repaired or the extent of the repairs. I reminded her that a permit would be required to repair damage such as wall removal,sheetrock or other regulated work and that her friend should make sure one is obtained. She was reluctant to allow access to the residence. She positioned herself between the partially opened front door and the storm door. There were two vehicles on the property(Small green Ford Ranger,one Yukon type SUV). There was no evidence of construction on the outside of the house. Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Pagel of l _r Anderson, Robin From: Roma, Paul Sent: Thursday,.April 13, 2017 9:29 AM To: Anderson, Robin Subject: FW: Website Contact Message We'll chat 'From: Town Main Mailbox Sent: Thursday, April 13, 2017 7:16 AM To: Roma, Paul. .Cc: Scali, Richard; Ells, Mark Subject: FW: Website Contact Message x ln;fo the web. Dan From: email@town.barnstable.ma.us [mailto:email(§)town.barnstable.ma.us] �. Sent; Thursday, April 13, 2017 7:14 AM To:'Town Main Mailbox Subject: Website Contact Message , Message: On going construction without a permit @ 30 Seagate Ln. Property is owned by Donna -Morrison. Load bearingwalls have been removed on first floor causing g second floor to visibly sag and causing an unsafe living condition. Further load bearing supports in basement have been -,.removed. Home is currently occupied by owner Email:'Click to reply Phoe. Remote"IP 66 8Z:125.35 _: of Barnstable *Permit# Oa�00 O JO Expires 6 months from issue ate 1Aegulatory Services Fee 4 Tbom ; Director PSO� u, eller, ding Divisionot Q ' Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid.without Red X Press Imprint Cap/parcel Number,,,:,?-Lt 9 t C) r roperty Address 30 ,S ]Residential Value of Work Kj ae c Minimum fee of$25.00 for work under$6000.00 1wner's Name&Address wN*- MIMN S dY \ 3o sW&-,a-� 'l 9 0 —c5-9 0 butractor's N elephoneNumber •��J —c — Come Improvement Contractor License#(if applicable) 450 ( 2'ZZ g ]workman's Compensation Insurance Check one: ,2T17am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ssurance Company Name Vorkman's Comp.Policy# 7 :opy of Insurance Compliance Certificate must be on file. -ermit Request(check box) r r e-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows/doors/sliders. U-Value �� (maximum.44) `Where required: issuance of this permit does not exempt compliance with other town depmtnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. IIGNATURE: i:Forms:expmtrg xvise061306 The Commonwealth of Massachusetts — Department of Industrial Accidents* — wee 0INS=vp 901 W 66U Washington Street J Boston,Mass. .02111 Workers' Com ensation.-ins urance davit-General Businesses name: •CAJ fkj.�_'L'� address: l city' (� state: zip: phone# work site location full address I am•a sole proprietor and have no one Business Type: Retail D RestaurantBaF/Eating Establishment working in any capacity. ❑Office(] Sales(icluding Real Estate,Autos etc.)' ❑I am an amployer with em to "ees full& art time.: Other �I am an employer providing workers' compensation for my employees working on this job.. coitipanV3is$ie• A. address: -P;.. city: 'hose:#: ; arice.ear I am a sole proprietor and have hired the indepen''dent contractors listed below who have the following workers' :" compensation polices: comDHIIV'21E1I1e' t' — r'a�: .'s;::.''��'i;:� ... •.: ,yr,•,v:' . address:. insurance co. -av'' - - lie #� ;�;�:• �;�: �t•;.. M+y co :t{..fit':,•.:: ,ate... . .. ,..;.,. ..:. r' addre'ssi. - city:: .n>toni - insuranceso Fallure to sectae coverage a9 required ender Section 25?i of MGL 152 can lead to the imposition of criminal penalKes of a See up to$1,500.00 and/or one years,imprisonment as well as civil penalties in the form of s STOP WORK ORDER and a fine of$100.00 a day against me. I understand that o copy of this statement may be forwarded to the Office of Investigations of the DIA,for coverage verification. I do hereby certify und�e(r"� sins and penalties of perjury that the information provided above is true and correct Signatnre Date Print name 1 I,- ('v 11 t Phone# �7 77 l official use only . do not write in this area to be completed by city or town official city or town: permitdicense# 7-iDBuilding Department Licensing Board ❑'check if immediate response is required ❑Selectmen's Office []Health Department . contact person: phone#; ❑Other (revised Sept 2003) i Information and Instructions Massachusetts General Laws.chtapter 152 section 25.requires all employers.to provide workers' compensation for their.. erriployees: As quoted from.the `law", 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 mare of the foregoing engaged in a�joint enferprise, and including the legal.rep resentatives 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.occup ant;.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 bean employer. .,. : . :. MGL chapter 152 section 25 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 regulr6& Additionally, 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address,and phone numbers along with a certificate of insurance as all affidavits 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 aid required to.obtain a:workers'compensation policy,please call the Department at the number listed:below. , City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the re' arditi the applicant Please affidavit for you to fi mll out the event the Office of Investigations has to contact you g g be sure to filLin the perm t/licens.e number.which will be used as a reference number. The.affidavits may.be.returned to the Department by.mail(r FAX unless other•arrangements have been made.' The Office of"Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Departmenfs:address,telephone and fax number: The Commonwealth Of Massachusetts Department.of Industrial Accidents no of wesugmens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 exL 406 o�TMe roe Town of Barnstable Regulatory Services BA MSUBLE, Thomas F.Geiler,Director rsass. • 1639. ,�� Building Division rED Mai . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-40 8 F ax: 508-790-6230 Permitno. 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 structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �rc- Estimated Cost G� Address of Work: Owner's Name: Date of Application: — 'O 7 I hereby certify that: Registration is not required for the following reason(s): DWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERSPULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A, SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of thei owner: N . Date Contractor Name Registration OR Date Owner's Name Q:forms:homeaffidav 'down of Barnstable Regulatory Services ' 9as�s � Thomas F Geiler,Director s63Q' �0 Buitding Division . Tom Perrp;'Building Commissioner 200 Main Street, Hyannis,.MA 02601 vPww.town barnstab1e;ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using ABuilder as Owner of the subject property hereby authonze,: +• : ��-� 5 1.d to act orgy my behalf, in all matters relative,to work authorized by this bunding permit application for: �1—r L."O�rr (Address of Job) Z' Signature of Owner Date Print Name DougWilliams Custom Building Co. g P.O. Box 1069 Centerville, Massachusetts 02632-1069 508-775-1500 866-524-0070 fax 508-775-1503 www.cgpecodhomebuilder.com e-mail homebuildana,comcast.net s Li BOARD OF BUILDING RE ' cense: CON RE NSTRUCTIO GULATIONS Number; SUPERVISOR 'r 'M CS # 016981 r 2008 Tr.no: 161 �. D0 67 Re DOUGLgS L WI �II[j�q�5 SRf t i M i PO BOX 1069 1' CENTERVILLE, Mq 02632 1/ G` 1' r'OMMISSIOne Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: R, AND O OR FSearch Search Results Reg. No. Applicant StreetI City State ZipI Name lExpirationj DOUGLAS L. WILLIAMS BOX IC ENTERVIL R[0:26:32] Williams, 102227LE Owner 7/1/2008 0 CUSTOM BUILDING 1069 Douglas Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 1/24/2007 • �� �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `0,1T` Parcel U Permit# ® �� tn BARN'ST&ELE Health bivision /� 4 Date Issued Conservatioh Division t �� i.�, ' ( ' 3 P' Application Fee Tax Collector Permit Fee Treasurer w °ii'ISION SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED !N COMPLIANCE WITV TiT'_f:'�- :. Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village Owner LS on Address _1,20 40_c',a,-to Telephone Permit Request n 1An d 0 s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Cl Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O-Yes ❑No -If-yet,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Jrj 4l�s g _o� Worker's Compensation# _S41q i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO g SIGNATURE ���A�(.,v, I-Je P-4-1— DATE " 2r---n FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t13 � m PLUMBING: ROUGH FINAL d GAS: ROUGH -' ` �_► FINAL T; CZ FINAL BUILDING . w , DATE CLOSED OUT u ASSOCIATION PLAN NO. ti I Tow" n of Barnstable ' y0p•(HE f�,y ' R.egulatory S ervideS , f a,► ss at Thomas�F..Geller,Director ' ng Division • Tom Perry,Building Commissioner' ' • 200 Main Street, Hyauais,MA 02601 Office: 508.862-4038 Fax: 508-790-6230 Permit no. ' . Data AFI�DAYIT . HOME IMPIOYEMENT CONTRACTOR LAW SUPPLEMENT TO PEPI=APPLICATION MQL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, • •fraprovement,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 structures which are adj scent to • such residence or building be done by registered contractoze,with certain exceptions,along with other requirements, • Type of Work: 1 &tim=ted Casb P C�G Address of Work: , Owner's Name: ;Date of Applications `� I hereby certify that: Iteotration is not required for the following reason(s); []Work excluded bylaw ' []lob Under$1,000 ❑Buildiag not owner-occupied El Owner pulling own permit Notice hereby given that; OWNERS PU.LUNG TEMIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABDE HOME ItdPROYEMINT WORK D 0 NOT MkV3 ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER.MGL c.142k, bIGNED MMERPENALTIES OF PERMY I h reby apply for a permit as the agent of the ovmer: �a- Jam..9-� � I�� � • Data Contractor Name RepistrationNo. '` Owners Name • The Commonwealth of Massachusetts* Department of Industrial Accidents' � -- — • . OAq�a Bf�rsd��s' . 60 Washington Street l Boston 1',Mass. 0211 . 1 WorkersI Com ensation Insurance Affidavit-General Businesses �i Lu`,+'? sNq +.tyyi'�"py`t''..' "r'�'" +`''r'3Lns„ .TScr-Hµ,�•+T,�,,.•:• ,ti: `�:•: y, � "� .1+;�§i ; , address' ... • : , Ot Im • � ,• t state: zi hone# .. _. .. . . . . .._ • work site locat:iojj full address : [] I am.a sole proprietor and have no one Btuiness Type: []Retail❑Restaurant%Baitating'Establishment working in any capacity. 0 Office❑ Sal'es(including-Real Estate, Autos etc.)' ❑ I am an en toyer with etn to ees(full& art time): Other t /% %/%%/�/////////%/G%%/%/�%%/%%%%%%%% I am an c�-Ploye]r,R providing workers' compeensation or my employees wo�kin on this job. :\ .9"'Y, tr1:S{ �" rr,r:• .:,i�`c•� .,5: r.•:f� •t 't•.r):�:K,•„ �.1�1'': •'�::t t 5 :f;• i•• _ . •�; . .7•y:,:k.l., t•:1. a:: Lja •'�•''•�'..3•'. t.— ;r. a: ,.�� i'•�,' coIIl�an.neaie: � 1 .•s;1r.;a t: ;:, {�• ,�,. :,•;•,,.•;,•.+•i� 1, •'r! ,; •, H. address ! l..::' :.i:, 7:. ti { '• �, ' ,i,•:'. .'•.• '1�. ,'�,��: is'•,�i jy�).,•,l'•:•,. !•• OLiC.•.#'' ? ys.: .Jr _ ,/%/ {fiS11raDCe.C77d•: .,; � •..:• ':,.:... ' /•. ... .. :.,' . . .,•.. :.„.. .... ,:.. ...•. ,; 0 I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: ti t:'. ;t1;1: `:!!'•?' .�;�i-' '1.1' :'t r..'1.• _i' 1�r•, .4i't ..t+'•.i�i"� :.r r:�y'°:'•e t.>,t;:ti�t ::w:::?,''.:�`;; •a •.r ;it.. ,t•.x.�. j.{:r h .t.;:t 'ID • ... C tk.t. .il,• {f.y:Jgti i`•:�'(....{,%:•r•.:Y:Y•i'S!: :' .. - 8adi:2$$: _ •q,'. .,n.. :i'�'eJ'•i� •1• '•t is•.• �,�•••Y :i ,1•:. _ •\ .a r..,,S•:•••y.::4'f;,',i•'+t .y�. .1.• ,"l. r•� .+t�, •t� is ..•T�' „ .•l,'t.: •':.�,�i•. it i7.s,t ,T:� � �.•:: hr: ,:j r'. •.••:. �,• _ .,..:.. - _�i,,.r•,T•-t...: • Ci a: .1• •r'• :'�/., .,:L:. , .i":�'i.{:�'`t.:'i L7:4`.: 't`).;i:� ^,'''.1: � •S:�j :�?- •i��:0,:;• •,r•• '••• • 2� .. .•r�• .I.i 11;�. -'at::SI. •�}.• t� ''1•• ••:or.;.:' +.4•i' 's '�''•'t."'r' '' ,! \' .-. '.•"p '•." ,• �;r;%ys.: ,. .'.i,..'ri,.. .`..e.''.•,�•.•r•w.r,%'�ka �:•t ±;,r•:.., .1:':t:. 3o73c :#1'. '.�r..t'1••..' .2• ':ri;•.. .a{ri, •�>''::`f`t••J\•'t•• '•: .,!f ,,ti..;{. '{.. •:5 '.'. ai:. ':t:. � ••.'F •:t�� r i<.��'�•i r.':''17'd•�. !C t•:� :.•:' T one .is•.l• 1•��' J f� ';C:'•'r,'�:.v\: 'Y+v:',' '•.i+ t bOm eII Deilte. ",!r :r .. .�.. „i t r. •••t.- ,1,� . 'address:. � ' . ' .; _, • •.i.{J .:rar:', l �.St •i• 2'ly� t• ,j,•: �'y+S;t: ':1:"„ .:/,. es,' ' f•ly', •� '.';yd` rJ•.•... t.iti .{•i. �'�1. Y•. ,. ••' t. :' :'t:t•• '•1• t:•• . •r4•_ IF�''•+•. •r.•r' :]•.., '• •..S " :'" �i :}fli�� .!{,St'rr^•(:er'a•�,t,; 1• •.,, •�'C0:'�• `{1 {'•• '•y:. .:j;�: .J.?t� } J+�+:r.A• .<O C}t :ram •': .aac •�j Failure to secure coverage a9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civff penalties in the foim of a STOP WORK OIRDER and a fine of S100.00 a day against me. I understand that$ copy of this statement maybe forevarded to the Office of Investigations of the DIA for coverage verification. ; I do hereby certiA un r the pains and penalties perjury that the information provided above is true and correct. w Date Signature . l' Phone# Print name official use only do not write in this area to be completed by city or town ofricial city or town, permhlhcense it ❑Building Department ❑Licensing Board ❑Selectmen's Office ❑check if immediate response is required Health Departmeni - � contact person: • phone ir; ❑Other (reused Sept$OD3] .•,R,t � --stix.. � Information and Instructions. Massachusetts General Laws chapter�152 section 25•requires all employers to provide workers' compensation.for'their. loyees: .As quoted fromthe law', an employee is.defined as every person in the service'of another under any contract lie oral or written. �f hire, express or imp Pd� kn em joy association, corporation or other legal entity, or any two or rngre of p er is defined as an individual,partnership, • he foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or , association or other legal entity, employing 6triployees. 'However the owher of a xustee of an individual,P a.rtners�P Swelling house having'not'more than three apartments and-who resides therein, or the.occupant,of the dwelling house bf another who employs psbris to do.maintenance, construction or repair work on such dwelling house 6r on the grounds or building gppurtenant thereto shall not because of such employment.be deemed to be,an employer. MGL chapter 152 section 25 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.commonweaIth for any applicant who has not produced acceptable evidence•of-compliance� enter into th the anecontrac�far the performance ofpublicerequir6d. Additionally, ther the work until • commonwealth nor.any.of its political subdivisions shallY ptable evidence of compliance with the insurance requirements.of this chapter have been presented to the contracting . acce authority. ev PENN Applicants Please fill in .the workers' compensation affidavit completely,by checking the box that applies-to your Situation..•Please supply company name, address and phone numbers along with-a certificate of insurance as.ail affidavits may be submitted •of In Accidents-for confirmation of insurance coverage. A.lso'be sure to sign and date the to the Department 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 btain a workers'•compensation pplicy,please call the Department at the number'listcd below. required to o. , . City or Towns . Pleasebe sure that the affidavit is complete and.printed legibly. The Deparbnent has provided a space of 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.—. -.l .in the peTrdt/hcense number.which will be used as a reference number. The.affidavits,may.be.returned to the Department bY or FAX unless other:arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, ' please do not hesitate to give us a-ca1L NEW The Department's address,telephone and fax number: . , The Commonwealth Of Massachusetts Department of Industrial Accidents Bti�ce of�esti�tlens ' 600 Washington Street Boston,Ma. 02111 2.,. fax#: (617)727-7749 phone#: (617) 7274900 exL 406 A '••"MeG`OMee"'"""`"� - � `/ Branch 0f1lce: `rzz 1 - 1331 Grafton Street 14g, .Worcester,MA 01604 O 508-792-9181•800-300-7274 L L 1' THIS CONTRACT made theyyyy// 30 day of In the year�oo� between New England Sash,It1C.and j O.(�.(/i4 /9MIS A.) ( 500 79,0 -0S 9/ t-I (HOME OWNERS) (HOME PHONE) (BUSINESS PHONE) of 10 9 (STREET) (TOWN) (STATE) (ZIP) } As used in this contract,the words we,us or our refer to New England Sash,Inc.and the words you and your refer to the customer. We agree to furnish all labor and material necessary to install the following described windows at: Double H.P. CrC Total Units: Glass Glass Grids Y N WlndowColor: ,// Material: aga cm Double Hung Units: � � We do not do any palming or staining._ Installation: f We are net responsible for conditions or circumstances ao Picture Units: beyond our control including condensation resulting from Total Contract: "due to pm-axisting conditions.Our limited warranty is Hopper Units: herein incorporated by reference. Z_U Sales Tax: i Sliding Units: 6 2-liter -liter Awning Units: 1-II 2-life: Casement Units: 1-lite: 2-rite: 4-lite: Total Zo Bay/Row Units:DH/CS 3-life: ter -liter Price: Garden Windows: e: 4-rite: 5-life: Deposit -- 1 Zn Exterior Finish: Roof Suflitt Totem 'ecticn: Knee Rvac ts[Y!N With Order: C SO Entry Doors: Steel Fiber Style: Add Deposit Storm Doors: Alum W.Core St le: Due Date: T^ i. Sliding Glass Doors: # Balance Due I 4 Capping Y N # oZ to -re On Delivery: I 4 Additional Notes: )(Orr p / A! t A W 2yx,36' _ &C �AAJj L i L n11� J LS r VA { ✓ ea 11641Z), Fi/Li C OY19 �d a f ' L LL /C/ A/ IOA� j/�I(r. O DEPOSIT WITH ORDER O CASH DJCHECK# /O I h FYI BALANCE DUE ❑CASH OFINANCE You agree to pay cash according to the terms shown above or,if your credit is approved,to sign a note provided by us for payment of the amount due.You also agree to sign a E completion certificate upon completion of the work.If you fail to make payments when they are due,then we may immediately stop work.We may choose to not start work again until you are current with the payments and we feel secure in obtaining the remaining payments.If there is any stoppage of work due to the preceding,such delay shall automatically extend the date of substantial completion. a r Payments due and unpaid under this agreement shall bear interest from the date payment Is due at the annual rate of 18%or at the maximum legal rate,whichever is less.In the event that we Incur costs or expenses in collecting such payments due and unpaid,you shall pay such costs and expenses Including reasonable arlorney's fees.In addition,you understand ` that by failing to pay according to the above terms' the seller may have a claim against you which may be enforced against your property in accordance with the applicable liens laws. j The installation will begin on or about_�p((1/yf and will be substantially completed on or about_I=A"S.His understood by you that the following contingencies I -rrrrr' could materially change the estimated completion date stated above:customer's inability to obtain or qualify for findncing;inclement weather;strikes or other labor disruption; j non-availability of materials;acts of God. We represent that we c�arry Workers'Compensation and Public Liability insurance in the amount of$100 000-1 000,000. ALL RESIDENTIAL CONTRACTORS AND SUBCONTRACTS ARE REQUIRED TO BE REGISTERED WITH THE MASSACHUSETTS BOARD OF BUILDING REGULATIONS AND i. STANDARDS.UNLESS SPECIFICALLY EXEMPT FROM REGISTRATION.INQUIRIES CONCERNING REGISTRATION'SHOULD RE DIRECTED TO:DIRECTOR,HOME f IMPROVEMENT CONTRACTOR REGISTRATION ONE ASHBL'4TON PI 4CE ROOM 1aG1••BCFiT9N..b1A 17'27-edge �— CONTRACTOR OR SUBCONTRACTOR IS OBLIGED TO OBTAIN THE FOLLOWING PERMITS: � (�Lt•Y�A//J .IF WE DO NOT OBTAIN THESE PERMITS,AND YOU OBTAIN THEM,OR IF WE ARE NOT REGISTERED WITH THE BOARD OF BUILDING REGULATIONS,YOU WILL NOT BE ENTITLED TO OBTAIN f ANY BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS GENER((L LAWS CHAPTER_14 2A. t ANY DEPOSIT REQUIRED UNDER THIS AGREEMENT TO BE PAID IN ADVANCE OF THE COMMENCEMENT OF WORK SHALL NOT EXCEED THE GREATER OF ONE-THIRD j OF THE TOTAL CONTRACT PRICE OR THE ACTUAL.^.,DST OF ANY MATERIAL OR EQUIPMENT WHICH HAS TO BE SPECIAL ORDERED OR CUSTOM MADE,WHICH MUST II �.i BE ORDERED IN ADVANCE OF THE COMMENCEMENT OF THE WORK,IN ORDER TO ASSURE THE PROJECT WILL PROCEED ON SCHEDULE.NO FINAL PAYMENT MAY BE DEMANDED UNTIL THE AGREEMENT IS COMPLETED TO THE SATISFACTION OF BOTH OF US. YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN ADDRESS OF THE SELLER, WHICH MAY BE HIS MAIN OFFICE OR BRANCH THEREOF,PROVIDED YOU NOTIFY THE SELLER IN WRITING AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED,BY TELEGRAM SENT OR BY DELIVERY,NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. BY SIGNING BELOW,YOU ACKNOWLEDGE THAT YOU OWN THE ABOVE PROPERTY AND THAT YOU AGREE TO ALL OF THE TERMS OF THIS CONTRACT.YOU ALSO ACKNOWLEDGE THAT YOU HAVE RECEIVED A FULLY COMPLETED COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION AND THAT YOU HAVE BEEN ORALLY INFORMED OF YOUR RIGHT TO CANCEL. O NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. IN WITNESS VWthe parties eunto signetl melt names this a -k Q— day of_ in the year of 09 y Signed Signed _ ++x MARKETIN EPHESEMATIVE 0WjER Signed Accepted:New England Sash,Inc. - BY Signed AUTHORIZED SIGNATURE TITLE OWNER NOTICE OF CANCELLATION 71O/y DATE(TODAY-S) YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLI" GA710N,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURED INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:NEW ENGLAND SASH,INC.,1331 GRAFTON STREET,WORCESTER,MA 01604 NOT LATER THAN MInNKII IT OF: - a�Y7lyrtiiy,•Y,ftapR:4'f Nr�1�filJ,jtL+LlMi t k�N -� Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement:Contractor Registration -- -= - R e � 1 aaOn8 Type Private Corporation NEW ENGLAND SASH, INC Exp` R 7/1c6 Kevin Wells 1331 Grafton Street Worcester, MA 01604 = Update Address and return card.Mari reason for cha DPS-CAI %) SOM-04104-GIo12I6 Address Renewal C 7 Emplo}ment Lost �> ✓�ie {�amnaanusectl� a�✓t�a�ac�ivaeLla Board of Building Regulations and Standards License or registration valid for individal ase oat)- :``- HOME IMPROVEMENT CONTRACTOR before the expiration date. H found return to: Registration: 104098 Board of Building Regulations and Standards Expiration: 7/131Y006 One Ashburton Place Ras 1301 Type Private Corporation Boston,lVla.02108 NEW ENGLAND SASH,INC Kevin Wells ' 1331 Grafton Street .. -. Worcester,MA 01604 Administrator Not valid without sip.ature j: 1 ' s _ A i '-. u .w _t - .. -..,. .. r... c. : , - SUN .,...._ MU9T— CRNA 4000 ENERGY PERFORMANCE RATINGS _ U--Factor (u.SJI—P) Solar Heat Galn Coefficient 0.30 0.37 ADDITIONAL PERFU_RMANCE RATINGS Visible Transmittance 0.48 sarluta le NFAC DroOeduros tOr determining whole IMduct Dertortea M LcRC tMjW are dell M*W or a sell of wArogr wMI condlhons and a IDacttic Omdoct CMUR ctOrePs Inerath re for other Cmdud Aer WWO Wumlat". w".Ift.Org. ;�` A • • •i it�• a I Town of Barnstable *Permit# z f ��F1NE Tp�� &vpires 6 noontl:sfrou,Issue date • Regulatory Services Fee J- ;25, 6 0 {ARrJSTABLE. nernss. Thomas F.Geiler,Director �p 1679. lED MPt Bu11dlllg Div1s1Q11 'foil'ferry, Building Coutntissioner 200 Main Street, Ilyantiis,MA 02601 Xep S RL,; Office: 508-962-4038 AUG 2 5 2003 Fax: 508-790-6230 TXPItI';SS PERMITof vnlid wit out Reid -Press[n ►'SID TOWN DOFF N 13AMNS TABLE 9146 POta Map/parcel Number Property Address 3 Value of Work 1 2 0,_Residential Owner's Name&Address Jed D - anti e 1 Z2( L (� Telephone Numbe Contractor's Nam Howie Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) , [ Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor VI inthe Homeownerave Worker's Compensation Insurance - G ACC r� Insurance Company Name l o 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 ✓� (maximum.44) Replacement Windows. U-Value 3lY /�` ❑ Other(specify) +Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. c L / Signature Q:Forms:expmtrg ,ir ivnMi.'A�rM'�•MMh�'1!sVrtl°1l�uriwfr,•x!iP}�..x�8?i•;ny,.1,•M}r:ra:�.N it{M.t::l '�rv+w auAYaah :.�'i.r,.:d.<J.M1M„wtiY.ynfapliw .. ••.«e- . • (1y\ a1�1! IOOfJNItOfI!!MlIIAIL O��eefld[u4R�O hoard or Ih IIdI"9 Itegulatlons and Standards p HOME IMPROVEMENT CONTRACTOR Registration:e 100740 Expiration: 6/23/2004 Type: Private Corporation , CAPIZZI HOME IMPROVEMENT,I comas Capizzi,Jr. 1645 Newton Rd. Coluit,MA 02635 Administrator fy' ✓�c V;offrmrofr...eahl" o�'�fQe�c�ueel�e 130ARU OF 13UILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r ' Number: CS 057032 Expires: U9/26/2003 Tr.no: 5790 Reslriclod: 00 TI IOMAS X CAPI7-Zl JR 20U Pr-RCIVAI_DR W BARNSTABLE, MA 02666 Administrator . .! 1 A...1. A. .1 ; . I 1 03i19 03 M11) O9:39 FAX 6036279559 I flARVEY INDUSTRIES �+ HY&NNIS W14SE Ill out ; ENERGY 81AFI F'\ AnTNE M� Aff ,n. IG09DDt 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 wisdom,values • Air infiltration results are subject to change without r'lolice All vinyl windows with Low-EfArgotl quality for the FNFAQY SYArr program throughout the U-S_, Revleed t131103 Clear Imulalet) Luw�L Lnw-F,/A.tg9n* Ilr V-Value R-Value U-Mina A-value LJ_%,*hto It-vrao Inlillralinn VINYLIM WUQVI►S rr,du Classio Double flung (Mechanical) 0.50 2.00 0.37 2.7U 0.34 2.94 or) Classic Dtauble {lung (Welded Sash) 0.60 2.00 0.36 2.7A t 33 3.03 .04 Classic Double Hung(Welded Sash & rarne) 0.49 2.04 0.36 2.78 0.33 3.03 .10 Classic Acoustical Double Hung STC40 0.23 4.35 0.18 s.56 U,17 5.86 .09 O� Signature Double Hung (Mechanical) 0.50 2-00 0.37 2.70 0.34.�- 2.94 .04" ignature Double Hung (Welded Sash)- U.50 2.00 0.37. 2.70 0.34. 2.94 .11 >Sliniline Double Hung (Welded Sash) 0.51 1,96 (1.38 2.63 0.34 2.94 .08 Sllmline Double Hung (Welded Sash & ramie) l'1.5U . 2_UU 0.38 2.63 0.35 2.86 .09 Slimline Single I-lung (Welded Sash & ramie) 0.50 2.00 0.38 2.63 0.35 2.86 .08 Vinyl CaseiiienVAwning 0.47 2.13 0.34 2.94 0.31 3.23 .01 Vinyl CasernenVAwning and Therm al Panel 0.31 3.23 0.25 4.00 0,24 4,17 .01 Vinyl t7esiriner Shstpes 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 .08 Viriyl Plcture Window 0.46 2.17 0.31 3.23 0.28 3.57 .01 Vinyl Welded Dendlite 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 U9 (241a) I'7eal rc-su11&8re basted on cu111m4rclal slit$ 'i'etlip.Clear Tlentp Low-Iff Temp,Argon :fir I NANIo R-value U-Value R-Value U-Value R-Vatu' 11,1111r:1linn 11141! P►YYI9J09913 Harvey Solid Vinyl Patio Door 0.49 2.04 0.40 2.50 0.37 .?70 .09 Air irtflltratlon is in accordance with ASTM E283@.V25 mph. -"The use of tempered Low-E glass may effect ENERGY SrnR•qualification in your region_ U-and R-Values are subject to change without notice. n i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MLA 02111 Workers' Compensation Insurance affidavit Applicant Inffoo}rrnation: PLEASE PRENT 10 LOCATION 0 C CITE' S STATE I ZIP CODE OLD LD PHONE O I am a homeowner petfot:nitto all work myself., Q I am a sole proprietor and have no one working in any capacity. O I am an employer providing workers' compensation for my employees wor3ong on this job. (ZZI �UU t° Company Name �" 6�1 _ - t,�rl t�w►� � Address (� 1 U 1 State r Zip Code /)Z&J S_ Phone City // 2 1 // U"1 > l Insurance Co. � `�"' ' d'tCe Policy� C�Vq `� Expiration Date O I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name Address City State Zip Code Phone T Policy rr Expiration Date Insurance Co. Company Name Address City State Zip Code Phone 4 Insurance Co. Policy# Expiration Date as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to Failure to secure coverage Failure to and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a f this statement maybe forwarded to the Office of Investigations of the DIA for coverage day against me. I understand that a copy o verification. 1 do hereby certify under the pains and penalties of perjury that the information provid d(aabo/•-e-iis true and correct. Date 7 Signature I/2& Print name hGRACLS C Q 1ZZl Phone official use only-do nut write in this area-to be cOrn0c ed by city or town official PermiNicrnse x O Building Deparanent City or town O Licensing Board O Selectmrn's Office O Health Departrnent O Other O check if immediate response is required Phone Contact person -- • • --� - ••i•+ �l/1•r<J, I IUI�L.1'.UJJ W LL1UI 11 UI I • .-,vim �•r C Rv_ CERTIFICATE OF LIABILITY INSURANC �"pz ol. ! wa/z6 03 rnoDucEn Ills CERTIFN:AT■IS ISSUE FORMATION Norcross t Leighton Cape Lou. ONLY AND CONFERS NO KoWffS USN TH!CERTIFICATE W.McCarthy ins.Agency,Inc. HOLDER.TMS CERTIFICATIF DOE!NOT AMEND,EXTEND OR Station Ave ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOW. 9o•Yarmouth MA 02664 Phone: 508-394-0946 rax:508-760-140 f INBURERi AFFORDING COVERAOLt INSURED INSURFR N National Oran a Xutual Ins. Co INSURER B: 8af6t Insurance C ail igvizzi Roma rovement Inc. INsunmc. Ouard Insurance Oro I�Otui e~ 026I>rep INSURER Dr. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO T•HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIOATED.NOTWTTHSTANDINO ANY RECIVIRENENT,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 TIIE POLICIES bESCRIBED HEREIN 19 SUBJECT TO ALL TIIE TERMS,EXCLUSIONS AND CONDITIONS OF sue" POLICIES.AOOREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM9. TYPE OF INRURANCE POLICY HUMS ER T M T wNylly LIMITS oENE/IAL L"ILITY EACH OCCURRENCE 51000000 A X COMMERCIAL GENERAL UANLITY MPS02733 04/01/03 04/01/04 FIRE DAMAGE(AnyOMAr-) $300000� CLAIMS MADE [j]OCCUR MED EXP(Mypnm paann) 10000 PEROONAL a ADV INJURY $ 1000000 OENERAL AGGREGATE $2000000 OENL AGGREGATE LIMIT APPLIES PER: PIIODUOTB•OOMPIOP Am a 2000000 POLICY PE O LCC AUTOMOBILE LIABILITY CO BIN E rD SINGLE LIMIT 8 ANY AUTO 1601064 04/01/03 04/01/04 , � ALL OWMDAUTOS LPfn7 Y 11000000 X SCHEDUL"AUTOS a x HIRED AUTOS OWLY INJURY $1000000 X NON•OWNMAUTOS �iri°OB�nq PROPEMTYDAMAGE 1500000 (Pr ad" BARAo�LwX lTr AUTO ONLV-"ACCIDENT I ppTT{�!I a "ACC s ANY AUTO. AUTA OM.YN ~AGO R EXCEBO LIABILITY EACH OCCURRENCE i OCCUR CUUMS MADE AOOREOATE ! D60UCTIBLE _ RETE►IT10N 1 t wowKene COM�INAATION AND X C EMPLOYER&'UABILITY CANC401043 01/01/03 01/01/04 E.LEACNACCMCNT $ 100000 LL.DISCA39-FA FMPLOYEJ a 100000 LL.DIssASE.POLICY LIMIT I s E100000 OTHER DEICRR'T10N OF TIONNLOCAT10NlIVEHICLfi CLVgONI ADDED BY FNDORIEMENTISPECIAL PROVISIONS 1 CERTIFICATE"OLDER p ADDITIONAL INSURED;INSURNK LETTER: CANCELLATION IUOULD ANY OF THE ABOVE DESCRIBED POLIOIfS BE OMCELLED BEFORE TH@ EXPIRATION DATE THEREOF,TUC IIlUINO INSURER WILL ENDEAVOR TO MAR. 1.0—DAYS TWRITTDI NOTIC9 TO TUB CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIOATTON OA UMILITY OF ANY KIND UPON THE INSURER.ITS ASENTS OR REPREBENTATIV88. AUTHORDPD ULMNUMATIV ACORD 25-9(7197) CACORDCOVORA716N 1"Ill CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, hh OWN THE P OPERTY LOCATED AT v �aouh_ Lam-' IN S MASSACHUSETTS. I HAVE AUTHORIZED nip. TO ACT AS MY AGENT TO APPLY FOR A BUILDING P RMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSTTS STATE BU LDING CODE. I GIVE MY PREMISSION TOC(41'LTlf LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE OITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508.1428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BIIILDING PERMIT I, OWN THE PROPERTY LOCATED AT 130 ` IN MASSACHUSETTS. I HAVE AUTHORIZED TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSTTS STATE BUILDING CODE. I GIVE MY PREMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: r aAju,4wl OWNER'S ADDRESS: 3v - OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: (2)b APPLICANT'S ADDRESS: 1645 NEWTOWN RD., COTUIT, MA 02635 APPLICANT'S TELEPHONE: 5081428-9518 k RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: FEE, RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # ��ypf THE T O�ya TOWN OF BARNSTABLE Z 3MST"L i 'oo r63q. MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION .....bl , !b24'... ,..IR.R3.. J� ISSUING PERMIT . . .... �.... NAME (owner) chr�s ,hJ { ...................... NAME (Installer) ...... ` ...................................................................... ADDRESS .30...45W.q. -f..6.... c....�klmo '(.—) ...M I.... ADDRESS .............................•...../....................................................................................... STOVE TYPE � ........................................................ CHIMNEY: NEW ......V.............. EXISTING ........................ Manufacturer T.....V...l.. . ...1.....4 : f .................................. CHIMNEY: Masonry .. ............................................................ Mass. Approval ..................f. ....�........................................... CHIMNEY: Metal ................................................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the ................................................................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssueIssued d By: ........ ......�.........�. .. .................................................................................Title ..._' ' ......... ... .. .....-.............. Date Permit to install expires 60 days after issue date Stove ............... .................................................................................................................................................................................................................................................................... StoveClearance ..... ...................................................................................................................................................................................................................................................... Floor ...................6yr.................................................................................................................................................................................................................................................................. SmokePipe ..................�,`- 1 ............................................................................................................................................................................................................................................. SmokePipe Clearance ...... ................................................................................................................................................................................................................................. Chimney .................... .........................................................................................................................................................................................................................................:................ Smoke Detector .......... The undersigned hereby certifies hat the installation of solid fuel burning stove and equipment made under au- thority of permit dated l,.T?.................... has been made in accordance with provisions of the Commonwealth of Massachusetts State Bui ding Code now currently in effect and pertaining thereto ....... ..................................... Installer . � Y INSTALLATION APPROVED . .��� ...�`. .`tea'`............... By: ........................... ...............I.............................. Title:�i......:... .... date WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT O�PvOf TN E Tp�`e� TOWN: OF B.ARNSTABEE i sssaerM �0p r6 q. �• MASSACHUSETTS - aMAY�. Solid Fuel Stove.Permit P� rnh�r � 19g3 /l, DATE OF APPLICATION ......................w..................................;.................. h'IRE IDPT�'ISSUING PERMIT .................... .................................,. NAME (owner) ht,�sfita�h�r �Ul NAME (Installer) ..... ..................... ADDRESS S.............aaa.................. J.f� �t lt3.F'll 1(. ... �.,... ADDRESS ....................... ... ..................................... .............................................................. J r { / STOVE TYPE P..Ir(!..�.C.>.N,........�..,►.:......Z..................... ............................... CHIMNEY: NEW .....v............. EXISTING ..............:......... Manufacturer ................................................ CHIMNEY: Masonry.............................................................................................. Mass. Approval ............ ......... .....,............................. ..... /97R'' .... CHIMNEY: Metal .......:........................................................................................... .._......... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with. an application on file with the ................................................................................................... Fire Department, and'subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssuedBy: ................. ...... .....................................................................................Title .....!%'.......2............. .................. Date ,..,0..................'3... { Permit to install expires 60 days after issue date Stove ............._ .............—............................ . ...................................... ...................... .............................................................. ............................................. ................ StoveClearance ..../:......!......................................................................................................................................................................................................... ....................................... .. Floor ............................................................................................................................................................................................................. .............................................. Smoke Pipe ................................................................................................................. ........................... .......................................................... ................I�.......... SmokePipe_. Clearance ...... ..........................................:......................................................................................................................:................................................................................... Chimney ........................................................................................................................................... ........ ..................... Smoke Detector .......... ! ''....................................................................:............................................................................. .....................................................:.......................................... The undersigned hereby certifies. hat the installation of solid fuel burning stove and equipment made under au- thority of permit dated .............. has.................... has been made in accordance with provisions of the Commonwealth `... of Massachusetts State Build ng Code now currently in effect and pertaining thereto ...... -' ...................................... Installer leg INSTALLATION APPROVED f.... ................................................ By:......................................................................................... Title. ............. ............:............. , date C WHITE: FIRE DEPARTMENT —.CANARY: BUILDING INSPECTOR — PINK: APPLICANT A'4 a2.w.x,''aay*65 „ '+' t ..< °'d'x4�+rx ,Ey.Z �..•'. '.° y�;r ` ay�r{i, ..v.i�,, 't.,.. 1.,..,;. Assessor's office(1st Floor):Q / 6 ��"¢" Assessor's map and lot number Toy WQ _ o Board of Health 3rd floor): Sewage Permit number BASJ9TSDLL i Engineering Department(3rd floor): ,y V s rya► House number 30 °0,,�t630* Definitive Plan Approved by Planning Board 19 c Mpr d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO /,,", A-:'DO T/e,> TYPE OF CONSTRUCTION IZC`J D A--7'/,L. Np/ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the.following information: Location 30 5�qaf I �-�/ l� Y�Iu,UiS MA' oa �a/ Cc.07- Proposed Use Zoning District Fire District Name of Owner (2. M. 70 HrJSD&l Address 3 b 5eo cq a 6G IL1- 14 _I a Name of Builder C/Y1 10 HK),SQAJ Address Name of Architect Address Number of Rooms Foundation Exterior C'c awl SH)ki i_ Roofing g 5���r t r) c T ,y., Lj(7L Floors t' vjca0 Interiors r1 dT Heating r �f t t$• Plumbing ' Fireplace Aj°ti e- Approximate Cost o U G Area Diagram of Lot and Building with Dimensions Fee J ©� 4 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 Supervisors'License JOHNSON, C. M. A=249-140 ` No 33359 Permit For Build Addition Single Family dwelling / Location_ 30 Seagate Lane Hyannis Owner C. M. Johnso Type of Construction Frame 9 Plot Lot #4 r Permit Granted November 14, 19 89 Date of Inspection 19 Date Completed 19 01fo PERMIT COMPLETED 1/1/ Ali Assessor's map and lot number ....f............... SEMMTEM MUST �:5 MSTALLED IN CPM P- MANQ9 WITH. ARTICLE 11 STATE, Sewage Permit number ......&I . ................... • •••• SANITARY CODE AND TOWN y�FTNE'T��y TOWN OF BARRWX"LE Z BAWSTeBLE, i Mb 9 a• BUILDING INSPECTOR. �'0 MPY ';t� ;el iN 2 ; APPLICATION FOR PERMIT TO ..2.... ..�'.....:..........�.........�....�...:...............................................................' TYPE OF CONSTRUCTION .......... ' .... .....................' ...........19 t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location C+ �r 'v`T�. �ah Q k \ ��n l S ................ .1�_. ...........................�. . .�..... ......................................................... ... ProposedUse ................ ........................................ ................................. ............................................................ ' Zoning District !._..d................................... . b Fire District ...... .._......... a ;........� ............... AA.................................................. , a f1 Z,Y�� �� e 1�22S�H �1cYk �VE: -I �Vl n 1S Name of Owner ...... .. ..:... ' . .........!....................................Address ............:.. Name of Builder ...`_ .....�/lJ.l..�. 'Q'> ..............Address ........... ... ?. ..................................................... Name of Architect ...'............................................_... . .. -..--:.rAddress Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... . Heating' ..................................................................................Plumbing ......:........................................................................... Fireplace Approximate Cost ...............................................S ..00 0 ........,......................................................................... ..................... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ....:..... �.................... Diagram of Lot and Building. with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f Name G?!!!!�!!;.. ..... ��/►...(. 1!�csivv.,............. 5 � Catignani, Laura & Roland p %10C No 204.4a..... Permit for.......Repair--Fure Damage �f Location 3Q..ZQagAte-La....H.yannia........... ............................................................................... 't r' Gati nam L u Owner ...........� •s. ...�..��..$c..R0}.and....... Type of Construction Fr.ame.................... ............. f..... . .............................. Plot ...::,...249.......1.40 Lot �--- !• J 1 Permit Granted ..........A.uguS.t..I........... :.1978 Date of Inspection .... Date Completed l!4C... .; r PERMIT REFUSED r ........................................................ 19 r, .. a....... ........ ........... ................. = � - ....... . .. .. . ...................................................... r . ................................................................... 1 t ....... .:.................................................... .... -Approved ... 19 ................... .......................................... .......... s Assessor's map and lot number ................�...�.......... Sewage Permit number ..... ................ ... . y�FTNIE TOWN OF BARNSTABLE Z BARNSTABLE, i 16 BUILDING INSPECTOR { p MFY M � � 'r► y c�z �� APPLICATION FOR PERMIT TO ..�............�...................e:........................':.............................................................. I TYPE OF CONSTRUCTION ..........r.. ',,s mP, ..................................................................................................................... .............. ..~......... .................19..,. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies-- for a permit according to the following information: Location 3 `' L \�,d el 1) . .......... ..................................................... ................................... 94 S; dQ�-1-�a! Proposed Use ` Zoning District ............�R.. r ..................................................Fire District ...., .�� ' ! . .5................................................. La ee'c,na VN; olav+c) . Nameof Owner ......................................................................Address ................................................:................................... Name of Builder -- i ?t}-?'> ?.................Address ...............:�:?... .....................:.................................. ............... . ............. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ..................................................`...................................Interior .................................................................................... Heating ................................................................................ Plumbing .................................................................................. Fireplace .......... Approximate Cost S ...°...{........................................................................ ........... .............................................. Definitive Plan Approved by Planning Board -----------_-------------------19________ . Area J Diagram of Lot and Building with Dimensions Fee ............................................ r SUBJECT TO APPROVAL OF BOARD OF HEALTH •; r ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / .........................`^~................... :'t.%:..'�^.............. g �-1 q— l (C� Cati nani Laura & Ra`_.a -" } f No 20445...... Permit for .R®pair•..Fire••Daxsage i ............................................................................... t Location ....... s........... , r , t Owner ..Catigna.ni.,..Laura..&..Roland........ Type of Construction .......Frame........................ t ................................................................................ a zPlot 24..g.......1.4►0......... Lot ................................ t e S Permit Granted ........August.....1............19 78 Date of Inspection ..................:.................19 Date Completed ......................................19 i t PERMIT REFUSED �.` ......... 19 . ......................... . ......$ .y� ?.... . .............. { � .......................................... J' .................... 7. .. .. Q !N�� .....................................�......................................... ............. .................... ....................................... GApproved ................................................ 19 ............................................................................... i 01 [01 Town of Barnstable Permit# �� � Lipfres 6 months u issue date Regulatory.Semices Fee MASuts:�rsTwra� t .=634. Thomas F.Geiler,Director ♦� Building Division Tom Ferry,COO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-€62-4038 Fax: 508-7 -6230 EXPRESS PERMr APPLICATION RESIDENTIAL oNLY Not Yatid x-rlhvut Red X-Press rnrprirrt Map/parcel Number_ Property Address .3 U JE4%n re L GN•e A/ 4 IVA,, 11-4 [ZResidentiat Value of Work t; .Z 51y Minimum fee ofS35.00 for work under$6000.€0 Owner's Name A ddr ess a�!/t,� ?Ejir/vr r Oil - /air Contractor's Nam 1. lJi�Zi ! alo?� T/Tn�y/EfG�Z ew .�..NG Telephone Number Home Improvement Contractor License#(ifapplicabie) . ` 00 7 yd _ u- , Construction Supervisor's License#(if applicable k �n:-< "' P it :`.r�,, 56Vorkman's Compensation Insurance Check one:. ❑ 1 am a sole proprietor ❑ I am the Homeowner �,rtnr g1 i�� �'cRNS F A SL E [v�I have Worker's Compensation Insurance Insurance Company Name / �• Workman's Comp.Policy f A / 32 Oak Copy of Insurance Compliance Certificate must accompany,each perms Permit Request(check-boil). Q Re-roof(hgrricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re--roof(hurricane nailed}(not stripping. Going over existing layers of root) tQ/R&side e'eyAw-leeV /ft fQtaepgjw ,fall,,.J yO -otp Qy h• ze !bale t. of doors El Replacement Wir dowstdobrs/sliders.U Value (maximum.35)#ofAindows %there required: Issuance orthis permit:does not exernpt compliance with ether to um de¢uarneatreguIations;i.e.Historic,.Consenntion etc. * kNafe Props .y Q ner must sib I'roparty Owner Letter of Permission. ! opy o Rome Irnpro"ment Contractors License&Construction Supervisors License is SIGNATURE: C tllsmwecoiitllAppDaz loca oftttVin_dous Tempora y.Intema ileslCanterm OutlooktDDVS7AA2:�m'prss,doe Revised 072110 f The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name(Business/Organization/Individual): . C{, ,"Z Z� �`�j -� T].w ��• V,e /;t t,,41'r Address: 1 �,q r -2 uJ 7-d u!r City/State/Zip: Op fV i 0 g,�3 f- Phone.#: 5D c' 4AZY 'g S Y you an employer? Check the appropriate box: 4. I am a eneral contractor and I Type ofproject(required):[Are am a employer with. 'fl t ❑ g employees(full and/or part-time).* have hired the sub-contractors6 ❑New construction .❑ I an a sole proprietor or partner- listed on the'attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have $_ El Demolition working for me in any capacity. employees and have workers' [No workers' comp, insurance comp. insurance.#' 9• ❑Building addition required.] 5. [] We are a corporation and its' 10.❑Electrical repairs or additions . 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions 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#I 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 anew 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. lam an employer that isproviding workers'compensation insurance for my employees. Below is the.policy and job site information. Insurance Company Name:-/yQ f �/7q 7 h l: eD Policy#or Self-ins. Lic.#:�(,l�CC 3�27J Expiration Date-_ ,_cfA 1_40" ,�o!'r Job Site Address: .30 L 4 ,k* City/State/Zip: A1/ a a 4,11 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ' fine up to $1,500.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA for insurance coverage verification I do her-eby c-er--tify under-tlae pain =and-penalties of per-jurj7-that-the-infar-mation-pr-o-vided-aboue-is-true-and-coxr-ect Si afore: p � Date: 31611,011 Phone#: L 0. 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: Client#:47298 CAPIHOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 01/04/201�1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditi Aons of the policy,certain policies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Karen Walther NAME: Rogers 8r Gray Ins.-So. Dennis PHONE 508 398-7980 FAX AIC No Ext: A/C,No): 434 Route 134 ADDRESS: waltherka@rogersgray.com P.O. Box 1601 PRODUCER South Dennis, MA 02660-1601 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:National Grange Insurance Co. Capizzi Home Improvement,Inc. INSURER B:ACE Property&Casualty Ins.Co Capizzi Enterprises,Inc. INSURER C: 1645 Newtown Road Cotuit,MA 02635 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - TYPE OF INSURANCE DDL UBR POLICY EFF POLICY EXP LTR NSR D. POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/2010 0610812011-EACH OCCURRENCE $1,000,000. X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $500,000. CLAIMS-MADE F XI OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY 71 PRO-J,CTLOC $ A AUTOMOBILE LIABILITY BPO10786 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT $ - 50O000 A ANY AUTO M1M28044 06/08/2010 06/08/2011 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS - BODILY INJURY(Per accident) $ X SCHEDULED AUTOS - PROPERTY DAMAGE _ $ - X HIRED AUTOS (Per accident) X NON-6WNEDAUTOS U1 $25O/500,000 X Drive Other Car U2 $2501500,000 A UMBRELLA LIAB X occuR CU61076H 06/08/2010 06/08/2011 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS MADE . AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 - $ B WORKERS COMPENSATION NWCC45843208 12/25/2010 12/25/2011 X WC STATU JE OTH- AND EMPLOYERS'LIABILITY Y/NIMIjS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 - OFFICER/MEMBER EXCLUDED? 51 NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I I I I E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/.VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER. CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE m198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S61971/M61970 MEE Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - Office of Consumer Affairs and Business Regulation Registration: 067,40 Type: 10 Park Plaza-Suite 5170 w E ExpiraCon. Z3#2iY12 Supplement Card Boston,MA 02116 . CAPIZZI HOME 1M2-R-0-VEMEN: NNC. - GARY GUSTAFSOWf -- 1645 Newton Rd. Cotuit,MA 02635 '� Undersecretary No . id without signature �,_ luss.►chusctts - Deh:u-tmclit of Public SafCO Board of Buildin±, Re'�ul:ition, and Stund.u'ds Construction Supervisor License. License:. CS 74640 GARY GUSTAFSON 8 SHORT WAY SANDWICH,MA 02563 Expiration: 11/29/2012 Tr#: 7058 umiui•�imicr ._... Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, DONNA MORRISON, OWN THE PROPERTY LOCATED AT 30 SEAGATE LANE IN HYANNIS, 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 ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. c SIGNATURE OF OWNER: OWNER'S ADDRESS: 30 SEAGATE LANE, HYANNIS, MA 02601 OWNER'S TELEPHONE: 508-790-0591 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: f✓"Au RESPONSIBLE OFFICER ADDRESS: 16 IT Npa-Yowp Ali co7-�� / � OZG!�4 RESPONSIBLE OFFICER TELEPHONE: 5,-01 r , m This Is to certify that a izzi . Home Im rovernent . p p is hereby recognized es.a Shingle asterT"', and therefore can offer.the SureStar rm PLUS 3-STAR and Coverage warranty extensions. This company has achieved ShingleMaster'°status by employing a Master Shingle-Applicator" qualified.workforce (including one,job supervisor and,at least two'installers) or by attending a ShingleMaster Credential Course. The Master Shingle Applicator qualification is based on the CertainTeed Shingle Applicator's Manual test. This publication discusses the complex requirements and recommendations for the installation of a high-quality shingle roof system. The ShingleMaster Credential Course covers an overview of CertainTeed roofing products, proper Shin P P gleMaster•~ Guillaume Texier application stan dards, rds and a review of shingle g e President :CertamTee d Roofing CertainTeed8 technology and quality. Renewal is required valid through `i8tl 31, 2012 every two years. r rr• ` r r •r f Specification Sheet CertaimnTeedcq T lonogra M 46 Vinyl Siding General Description:MonogramTM provides the look of wood siding,but does not require the upkeep common to wood. Monogram siding is manufactured with TrueTextureTM rough cedar finish molded directly from real cedar boards. Available in a selection of profiles,Monogram offers the industry's widest selection of colors. It is appropriate for use in new construction for single family homes,multi-housing projects and light commercial developments.Monogram is also an ideal product for remodeling. Styles:. Profile Finish Panel Wall Lock Design Colors Accessory Projection Thickness Pocket (Nominal) (Nominal) Double 4"Clapboard Rough Cedar %. .046" CertiLockTM post-formed _ 40 3/a" positive lock Double 5"Clapboard Rough Cedar 3/4" 046" CertiLockTMgost-formed 19 3/a" positive lock Double 5"Dutchlap Rough Cedar 3/<" .046" CertiLockTM post-formed 27 3/<" ositive lock Colors:Monogram siding profiles are available in the industry's widest selection of colors.All colors are Spectrophotometer controlled and utilize.exclusive PermaColofrm color science. Arbor Blend** Cypress Herringbone Pacific Blue* Spruce* ' Arctic Blend** Desert Tan Ivy Green* . Sable Brown* Sterling Gray Autumn Yellow Flagstone* Light Maple Sandpiper Suede Barn Red* Frontier Blend** Meadow Blend* Sandstone Beige Summer Wheat Buckskin Glacier Blend* Mint Savannah Wicker Terra Cotta* Canyon Blend* Granite Gray Mountain Cedar* Sea Breeze Timber Blend** Colonial White Hearthstone* Natural Clay Silver Ash Weathered Blend** Coral Heritage Cream Oxford Blue Snow Woodland Mist *Deluxe Color:Deluxe colors utilize CertainTeed's exclusive SpectraGrain MVFTM(Multi-Viscosity Fusion)process to provide the unique appearance of semi-transparent and solid stained wood siding. **Premium Color:Made with an exclusive,highly durable polymer capstock combined with unique heat distortion modifiers that help ensure long-term weatherability in darker hues that would otherwise quickly fail. STUDfindefrm:The patented STUDfinder Installation System combines precisely engineered nail slot locations with graphics.Nail slots are positioned 16"on center to allow for alignment with studs.STUDfinder graphics centered at each slot provide a quick and easy guide to help locate studs. RigidForm?M:Monogram RigidForm.220 technology has a stiff,double-thick.092"nail hem for a straighter-on-the-wall appearance and wind load performance. Lock:Uniquely designed for ease of installation,Monogram features the CertiLockTM locking system-,a post-formed positive lock which provides for self-aligning installation.Properly installed panels will snap together with an audible"click" signaling that they are ready for nailing. Accessories:CertainTeed manufactures a wide range of siding accessories which are compatible with Monogram siding styles and colors.Accessory products include installation components,soffit,window and door trim,corner lineals,corner systems and decorative moldings. Composition:Monogram siding products are produced using CertaVinTM custom-formulated PVC resin.This resin is. produced exclusively by CertainTeed,allowing CertainTeed to maintain the high quality of its siding products.CertainTeed's Monogram siding is in compliance with the ASTM Specification for Rigid Polyvinyl Chloride(PVC)siding D 3679. Technical Data:Monogram siding meets the weathering standard in ASTM D 3679 using ASTM D 1435 procedure.As shown in Table 1,Monogram siding is in compliance with ASTM Fire and Smoke procedures and meets or exceeds International Building Code requirements. Table 1 ASTM E 84 Flame Spread Index 20 Fuel Contribution 0 Smoke Development Index 390 ASTM D 1929 Self-ignition temperature 813°F ASTM D 635 Material is self-extinguishing with no measurable extent of burn when tested in accordance with this specification. NFPA 268 Radiant Heat Test-Ignition Resistance of Exterior Walls-Conclusion that CertainTeed met the conditions for allowable use asspecified in section 1406 of the International Building Code. Important Fire Safety Information:When rigid vinyl siding is exposed to significant heat or flame,the vinyl will soften, sag,melt or burn,and may thereby expose material underneath,Care must be exercised when selecting underlayment materials because many underlayment materials are made from organic materials that are combustible.You should ascertain the fire properties of underlayment materials prior to installation.All materials should be installed in accordance with local, state and federal Building Code and fire,regulations. Wind Load Testing:CertainTeed Monogram double 4"siding has been tested per ASTM D 5206 standard test method for resistance to negative wind load pressures of 63 psf,which equates to more than 220 mph per VSI windspeed calculation guidelines,when installed with nails positioned 16"on center.Check with your local building inspector for wind load requirements in your area on the type of structure you are building: Documents: CertainTeed Vinyl Siding meets the requirements of one or more of the following specifications. Texas Department of Insurance Product Evaluation EC-I I Conforms to UBC Standard 14-2 New York City Approval MEA#285-93M,284-93-M Conforms to ASTM Specification D3679 Conforms to ASTM Specification D4477 Florida BCIS Approval FL1573,FL10421 ICC-ES Evaluation Report ESR-1066 CCMC#13008-1, For specific product evaluation/approval information,call 800-233-8990. Installation:Prior to commencing work,verify governing dimensions of building,examine,clean and repair,if necessary, any adjoining work on which the siding is in any way dependent for its proper installation.Sheathing materials must have an acceptable working surface.Siding,soffit and accessories shall be installed in accordance with the latest editions of CertainTeed installation manuals on siding and soffit.Installation manuals are available from CertainTeed and its distributors: Warranty:CertainTeed supports Monogram siding products with a Lifetime Limited Warranty including PermaColor Lifetime Fade Protection to the original.homeowner.The warranty is transferable if the home is sold. Technical Services:CertainTeed maintains an Architectural Services staff to assist building professionals with questions regarding CertainTeed siding products.Call 800-233-8990 for samples and answers to technical or installation questions. Sample Short Form Specification: Siding as shown on drawings or specified herein shall be Monogram Vinyl Siding as manufactured by CertainTeed Corporation,Valley Forge,PA.The siding shall have a.092"thick nail hem.Installation shall be in accordance with manufacturer's instructions. Three-part Format Specifications:Long form specifications in three-part format are available from CertainTeed by calling our Architectural Services Staff at 800-233-8990.These specifications are also available on our website at certainteed.com. ISQ 9(?ftl d CertainTeed Corporation P.Q.Box 860 Valley Forge,PA 19482 certainteed.com RLSISTME)FIRM ©4/09 - Technical Data:Monogram siding meets the weathering standard in ASTM D 3679 using ASTM D 1435 procedure.As shown in Table 1,Monogram siding is in compliance with ASTM Fire and Smoke procedures and meets or exceeds International Building Code requirements. Table 1 ASTM E 84 Flame Spread Index 20 Fuel Contribution 0 Smoke Development Index 390 ASTM D 1929 Self-ignition temperature 813°F ASTM D 635 Material is self-extinguishing with no measurable extent of burn when tested in accordance with this specification. NFPA 268 Radiant Heat Test-Ignition Resistance of Exterior Walls-Conclusion that CertainTeed met the conditions for allowable use asspecified in section 1406 of the Intemational Building Code. Important Fire Safety Information:When rigid vinyl siding is exposed to significant heat or flame,the vinyl will soften, sag,melt or burn,and may thereby expose material underneath;Care must be exercised when selecting underlayment materials because many underlayment materials are made from organic materials that are combustible.You should ascertain the fire properties of underlayment materials prior to installation.All materials should be installed in accordance with local, state and federal Building Code and fire regulations. Wind Load Testing:CertainTeed Monogram double 4"siding has been tested per ASTM D 5206 standard test method for resistance to negative wind load pressures of 63 psf,which equates to more than 220 mph per VSI windspeed calculation guidelines,when installed with nails positioned 16"on center.Check with your local building inspector for wind load requirements in your area on the type of structure you are.building: Documents: CertainTeed Vinyl Siding meets the requirements of one or more of the following specifications. Texas Department of Insurance Product Evaluation EC-11 Conforms to UBC Standard 14-2 New York City Approval MEA#285-93M,284-93-M Conforms to ASTM Specification D3679 Conforms to ASTM Specification D4477 Florida BCIS Approval FL1573,FL10421 ICC-ES Evaluation Report ESR-1066 CCMC#13008-L For specific product evaluation/approval information,call 800-233-8990. . Installation:Prior to commencing work;verify governing dimensions of building,examine,clean and repair,if necessary, any adjoining work on which the siding is in any way dependent for its proper installation.Sheathing materials must have an acceptable working surface.Siding,soffit and accessories shall be installed in accordance with the latest editions of CertainTeed installation manuals on siding and soffit.Installation manuals are available from CertainTeed and its. distributors. Warranty:CertainTeed supports Monogram siding products with a Lifetime Limited Warranty including PermaColor Lifetime Fade Protection to the original homeowner.The warranty is transferable if the home is sold. Technical Services:CertainTeed maintains an Architectural Services staff to assist building professionals with questions regarding CertainTeed siding products.Call 800-233-8990 for samples and answers to technical or installation questions. Sample Short Form Specification:Siding as shown on drawings or specified herein shall be Monogram Vinyl Siding as manufactured by CertainTeed Corporation,Valley Forge,PA.The siding shall have a.092"thick nail hem.Installation shall be in accordance with manufacturer's instructions: Three-part Format Specifications:Long form specifications_in three-part format are available from CertainTeed by calling our Architectural Services Staff at 800-233-8990.These specifications are also available on our website at certainteed.com. ISO 900 t eCertainTeed Corporation P.O.Box 860 Valley Forge,PA 19482 < ;r certainteed.corn REGISTeaen Rxmi 04/09