HomeMy WebLinkAboutBLD-19-000867 .OY;•YAR r Office Use Only
'� �. `r0. 'Permit#
F " l 4 Amonnr 50'
c •
id' • 4[Permit expires 180 days from )
'v issue darn ,
1RFCEI !/ ED
EXPRESS BUILDING PERMIT APPLICATI N---___..__
TOWN OF YARMOUTH Ain 13 2019
Yarmouth Building Department
1146 Route 28 f
South Yarmouth,MA 02664 LRv L r
�/ (508) 398-2231 Ext. 1261 13 Lb—I 9— bbk(07
CONSTRUCTION ADDRESS: 2 Yo rP/NE Si`fEET AR M O UT U F 0R7
ASSESSOR'S INFORMATION: j
N.a iv c y /i vN/E j� Map: I 5' Parcel: 1
OWNER: C'f rTHMA MARJin/ aY0 Pi,vc Stj4ernovrwpu1Lr r.yozerfr c el 5y137
NAME PRESENT ADDRESS J TEL # Email Address:
CONTRACTOR: 4dk0 T Sian 00///e/ &Mt/.Min lefirideit e fl/- aYt f11/r
NAME loserd/tWfowk Rn MACoGADCRES)/* 0.1G 3r' TEL# Erroll Address:
Mit/ Z%.c.Ze (4r+i s2. haft-4v
(Residential Commercial Est.Cost of Construction$ y/ rt,e.O et •
Home Improvement Contractor Lic.# /001 Yd Construction Supervisor Lic.# C S 0 GSit/7
Workman's Compensation Insurance: (check one)
I am the homeowner /`J I am the sole proprietors I have Worker's Compensation Insurance
Insurance Company Name: � ` GU4AD 1'N✓ r p 6NGy Worker's Comp.Policy# '°Z C a``372/
WORK TO BE PERFORMED
Tent _ Duration (Fire Retardant Certificate attached?) Wood Stove
Siding: #of Squares ' Replacement windows:# 21 Replacement doors: # /164y
RE//Ire ex/ins, ,(oil !v/yond. ..vrser fir, .rAA/Y c#
Roofing: #of Squares ( )Remove existin s(max.2 layers) Ins ation >dra*
446-4/
„��li I/ ✓ IA" t i M t /�oate yea ti 51 /
INTI 'Old Kings Highway/Historic Dist. (v
( )Replacing like for like
*The debris will be disposed of at 0WN 0/ Y�vK!o dmf L4it///�'f/
Location of Facility
I declare tinder penalties of.- 'ury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s)
will be just cause for denial o,-`
are: :cation of my li e and for prosecution under M.G.L Ch.268,Section 1. 0����/�
Applicant's Si,'. e: �f / ' .�_ Date:
Owners Si' -ture(.r�Ftach.'a r;- c /i •�VrHdR%ZIT// ' sate:
-ramp- 7' /y'/,
Approved By: , /p�'/ Date:
Building I.- cal o .'..01.4
District•
Historical District No Flood Plain Zone: Yes e
Water Resource Protection District Within 100 ft.of Wetlands:
• Yes NP Yes No
r
' Locun Envelope ID:3B2AE3E1-0420-47AC-87AB-EEE08CDA482F
Page 6 of 6
Capizzi Home Improvement Inc.
Specifications and Estimates
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
WE, CINDY&NANCY MARVIN-HUNLEY, OWN THE PROPERTY LOCATED AT 240 PINE STREET
IN YARMOUTHPORT, MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY
FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE
BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
&hi
ctSigned by:
SIGNATURE OF OWNER: AL:UNIV. Sz Nau ha/9
CE30300CCE48A...
OWNER'S ADDRESS: 240 PINE STREET YARMOUTHPORT MA 02675
OWNER'S TELEPHONE: (508) 375-0863
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:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
• r
. y
SCA1 0 200M-051t77ooi ,iHr /
¢guaUOn
Office unsumzrn rsaDua
Registration valid for individual use only
HONE IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
on
TYPE:Suoolement Card Office of Consumer Affairs end Business RegWatl
EistagntIpn Fsoira0°n One • •burton Place-Suite 1301 /
100740 " 06122/2020 :.sto� A 02100
CAPIZZI HOME IMPROVEMENT,INC. �_
JACK STRUNSKI (`'(D`I' tlp---- P ' Not vat • without signature
1645 NEWTON RD.
COTUR,MA 02635 Undersecretary - ..
•
•
Construction Supervisor ' - Commonwealth of Massachusetts
Unrestricted-Buildings of any use group which contain '11t Division of Professional Licensure
less than 35,000 cubic feet(991 cubic meters)of enclosed I Board of Building Regulations and Standards
space.• Constrattibrf iip,rvisor
. CS-064817 Expires:06/18/202C
- Y
i r' g
- JOHN T STRUMSKI - t ' O i _
a 1 � 19 ALDEN AVE - `. ',f _ k,.
x BUZZARDS BA't4MA'02532 S € . ot 1 w i
Failure to possess a current edition of the Massachusetts '("f)ISS'Sd01�`�
' - State Building Code is cause for revocation of this license.
For information about this license " ^ �
•
lP
A d CERTIFICATE OF LIABILITY INSURANCE ' DATEIMM/DD"YYY)
• 12/27/2017
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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER NCpfsp. T Rogers and Gray Processing
ROGERS&GRAY INSURANCE AGENCY INC HON at (506)3987980 FAX
incNPI:
EMAIL ADDRESS: mailgrDgers ra com
434 ROUTE 134 INSURER/SI AFFORDING COVERAGE RAC t/
SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390
INSURED INSURER B:
CAPIZZI HOME IMPROVEMENT INC INSURER C:
INSURERD:
1645 NEWTOWN ROAD INSURERE:
COTUIT MA 02635 INSURERP:
COVERAGES CERTIFICATE NUMBER: 225553 ' 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 POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDLSUBR POUCY EFF POLICY EXP 3 OMITS
LTR IVSD WVD %POLICY NUMBER IMMIPDfYYYI 0411/00/Y7171
COMMERCIAL GENERAL UABILITY EACH OCCURRENCE S
PSEoMs,CLAIMS-MADE ❑OCCUR PR MS/Eaoarel S
_
MED EXP(Any one person) $
_ N/A PERSONAL SADV INJURY S
—GENIL AGGREGATE UgqMpr.T APPLIES PER: GENERAL AGGREGATE_ S
RPOLICY❑jEC7 D LOC PRODUCTS-COMP/OP AGO $
OTHER; S
AUTOMOBILE LIABILITY COMBINEDISINGLE UNIT $
_ ANY AUTO - BODILY INJURY(Per person) $
• ALL OWNED SCHEDULED— AUTOS N/A BODILY INJURY(Paaccident) $
HIRED AUTOS _ NON-0NMED PROPERTY DMMAGE
E f
$
UMBRELLA UAB OCCUR EACH OCCURRENCE S
EXCESS UAB CLAIMS-MADE N/A AGGREGATE S
DED RETENTIONS $
WORKERS COMPENSATION X STATl1TE ETH-
AND EMPLOYERS'LlABLITY
ANYPRA OFn R�i/.R1 BEM EREXC.LUDEDYECUTIVE WA WA WA R2WC863728 12/25/2017 12/25/2018 EL EACH ACCICENT $ 1,000,000
(MandatoryyIn NH) EL DISEASE-EA EMPLOYEE $ 1,000,000
DESsORIPTIION OF OPERATIONS belay
EL DISEASE-POUCY LIMIT $ 1,000,000
N/A
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORO 101,Additional Remarks Schedule,may be attached If molespace Is required) _
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay
claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts.
This certificate of Insurance shows the policy In force on the date that this certificate was Issued(unless the expiration date on the above policy precedes the
Issue date of this certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.gov/IwdhvorkerscompensatioMnvestlgatlonsl.
Ax CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of Yarmouth ACCORDANCE WITH THE POUCY PROVISIONS.
1146 Main Street Route 28 •
AUTHORED REPRESENTATIVE
South Yarmouth MA 02664-0000
Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA
I
®1968-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
1 ..+
• .-,.. The Cosmartsvalik ausechnetts Ir.. '4"- -4P
Dowlassrfifb/ tkfenb
W - • NS4df�
jr. 686=WashIngtos Street
&itsMA 02112 -
Workers'Compiendon Tmaraceete4vta Bullders/CptractonilasetrldamMathers
Name HOMO IMPreUenlent
145 NeMavin Rosa
tft1►/tlaataabz Ma MA OEM Phone* 508421145, 18 • •
Lays as sipw?C' *the We bait ornagroldrie
1. topkvisIama insoycantworwigt ' 4. Itmapmnaaatt4iaoEaraodl
p �,a lavablrad�embamtistosle . 0. NewcaaIDtmdon
3.✓ Iems sob p apt1atnrarpaatay. bad asthe ataaltal Sat 7. ✓ Romodelbg
ft Theo aibooataalon ban
Demobs
waddle kw amplayeaamdhasawalbe 90..
' No valiant aosop.Samos in. o
3. Wemasaoepa adameadits IQ 160IdaalMIS araddhlma
.. 3. 1 amthamilawaerdolog&NS abash=aeatadadthafr ii. Phm►bbs apaf sonatone
_welt END waive °I Pal 11. Rooftepalts
lommaxersgalred4t aIs?.111g/laws ban no
amployeaa CIO wakng , 13./Other 4 (te/fl
a amp.tamted•] - e wool
Tmek , Irina
ikaumsw�o derl ia�es taL6aa a saawdm taaas
bilailigetb.
Vann agemarts IfrassatimaMm asttmfltaaste aetraangoaMantaarasotamambiw
. aelaeaa.Imiab ola nlasaatays%thirfl ovIda tearimbu'aamploadysiadis
• .; los asation titatbstreverwaineetwarodowkaawitiftrapspless ddfortrtpdlyadfIsts
lama
mamas canstorNos AMGUARD INSURANCE COMPANY
Pali9or Walk it -.' . °' a' 121262718
Miesaspdibwartime ploy pap°boldestt*poky aa asdmind=dda).
Pam toems amigo aarequIradamdteSudan 25Ac w&a.152 miladoHroImposMosofodmlaadpaaaltlasoda
• fine up t $1400.00aad/arawns Imprisoned,aavrenaadvl1pmatimMtn=ofaSTTOPWORK ORDEK me ate
�Y '
•
'
g;, Gig Io82S0.00aday thaviolator.Beadvbadthatacagy adtf� NalammtmaybakewatdedtothaMks of
Tuna adSDDAIrS aaos many varMasdan.
IS> sagp 4/Palos+*Sddbmaadaspvi dthinikus rarawaset
q • nor sr? 'l2018
0 .
An* 5084 18
+• 4 &� 4 i
. sus*DrnatranitrdettiUearettsrlat atom
•
arTenla PQM!
bakeitstkorfti(*do miet
1ti.Hosed Cleft 2.BadlyDapaAoaat S.(Wren Oat 4.11Ldaeatlnpaaeer ILPluddienpaetor
4.Ode
Coated Pan; Biwa ilk
r
•
. c;... 7 0 '------R Al .e. S±—
is lAVItinnki 6 '74--
l•�:�, ( +/ '..y .5-,c".:.
%
Q
r I C „T:
• ( 4pa.` iyl ,.r, rya , , et (. . ^ n
3i ,° �i '� a ki4 ; :'i '� S ' ' V
:.:LticActi. 'r , M ;:?:;,•1,1.,1"-;"• Ty °� x•11 t
Q
t , •
T5
` ' rh ; 0 ! A in
a-
n
w, tacs VaQIJ
..,,
x< *.,,
(4 •J� v
4 '
,, ti r �,.r _ .fyr
',,dtf. :771,04.4
`• r„*Y
* y t.,5,
,... �€• � � � r
i�« kik,: is., mar �;' „sa >~.=...,... .�, .
V V 2e , lac< wtt M
l
s
ilielkii 7444 '.,•
44aj i�y heiM - yyy
'tl ' k ,' u a a YJ a ■ '�4- �' I .1..,jt ,�.
/0/
Deck mounted skylights
Introducing the
Solar Powered 30S • Abgger
8r Fedi •. .x return
" Fresh Air" Skylight � . r — for you
•
2crt, OaO Scan for
ENESSYSrAS 3.12.ima2 O • t°.- Information
El The solar panel will work on cloudy days and with indirect light.It does not have to be exposed
to direct sunlight to function.
o With an Integrated rain sensor the solar powered skylight will close automatically,in case of
inclement weather.
U Every Solar Powered"Fresh Air"Skylight will come complete with cut to size filler pieces for the
drywall return groove.If you are replacing an existing skylight,this simplifies the installation
and minimizes the need for Interior trim work.
Y Eight factory Installed blinds are available to Include in the purchase of your skylight.
Over 80 special order blinds also available.**The blind uses its own independent,built-in,
solar panel and power system.
Y If the Solar Powered"Fresh Air"Skylight is ordered with a factory installed blind,the skylight
and blind will arrive pre-programmed to one remote control.
Blind type: Solar
In-stock factory installed blind color/pattern choices
In-stock blackout blinds-Blocks 98%of light In-stock light filtering blinds- Translucent
r 411,
Fed- ,x
DS00 Solar DS01 Solar :'S1 Solar 0512 S "r , DS02 Solar RS00 Solar RSOl Solar RS02 Solar creil ii'
For special order blind options please go to pages 58-59. !\I A J,
"Special order blinds are not available to be factory installed and ship separately
ro -
N
c
c
0)
N
0
3
G 34
xn5r .y:«yyr•v '.n(µ.Rsx +z»s,ma. w,. r�,�,1.: �i '"� ,`f ,F .
w,� ,'r,�.�^^-o^ ,gy . x :.f F,.
la
„.. . A.. re ax r b
°.» ou homy
- 43/4"4° ,,,,4, „, ,t, . • • .
Y
yF NI'x:yp {.
/$fl .. "y" ,: 27"1 '" ".' .ft.A.
min r : .,+ro.:� u, M ,a<
:
1 ti: r i X51 [ :
41.
If 5.,
ti L..,
Ill
144 •s d f
""""'//777".'„'
r^
LAssitii
f
A pleasant thermal environment is -�
essential for a comfortable hoine7eef k
ri t
F
(3) VSE MO6 Electric "Fresh A/r'� y«, , 1" M1 E7
iir 4 le 111 1 ' .
i MT , 1;/ , 4
Q U LI LI. IN.11; SO ,. ' Che
Outsideframe
In. 211/2x27s/e 21'/:x38% 211/2x46'/. 211/2z543/4 309/ex 38 Ye 30%x46'/, 309/uz54 r1/4a 441/4x 273/8 44%.x46'/.
Rough opening In. 21x26'8 21x37% 21x45%, 21x54',. /e 30/ex37' 301/46x 45%, 301/26x541/2o 44xhx26% 44/x45'/,
Daylight Area in. 16x20.44 16x31.5 16x39.38 16x48 25x31.5 25x39.38 25x48 39.25x20.44 39.25x39.38
Ventilation Area sq.ft. 2.60 3.56 4.14 .�. 471 4.17 4.75 5.32 :« «4.31 5.84
Download the o
VEL'& VELUX app from
the app store or
th
'- Android market x
Skylights
33 0