HomeMy WebLinkAboutBLD-93-637 �/:Yqsr.) s
- s: r TOWN OF YARMOUTHc/ 3
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MATTACM[ 5 . $`` APpligation for a Permit to Build No. G3
il
UPON FINAL APPROVAL --nNa� ,V�3 „ MAP �C LOT 1"--26
FEE MUST ACCOMPANY THIS APPLICATION. "1/4‘, DATE `' /L 19 -9,
The undersigned hereb1 applies fora permit to build \, , 1t#9-3
according to the follow;n9 specifications _ 933
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1. Name of proserty owner -..,P-A-'),- 4,44/,e Tel.394/-889s
cr. Address r 35-' eorvt-~e,- f$rr Ai/ygei'crrs
I 2.Nameof Architect(if any) Tel.
3. Na ,g .vvz/tSd /dVr A/ru•rn�dn lL
Name of builder /t�izzi �r .i >�,9,'z n »- Address r-_.4-re..7- M crag 43-
4.
r4. License No, 09619 Tel. fe7A— We
5. Namp of Mason — _ Address
a Lice Ise No. — Tel.
7. Construction address,3r (.vrrr,✓err &r/, yze,n' w
Date of subdivision Approval
plain zone C—I
Zone Q`/O
PrivateFlood District dwelling ❑ Estimated Cost DO • WRITE IN THIS SPACE
10. Multi family ❑
-ii- pj ; y / Type of room No.
i • t .
11. Commercial 0 iZxzoI atic/< ��� /`� Kitchen
12. Other ❑ w/n""s 'v°"_- - Dining Rm.
Living Rm.
13. No. of stories 'd o--a Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 ^-1eC K Bath
15. Materials - Wood 0 Cement 4❑ Other 0 ✓ Deck/J(p f
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 0 Family Rm.
Sun room
18. Swimming pool - Size - ' , , Garage
19. Storage shed — Size Shed
20. Stove— Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front No.of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line / Side line
25. H.I.C.R. No. /� 7g45
LOT RELEASED BY Signature / l ii - -4--cre>^
PLANNING BOARD Address /acts' sat} �7
Date - K-37---vi7 41052d2 GS
'.,
APPLICANT: 7'z5J �1r jyforer BUILDING PERMIT : / 3 '
/
ADDRESS: Izrecntati /g7 amir TELE. NO. : 4/zp-9j7f DATE FILED: x-7393
BLDG. SITE LOCATION:f �Quenbt/4r, `l y � MAP/!: 7J LOT(/:
THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL/ STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
THE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COPPIERCIAL BUILDING
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WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY.
ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E. : IF LOT(S) BORDER ANY
TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH
LAND, ETC.
HEALTH.DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATtC'NS, I.E. : REQUIRE-
MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC H:".Xtci ACTIVITIES.
FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS
ETC.
TILE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING HE REQUIRED BUILDING PERMIT:
REV L• . BY:
WATER DEPARTMENT �nd1,,., , N % .•� DATE: I ?, - 1 ; N/A:
2. ENGINEERING DEPARTMENT: t DATE: N/A:
3,AONSERVATION: DATE: - N/A:
eir. HEALTH DEPARTMENT / fi(n 440 DATE: -). ¶j-y3 N/A:
I ;/USTR AL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT. _
COMMENTS: iA 1 `.,r - \ -- r ' J' ' a krC • l� �'��- k n. I� 4^
r. _
1.31-DG > dv roa o% ##wy £orcot Ovsc %2c c-G#r au . �c.
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36 Co•4c; %Mcr. AvE• CapluiHome Improvement Inc.
IC 2 xLAftt
Z _,s lot Sr • (OES7 tf fitu
rltot H 164Cot5u MSA 02635
o.c. - - Tel.428-951811-8110-262-5060
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1- x 83Eam POST : '�s'SK38SS.I
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AC01:11. CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY)
PRODUCER .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONQD
ONLY AN
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
1DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
NORCROSS & LEIGHTON COMPANIES AFFORDING COVERAGE
437 STATION AVE
1 S YARMOUTH MA 02664-0579 COMPANY1
LETTER A
MARYLAND CASUALTY
INSURED COMPANY B ,.
LETTER
MARYLAND CASUALTY
LETTER COMPANY C
CAPIZZI HOME IMPRVMT
1 645 NEWTOWN RD COMPANYLETTEAD
COTUIT MA 02635 AETNA LIFE & CASUALTY
COMPANY
LETTER E
I
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1
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.
CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER DATE(MM/DD/YY) DATE IMM/DD/YY) LIMITS
A GENERAL LIABILITY EPA13188058 4/01/93 4/01/94 GENERAL AGGREGATE $11000,000
x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. $ 1 , 000 , 000
CLAIMS MADE x OCCUR. PERSONAL&ADV,INJURY $ 1 , 000, 000
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $1 , 000, 000
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FIRE DAMAGE(Any one tire) $50,000
MED.EXPENSE(Any one person) $51000
B AUTOMOBILE LIABILITY CA 99645087 4/01/93 4/01/94 COMBINED BINDLE ..
ANY AUTO • LIMIT $
ALL OWNED AUTOS
X'SCHEDULED AUTOS Per p V�)URY $
HIRED AUTOS 1 , 000, 000
NON-OWNED AUTOS BODILY INJURY $
(Per accident) 1 , 000,000
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY _._ 500 0 000
EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
D WORKER'S COMPENSATION , C0022381474 4/01/93; 4/01/94• )(STATUTORY LIMITS
AND ' EACH ACCIDENT $100, 000
EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT $500, 000
DISEASE—EACH EMPLOYEE $100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
HOME IMPROVEMENT CONTRACTOR
7-7—CANCELLATION
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— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 1 QDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THEECC(OMMMP�ANN��Y,�ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ---'^�" �'-V" 'LEIGNT L(FIC
ROBERT H LEIGF p
AWHU n-a �uervT O .CORPORATION 1990
COMMONWEALTH OF NaSSACHUSETTS
DEPARTMENT OF LNDUSTRUI.ACCIDENTS
V77-
600 WASHINGTON STREET
:Una Ca-:: ; BOSTON, MASSACH4ETTS 02111
coraszne•
WORKERS' COMPENSATION L\SUR4NCE AFFIDAVIT
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I, Z2 r i'd.
Oicenamtpe. ' ec)
with a principal place of business/residence at
(City/St::esZ)p)
do hereby e:r-Jfy, under the pains and penalties of perjury, than
() I am an employer providing the following workers' compensdoa coverage for my employees working on this
job.
4e1714- / S ,y c0022.58/ 741
Insurao= Company Policy Number
O I at a sole proprietor and have no one working for me.
(] I : sok proprietor, general contractor or homeowner (circ:one;and have hired the contractors listed be::::
who have the following workers' c9mpensation insurance poiider:
Name cf Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Ins_sc: Company/Policy Number
D I am a homeowner performing all the work myself.
NOTE: Please be awue,that white homeowner:who employ pc:;o:s to do maintenance,construction or repair work on
dwelling of riot more then three units in which the homeowner also resides or e:the grounds appur_:ant thereto are tot generally
considered to be employe::under the Workers' C:orpets:;ion Act(GL C.152.sec_ 1(5)),application by a horaeow:et for a lie::s:
or permit may evidence the legal sums of art employe:ued:;the Workers'Ce= ensation Act
lenient that a copy of this stet:men:will be fcrw..L: .o the Dcp r,-:r:made::ria Acdd:as'Office of fns.:ane for
v' •:ler.and that failure to secur:cev:r. :as repeired end::Scaien 29.of MGL 152 est lead to the imposition of erimina p __
e:nsi: r_ ::ane oleo to 51500.00 andfor imprsonm:r.:of u: to on:yoth and dr".i penalties Ln the form of a Stop!Cork Ord::s... .
fen:of S 1:':20 a day :?ns:me.
2-77 day of 4,6'el-r7— , 19 2 3
Lice..
-s::.tPc:rniror
elk a 0/..14441,4ackaeta
CifFJ HOME IMPROVEMENT CONTRACTORS REGISTRATION
%
Board of Building Regulations and Standards
' One Ashburton Place — Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 100740 Expiration 06/23/94 92, 4 /{ „
Type — PRIVATE CORPORATION • ___
iisift;fl t HOME IMPROVEMENT CONTRA[
Registration 180741
Capizzi Home Improvement, Inc. Type - PRIVATE CORPORAL
Thomas Capizzi , Sr. , Expiration 06/23/94
1645 Newton Rd.
Cotuit MA 02635 �e � Capizzi Hose Improvement
dx r4 v (1 Thomas Capizzi, Sr.
Is "'�" 1645 Newton Rd.
ODMINTRATOR
Cotuit MA 02635
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PLOT PLAN ",9. YAZWZ/_z.
FOR LOT if 3 /2✓'.S w.0 7 N1a Alt
,.tf Vigifrid274
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal(cesspool)
WellEl
I (Lot. ft. rear) I — — — —
Abuttals — "— .Ifg. Abutter's
NameI Name
Lott Rear Y Lot S
s5• b&
yft.
•L.,' I <�,� .
Ifthis isa Ii
' IL iEll.11'
sit
corner lot, v ,a corner lot,
write in
write in a name of name of
other street. Sideyard HOUSE Sideyard other street.
ft.� • 4 ft.• #
t •
s I i
I
Set Back
ft.
I
I
I
'i 1
(Lot. ft. frontage)
/
`� // -- (Name of street)
/�—/ Information //^^ ////
/ \ Suppliedby_r. . )//'�/ L/ f YYle-cieff
Mark Neel Point
• . LOT NO. :7,2ADDRESS:Cv,vS7ANc5 wr
r Crcti>j I 4
OWNERS NANE--66 r - --/2r-/%t'2 5-91
SEWAGE PERNIT NO. : 91-Wir NEW: /REPAIR:
DATE ISSUED: C.-Ca.is-1 DATE INSTALLED: f ' jO-gS-
INSTALLERS NAME: AP_c.H `m-sr (0:1. v.e.- ? 7s/36%2
INSTALLATION OF:Lo crA mart*
WATER TABLE: FINAL INSPECTION BY• �'!f
DRAWING OF INSTALLATION ON REVERSE tIDE :
,,0110
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