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HomeMy WebLinkAbout0585 WHISTLEBERRY DRIVE 5g5 ����1�b �r TOWN OF BARNTSTABLE Permit No. -----:---2885Qsum" ----- 1 Building,Inspector Cash f0)P OCCUPANCY PERMIT Bond Issued to Stephen Rowen Address lot #66 585 Whistleberry Drive, Marstons Mills Wiring Inspec `_ Inspection date Plumbing Inspector 4 Inspection date Gas Inspector Inspection date Engineering Department �Inspectio_ date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. r ...! Q.....��_ ...., 19... ? ...............�... � _....._------------ _- ....... ... . �� Building�nspector _ .. t.,..i'.R�.� ...�.: ',..��:-.,-�� '�' y ,'f .r y.J]�.11 ���' �.�F���•^r..�- �'JJ•nti����"�. .y Y'4���}y(t`r.l^..-r rwr'�-•��i`i'�'rv��r`FtC . ' E TOWN OF BARNSTABLE BUILDING DEPARTMENT BAR 1°TAn6 TOWN OFFICE BUILDING 1g 9 HYANNIS, MASS. 02601 MEMO TO: Town Clerk PROM: '° Building Department , DATE: An,,,Oecupancya,Permit has been issued for the building authorized by BuildingPermit _s?� .. .. ................................................... _. ._.».._. ... .........»»_._.. issued to i.. :. .. . �1 .... ..................................................... » t Please release the performance bond. P /S4ssessor's map and lot number ...........................................< �FTHEt� � 1 Q�Y�rSewage Permit number ................................:............ ....:..... Z 333AR33TAIILE, i ��. House number ...............�.✓ `r `J •S. q MA86 ................................ O • O 1679• ♦� CFO yp�a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........T.t�:.�c ......... %.�.. e........./:.fa. ..a.li�.......... Gl m. ............:.. TYPE OF CONSTRUCTION .......... ...........................................................................'........................ ........ r.f..........................:::19:: S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........4/.a.A........6Z.6.............�vh.r.c��.�.I?�i !/..........T..?1r11.v.X............................................................................... Proposed Use ...... r..F.e.......... ............../.�::m..f............................................................................................. ,..... Zoning District ................!..L................................................Fire District ...................................................... ..............,.::•...... Name of Owner ......... ...........Address .4rn,-.S. Name of Builder ...(. far/e .........efts. .�.. ...................Addres`s ............... ... ..........:......�s......r....�.�.e....: .v....�� Name of Architect ..Address Number of Rooms .......F............:...........................................Foundation ....../.�?............< enter i��..:................................ Exterior .... /.�r..�.6P.....�y...... �tti... J3AJ,Yc-................. g .......... .. . .. ... / Floors .... �?6<... C�or���f...;.....v. -�.n.�.........................Interior .....: 4..................................................... r........................ Plumbing ...�....�............m .74A...........................:........... r Heating ....v.�./............./�•!�t....wi.9�P .... g ... ' Fireplace ....o--'..........................................................................Approximate. Cost .............../..0...��.��.c�.CJ............... ........... } 19g . Definitive Plan Approved by Planning Board _______ -�_ ________ Area .......................................... Diagram of Lot and Building with Dimensions Fee - i SUBJECT TO APPROVAL OF BOARD OF HEALTH j d R OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • u. 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..ti^..... ................... Construction Supervisor's License v/..J....S.��.,.......... ROWAN, STEPHEN A=61-48 No ....288.50.. Permit for .....Two ....Two...Story........... Single Family Dwelling ............................................................................... Location .....Lot...6.6.,...5.8.5...W.h.i.s.tl.e.b.err.y...Drive Marstons Mills ............................................................................... Owner .......Stephen...Rowan................................ ...... . ...... .......... Type of Construction Frame ........................................ ........................................................................ I Plot ............................ Lot ............................... Permit Granted .........January...l5.........19 86 Date of Inspection ....................................19 Date Completed ......................................19 �� 1X87 Cal - 8r- J�� �As-s`essar's map and lot number ............. .............................. J _ ¢��< riC SEPTIC SYSTEM MU T c FT E wage Permit number ..................�:s.. 1.......... INSTALLED IN COMP WITHTITLE 5 Z 9TADLE, i House number `...............:JrCg %SS:..........................:.. N b a VIRONMENTAL COD , 39. 0 A P P R O V E D -' TOWN REGULATION owo $p Dstable Conservation S i N OF B A R N S T A B L E a _j " Signed DatO BUILDING . INSPECTOR /........�c .... ..��.........'` .m.. .l� ........... / r r................ APPLICATION FOR PERMIT TO :... �� 1......... i TYPEOF CONSTRUCTION ......:... /7. ................................................................................................... ........ .. . .............................19..ti'l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........11.p.f........ ............. e.13. ...........17e?lZ1.v.._•..t.......�.:�.�. ......................:......... ProposedUse ....:. cr..Ar.�4......... ............./!ern.e................................................................................................... ZoningDistrict ..................r....................................................Fire District .............................................................................. Name of Owner ......S. .P fa. ..P..n........ a.u✓.e.. ...........Address ......33 f!.!yte.S.:......! ,9y.....e'pn. l..W...L Name of Builder ...ax,,_/eS........I�<.Q .X..................Address ...............X,?........f .... '.?f��.%�n...e.... i Nameof Architect ..................................................................Address .................................................................................... J" Number of Rooms ....... ..........................................................Foundation ....../....::......... ...................... Exierior .... zep..B.o.r,K1...................Roofing ..........i9 ....................................................... O C r rf v /.........................Interior .....: �.ee F...R.e.l..................................................... Floors ........�tl�c...�.......P....14.......i........y.n..n.. i Heating g �............./3 rd 7�Li......................................... G?..e./............./..`?.G.t..... ........................... ...�Z .........A Approximate Cost /Q.., ,..CSC?.c?............................ Fireplace .....�r?................................................................... pp .............. Definitive Plan Approved by Planning-BoaH_ -------19 _�-- . Area ....� l.. �g'•/•••••• Diagram of Lot and Building with Dimensions 9 5 Fee..:.. G/•(�.�. ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH � 7 1 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. Namel ......................... Construction ,Supervisor's License .......... RGWE N, S 1 EPHr N r 4 ` No .•�8850,... Per it for .; 4...Sto . A :.._� Single Famil Dwel ...Y...... . .. '�>7g........................ i Location ....?PoV� 6 ....5.6..Whistleb.erry...IIrive i Niarso tnss............................. .................. 1_1. .:. ..... i d Owner ...S.teP.en`Rowell.................................... fi C �2 Type of Construction .... ..Frame....................... 0 Plot ............................ Lot ................................ Permit Granted ......Janua y ............19 86 Date of Inspection . .'�f-'J�.: �. .....19 Date Completed .... :. ..........19 �. �/L� T �l. TOWN OF BARNSTABLE, MASSACHUSETTSRMIT JOB WEATHER CARD 9 PERMIT NO. APPLICANT / V ADDRESS IND.) (STREET) (CONTR•S LICENSE) /J NUMBER OF / t? PERMIT TO v (_) STORY DWELLING UNITS (TY E OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) C ° DISTRICT - (NO.) I (STREET) BETWEEN J AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE- FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION o .. TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ FEE ICUSIC/SOUARE FEET) OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER. TEMPCRAP.ILY OP. PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH-AND'LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM'THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. I. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD S® IT IS VISIBLE FRC$iIi STR ca.ET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r� LL , HEATING'INSPkC TING APPROVALS ! RE#+&*f& N �'= irAm ALS DuN C��s/vb RMPYEERIING .s WORK _�A'Lt NC- ==OCEEZ UNT: TY= PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON TH!S CAR NS=EC_�;R -AS 1-=--o"._D _-E VaoIoUs WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE A°RANGED FOR BY TELEPHONE -SAGES OF CONSTRUCTION. OR WRITTEN NOTIFICATION. PERMIT IS ISSUED AS NOTED ABOVE. Town of Barnstable Building Post This Card So That it is Visible From'tlie Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAML Posted Until Final Inspection Has`Been Made. i63� -� Permit Where a Certificate of Occupancy is Required,such Building shall be Occupied until'a Final Inspection has been made. Permit No. B-18-1827 Applicant Name: Amy Britton CKD Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/01/2019 Foundation: Residential Map/Lot: 061-048 _ Zoning District: RF Sheathing: Location: 585 WHISTLEBERRY DRIVE, MARSTONS MILLS .� � -_.—__�_-_.,r ���_- •,,:�. Contractor Name: ARTISAN KITCHENS INC. Framing: 1 i3 L-43 Owner on Record: ROWEN,STEPHEN L&ANNELLE Contractor License: 148798 2 Address: 14 PARTRIDGE HILL ROAD -- Est. Project Cost: $ 137,200.00 Chimney: SUTTON, MA 01590 Permit Fee: I $749.72 Insulation: Description: COMPLETELY REMODEL KITCHEN &3 BATHROOMS WITH MINOR ti k - Fee Paid:. $749.72 INTERIOR FRAMING ALTERATIONS, REPLACE WINDOW[1]1+REPLACE SKYLIGHTS[2], NEW FLOORING, PAINT AND INTERIOR FINISHES, Date: 8/1/2018 Final: ADD A/C TO 1ST FL. w Plumbing/Gas Project Review Req: Documentation for Headers may be required upon framing Rough Plumbing: inspection _. . ' Building Official Final Plumbing: Rough Gas: Final Gas: I Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Service: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for_public inspection for the entire duration of the Rough: work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation �- 7.Final Inspection before Occupancy Fire Department 1, Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. ET v 0514 01:41 p Tupper Com 15087785010 p.1 k'.��7 CONSTRUCYNON CO- LLC 796 MID-TECH DRIVE,WEST YARMOUTH,MA 02M PHONE: 508-778-0111 FAX: 508-778-5010 WWW.TUPPERCO.COM Date: C Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax w. w Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on �j 1 �j /) `-� has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Permit * 1 Goa 3 .1 Address_ W v115 .e_ Richard Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma V Parcel V�� / p Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Pfl-- Historic - OKH _ Preservation/ Hyannis Project Street Address Village M 01tf h of ll j Owner � p h� ( 1 �,1� Address � T/rJ��� Telephone -7 7 ��0 �10 ire1awo Permit Request / - a / � /C.��— / C�a / /�/OJ° j.�f/mil/ ' ZZQ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total n Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type o Lot Size1_1 Grandfathered: ❑Yes El No If yes, attach s pportiniocubentation. Dwelling Type: Single Family 5--' Two Family ❑ Multi-Family (# units) Age of Existing Structure dd Historic House: ❑Yes ❑ No On Old King': Highway; ❑Y_es ❑ No v Basement Type: afull ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) /,-,7 0 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 UrUil ❑ Electric ❑ Other Central Air: ❑Yes ,2'lq-o 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 ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Telephone Number �0 7 7,P^0 11/ Ad ress 7% 8 Mltb e Z) r License # (—IS J !6&9QS4? VCnMC14h Home Improvement Contractor# / -7 Email a06n10 pe1LC-4)o CZO? Worker's Compensation #r(51��W-_ 0�90 LL CONSTRUCTIO D - ESULTING ROM THIS PROJECT WILL BE TAKEN TO� /r//�� Zed SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - DATm&CLOSED OUT ." ASSl3GIATION PLAN NO. 'flf} • The Commonwealth ofMassaefrusetts Department of IndustrialAceidents Office of Investigations ' 1 Congress Street,Suite 100 Boston,MA 02114 2017 www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Pri Name(Business/Otganizationandividual): Tupper COfConstructionnt Legibly Address:79B Mid Tech Dr City/State/Zip:West Yarmouth, MA 02673 Phone#:508-778-0111 Are you an employer?Check the appropriate bog: 1.INI am a employer with 4• ❑ I am a general contractor and 1 Type of project(required): employees(full and/or part-time)." have hired the sub-contractors 6. ElNew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, employees and have workers' comp. 1 9. El Building addition [No workers' comp.insurance insurance. required.] 5. ❑ We are a corporation and its 10•❑.Electrical repairs or additions 3.❑ 1 am a homeowner doingall wolf, officers have exercised their ❑. g pairs or additions ll. Plumbut re myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] p C. 152,§1(41 and we have no employees. [No workers' 13.9Other Weat ra—t10 tion/ nsu a io comp.insurance required.] n *Any applicant that checks box#f must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this afridaNit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 4Contractors 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 %%rockers'sump.policy number. lam an employer that u providing workers'compensation insurance for my employees Below is the policy and job site btformation. Insurance Company Name:AEIC Policy#or Self ins. Lie.#:WCC5005593012007 Expiration Date:1013/14 Job Site Address: 585 Whistleberry Dr City/State/Zip:Mars tons Mills MA 02648 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 tor. .Be advised that a copy of this statement may be forwarded to the Otlice of lnvestigations of the D1A for i9strancq Voverage verification. Ido Hereby cert?fy under tit pa r penalties of perjuw that the!r{fnrmatlon provided above is true and correct Si t 5/14/14 ate: phone#: 5087780111 Official use only. Do not write in thtc 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 5.Plumbing Inspector b.Other Contact Person; Phone#: AcoR> , CERTIFICATE OF LIABILITY INSURANCE l 12/A3/2Q13 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 in ADDITIONAL INSURED,the pollcy(les)must be endorsed. If sSUBROOATION IS WAIVED,subject to j the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the i certificate holder In lieu of such endorsement a. ' PRODUCER Lora Lowe Southeastern Insurance Agency, Inc. a° o (508)997r6061 AfC e,(508)990-2711 439 State Rd. 9-MAIL s P.O. BOX 79398 PROOOUCER N. Dartmouth, MA 02747 INSURER(S)AFFORDING COVERAGE NAIC0 INSURED INSURERA; Arbella Protection Insurance Tupper Construction Co LLC INSURERB: AEIC INSURERC: CNA Surety 27 Roberta Drive INsuRERD: West Yarmouth, MA 02673 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 2013/14/1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A50VF 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.DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, rA ADDL SUB POLIC PO C EX TYPE OF INSURANCE g POLICY NUMBER I LIMITS GENERALLIABILITY 8S0000874 11/01/2013 11/01/2014 EACH OCCURRENCE $ 11000,0015 X COMMERCIAL GENERAL LIABILITY DAMA NT D $ lOO OO POEMISES Ea ocw a ce CLAIMS-MADE FX OCCUR MED EXP(Any one person)' $ 5.00 PERSONAL&APV INJURY $ 1,000,06( GENERAL AGGREGATE $ 2,000,00( GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS,COMP/OP AGG $ 2,000,00( POLICY PRO- JECT MLOC S AUTOMOBILE LIABILITY S666240000 12/01/2013 12/01/2014 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) S A X SCHEOULEDAUTOS PROPERTY X HIREDAUTOS (Per accident)AMAGE $ INC X NON-OWNEDAUTOS $ 3 UMBRELLALLAB X OCCUR - 460005836 11101/2013 11/01/2014 EACH OCCURRENCE $ 1 000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,00 A ADEDUCT18LE $ RETENTION $ $ WORKERSCOMPENSATION WCCSOOSS9301200 10/0312013 10/03/2094 X A X AND EMPLOYERS'LIABILITY y/N TO LIMI S ER ANY PROPRIETOR/PARTNER/EXECUTIVE RICHARD TUPPER IS E.L.EACH ACCIDENT $ 11 000,00 B OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) IIfLUDED FOR WC COVERAGE E.L.DISEASE-EA EMPLOYE $ 11 000,00 "yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000100( DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. "For Information Purposes Only" Tupper Construction Co LLC AUTHORIZED REPRESENTATIVE 27 Roberta Drive W Yarmouth, MA 02673 Lora Lowe ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD IftISI"U"MAM It IIUIft.ING � MaSfaChuietts -t Department of Public Safety 111Yh.ANL NY t202G ttep f�oad•Swe I`0 Board of Building Regulations and Standard$ N t877)2?4-12?a --n.l rut inin Super%i.e,r awyr .txxn License:C5.069058 RICHARD S TUPPER 79 B MID-'TECH BR 4 WEST YARMOU'tll 1111i11�J,3 j BR tar aJc9fa Expirawn ' (6f:afVfltSFSrDec�O;yEiy�tpp�,yipfXFtlWiptifMtEg COIW1nHS�lO:tPf 12/31/2014 Ptopte Helping.People Build a Safer World'" Milk } i `MEMBER Richard Tupper Tupper Construction Building Safely Professionai Member#:8158119 Exp:4/30/2014 __ .... .__.....Jar Gcniaiaritozarl(�t�'C-•••lliidlric�u.•c/1' .. _. .. -. — __-, ..._...---�..�..._..__ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only r,4 OME IMPROVEMENT CONTRACTOR before the expi date. If found return to: tegistration: 178434 Type: Office of C ffairs and Business Regulation ? Expiration: .4/.16/2016 LLC 10 Par aza-Su a 5170 Bo ,MA 021 TUPPER CONSTRUCTION CO,LLC. RICHARD TUPPER 79 B MID-TECH DR. W.YARMOUTH,MA 02673 Undersecretary o tthout signature i i OWNER AUTHORIZATION FORM I I, (Owner's Name) ' owner of the property located at (Property Address) Cr r dys //�' -g 6 (Property Address) i hereby authorize, ' tA Ue.r +)r w,G (Subco ctor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain:a building, Y permit and to perform work on my property. I e s Signature � nn Date i LLi ', l APR 2 5 2014 i I Z53S- . ®� 3)15)04 J-4-. a OFIKE to Town of Barnstable *Permit# 7512-? Expires 6 iponths from issue date { = Re ulator Services Fee D g Y HAM s63q. � Thomas F.Geiler,Director A�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X- 47 ",&M�''���T Office: 508-862-4038 Fax: 508-790-6230 MAR t r,; 70Q4 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY �Q Not Valid without Red%Press Imprint 10WN0f= 13qRNSTA8LE Map/parcel Number Property Address uxi residential Value of Work U� Owner's Name 8r.AddressN� Contractor's Name 01*uf Telephone Number �'% U�� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# '� JC y 1 97 U Permit Request(check box) Re-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. U-Value (maximum.44) *Where required. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: erty Owner must sign Property Owner Letter.of Permission. Ho eme tr s License is required. Signature Q:Forms:expmtrg Revise053003 r n Fraser. Construction Roofing 8v Siding Specialists FRASER CONSTRUCTION Warranties the shingles and labor for 10 years. FRASER CONSTRUCTION.Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100%for the first 10 years, and then on a pro rated basis for the Lifetime if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: SUBMITTED BY: eowner ruction- 3 IT 3 - 1 - V 9 / `/8 0 ND Hr q ���� r . `kResults 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 r OR :"Search-°. Search Results Reg. No. r Applicant Street City State Zip Name Title Expiration FRASER 71 FRASER, 112536 CONSTRUCTION TARRAGON COTUIT MA 02635 DEAN OWNER 3/23/2005 co CIR Total of 1 Records matched. • Back to Home Page BBRS Privacy Statement http://db.state.ma.usibbrs/hic.pl 3/15/2004 '7K 4' 16- `k ol vOr ­T, g ZI Y i, .ty 'itti 7�` _12 of, W,I� "Yi �)T 4, P iq i i -7, "'i 56 147 ZO- I......... li s A mi, i iR IF 'j,t k I tz�e,X),p -5 i, 'YZ �,I,i,l I I,,I " , , 11 ­ I I I � I I"� �I, ly, , 11, ;­0 1 111,", 1 ��&4. 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