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HomeMy WebLinkAbout0010 ANGELA WAY _ _ _ 5 � �� �, l f a 0 i�O. li ORS Lit, � I Town of Barnstable *Permit# I6-1 _ FV Expires 6 months from issue date Regulatory Services Fee 3S' • maNsTABLB, MAC' Thomas F.Geiler,Director �FG Building Division Tom Perry,CBO, Building Commissioner 4 o0" _�S.% 601M190 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us U N 2 7 L u,j Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAMM"UMAHNSIABLf Not Valid without Red X-Press Imprint Map/parcel Number 133/165 Property Address 10 Angela Way ®Residential Value of Work$ 1950.00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Peter Loescher 4 Juniper Cir Walpole MA 02081 Contractor's Name Richard Tupper Telephone Number (5 0 8) 7 7 8-0111 Home Improvement Contractor License#(if applicable)_1 7 Aa 3 a Email: admi not u perco com Construction Supervisor's License#(if applicable) CS-0 6 9 0 5 8 aWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner §9cI have Worker's Compensation Insurance Insurance Company Name AEIC Workman's Comp.Policy# WC C 5 0 0 5 5 9 3 012 012n Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) � � ❑ Re-roo HewnuvNilOff(strippin oZingles)�,?���II co r�uc on deb will betakken to Nauset Disposal IN daQ�)%❑Re-roof hurricane nailed not stri in over layof roof] ( )( pP Z. g ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *** e: roperty Own must sign Property Owner Letter of Permission. A copy o e Home Improvement Contractors License&Construction Supervisors License is SIGNA C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 0613.13 r?Ss�TUPPER CONSTRUCTION CO.LLc 546A Higgins Crowell Rd West Yarmouth, MA 02673 Phone 508-778-0111 Fax 508-778-5010 Registration#178434 License#069058 Date: 41Z 711 Attn: Building Department I hereby authorize Tupper Construction Co., LLC to pull the permits necessary to complete the project described on the attached permit application form. Thank you, Owners' Signatures Zell, Print Own" rs' Names: / Street Address: The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of lnvemigadons 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass govMa Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business(orpnizatiowbdividual): TUPPER CONSTRUCTION Address:546A HIGGINS CROWELL RD Ci /State/7..i :WEST YARMOUTH MA 02673 phone#:508-778-0111 Are you an employer?Check the appropriate box: Type of project(required): 1.® 1 am a employer with 10 4. ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These subcontractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their 11. Plumbing re❑ g pairs or additions myself. [No workers' comp. right of exemption per MGL 12❑Roof repairs insurance required.] t c. 152,§1(41 and we have no employees.[No workers' 13.[1 OtherWEATHERIZATIOId comp.insurance required.] "Any applicant that checks box#I must also fill mn the section below showing their anrkers'compensation policy information. t Homeowners cvho submit this affidavit indicating they are doing all work and then hire outside contractors must uihmit a ne.v a frulavit indicating such. -Contractors that check this box must attached an additional sheet showing the omit of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have c,iiployees,they must provide their workers'comp.policy number. Jam an employer that is providing workers'compensation inswrance for my employees. Below Is the policy and Job site information. Insurance Company Name:AEIC Policy#or Sel f-ins.Lic.#:WCC5005593012015A E tpiration Date:10/3/16 Job Site Address: AW291CCity/State/Zip: 0 W /Q Attach a copy of the workers'compensation icy declaration page(stowing 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 DIA f . �ramrx,,e coverage verification. I do hereby certify der t pains an penalties of perjury that the information provided above is true`and correct. Signature: - — Date: Phone#: 508-778-01 i Official use only. Do not write in this area,to be completed by city or town ofj�rcdal. City or Town: Permit/License q 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#: A R® CERTIFICATE OF LIABILITY INSURANCE F�iEIMMIDoYs 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(ios)must be endorsed. If SUBROGATION 15 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 CONTACT Lora FitzGerald Southeastern Insurance Agency, Inc. PHONE (508)997-6061 fFAX (506)990-2731 -(A1C.,ft.Xt1: I(AfC,NII: 439 State Rd. AD"Llfitz@southeasternins.com t P.O. Box 79398 INSURERS)AFFORDING COVERAGE I NAICY North Dartmouth MA 02747 INSURER AArbella Protection Insurance 141360 INSURED ersum;taBoston Insurance Brokeracre Inc Tupper Construction Co LLC INSURERC: 546A Higgins Crowell Road INsuRER o: INSURERE• I West Yarmouth MA 02673 INSURERF: I COVERAGES CERTIFICATE NUMBE"015-2016-1 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,TSVA 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. IBR LA TYPE OF INSURANCE IIMNSD POWCV NUMBER POW YEFF I MAWAYMY I urns X COMMERCIAL GENERAL LIABUJTY I EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED A GJUMSMA� OOCt1R IPAWISES(Ea omrrerm S 100,000 9520045200 11/2/2015 11/1/2016 MEOEXP(Anronepers .6 5,000 ii PERSONAL&ADV INJURY IS 1,000,000 I GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE I3 2,000,000 I g POLL C JEC ❑LOC I PRODUCTS-COMPIOP AGG 1 5 2,000,000 OTHER: h� S AUTOMOBILE LIABILITY CO eBINED SINGLE UM ;S 1,000,000 ren A I ANY AUTO BODILY INJURY(Per Perswl) "S AL OWNED AUTOS X SCHEDULED 1020000389 12/1/2015 12YI12016I BODILY INJURY(Per acddent),lS S HIRED AUTOS X I NON-OWNED ED PRMOPER C DAMAGE I E ! I _ Unhs ow mowst B!Sall,Ifni II S 250,000 UMBRELLA WAB OCCUR I EACH OCCURRENCE E A (EXCESS U AS C_UUm&uAOE AGGREGATE E I DED I I RETENTIONS 460005836E . 11/1/2015 11/1/2016 I 15 WORKERS COMPENSATION 1 1 iI STATUTE 1 ER AND EMPLOYERS LIABILITY YIN I ANY PROPRIErORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1 000 000 OFFICEPJMEMBER EXCLUDED? } S NIAII 8 (Mandatey In NH) t MCC5005593012015A 10/3/2015 10/3/2016 E.L.DISEASE-EA EMPLOYE 5 I DESCRIPTTIO OF OPERATIONS below }1 E.L.DISEASE-POLICY LIMIT I S 1,000.000 1 ! M f 1 I 1 . DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 101,Addhlosat Remarls Schedule,may be aflaahed if more speco Is regt4ed) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For informational purposes Only THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Tupper Construction Co.,= ACCORDANCE NTH THE POLICY PROVISIONS. 546A Higgins Crowell Road W Yarmouth, MA, 02673 AUTH01IMID REPRESENTATIVE Lera FitzGerald/ITEM ©1988.2014 ACORD CORPORATION. All fights reserved. ACORD 28(2014101) The ACORD name and 1090 are registered marks of ACORD INS02917014011 i `�'- ;� C�`jlQ �al>1�r�a�icuenit� a��G�l�z. .:ar��cletfl r F7 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 178434 Type: LLC Expiration: 4116f2018 Trff 410291 TUPPER CONSTRUCTION CO, LLC. RICHARD TUPPER -- _-� 546 A HIGGINS CROWALL RD — �- W. YARMOUTH, MA 02673 Update Address and return card.Mark reason for change. scA+ G 20nA ass++ [ Address ; Renewal Employment L Lost Card :• Office of Consumer Afton;&Business Re¢ulsdoa License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 178484 Type: Office of Consumer Affairs and Business Regulation Expiration: 4M IN2018 LLC lop -Sulte 5170 TUPPER CONSTRUCTION CO,I.I.C. RICHARD TUPPER 546 A HIGGINS CROWELL RD ,_ W.YARMOUTH,MA 02673 Undersecretary Not without signature BUILDING PERFORMANCE INSTITUTE, INC 107Hennes Road,Suite 210 Malls,NY 12020 (8M 274-1274 www.bpi.org I Richard Tupper x BPI ION:604MO . (SEE FIVERSE 50E FOR OESMATM AND EXPMATION DATES) Massachusetts Department-of Public Safety Unrestricted-Buildings of any use gmnp which Coard of Building Regulations and Standards th contain less an 35,000 cubic feet(991m)of Comtructiun Sup en i wr enclosed space. License: CS069038 + . %.-+ F&hard S TvMr 546 A>�gms Crdsrt0 w at Yarmouth bu ; Failure to possess a current edition ofthe Massachusetts State Building Code is cause for revocation of this 1>cense. �},,�,,, EX PI ration For OPs uaensing Information vlslt: wwnwaeass GovJDPs Cornmissioner 12/3112016 ,Frxe TOWN OF BARNSTABLE Permit No. . 6M...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash r...% . •! r ur HYANNIS,MASS.02601 Bond ...... ......... / CERTIFICATE OF USE AND OCCUPANCY Issued to Paul F. Wzllia.as I10meS 0 Address ;.r04 018, �% anyela Slay , We:;t Barnstable, 4A. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. April 2, 87 L�i � ` c\� 19................. .........��.................. Building Inspector t N ��..� °•. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ Asa ru AG a = TOWN OFFICE BUILDING � g�e3.9 HYANNIS, MASS. 02601 Of MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by �©?<? BuildingPermit $k...... ..............v l� .........................................................................................................._......_....... issuedto ,✓l/,�G��Tw._, /LL= ! �1.._...................................._............................... _...__.. .. _...w _ . Please release the performance bond. r;..�:"a,► to 'V r.,.�.., �n .`m.� _ C (+,(,_//_1 `�')!�:,J�C .. :'W .••.Y'.t.�'. :. c.]ft�"�;ti-��/ ,W�'• rf, x,' r�•'('.�F.�•. ,.;Y•1': • PINK- EPT. FILE COPY/WHITE-FIELD.COPY/YELLOW^APPLICANT COPY 5 ,'. BULLDING Q. OF BARNSTABLE;.MASSACHUSETTS PERMIT ` VALIDATION June 26 85 Q i DATE 19 PERMIT NO. APPLICAN. OW11eY ADDRESS 0751 • (NO.) (STREET) (QONTR'S LICENSE) PERMIT TO' Build dwelling (1_) STORY Single family dwelling NUMBER' 1DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO, '(PROPOSED USE) ., lo 'ZONINGAT (LOCATION) �18 63a___�*ay� es arnstable DISTRICT RF (NO.) (STREET) ' 'BET1fVEEN'•' '' AND (CROSS STREET) (CROSS STREET) ' SUBDIVISION LOT ,' LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI ..TO-TYPE. USE GROUP BASEMENT WALLS OR FOUNDATYGN ' (TYPE) :.:'REMXRKS:2 Sewage #85-441 BEM AREA::OR:'-.. 2892 'Sq. ft. 180;000. PERMIT 145.00 VOLUME'> •- ESTIMATED COST .� FEE (CUBIC/SQUARE FEET) Paul F.: Williams 'Homes ON(NER' r r .BUILDING DEPT. DOR S i THIS PERMIT CONVEYS NO RIGHT TO.OCCUPY ANY STREET, ALLEY OR 'SIDEWALK• OR ANY PART THEREOF. EITHER,TEMPORARILY PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE I PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN i FROM THE DEPARTMENT OF PUBLIC WORKS.- THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIC OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i 4 I • i 2 2 2 I 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVAL ENGINEERING OTHER Z z BOARD_ ,0 F_ -HEALTH _ _ . WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION •INSPECTIONS INDICATED-ON THIS C. INSPECTOR HAS APPROVED THE VARPpUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DAT .THE CAN.BE ARRANGED FOR BY TELEPH- STAGES OF CONSTRUCTION. F' PERMIT IS ISSUED AS NOTED•AB'OVE. OR WRITTEN NOTIFICATION. NNN ' 4 004 - w 1 Y 0 �`•< � ,'�'�, � a e•f ' C4E/f r/F/4E0 `''LOT -'LA-IV FOR:voQa� r/ �1ARKTiNG /i�/C, i TOWN OF: B.4-I2`v n4 ar E LOT: !f CA.�.iSO�V L ANC£` / CERT/FY MAT WHAT /S SNOW ON TRIS PI-A/V /S AS "/r EX/STS ON THE GAWNO kVO CONFORMS M MC TOWN MEWL 4T/ONS AT 7NE T//NE OF CONSTRUCTION. FA,4M0vr1V ?dq di 7- • 13 > 61-2-1 Assessor's map and lot number .......Z11-1....................... . OF THE to 012- J,6c Sewage Permit number ............... .................. ..................... "Mix, ^SAMTABLEJ: A f ,, Hous �`,,��ISTALLED 116- 14,r. IL e number ............................... ............................ 39- blv TOWN OF BARN'ST'� A,�!,B" .,z �L,�E�-,� � BUILDING INS PECTOR APPLICATION FOR PERMIT TO ......................... S....... ....... .............. . .......................6............ .........................................................................................................TYPE OF CONSTRUCTION ... .............................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information Location .. ....��/a �..... �, �i.Q �Jl..."::.:��' ..'.�./ t2r .�/ �7 Proposed Use ....... .. . ............................... Zvv.�Z///.&�.................................................45� ...o S, ... . .......................... ZoningDistrict ...../.. ...........................................................Fire District .............................................................................. A WL *,�7"f A.-T-> h 4 Name of Owner ............. . ........Address .............. Nameof Builder 1C...............................................Address ............................................................... 0 Name of Architect oo"7/7—e ........Address./,/.... ......�...... Number of Rooms CJ .......................................................Found' atione ...... .. Exterior .......................................Roofing .............................................................. Floors -<.................................................................Interior 0 z................ '0 ............ ...... .... .. m ... Heating ........Plumbing ................ ................................ ..... Fireplace .... <...................................Approximate Cost ..4e4 ................................................sel Definitive Plan Approved by Planning Board --------------19u- Area .......4�T .f 2-.......... Diagram of Lot and Building with Dimensions Fee ........... 7-;.;-). ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �QIviO VI Ili ACO (10 OCCUPANCY ERMITS 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 Supervisor's License ......... CAUL F. WILLIAMS HOMES A Wo .............28089... Permit for .... Sto ........... ................ 3 Single—Family DwellinR ........................................................v..................... Location .....Lot 18 ................. ........... West Barnstable , ............................................................................... Owner .....Pau.1...F......Wil.l.i.ams...Homes. ......... ...... . .. ...... . . ...... ... .... . Type of Construction ..........Frame...................... ...................... ......................................................... Plot ............................ Lot ................................ Permit Granted ........J.u.ne...26.................19 85 .. . .... . . . G Date of Inspection ........ ..........19 Date'-'Completpd I 4, IN 81 all