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Home My WebLink About0052 ALICIA ROAD /� \ r �� ,, t sue' - Qyo%TNEr,�° TOWN OF BAR.NSTABLE. i. BARNSTADLE. j 039. ,•� BUILDING INSPECTOR E ypY a' APPLICATION,FOR I PERMIT TO .C�✓r...........��.�� , .... ............................... TYPE OF CONSTRUCTION ..:......... .. ... /z � ................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location G �� d .... .. Proposed Use ... ........../ ........ .... G , ...... `.1 ............................... ../'4-./.4? ~/ ................... /..f........... Zoning. District . .......Fire District Name of Owner jo !..!..0/r`� 1 Y®?Address .. /`�' .. 1.... Name -of Builder .....Address ......................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ........... .......... Exterior ...................................... ....�..ar�.. ... .............................................Roofing ... � �!?„ �................ Floors ................................. .........Interior ..''�.....:�./.✓..... � .......................................... Heating /. .......... ..... ..../`;�!,, .... Plumbing J lot Fireplace .Approximate Cost Ar, ................................................................... ......................... .. .... . . Definitive Plan Approved by Planning. Board _ /___--------------19 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD1 OF HEALTH. _Q`�TIO SYSTEM MUST BE INSTALLEO lid COMPLIANCE.' WITH .;; T ;LE 6� STATE t SANITARY 0()DF- AND TOVVI`� N3 REGULATIONS- fi ®` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ��' .:-�..1004 ........................... _ I Davey, William E. Jr. lO/ 71.... Permit for .....oMe, story....._...• ..............ingle familg dwelling .......•.•. o v, Location ........ ?4� a.. 1a............................... I ........................ ....................................... i Owner ...........William..&..J3acs Jr.......... Ys• . � Type of Construction Yp ......... .fie. .................. , I . ................................................................................ Plot ........................ Lot ............#136........... gg„„ , Permit Granted ..........`�r?�..5..............19 73 Date of Inspection ...s..__:..:.. ......... .............19 Date Completed ...(0. 41. .....!......19 PERMIT'.REFUSED iii .................................... ........................ 19 .................................... ....................................... t 1 J�•f ................................................................................ iA ............................................................................... 1 � Approved ................................................ 19 ............................................................................... f ..................... ......................................................... i t � v Town of Barnstable VE Regulatory Services `Q o� Richard V. Scali,Director snxxszasi.E, : V" Building Division 1639. �m ArED MA'S A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 �Q41' Fax: 508-790-6230 PERMIT# �� 1� �I ` FEE-.��S.O,' SHED REGISTRATION 0 �P RESIDENTIAL ONLY O�,. 200 square feet or less t CIO Location of shed(address) J Village Property owner's name Telephone number Size of Shed Map arcel# - Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. You must file with Old King's Highway _ Conservation Commission(signature is required) r Sign off hours for Conservation 8 0 9:30&3:3.0-_4_:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE 'COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. • THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 Town of Barnstable Geographic Information System February 29, 2016 , r rr \ #489 292306 v- h ; , - i #52 292266 ; 4292265 µ - • . j t rE- r .. y s i r• :. ,a Ar - - - i , 292308 #23 m 24. ee DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:292 Parcel:264 - . boundary determination or regulatory interpretation. Enlargements beyond a scale of n* - Selected Parcel a 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:YANCEY,RONALD A&YVONNE Total Assessed Value:$164400 are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:0.23 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:52 ALICIA ROAD 7/ such as building locations. - Buffer "� !. }} 4 Aerial Photos Taken April 19,2008 ro TUPPER CONSTRU ijor6c ._, q, rt LE 79B MID-TECH DRIVE,WEST YARMOUTT73 PHONE: 508-776.0111 FAX: 506-776-6010 WWW,TUP {� ° 1: DIVAS t' Date: i i P12 Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application # A I C C I A 2-19,- aj&=a i 5 Issued on 17 '61 ti has been inspected.by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. ere rd Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2• 2 Application D � Parcel .. Health Division Date Issbed l Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner Address �J Telephone to 4,32 z � Permit Request L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Tot 1pew�_ 0 Zoning District Flood Plain Groundwater Overlay Project Valuation 2`'J A1 Construction Type ,U o J=_ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su orting docum, tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighwayfJU Y ❑ 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 ❑Yes ❑ No If yes, site plan review# - Gurrent Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IC44AW U pffs, Telephone Number 1508- -7-'- M�d --I a 'd 1 .- Address _ License # (��J t1 Home Improvement Contractor# 2. ( 5 Worker's Compensation # WNW 56o55q 301W 12- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO GIBY,=K40o4t, D 2- SIGNATURE DATE !7- 'ZZ.• I :I z FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED k i MAP/PARCEL NO. ADDRESS VILLAGE i { OWNER DATE OF INSPECTION: a,,--FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .y OWNER AUTHORIZATION FORM (Owner's Name) owner of the property.located at Aaiv5 Rif (Property Address). (Property Address) herebyauthorize C��4Yh lJ AJ :,. (Subcont ct ) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date IMI ITVTE,iNC . i Massachusetts-Department of Public Safety 107 Haan"Road,Suite 110 ; '" : Board of Building Regulations and Standards_ ; Maas,NY 1202D i Construction Super%i.ur t (M 274.1274 License: CS-089058 YYINMI bp1=m RICHARD S TUPPER • " 79 8 MID-TECH DRMir WEST YARMOI.FrHRME d Tupper BPt tiair:ao4og4o ' �^ t7UMFROfUSIONAL `%�.. .1J.dtgc'. f,r��. Expiration •._. Is(SEE�EVM SIDE FW CFSIGUMIG um ExvaurtOx tuna) Commissioner 12/317Z014 h� ; � 4 � Offies of Gossamer AI'lain&B sea 14e>6141148 People Helping Peopte Bwld a Safei Wortd"' ow HOME IMPROVEMENT CONTRACTOR A 1, Rsglstration: -1 5 Type: lN1ERNATNiNAI Expiration: 14, Individual MEMBER E RI RD TUPPER ,Richard Tupper W 4 �- � YVI RICHARD TUPPERx` Tupper Construction , g 29 Roberta Orive 'ykp ' Bwldin Safe Professional "` a W.YARMOUTH.MA 0261:3"',- 9 Safety UnderseereUry Member# '8158119 Exp 4/30/2014 .'e3 Y• $ fey- � [_{: t � ��S � ��. , - v Dec. 19, 2012 4:37PM No, 8524 P. 1/2 l A(;uKuTM CERTIFICATE OF LIABILITY INSURANCE DATE 1z/19/20129/2olz 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 WANED,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 NAME: Lora Lowe Southeastern Insurance Agency, Inc. PCNoEll: (508)9974061 acNe: (508)990-2731 439 State Rd. E-MAJL ADDRESS:- P.O. Box 79398 Ir N. Dartmouth, MA 02747 INSURER(S)AFFORDING COVERAGE NAICI INSURED wsURERA: Arbella Protection Insurance Tupper Construction Co LLC INSURERS: AEIC INSURERC: CNA Surety 27 Roberta Drive INSURERD: West Yarmouth, MA 02673 INSURERE: .INSURER 1. COVERAGES CERTIFICATE NUMBER: 12/13-2 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMJDD MMIDDNM LIMITS GENERAL LMILnY 9500008743 11/01/2012 11/0112013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETO PREMISES Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR - MEDEXP(Any one person)- $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JET LOC 1 $ AUTOMOBILE LIABILITY 5666240000 12/0112012 12 O112013 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ A X SCHEDULED AUTOS PROPERTY DAMAGE X HIREDAUTOS (Per accident) $ INC X NON-OWNED AUTOS $. UMBRELLALIAB OCCUR EACH OCCURRENCE $HCLAIMS-MADE EXCESS LIAR AGGREGATE $ DEDUCTIBLE $ -- RETENTION $ $ WORKERS COMPENSATION WCC500559301200 10/03/2012 10/03/2013 X TORY X ER AND EMPLOYERS'LIABILRY YIN ANY PROPRIETORJPARTNER/EXECLRIVE D RICHARD TUPPER IS E.L.EACH ACCIDENT. $ 500,00 B OFFICERIMEMBEREXCLUDED? NIA -- (Mandatory In NH) I LUDED FOR WC COVERAGE E.L.DISEASE-EA EMPLOYEE $ 500,00 y describe under D E:L.DISEASE-POLICY LIMIT $ 500 00 DESCSC RIPTION OF OPERATIONS below , on or theft of money r 7106881302128/2012 02/2812013 Limit of $10,000 E ropt+erty. i 1 J�j U 1 OF oOPERATIONS 9csgrp�LgOrCjAT10NS 1 VEHICLES.(Attach ACORD 101,Addltlonal Remarks Schedule,If more space is reQulrod) 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. Conservation Services Group Attn: Bill Julio AUTHORIZED REPRESENTATIVE 50 Washington Street We tborough, MA 01581 Lora Lowe O 1989-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UT www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlicant Information Please Print Legibly Name(Business/Organization/Individual): Tupper Construction Co. , LLC Address: 79B Mid Tech Drive - City/State/Zip: West Yarmouth, MA 02673 Phone#: 5 0 8-7 7 8 0111 Are you an employer?Check the appropriate box: Type of project(required): 1.❑X I am a employer with 4. ❑ I am a general contractor and I 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 sub-contractors have 8. ❑Demolition Working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition [No workers' comp. insurance .. 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work. right of exemption per MGL I Ln Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]! employees. [No workers' comp. insurance required.] 13.❑ Other - *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 a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that-is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AEI C Policy#or Self-ins. Lic.#: WCC 5.005593012012 Expiration Date: 1.0/03/2 013 Job Site Address: 52 Alicia Rd. City/State/Zip: Hyannn i s, MA 02601 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 DIA for insurance coverage verification. I do hereby certi nder t p ns and penalties of perjury that the information provided above is true and correct Signature: Date: 7/2 2/2 013 Phone#: 508-778-011.1 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 5.Plumb ing.Inspector 6.Other Contact Person: Phone#: Town of Barnstable *permit# �� Expires 6 months from issue date X..PRESS PERMI Regulatory Services Fee T° Thomas F.Geiler,Director SEP 11 2007 Building Division TOWN Tom Perry,CBO, Building Commissioner OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number q`7%20? . LtGI - 4` NA) Property Address ❑Residential Value of Work 1,e�Q Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ,'ro (4 C� �k � ��S Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: jI sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's.Comp.Policy# Copy of Insurance Compliance Certificate must be on file. 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) [tlie-side ❑ Replacement Windows/doors/sliders. 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: Property Owner must sign Property Owner Letter of Permission. A copy of,tile Ho e Improv ment Contractors License is required. � . SIGNATURE: Q:Fomis:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Aecidents Office of Investigations ^. d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ j Please Print Legibly Name(Business/Organization/Individual): . J H-lv C y t< IV S Address: Iq D - City/State/Zip: Il� AES. 5'�' Phone.#: 1P '7 Are you an employer? dheck the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part.time).'" have hired the sub-contractors 6. ❑New 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 g. Demolition workingfor me in an capacity. employees and have workers' y P �'• $• 9: Q Building addition [No work rs' comp.insurance comp.insurance. 10. Electrical repairs or additions re 5. [] We are a corporation and its ❑ P 3. am ahomeowner doing all work officers have exercised their 11.E 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' . 13.0 Other comp. insurance required.] , *Any applicant that checks box#1 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 a new affidavit indicating such. tContractors 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. Iam an employer that isproyiding workers'compensation insurance for my employees Below isthe policy and job site information. hnsurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 WA for insurance coverage verification. I do hereby ertify:ender a pains a d nald s of perjury that the information provided above is true and correct Siemature Date: l -APhone#: ` — ^� 71 Official use only. Do not write in this area,Yb be completed by city or town ofj77c1aL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#: