HomeMy WebLinkAbout0170 DUNN'S POND ROAD 77W/74 5' -Rej.
Jun 06 2019 11:40AM Tupper Construction Co, 15087785010 page 2
,70 boi^ ►s Pare
l0000 TU PPE R
CONSTRUCTION CO., Lc
546A Higgins Crowell Rd,WEST YARMOUTH.MA 02673
PHONE: 508-778-0111- FAX: 508-778-5010
EMAIL:admin@tupperco.com
Date:
Town of Barnstable '
Building Inspector c 4
200 Main Street o,
Hyannis, MA 02601
(508) 790-6230 fax
Re: Insulation Permit at
Permit# '
Issued On
This affidavit is to certify that all work completed for the above permit
application has been inspected by a certified Building-Performance Institute
(BPI) inspector. All work performed meets or exceeds Federal and State
requirements.
Sincerely,
Richard Tupper
License # CS-69058
Town of BarnstableBuilding
PostThis;CardSoThat�t � .�
is Visible From the Street-Approved,'Plans Must be Retained on Job and this Card Must be Kept�'v'
arwss Posted Until Final Inspection--Has Been Made. = �� ��
Where a,-Certificate of.Occu anc is Re wired,such Bu ldm sFiall Not be Occu ied.until a p y q g. p Final Inspection has been made:
Permit No. B-19-1439 Applicant Name: Richard Tupper Approvals
Date Issued: 04/29/2019 Current Use: Structure
Permit Type: Building-Insulation- Residential Expiration Date: .10/29/2019 Foundation:
Location: 170 DUNN'S POND ROAD, HYANNIS _. Map/.Lot: 270-010-002 Zoning District: RB Sheathing:
Owner on Record: HULTGREN, ROGER D& KATHLEEN A Contractor,Nam(.
Nam ' .Richard S Tupper Framing: 1
LANE Contractor License: CS=069058
Address: 11 PROUTY 2
RU TLAND MA D1543
.,Est. Project Cost: $3,696.00 Chimney.
Description: install R-38 fiberglass and R-33 cellulose in attic. Seal and insulate 'Permit Fee: $85.00
Insulation:
attic hatch,install ventilation chutes. install soffit vents. Air seal
home to restrict air leakage. Install 2" rigid board along common Fee'Paid:,: $85.00
walls. Insulate bulkhead door. ' Date: .{ 4/29/2019 Final:
Project Review Req: Plumbing/Gas
s
V, Rough Plumbing:
Building Official Final Plumbing:
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. Rough Gas:
All construction,alterations and changes of use of any building and str''uctures shall be in compliance 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 forgpublic inspection for the entire duration of the Final Gas:
work until the completion of the same. „
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:;
r Service:
1.Foundation or Footing ; Pam. Rough:
2.Sheathing Inspection t _ - .. .�M
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations:. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT o���
S4�`�
/� �d
l ��\ r,
Town of BarnstableCA)
NP�or�x o* • ,
Regulatory Services
BA_ANsrABLE,
9 Thomas F• Getler,Director.
9; Buildin Division
�A'f0 > Tom Perry;Bulging Comndssloner
200 Main Street,Hyannis,MA 02601
0 'ice: 508.862.4038 Fax: 508-190-6230
REQUEST FOR ELECTRICAL INSPECTION
ELECTRICAL PERMIT NUMBER ` t ___
(permit required is order to process inspection)
Today'.s Date �-6 6, Requested Date of Inspection
<-�)3 hereby request an inspection under Massachusetts General
(Elecn-ician)
Law chapter 143, section 3L and 237 CMR 4.02(3). / I rn may,
complete and ready.for Ins ��`�/)
The installation is comp Inspection at p
(Property Location)
Type of inspection requested;
❑ Temporary Service ❑ e Re specdA
❑ Excavation
❑ Rough Re-inspection
❑ Service Inspection ❑ Final Re-inspection
Rough Inspection for
❑ Final Lnspecbon for
❑. other
Owner or tenant__h4�
50�
17
Licensee's name, address,and phone { O3 (� 1 Tic �r W
License number I Licensee's Signature �(
This section to be comp had rnstnb Inspeelor of Wires
Inspection datV MAY 2 3 2005 JrApproved ❑Not Approved
7Li s work was not approved for violation of the following Articles and Sections of the MA Electrical II
Code:
f -
Commonwealth of Massachusetts official Use only
Department of Fire Services Permit No. ���
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 11/99] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of: Barnstable To the Inspector of ires:
By this application the undersigned gives notice of his or he intention t perform the electrical work described below.
Location(Street&Number) (J �S . Ma Parcel C�
Owner or Tenant t01,0 Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service f 60 Amps )%Volts Overhead ❑ Undgrd❑ No.of Meters {
New Service 2�60 Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans r o ota
Transformers KVA
No. of Lighting Outlets No. of Hot Tubs Generators KVAIn- No of .
No.of Lighting Fixtures Swimming Pool rnd Above ❑ rnd. ❑ Batte Unitsency tg tng
No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones
No. of Switches No. of Gas Burners o. o Detection an
Initiating Devices
No. of Ranges No. of Air Cond. Total Tons No.of Alerting Devices
No.of Waste Disposers eat Pump um ,er Tons-.... _ o.oSelf-Contained
Totals: -..._ -......__ - Detection/Alertin Devices
No. of Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other
P g Connection
No. of Dryers Heating Appliances KW ec rit Noy of Devi es or Equivalent
o. o ater K`,4, o. of No.o Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.o Dev ces or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such c erage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:
Ex iratton Dat )
Estimated Value of Electrical Work: (When required by municipal policy.) .
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains and penalties of perjury,.thal the information on this application is true and complete.
FIRM NAME: l= cJ (—M LIC. NO.:
Licensee: (�— (j L Da4 Signature ce LIC.NO.:
(If applicable, enter " xempt"it the license number line.) Bus.Tel. No.: 9 77�b��3
Address: I( Vf1 c17e(A (0r• W- �a(. Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent.
Owner/Agent T , . X1. PF,RMIT FEE- 9
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
•: a 0, 670 aG
Map. ` Parcel Permit#
D
HAP Division 91 �' 54" ABLE Date Issued
Co ervation Division o Fee
N1 i6
Tax Collector } Slppkk4; A Mt IST
Treasurer INSTALLED IN COMPLIANCE
WITH TITLE 5
Planning Dept. / � --i i l�itOt� Ch fNGlQMENTAL 'ODE AND
TQkVN REGULATIONS
Date Definitive Plan Approved b Planning Board Approved by
Historic-OKH Preservation/Hyannis F
Project Street Addr s
Village
Owner Zr J7 Address
Telephone
Permit Request &J �bin 4-i
YV
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new /f
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure - Historic House: ❑Yes /" On Old King's Highway: ❑Yes 1
Basement Type:/
�Full ❑Crawl ❑Walkout El Other
Basement Finished Area(sq.ft.) / Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new P C/? ( Half: existing new f C
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel• as ❑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#
- -Current Use - Proposed'Use,
BUILDER INFORMATION �--
Name k /r:d Ot Telephone Number
p e
Address Sr �� License#
LA
Ct Home Improvement Contractor# �� 7 1
Worker's Compensation# --Tr C e•'
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR DATE ' C1�
FOR OFFICIAL USE ON LX,qh1,
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE-
OWNER
DATE OF,INSPECTION: -
-. J
FOUNDATION e
FRAME
INSULATION
r -
FIREPLACE
S
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH > ,._ FINAL "
-` GAS: ROUGH .� FINAL
� c
FINAL BUILDING
DATE CLOSED OUT'- o'! F
M rsl � S g
ASSOCIATION PLAN NO. ��
The Commonwealth of Massachusetts
= -� - Department of Industrial Accidents
E _ — Office of Investigations
600 Washington Street, a Floor
~ Boston,Mass. 02111
Workers Compensation Insurance Affidavit:Buildina/Plumbin /Electrical Contractors
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name: /_ -sue iy'rLty 4cw /"
address: 406
City 1W state: zi : hone# �C� Z ��J
work site location(full address):
❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel
❑ I am a sole proprieto a;r and have no one workin in any ca acity. ]BuildingAddition
'.
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❑ I am an employer providing workers'compensation for my employees working on this jo
company name: C�l
address:
city: Ste` 'e phone#
Z tom/'iG � �
l Z'Q-7 2,07,4
insurance co. policy
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❑ I am a sole proprietor,general contractor,or homeowner_(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name: 61e P/, r
address: �f*� Al `:�y Lf I— Cih �/�`
city: - a r tr v a hone#-
insurance co. t of d /7 f policy# Z v J
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company name: t�f C/i ^✓y - - .
address:
city: phone#
insurance co. L-- Y l
policy
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Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify under th ains and p [ties of p jury t the information provided above is true and eorrec
Signature Date d U
Print name / C ! Gf Phone# n
V
official use only do not write in this area to be completed by city or town official
city or town: permittlicense# ❑Building Department
❑check if immediate response is required []Licensing Board
_ ❑Selectmen s Office
contact person; phone#; ❑Health Department
(rcAscd se,i.2003) ❑Other
r
Information and Instructions
C
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under.any
contract of hire,express or implied, oral or written. W ,
An employer is defined as an individual,partnership, association,corporation or other legal entity,or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver
or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of
another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds
or building appurtenant thereto shall not because of such employment be deemed to be.an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have
been presented to the contracting authority.
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Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for,confirmation of insurance coverage.,,,Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"-or if
you are required to obtain a workers' compensation policy,please call the Department at the number listed below.
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3
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number.' The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
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The Department's address,telephone and fax number: ,
F
The Commonwealth Of Massachusetts
Department of Industrial Accidents "
Office of Investigations
600 Washington Street,71h Floor
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 727-4900 ext. 406
L.D. NICKULAS CO.
P.O.BOX 507•WEST BARNSTABLE,MA 02668
OFFICE:508-3624295•FAX:508-362-5578
IF ��te�am�n�ry o / aeaacluca.tla
BOARD OF BUILDING`REGUL-AT.IONS
�I A License CONSTRUCTION`SUPERVISOR l;
Number aQ 002265
a Birthdate 50-17-81-955
}x Ex �res01/j18/20006 Tr.no: 12952
# Restricted
i
` LARRY D NICKULAS
' PO'BOX 570
W BARNSTABLE, M'02668r Admiinistrato-
✓�ie T�oor�rrearuuea� o�✓vGaaaczc�iu�,lZG
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration:, 100496
Expo at,an 812006
'�;1� Ype_=Cndi�ual
LARRY NICKULA5 - G�
Larry Nickulas ell?
125 LAKEVIEW DR�L �
i
CENTERVILLE,MA 02632'' Administrator
06
tti
oF11HET Town of Barnstable
�* Regulatory Services
BAMSTA9 MASS. Thomas F.Geiler,Director
'0ren '�s Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
Permit no.
Date '.
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to,structures which are adjacent to
such residence,or building be done by.registered contractors,with certain exceptions,along with other
requirements. i
Type of Work: wet.., /Vi0 4,tr�f ��'" Estimated Cost
X,/
Address of Work: d�or
Owner's Name: C -
Date of Application: Q
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED.
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ~
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PE TIES OF PERJURY
I hereby apply for a permit as the agent of the o
Date on tractor Name Registration No.
OR
at Owner's Name
Q:fomis:homeaffidav T 3
T 'Vj:of.B arnstal .le
do
Reulatory Services
' ; ��� t . . .--.••;;;T�omasF-.•Gefier,-Director- . . .. ;..:,•:'•. ... � .
Bdiding'DivislonToM '
. . -Bilding commissioner
MA 02601 :.. .
' . .- 200 Main Street, �yanws, - -• .
Www.town barustable;ma.us
Fax: 508-790-6230 '
Office: 508-862-403 8
Property Owner Must
Complete and Sign This Section
If Using ABuilder . L
.� _ �.Q /' ` ,as Qwne/Of a subject propertyI, to act on my behalf,
hereby authonze:
jtjj�tte7rs relative to work authorized byth-s bun&9 permit application for:
(Address of job)
ignature of Owner at