HomeMy WebLinkAbout0057 FOURTH AVENUE (HYANNIS) �f7 Fou yr, Aevvc,
27 2017 07:17AM Tupper Construction Co. 15087785010 page 1
S12-1/77
r25**ITUPPEn .
CONSTRUCTION CO.PLC
546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673
PHONE: 508-778-0111 FAX: 5DB-778-5010
Z 1l.TUPPERCO COM y
Date: 7Xl 7
Town of Barnstable a'
Thomas Perry CBO
200 Main Street Co
Hyannis, Ma 02601
(508) 790-6230 fax
w
Re: Insulation Permits
Dear Mr. Perry .
This affidavit is to certify'that all wok completed for permit application
Issued on has been inspected by a certified
W
Building Performance Institute (BPI) inspector. All work performed meets
or exceeds Federal and State requirements.
Sincerely, Address:
' Ri
chard
d Tupper
License # CS-69058
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION{�� m Ind
Map Parcel Application # J
Health Division. Date Issued
f
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH. _ Preservation/ Hyannis
Project Street Address 1�
Village 1,43
Owner L Address
Telephone 7� 7 g 76 9 �`�Qr ��`77 y
Permit Request T1 l7zall /yrr /�y�� Z� ��
bd'at(j Of
Ize fl hrXz6hell aAale S 00�
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation,5j\ryry W° 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 J Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (s� ®� �
�e r�
Number of Baths: Full: existing new Half: existingJ'
Number of Bedrooms: existing —new OFegR�
S
Total Room Count (not including baths): existing new First Floor Room Count"84t
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#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) /
Name Y/ Ll t ' 1L� Telephone NumberjX f 77 42'- 6! L
Addreskq(1111UC cense # ® 6 l 0 S^9 '
VO4,khE,1h 126 Home Im rovement Contract r#` /
/+,,/ p
Email l.C�fY!/ 'e� i Worker's Compensation #
ALL CqNSTRUCTION WBRI ESULTING FROM THtl3 PROJ CT WILL BE TAKEN TO
SIGNATURE DATE /
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
f`.
GAS: ROUGH FINAL
FINAL BUILDING CQk 5 121409�--
DATE CLOSED OUT
ASSOCIATION PLAN NO.
I
Town of Barnstable
Regulatory Services
N Richard V.Scali,Director
Building Division
Tom Perry,BaUding Conunksioner
200 Main Streel,Tiym,nis,MA 02601
w�tir.totrn.bornstaitic.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property OwnerMust
C:ornpletc and Sign This Section
If Usiney A Bader
lRih w n14Z 4C,"
I, tv rt, —'- E{-. ,AS Owner of the subject:prope»y
itcirhyaudlortm to act on my behalf,
,
in all matters relative to.vmrk authotized by this buildutg pern it application for:
(Address of job)
'Pool fences and alarms are the responsibility of the applicant. Pants
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Sip,Aatttt�of Qwttcr ���/ Signature of AAint
LA e-
CA
Print Name Pont Name
2 )
Date
Q:FOUIS:OVv'.%ERPRiMISSIONKX)Li
i
The COJWMauweailth aj J& elf
rtofl+tislr�ai�lAccP�e�s
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� m h0rance Affidavit;Bmld anVC .B/Efieaok'ielsns
TO Mumbsr,;SMFM=,wmTimPliRuwrr iGA J'!'H4RiTY.
Name 18udaeaw; Tupper cGMvWft Co LLC"
Address- 64"ftins Omm Rd-
CitY/ftftZip: West Yarmouth,MA 02as Phose* .08-"i-0111
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easvrettmt e0 oontnetnp aaffiet Lavm ti �aokpPa[asp�aee vote tolewithaaa a tl. Elaotricai:tapsdra..ormwidow
s�t em a anal t.atd iheve lo�od ihsffaWnhalm&"den g.60oa eet 12.Q Pltmabitsg".repeiazs:ar edditio
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'Any epP1>�tLetcLedn soec111 mkt eLo S1Lout the ee�doa6etow t�Wd?t:e0t'o6A T�eY aa.
r t�a¢o9vode ek![e udrmh t�[e etllQtvitL>dk�,�y� eil v,mtc sad tttea Late onoiide `tlt ceeekt}ds bex mee! �aablctoae mart sdeaik a aevrt
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. i4ebo takh.ceecet n Mw employees,.kLey apsatDrovide ths$r�atLa=' eat alaar vr6ekber or eat rtee Lave
ameber.
Ian M eMFkFW ON is proms'�mira��' fia�reaurce
fa�rpe ;1 bt Av.MPI! Below fa AW PoliV andjab dies
h ua=cwgxny Name:AEIC
Policy#ar$elf-tu.Lic#.- Wcc5bMS93Ot=1eA 1019117
Expiration Dan-
rob.siteAddn. 57 4th Ave
Afteha cow Kme.wark='cempeaud= cityrstetei h:W H annis ort MA 02672
p�e9 efara a Pam(dwWl4g the PolEel%.atmlber and cWirafta doe).
Fallmfe to ktdcure cover-W es ra4Wmd muter d+ aL c;"15Z f2SA is a cnimr W violation =ie}Nble a fim:
aftwor ouslear imps} ,=crau as aivt7 p by u1S 1n$1,300.QQ
peaatbies in the fprm ofa STOP W."ORK ORDER aad a fnee of uP to;230AD a
&Y the viclsta A t:apy oftbis ►t may be forwarded to the Office of hares
coverage � of the D1A far iamrarrce
Ie10 pe&pydw"
Pte+4dad abevr'laraea[td cdnra
ss 2/14/14
SM778-0111
l t ;e Der leer Wift In Aiis RM86 to be'comW►&W by c,P4►or mm orwimL _
eery of raw&." p ,
b1*9 Ausoify(ctrde ant):
I.Hoard of Haft
.2.su iag Dowba t J.CHY/r wa Clut 4.Fieebkyl Impeder• !L plam6bg.iospectw
6.0awr
Coutwhhen.-- Phoae#:
AG<>d CERTIFICATE DATE(MWD
IFICATE OF LIABILITY INSURANCE °""'�
11/28/2016
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(iss)must be endorsed. If SUBROGATION 13 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 endorsemen s
PRODUCER a6 Ashley Paiva
Southeastern Insurance Agency, Inc. PHONE. (508)997-606i FAX
Nc.(SO0 990-2731
P.O. Box 79398
439 State Ao L s-apaiva@southeasternins.com.
-
North Dartmouth MA 02747 INSURERS)AFFORDING COVERAGE NAIC0
INSURER AArbella' Protectio
INSURED n Insurance 41360
Tupper Construction Co LLC iNSURERBBoaton Insurance Brokerage Inc
546A Higgins Crowell Road 1NSURERC:
INSURER 0:
I
West Yarmouth MA 02673 IN SURER
RF E.
COVERAGES CERTIFICATE NUMBER:2016=17 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 1S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS:
INSRADD SUBA TR TYPE OF INSURANCE POLICY NUMBER MPOWLpCY EFF POLE DIP LIMITS'
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $' l,000 1000
A CLAIMS-MADE.FX—I OCCUR ED
PREMISES Eecccu S 100,000
9520045208 11/1/2016 11/1/2017 MEDEXP(Anyone rson) $. 5,000
PERSONAL&ADV INJURY $: 1,600,000
'GE MLAGGREGATE R:
LIIMIITAPPLIESPE GENERAL AGGREGATE $ 2,0007000
X POLICY F-1 TR ❑LOC
PRODUCTS:-COMPlOPAGG 8 2,000,000
OTHER: S
AUTOMOBILE LIABIUTYGLE Ljor—
:L,000;000
ANY AUTO
A BODILY INJURY(Perpwacn) .$
ALL OWNED X SCHEDULED:, 1020009389,AUTOS AUTOS 12/1/2016 12/1/2017 BODILY INJURY(Peraooldee) .$
g NON-0WNED
HIRED AUTOS B .AUTOS. PROPERTY GE $
Per
e PE
S 2 Urdnsumd mOW9 BI s ul'.I .50 000
imt
EXCESSUMBRE LA UAB. X .00CUR EACH OCCURRENCE
S 1,000,600
EXCESS AGGREGATE $
A CLAIMS MADE
DED RETENTIONS - 4600056368 11/1/2016 11/1/2017 $
WORKERS COMPENSATION,
AND EMPLOYERS,LIABILITY YIN STATUTE ER
ANY PROMEMBERIE EXCLUDED?
ECUTIVE EL.EACH ACCIDENT $ 1,000,000
•
$ OFFICERlMEMBER EXCLUDED? �NIA
(Mandatory in NN) WCC5005593012016A: 16/3/2016 10/3/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
Oyyes,descnhe Under -
DESCRIPTION OF OPERATIONS bekw . E.L.DISEASE-POLICY LIMIT $ 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACpR0,101.AddlHonai Remaft Sehadule,may 09 attached If mote apace IS required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Ashley Paiva/AMP
01.988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are regist6rrtd marks of ACORD
INS825 mnian»
Office of Consumer
A# airs and Business Regulation
10 Park Plaza-Suite 5 170
Boston,Massachusetts 02116`
Home Im rmvemem
P Contractor.Registration
b Reawin ion:. 178434;
�
r . LLC
TOPPER CONSTRUCTION CO, LLC M ,F Exair�a�n: 4rterzots rr 419M
RI.CHARD TUPPER " �
50 A HIGGINS CROWALL RI]
W. YARMOUTH,MA 02673 _ F
U3ate Addreae aid retoro card.Mark [or.'
Al A �40W1t r � Cbat$0
L Addr es i`]Itenew8l Fmp a Lai Card
. odlee otCaMMOrAllimm a 3=jaGe E Won L00ae or
NWIE INkOV11IIEMT tration valid,fr indlvidwi:aae only.
RaBtaera8on: �' �l ACiroR beto:+e e6s acpviratioa date:If famw reiura ta:
.C,baoumor Aftiro and Bude=Regubtioa
Ekpiratlon: °4lter�l..8 LLC 10 Suite5170
t a
UPPER COJVSTRUCTtt31d CA,I10 1
:ICHARD TUPPER
48 A HIGOIN
s CROWEIl
J.YARMOUTH,BRA On7gr
i► xnnt�ry Not Wiftouteigampre
Mob mmmk�
Riff nmm
tp
wfbmm 0mla�i-7g11
BU►LDING9 PERFOAMgt�CE t NS'1'1FUM, INC
. , ae�eeAerspa�� -� ,
M"04chuaetts Pepartment"of Public Safety
�8$y WQ Board of Buildi
� w ioh n9 Rgiulatione and Standard
WWAM 1 jOf License:C84DO90$g
Construcbcn.Supervisor
RICHARD S TUppER
646 A MMIM CRWRLUFMm
WEST YARMbijpTM N 'Iwf3
>Oepota�aan6iR�tlana� ,�,
Cab atefor t�tlp�d��►
ra►011i11oMwgp !,��rX'`•c ..r -..- Expiralian;
Camralasianar 7?1311>aife
i
i �
Assessor's offioe Nst floor): t
Assessor's map and lot number .......... .` .6........j� ... (.k__ e�Q�OFTHETO�♦�
Board of Health (3rd floor):
Sewage Permit number L
Engineering Department (3rd floor): t � v mum
House number ,/{ 'y�
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... .....1..(��.A.! .... iZu!!!.C?.W..........................................................
I J
TYPE OF CONSTRUCTION ........... �....; i�i I�rl ._...............................................................................
........................,/.-�~....-.�'r-a�.19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby �applies for fa permit according
to theeffollllowwiin'g' information:
Location ..:,577...........!!�..... .. !'. ................/�l�l,,..,.../....( /1'/................................................................................
............Proposed Use ...... /. y ...................................................................................
Zoning District !.�!�...... Fire Di .h�<i�ct ........... . ................ ._.._ .. .�................................ ......................
I
Name of Owner .......... �� )+' ...� /P Address ...... ................................................................
Name of Builder .....1�..!. a.e�.r- .. ..........Address .................
Name of Architect ..................................................................Address :.
Number of Rooms ..................................................................Foundation CJ / �
Exterior .................... :... .......................................Roofing ..........., � IP.
4 .
�.
Floors .. 7. '!!!' C :.:.......................................
......................................................................................Interior ........
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ........ s.....................................
Definitive Plan Approved by Planning Board _____________________________19________ . Area ..........................................
Diagram of Lot and Building with. Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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.
Name .......:...4.:............:.................. .......................................
� �JConstruction Supervisor's License ._....... .. .... ..............
ADAMS, FRANK A=246-114
No 30331 permit for ..Build Addition
Single Family Dwelling
..........................................................................
Location 5 7 4 th Avenue
Hyannisport
...................
. . ..........................I.........
Owner ....Frank Adams
..............................................................
rame
Type of Construction ....F......................................
Plot ............................ Lot ................................
Permit Granted ...December 29 , 19 86
Date of Inspection ....................................19
Date Completed ......................................19
317l� -
I-.
v� s
1
tiv'
1 l ..
ssor's off io,e (1st floor): THE
essor's map-and lot number. ........... . ........ .. ..... ... .... Ck—
B Board
oard of Health.(3rd floor): SEPTIC SYSTEM
Sewage Permit number ..............Sewa .G& WSTALLED IN CO
7 P
Engineering Department (3rd floor): LF
WITH TITLE 639.
House number ....................... ...........::.;o......... ........
Q810VIRONMENTAL CO
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2-00 P.M. only TOWN PROULAT;CPS
TOWN OF BAR' NSTABLE
BUILDING INSPECTOR
AD r.... .
........APPLICATION FOR PERMIT TO ........ ... ... .
4 ...............................................................................
TYPE OF CONSTRUCTION ......... ...
ar............. .......... P
........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby appliLfor a permit accordin t the following information:
.. ............... ......... ............................................................................
yLocation . ............. ......... g
ProposedUse ...4Y. .. ....E.............. ........................................................................................
Zoning District ............ .......................Fire...Fire Dl-i&m& ... ...... ..................... ..
Name of Owner ....... Address ....................................................................................
AA el
Name of Builder ...... ..... ....... ....Address ... I............ ...... ...........
......... . . . ...
Name of Architect :.......................... ......................................;Addre ss ...........ogr.�C.R 44,45..............................
Number 'of Rooms ...................................................................Foundation ................................................
..........
I
Exterior ................. a &.......................................Roofing .........0. .... ..
Floors ............................................K..........................................Interior ......... ::)5p..................... ....................................
Heating ................................................ ..............................Plumbing ..................................................................................
Fireplace .............................7 .......................... ...........Approximate Cost ......... .zr ...........
........................
Definitive Plan Approved,.6y Planning Board --------------------------------19---- Area ...1 ... ......
Diagram of Lot and Building with Dimensions Fee ...... 0.1.........................
SUBJECT TO 'APPROVAL OF BOARD OF HEALTH
.00CUPANCY 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.
Name 1.4t—v.z
...................................
Construction Supervisor's License ..................................
5, FRANK
0331 Build -ion
'No .............. Permit for ...................................
Sincr-1 e - Family Dwelling
............................................. . ..................
Locbtion ....5.7...4.th...Av.enu.e.....
.. .. .. .... ..... ....... .. ...................
................... ...............................
Owner ..................................Frank Adams...................... .........
T.ype of Construction ......Frame
....................................
........................................................... ...................
Plot. ........................... Lot .................................
Dew i ib r c'
Permit Granted ................................ ......19
Date of Inspection ..............1.9
Date Completed ......................................�.19
X
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