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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 l Ceatgr�a.SY►�aet,:SirlteaQO . Bosapil,1tdAi02174=301T q,•orkm, W Wr�maraLPV/k a � 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 FAftsm10 Tpeof prefect a puptimaf.•' fn4d): ak pre �p i 7. 13 Ncw cmtmcti= " rleq wmtdafi faraxtti 8. It1 3.D 1 am a Loslkrotraer wnlc knyrelf[Np woQ +ems• a ttego[rod]* 9. ❑Dwa Rdoa 4.01 am a eqd w19 be i uz raetots to tmduetaII andt on my p y. !will 10 O.BUUdigg;additlon 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 These eulseoa�rga s t hive laeuotieaGt 13.DRoof repWn 60weenaa .-and[teoekmebmamd"d%WrAtofc ap M•t, 14.0Otter WaiWWFW n 152,$i(4?,eat.ensLave eo amptayoaL�Werbett'goaR l�tfmoC ioq�t+ad:J 'Any epP1>�tLetcLedn soec111 mkt eLo S1Lout the ee�doa6etow t�Wd?t:e0t'o6A T�eY aa. r t�a¢o9vode ek![e udrmh t�[e etllQtvitL>dk�,�y� eil v,mtc sad tttea Late onoiide `tlt ceeekt}ds bex mee! �aablctoae mart sdeaik a aevrt aiterlrod"eo �"aernm oP�o �• . i4ebo takh.ceecet n Mw employees,.kLey apsatDrovide ths$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 Ir