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HomeMy WebLinkAbout0017 RABBIT LANE � �, 1 - --f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOY `OF BARNSTABLE Map Parcel Application # Health Division Date Issued Z— — AS 9' Conservation Division Application FA Planning Dept. Permit Fee DIVISION Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1- . i LkI Village in A Owner Address Telephone 5 Permit Request �' N a� I S Saii-5± 47) �V1 ra a: s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 ❑ No On Old King's Highway: ❑Yes ❑ 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: X 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 ( Telephone Number 5� , --71 —6 L l Address i� V)� 0 License #l�J Home Improvement Contractor# l Worker's Compensation Aim 600 S uo/a 4�- ALL CONSTRUCTION DEBRIS RES.0 TING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE . DATE " (,e f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f' MAP/PARCEL NO. ADDRESS VILLAGE OWNER 4 r DATE OF INSPECTION: 7y - „i x FRAME y;INSULATION . �.+.. ..t . FIREPLACE ELECTRIC_AL_: ROUGH FINAL . . 47 . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. s !{E• f C f The Commotatveaadt .of ld�iarasefts Department of-IndastrialAccidents Office of Investigations 6 0 iW.a,agt®n Street Boston,MA 21.1I wwo; rrrass gotvAdira' Workers' Compensation Insurance.Affidavit: uildt. s/Contractors/Electrici:ans/Plumbers Applicant Information Please Priag'Legibly Name(Business/OcganizatbnAiidividuai) . Tupper Construction Co.: LLC Address: 546A N ggirls Crowoll Rd . City/State/Zip;; West Yarmouth, MA 02.673. Phone#:: 50'8-778-0111 Are you an employer?Cheek the appropriate box: Type of project(required):, .l.rX.I am a employer with 4. 1 am a general contractor and 1 6. New construction employees(full and/or part-time): have,bired the,sub-contradtors 2.❑ 1.am a sole proprietor or partner listed On the attached:sheet_t 7 Q Remodeling ship and have no employees These-sub-contractor-s_'have: S. Ej Demolition workingfor mein,any ca ac workers'comp insurance:. Y P ty: 9. .❑Building addition [No wo€kers';comp.insurance 5. ❑;We.are a corporation.and its required.] officers have exercise their i d t}.D Electrical €epais or Additions 3.El I am homeowner doing ai.lwalk. right o£exemption per MGl✓ `11. Plumbing repairs or additions myself. [No workers'comp: c.1 52 1(4),and.wehave bo 12.0 Roof repairs insurance required.]fi employee's.Mo workers.' comp.:;lnstararice required.];; 13-Ej Other Weatherizatiop Any applicant that checks boy#i must alsosfilLouhtl a sectton,below showing their workers'compensation pour~ information;. 7 Homeowners%ho submit this aflidav it indica[ing.they are doing Ail wo k:and then hire outside contractors must submit:a nett/atlidavit indicating such. ,Contractors that check this box-inust attached an additional sheet showing the riatiie of ftte:stib-contractors and I.heir v+orkem com}:polio-.i fonnafi10 I aria raja employer is Pravirlirt�workers'compensatinoa irasaertance for:''iyy employees; Belowis.ttte podacy;�tal job site ink•formation. Insurance Company Name. AEI C Policy#.or Self ins;Lsc #_,.,.WCC: S Cl0 S5 93 a:120`l4A Expiration Date: 013/15 Sob Site Address:.l l ,�_ Cty(State/Zlp". PS Attach a copy of the workers. kotmpensation pol.cy declaration laage'(shaeving the policy nuns er and expiration Failure to secure coverage as required antler Section 2SA of MGL c. 152 can]eadto the'imposition of criminal%penalties of ar fine up to$1;5©0 00'andlor`one--year tmprisonrnent,:as well as civil penalties in the form of a.ST.OP WCFZIS L UR ER.and a fine of up to$250.00 a day against the violator: Be advised that a copy'of this:'statertiient maybe forwarded to:the Off ce:of investigations of the DIA for insurance coverage verification: :alo hereby certify utarler tke ptaaars--lrnd etaaltaes 0�perjat y that tlae trt ar."anrrt�irr provh1ed ahove4Sr trace and:correct. Sianafurer Date:.7 7.18 O'112 pirld l:;use otaly, 4 not: write in this;areq,,to be cus ipleted bpi ezty.or:,own offcra!'; Ci 3 or'ToKrn 1E'erit/1Lcense;#__ Tssnng Authority(circle one}: 1.Boa rd'ofHealth .2.L Building`Depastment 3 City/T'ow�Clerk; 4:.Electrical Inspector 5.Pluinbing-in � 6.Other Contact Person: Phone#: ACO CERTIFICATE OF LIABILITY II�SU NNE DATE(Mh!(DDlYYYY) 12/1/2014 THIS CERTIFICATE 1S 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(ies)must be endorsed. If.SUBROGATION IS.WAIVED,subject to the terms and conditions of the policy;certain policies may req"uire an endorsement. A statement on this certificate dries not Confer rights to the certificate bolder in lieu of such endorsernent(s). PRODUCER °NTACT .. ._ ... _ .NAME: Lora FitZGerald. .- Southeastern Insurance Agency PHO� (508)99?-6051 FAX 1-Ar Noi,(50 0 990-27 31 939 State Rd, EMAIL :121?sgutheast:ernins.coa�DDRE fit _ . P.O. Box 793913 INsuktRis)AEFORDiNGcoVERAGE NAlc0 North Dartmouth MA 02747 INSURERAArbella Protection Insurance... 41360 IRsORER a Associated E to err Ins, Co " Tupper Construction :Co LLC NsORERc .. 79 Mid Tech Drive, Unit S -.IRSURERE .... .. .. ; West Yarmouth MA 02673 ansuRER F COVERAGES CERTIFICATE NUMBER:2015=1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED f0 THE INSUREQ NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION QF ANY CONTRACT OR OTHER DOCU U1FJd7 V1lTH RESPECT TO lkltCH TI3)5 CERTIFICATE MAY BE ISSUED-OR MAY PERTAIN'THE INSURANCE.;AFFORDED BY THE POLCCI€S DESCRIBED HEREIN IS SUNECTTO.ALL THE TERM. EXCLUSIONS AND CONDITIONS OF 5UCH'1?OLICIES,LIMITS SHOWN MAY:iAVE BEEN REDUCED BY PAID CLAIMS. tNSR� - -ADDL SUBR _. LTR: TYPEOF INSURANCE POLICY EFF POLICY - - POLICY.NUMBER: 7a6VD MMIDWYYYY t UkVTS GENERAL LIABILITY _ ` E..CH000URIrz-hi%E i;DDo,060 X CAA9MERCIAC GENERAL LiABiLITY fI j PREMISES tesrai•Pertce !-5 .. 100,000 :A• -LAik9S-MADE DOCCUR ( 50000.8743 11/1/2014 -1/112�615 NiEDEXP(Any'cng�pelacr) S 5,fl01} r PcRSOiVAL&A?V iti,)UrY004 AG,REtATE t:S ?;000,040 lGEN'LAGCtf i,ATEUeSITAPPUESPC ; 7Psy.ODUCrS 130i.4?? IPAGu[S 2;-Qfl0,Ofl0" I.X POLICY PRO- lj ( . LOC S AUTOMOBILELIABIUTY - .. : I t MB(NE 51itiG±E-.LIMIT . ]AUTOS S 1 :000 00(1A ! ANY i1M;:D ' erson} S ALL 0�1NiiED "X I SCH'cDULEO ! 0200098 AUTOS -- 12/1/2014 2/1/20i5 BODILX'INWRY(Pe<a-«deru�-S {{{{ 1 X 143RE AUTOS X AiFdSWNEO F. QPQ4'11D.'iM Gc - .. Un:nseredttatarstEttnii:krnd 250 OOfl UMBRELLA LiABI i O ft/R A I EACH CCk-XRREN£;E S EXCESS UAB i. .-----.. Cl AiPAS MADE AGGREGATE S OEO.. RETEnrrlONs _ 600058368: 1/1/2014 �1/1/2015 - }3 WORKERS COMPENSATION S .AND EMPLOYERS'LIABILITY - `A`C STATU- - r T R' Y LIMiFi i� ANY PROPR?ETORtPAR ER"ECkITIVE Y 1 N Ij OFFICEPJI0EMBER FE(CLUpEO? 'NIA i E L EACH ACMDE,UT 5; 1-000 000. (Mandatory in NH) CC5005593012014A 0/3/2014 h0/3/2015 I !f yyes.C25cr beaitidi I E .DISEASE-,EA:MP'OYEE.S 1. 000 000 -OESCRiPT10NOFOPERATIONS;baIOU �.... E_L.:GI"aPASE. L CY4MIT :5 1, 000 00f1 .. .. .. ,.. ..... I � DESCRIPTION OF'OPERATIONS f LOCATIONS P VEHICLES(AttarJi:ACORo'idt_,Additional.Remerics t.hi le,if.irioca space 1 - i CERTIFICATE HOLDER., GANCELLATtON SHOULD.ANY,Of.TFIE ABOVE DESCRIBED POLICIES BE:CANCELLED BEFORE THE EXPIRATION.DATE THEREOF.; NOTICE WILL 8E DELiVtRED IN T?3FORFIATION PURPOSES. .ONLY" ACCORDANCE WITH THE POLICY PROVISIONS;. TUPPER CONNSTRUCTIOPI CO LIG _.-.... ..-.._ ... .... ..... 54 fi AIiIGGINS CAbitkL:E ik AUTHORIZED:REPRESFNTATINE WEST YARMOUTH, :A3A 02673" Lora FitzC,erald/LRL ACORD 25(2014/05) p 108-2616 ACORD CORPORATION. All rights,reserved.. ItSS02$P7nt�gfii g� Thn 4'-np l namn a�+A innn a.a'ranicfn�n�ma�4c iif flRfSRf] \- 4(Tice t11 f nitSuhai r,.Efairg L tiilayttsf+itt�iatitit�l. 9aucnac Ole 111445 a»u diati£n'E iadivsriiit:�at=cstity � Q3 E kri i>litJV i i~�iT Gt �: A i ti]# rtt tt�re i kti t.cr}tOk q hate "if f t+ild -t at t�tratSatt ! YViYAc24 cat {ssk�tw�v�t" tia,ia�anCti.iiiy*�Tf[Etai3taa.0 ik t6{227fc i t j ftp PIk ii,i'k � �U4t 3.f$i �;€YtpFratintiz a. t. Li pPE�`c s'Clti�='L~;ct1 r i 4Y?,�t GC)�le�:f, r 1� PtCKAR.- -wPP50 k l YAP fi•:J a. m., v� ..,y�,awa -wg—+ r •q•.-as..:. n,.x.-:...,:sF.�.e g. : tt�S7P55:��{,.it�:SS@('� }CjFar^'h: '! of Fvo IS 'Awk s a €ierm'Y F ua& ��3FLfi T1�'�,2's'.,ifi '�eE 2 - ^ ,_. .. �s.{o 's tills aarItMI'... EW-k fi+�7 .�.d�`t�,�', d.. k4�tiatS`is_t`sititt;,vtSsitr�'aeafk' i-.. r �- Ric rd 5#'t.pfio i'ar:.i Yardtibuin R$.4 � ¢ v i r z rr�nc utc ad, � e: Fj. mil„s2y5aq:8<e wi - r Y v. af a3 vs5^..i;•?'G:t2Gdi+�l..,=p: �ecotei~4ekPina.'AegteSuRdaSafesWorld, 1$iFia3tM�4d - L4L"4GE$iftC ;\iF�11i$ER Rfchard Tupper. t bper"Goi!l-f tlCCl�Ji'1: �u?tiiiii�$as#=rr?tn3essi¢�a± MamL>-er :3158119 Exp:4/301.201 i sit RISE. ENGINEERING 5 Dupont;Avenue Yarmouth, MA.02664 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 17 � - (Property Address). wvr>C 1- oa(°� a- (Property Address) hereby authorize s /'C (Subcont c ) an authorized subcontractor for RISE Engineering,to act on my behalf to-obtain a building permit and to erforrn-Work on m ` ro ert This form is only valid:Wth a signed Contract. p P Y p p y� Y g wner's Signature Date: h TOWN OF BARNSTABLE Permit No. 27301. - -Building Inspector Duirua l Cash ----------------------------- _______ ------ Y Issued to Bayside Building Co. Address Lot 7, 17 Rabbit i.ane, W, ltyanni.sport Wiring Inspector C. � Inspection date Plumbing Inspector - "• .� �A Inspection date Gas Inspector f � ( / Inspection date Engineering Department � ,r►" Itr Inspection date Board of Health , r% Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIItEMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �..... 19. �'........�...�.c /✓� Building Inspector jJdtEPH Dy DALuz TELEPHONEt 775-1120 Building Commiuionrr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: 'Building Department DATE: 'April 5, 1985 An Occupancy Permit has been issued for the building authorized by Building Permit_ 27301— issued to B%'Side Building CO. . Please release the performance bond. T i $ x } � ,}, ti x z� - U 2 _ 1 - S fr M - .. 9. 4' } . , 4 , r. .;. L £ f fie. 1'-A _ �{ i i k K - ,1 - , sCt - i .. - . - . a'A!^ - y G P,�� Y } d t € _ - 9 p• 1. j T A `/� f - ��dr� I Y4 y ! /.�. ,f/^��'' i /,//J�/'�{ f z� JJ f s° 3 ,ti -i� ; ¢ z - .- k �� 4 P N Q-' ; , 1. ,Co . k� } x 1 D - l .. i t �r S y � —,F - x{ � ar D( �S' ��� - 5 c r. �. A , �� y 1 .z70 -Sr o I, rt� r d,11 � O QQ . ,� N ,ggone 1 t FI. , N_ .13 � 1�r Q ` i I /.I -� - 4a F 3.F1 - h 4 � S 51`'' (7 %ll s. 5' ' J . r. L i Tw . �y }+ � � a �/a�l e 5.eralgc*_4 ,a-p r ._. r D T T<'/3 8�l T Ls�.�,/E. Ec� R7 /� s�a1 �e� RE ¢11 s,. sf.cr z , ,. s3 ,,\ I N %IT I s P'Nt �'�:$ ° ' 4 � '' SCALE: .J "_ .40/ DATE= %� �B/8S� � �. / 1-1E' l BIff.�.Y.s�ni d GERT� Y THAT THE. �-/o� .----+�^--- ��® � C� THIS PLAN IS L®CASED.. 74" & �; S�S7'ER�DT RE��`STD } _ ,� �: 4� . 8 ®�999 TEE .SR®UD AS 1 `a x D9Vt�. t,:AldQ-'.:; 41, -- INDICATED A -� ` EPIQ 14EER SUR'�EY�R ►Y� {%`� C�6� '�FiMS``Td3' THE ZONING LA :,j 4 # 4 z °� ,r r t. F �A ",TASL o- MASS• 712 MA! N' ST11 REETy �+b� Y!M // ,� ,, u T ,� s xZh ; ' A•�.E R�®.. LAND SURVEYOR r � �/p .9111012 Assessor's map and 'lot number .. . .7.A..... .�.... ..... " . r. SINE a umber �....... SEPTIC SYSFEQ . fiSewage Permit n INSTALLED IN COMn,I/ BARNST�t0L�E. MASHouse number ................:........ / .. . ............. `............. WITH TITLE 90 9 ` ENVIROINMENTAL C00)E A MAYa\e� TOWN OF BARNS �AB�LJffiTICON BUILDING - INSPECTOR APPLICATION FOR PERMIT TO �k<�'.....�/. . ..... a TYPE OF CONSTRUCTION .................. .. .......:.............................................................................. s ............ ...3...........19.C1... TO THE INSPECTOR OF BUILDINGS: The undersi ned hereby a 4iesfor-La permit accordi to the followi g i ormation: Location ..... . .... . ... �..zn.....11V: �4�'N).. ....................................................... ProposedUse ... ....................................................................... Zoning District .........e.- ....... .......................Fire District ........... . .......+................... Name of Owner ....... •• ••X41.aWp.4...!%':�r�"•-e � . dress .�..0•�.%..,1.�...��.... ................ ../.Name of Builder .............. ......../,, /'"-(.........:................Address .............................................. .... ................................ Name of Architect ... J Address ....... .................. �.v..... .° ........ ........... .............�.... `...... ... .. Number of Rooms ........... ..................................................Foundation ..........y. . ............ 1A1 Exterior .....".....�G...... `:....-(!( .. ..................Roofing ............�... .. ......... Floors ......................... ......... .. ... . Interior .... ... . Heatin .......Plumbin Fireplace ............1­1. ........................................................Approximate. ................................... . ..... Definitive Plan Approved by Planning Board ---- 19 ! Area .. ...... . I ....00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH C7 "A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of th wn of Bar bl re ar ing the above construction. lrfa�- C Name ..:........� ... Construction Supervisor's License G �/... .... BAYSIDE BUILDING CO. No ..2.73....... Permit for ... ............. -Single Farriily Dingle. ...................................................�Pg...................... Location Lot 7, 17 Rabbit Lane .... ..........V! Lane :......... ................... !1z. . ........... Owner ......Baysi.de-Buildinq-Co.................. . ........... .... ................ Type of Construction ....Frame...................................... ............................................. ................................. Plot ............................ Lot .. Permit Granted ..... ............19 84 Date of Inspection .........................Z.......�19 Date Completed ......19 d/ and' lot number 33AW TABLE, 1639 TOWN OF' ' BARNSTABLE -~ BUILDING -_ � NN N 0 �� 0 �� INSPECTOR ���� �� �� �� NNN0-00N ���� N ������ ��0� 0NN �� -' APPLICATION FOR PERMIT TO .�-... / / TYPEOF . . ....... .----.--_-.-._.--_-_------.- . = � - --��. -.'�..:c--.-.lA.�l..�^' - TO THE INSPECTOR OF BUILDINGS: The n6 e6 h 6v applies for a permit according to' the following : � Location -'�Y�\ \. � ���{�! [��� mr�� -.J.�.�M.y�, �..-.....,.................................... � ' '. � ~ �� - Proposed Use -. .��-... ._ ��er:�..'�--.-......--.---.. ,--------. ' . ^ Zoning District ---,{�%��- --..��L.��x.-------.Rne District ---.+�Z/�.����?���----~-------.. . Nome of Owner ....... - . reu . ....................................... /} ' ^�~ Nome of Builder --------. ��l���?��--------'A66reu ...............................................�................................... ,,Name of Architect -. --------A66res -- ��. ���.-.�----.. Number of Rooms ........... ----------------'Foun6o�on ---.£�. .----------.- � Eme,ior ....... --�� 1:�.-----'Ruofing ............ ........................................ ' Floors - �w��� : `«,r Interior° ~ ' � �rW R,ep|oco ----. ---------------.�/\pprnx�mote Co- ~.�� . _~___.,_,,,__,_,, 7 / /~��� ' Definitive Plan � �nn�� E�� lg 6^ �� / � /� j �. r "pp'w"�" ' -�7�` ------���--/---� ' Diagram of L6f and Building with Dimensions ^~ Fee {���. ~, ^^ ---.. -------- 'SU8JECT TO APPROVAL OF /' 6 0 +] 0 ` � \ , CT�� � It\ � \ � ' ' . « ' � ' ' ! | v ` | OCCUPANCY PENA8D3 REQUIRED FOR NEW DWELLINGS � | hereby agree to conform to all the Rules and Regulations of thq.�own of Barnstable regar�ding the above construction. Ila Name ............. x.��x�...�x��- � 7. �~ -.. . ' /� �� Construction Supervisor's License L�T�l�.�.u.�:-.......... . � BAYSIDE BDIMI0G CO. A=248_273 *'27201 One Story No -�����- Permit for .................................... 5ingle Family Dwelling --------.--.-.~--.,.--.-.....--.. . Lot7 Rabbit..Lane Location ......Lot -�. l7 I� � `-. -'--'—'--------'----^.k��^~--' �� � Building Co. ---- ----.-----.-.-.-----.-.-. � Type of Construction Frame-.------------.. ............,.-.--.-.-----.-.--,--~-.--- . . Plot ............................ Lot ................................ ' ' Deoeo�»ez 4 O4 Permit Granted --------.�----.lg Date of Inspection ----------.-..lq Do+a ......................................lg ' � ' . ^ ` ^ . ^