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0033 RABBIT LANE
33 674-b 614 LaLne CA Yr of Town of Barnstable *Permit# / r S. �' 9 �.* Expires months from issue date Regulatory Services Fee S'_® 0 &639. `m�' Thomas F.Geiler,Director �ED'AArp Building Division Tom Perry, Building Commissioner R� 200 Main Street, Hyannis,MA 02601 X.P®ES P __ . Office: 508-862-4038 Fax: 508-790-6230 SF P .1 5 Z004 EXPRESS PERMIT APPLICATION - RESIDENTIAL OF BARNSTABLE Not Valid without Red X-Press Imprint tp/parcel Number 0 6 >perty Address Residential Value of Work 6©0 Minimum fee of$25.00 for work under t6000.00 vner's Name&Address ntractor's Name ��� --t-& . Telephone Number 7 G 3 U ome Improvement Contractor License#(if applicable OS-3 6 0 instruction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance urance Company Name b l '� )rkman's Comp.Policy# py of Insurance Compliance Certificate*must be on file. rmit 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) ❑ Re-side Replacement Windows. 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. Home emen rs L' ease is required. x1ature orrms:expmtrg ise063004 I . Fraser Construction Roofing & Siding Specialists Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 '/z%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will life one sheet of plywood to make sure that the insulation be not up against the plywood sheathing so that ventilation cannot occur from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per,panel including Materials & Labor. There are b Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$40.00 per hour, plus materials, plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the shingles and labor for 10 years. r, FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties.the shingles and labor 100%for the first 5 years, and then on a pro rated basis for 30 years total if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days-may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: �16 SUBMITTED BY: meowner tti"!!� nstr' oa - Board of Bu g Re ildin gulations and Standards HOME IMPROVEMENT CONT RACTOR Licen, Re �st e.rafon befor 9 1�2536 Exptran 3f23/2005 Board a�Yl DBA' One A FRASER CONSTROT?©N co Bostor. DEAN FRASER I71 TARRAGON CIR COTUIT,MA 02635d—w— Administrator Town of BarnstableBuilding Post This Cacd.So�That rt;Is Uisible'Fromihe St[eetA roved°Plans Must;be Retained on Job and this Card Mustbe'kept r�X461M 3CA BLL.•. ,� :, y,�'' se Posted,Until Final IispectlonHas Been Made ;,' �. Permit Where Permit he :a Certificateof Occur,an°c. isRe wired,--such Build�rvv sFallNotbe Oeewpied u'nt�l aFinal,Inspect�on•has been made . „fie.«. '.'3,. ,*...,,H�.@r. ... .:x •,... >ta',.. '." ':..,per 9.:ti.�,�.x .x; :«;k:. ,rmh n" .a ..,, ar5'€i 'a^ :.a.aa+:..a >:u. `�!.u� "a...� ,_,,,,:,aak. ".'..: '..-._ ✓..atwr«.. a.�..b? ,,. .. Permit No. B-18-3124 Applicant Name: Richard Tupper Approvals Date Issued: 09/25/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/25/2019 Foundation: Location: 33 RABBIT LANE,HYANNIS Map/Lot: 269 203 Zoning District: RB Sheathing: Owner on Record: LAWLESS,JANE M Contractor Name`,,Richard S Tupper Framing: 1 Address: P O BOX 758 Contracto�r`Licenset GS 069058 2 w � � .,.. WEST HYANNISPORT, MA 02672 . EstProfect Cost: $ 1,779.00 Chimney: Description: Commonwall:2" Rigid Boar Permit Fee: $85.00 Air Sealing gE Insulation: Fee Paid. $85.00 Pull Down Stair:Thermadome 3V. 9/25/2018 Final: Insulated Bath Exhaust Hose ate �*���� z Plumbing/Gas Project Review Req: R � � - Rough Plumbing: . � ",I,,Building Official Final Plumbing: Rough Gas: . .,, .. �� Final Gas: This permit shall be deemed abandoned and invalid unless the work authnzedby`this permit is commenced within six` nthsafter issuance. All work authorized by this permit shall conform to the approved applicatIonand the approved construction documents for which this permit has been granted. Electrical � A All construction alterations and changes of use of any building and structures shall begin compliance with the local zonmgby 'an '' A codes. This permit shall be displayed in a location clearly visible from access street or oad and shall tie mamta etl open for pufjlic inspection for the entire duration of the Service: lv-- - " `a work until the completion of the same. E01 Rough: 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: Final: 1.Foundation or Footing Low Voltage Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department 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). prVLTVlE Ern AT-L- SE'.sT ..4y i `.:,tl,'_-. Y. n.r> �'.-�-:,. �,.._`� ��5,+.',, rr s4`. L.''-r�—,. �,p',,:�.r,; _ Yam, •:.-"v�.�-_ ;.: • essor's map and lot number ...... ....... SEPTICa 7 u SYSTEM MUST BE THE Sewage Permit number r -?�.. �C/ I6 STALLE I� ����. ����" �Q o j. ryi ,'� a �y �,�,iTH TITLE 5 r ....... � A.. ......:. aA ��k�'4�IC?i 3`4 WIV-z i A ;v�fk~+ ` :�o�M 6 L 0A House number ....;......... � 39• �0 M0 a' , TOWN OF BA.RNSTABLE BUILDING , INSPECTOR f 1 APPLICATION FOR PERMIT TO ....... .... .............:......:.. TYPE OF CONSTRUCTION ... 4•.•. &A4.11 <....:.......:...................:..............:........(........:...................... . ' rSl........ [1.............19.. TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location .....L�. . 94. . ..... ..?if dd../.,r.... / ......... .. ....`. ..... .......................... ProposedUse .... .� ...............:......................................................... ....... .................................................. Zoning District ........ .`. ............ ........................:.....Fire District ..... .................................................. Name of Owner .. /. . '.. 4.�J......................Address Ej.....:.A. .:................................ Name of Builder ....... vGt r,.................................... .Address ..............6. ............................. .. ... . ... .......... . Name of Architect. ...... ..1'0.�....�& .......:. ........Address ........ Y! r .. Number of Rooms ... /J • �...........................................................Foundation ., ... .D�L.P�....(.�9.?.2�'Zl° ............................ ' Exierior ... ...'... f(��l lL�.....................Roofing /4o&':.�.............. .. ........................r Floors -....(�//�.�/ ..:.......................:..:...:.Interior .... l� .SCtl1!1.......... ................ e� ! ' v /� ...Plumbin V Heating ... :��7 �: ....(T:1��.... ....................... g .....�...Y...�. .. .... ...... .. . Fireplace .....�.(1./..l lC..... ......gx. C l:......................Approximate Cost V/.. ........!......... ....:..... Definitive Plan Approved by Planning Board ___---------------------- r I9 Area , Diagram of Lot and Building with Dimensions y�C l �c -� Fee ............ (o.�....---.:............... SUBJECT TO APPROVAL OF BOARD OF ~HEALTH+ 334` 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. 7 I Name ..,!� ��'°�j. 7 1?.... .... .' 7 Construction Supervisor's License ..... .. BAYSIDE BUILDERS N6 27.469... Permit for One Story - f. + ` Single Fani1 Dwelling 4.. ..... < ............ .................... Location .�t..�!......33 Rabbit Lane.......... .. ��lest Hyannis...................................or r r• �� .;* r - .. .. .. Owner .........Ba ......................................si Bulr ... ........ ' Type".of Construction ....:Frame.... ........ %~ r ..................... . ... .......... ............. • + �, - ` •• s._ _- �;r Plot Lot;......................` ' Permit ,Granted .......................JanuazY 28. `. ....19 85 '';. • Date of Inspection n' ......19 - w Date Completed !'N ON G ..�Q.. ....1. 45 .. .�� � �? -s. :�::; ; 1 � _ -:•;.fir` .. t �. _' � , k �, Assessor's map and lot. number ........ F T E to Sewage Permit number ......... .....................................� .*33 � BA"STABLE, i House' nuri ber .... .....................; ... .................... so "b s l 1. .EO yPy 9. TOWN OF.- BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO C&M..5 Z ........................... TYPE OF CONSTRUCTION- —4.-,... ........................................................................................ g N ...... /// .............19.. Y .......a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .... ........ ......................................................... ................................... Proposed Use f.... .!!.1°, .ir-°ill ....................` ................................................................................................................ � . Zoning District — Fire District f-f 11 4 Name of Owner ......... ...................Address ................ Nameof Builder\......._5?.,&.cu ... .......................................Address .............. ..................................................... Name of Architect s. .:.... ��....: ..................Address �� ............ .. ...................................................... Number of Rooms Y' P� �97r1/y1. .........I.......................:............................................................Foundation ...;........,............,......... .� �( /l �i21 ( `� /�`�tf4/ ...Roofin �5��/4�1 Exterior ....�....V.....�.......::....................!!�......�..:.................... g ......... ..�..�/1.......j......................................................... Floors l... r.a1 /�i .��....................................Interior .....!:.:1 �1i'Y!..- .... /. ................................. e��� --rrP'S...................I... ........Plumbing ......? V. ...........!:.a'O e.e ......./�; Heating :......... ....c.............. :.... Y v Fireplace .....� ../.l G� � C.! ^...........................Approximate Cost ..... :. .................................1. ....... C.............. Definitive Plan Approved by Planning Board ------------------------ 1 - 19 -----. Area C . ....'.:. ............. Diagram of Lot and Building with Dimensions CI qq Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 33� e.rek " 4 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 ... c... A I,../:'�'`'`-� .................. Construction Supervisor's Licensed�� ���............ Rgir.SIDE BUILDERS A=269-.aW 7- No ..................2746 9 Permit for One Story............... . .................................... 2 Single Fa-mily Dwelling ............................................................................... Loc'ation .....Lot...2A,....3.3...Rabbit.. ........... ...... ..... . . ............. .... .... West Hyanni sport ............................................................................... Owner ...... ........... Type of Construction ...Fr aM............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ..January ..............19 85 Date of Inspection 19 Date Completed .......................................19 r, y TOWN OF BARNSTABLE Permit No. __27469 - ------------------- Building Inspector aaasn.m Cash ----------------—------------- 1639 OCCUPANCY PERMIT Bond __.___-Y Issued to Bayside Buildess Address Tot 119A 33 Rabbit Lane, West BVanrisport: Wiring Inspector , Inspection date Plumbing Inspector„ i, Inspection date Gas Inspector Ow ,�� �.�"IL" , Inspection date f� .� . Owl w AS Engineering Department .7L;�f� fr` ,. fe Inspection date Board of Health Q zt j 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 REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0,OF THE MASSACHUSETTS STATE BUILDING CODE. J ` n , �i1i1?.l l r '7 ... ................... .... ............ Building Inspector ._ .. : .t ry .. __ ... � ,�,...� �.- :�.� .,'vyel�n', .},tKSP""„'� 'try. P a.@•`-#TF;. ;.3'j' "„�` -�j _. � � + �et � -�� � - _ ... .,� " �• TOWN OF BARNSTABLE BUILDING DEPARTMENT. 2 asaasr TOWN OFFICE BUILDING t639. HYANNIS, MASS.02601 { rt MEMO TO Town Clerk z FROM: Building Department # DATE: An Oceupancy Permit has been issued for the building authorized by Building Permit # .............. issued to ............__ ... .�........�.....__. Please release the performance bond. r t /f w L0 T .57 t h h Ch N ti cq 160 CERTIFIED PLOT PLAN j�.�l«1.�l T LA-A/c-.- N s ; rna SCALE 3 o DATE, / 2-.1 18.€` OE Q� �Ne �ysiv� I CERTIFY THAT THEy��✓r�s��'i0^� _.� CLIENTS SHOWN ON THIS PLAN IS LOCATED CIVIL ED LAND lJOB N0.E REGISTERED �'�d 8� ON THE GROUND AS INDICATED AND CIVIL ENGINEER SURVEYOR OR.BY` A,, '1'4 .''I CONFORMS TO THE ZONING LAWS OF BARNSTABLE MASS. 712� M A I N STREET. _ CH.BYE i ? TE-f /G. �HYAN�IiS MASS. $MEET,.LOF� D RE LAND SURVEYOR Application number................ ..................... ....... E}4� ��- Qa _ Fee.................................... �!S..J..... SANW A" ' Building Inspectors Initials... . ......................... A,t ` J�i� 2 °� pp .ems Date Issued......d.� l!A....................................... TOWN pig- 13AHNS-r:ABLE Map/Parcel.. ... .... ..... .................... <2t TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION '-Address of Project: �� �—� �1 49L `NUMBER &MtET_ -LAGE `Owner's Name: (�t�,eau,��.,..� lasr��-- `Phone Number -r '4 3- u Sit yi < y Email Address: -, �� �� '�� �� 7r`lff Cell'PfioneNifm er C Project cost$ 2, Check one Residential Commercial COWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: cTYPE"OF WORK s� Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review J Roof(not applying more than I layer of shingles) F onstruction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name r y Home Improvement Contractors Registration(if applicable)# (attach copy) -Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ 1 x *For Tents Only* s Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) r Dimensions of each Tent. X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit, non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. F_ *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: u / �-� /Y51,v ' e w3. Telephone Number {� � b/� Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of B table. Signature Date APPLICANT'S SIGNATURE Signature G� ` Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly CName(Business/Organization/Individual):. ell✓f T dru�'� Adress: j za.. O\V n l C City/State/Zip: Vh17 '5 01 Are you an employer? heck 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 shipand have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ C'3.® I am a homeowner doing all work .. officers have exercised their 11.❑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.[1 Other comp.insurance required.] *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 anew affidavit indicating such. $Contractors 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance 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 DIA for insurance coverage verification. I do hereby certify under t e pa' nd pen es of perjury that the information provided above is tru and correct r� Si mature: /1'/yv C'Date: Phone 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.Plumbing Inspector 6. Other �. Contact Person: Phone#: Information and Instructions , I Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. r Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." 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,§25C(6)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,MGL chapter 152, §25C(7)states"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." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia