HomeMy WebLinkAbout0034 RABBIT LANE �V �w�bi� �.ane
01 2018 08:46AM Tupper Construction Co, 15087785010 page 1
r000 TUPPER
CONSTRUCTION CO_LLc
546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673
PHONE: 508-77"111 FAX: 508-778-5010
EMAIL:adminCluppema.com
Date:
Town of Barnstable
Building Inspector
200 Main Street
Hyannis, MA 02601 '
(508) 790-6230 fax
Re: Insulation Permit at
Permit # or"
Issued On q ll
a1" ig
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,
i
Richard Tupper
License # CS-69058
VV
Application number..46 p
® fee ....................GB4.. ...2.5f..............................
�rl R r �i� ,
KAM ` ,J ,l Building Inspectors Initials.... . . .........................
Date Issued..... ........................................
Map/Parcel........P?i7,,,TZ3........................
TOWN'OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: �� �f`� �Al 1MA.,pui ( ��
NUMBER STREET VILLAGE
Owner's Name: �A /M-B p Phone Number s-er 2 Y r
Email Address:�Gj ��'iL�i► Q' ���0�-+Cell Phone Number
Project cost$ �Z ��D Check one Residential Commercial
OWNER'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:
TYPE OF WORK
Q Siding E2 Windows (no header change)# Insulation/Weatherization
0 Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name rc i VG'k
Home Improvement Contractors Registration(if applicable)# J 257L (attach copy)
f� A .
Construction Supervisor's License# /� �U 6 21 9 (attach copy)
2 Email of Contractor �iG q' Phone number g 2
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTYES IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER....................................................�......
*For Tents Only*
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)
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.
*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:
Telephone Number 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 Barnstable.
Signature Date
-XPnI 'S SIGN
Signature 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
Name(Business/Organization/Individual):
Address:
City/State/Zip: Phone#: L4�L 2
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I a employer with 4. ❑ I am a general contractor and I
ployees(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
ship and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
y p n'• # 9. ❑Building addition
[No workers' comp.insurance comp.insurance. 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑ p
officers have exercised their 11. Plumbing repairs or additions
3.❑ I am a homeowner doing all work ❑ g P
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.❑Other
comp.insurance required.]
*Any applicant that checks box#1 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 a new 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
information. e
Insurance Company Name: e ,
Policy#or Self-ins.Lic.#: Expiration ' rs�
Job Site Address: City/State/Zi,:rti
Attach a copy of the workers'compensation policy declaration page(showing the policyn<=: •} 'S� �, ..t ;; .
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impo.�.i r K ,:'c„;' `Y;,ratnes of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a S-1 or WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advis opy of this statement may be forwarded to the Office of
Investigations of the or' ance v ge verification.
I do hereby certify e pains and nalties of perjury at the information provided above is true and co•7 ect,
Signature: Date: l 6 2,d cY
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#:
i
I
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
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-contractor(s)name(s),address(es)and phone number(s)along with their certificates)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:
5
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
6.
CSFA-106219 ,
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WCHAEL SILVA
f 82 WALTON AVENUE -�
HYANNIS MA 02601 .
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06/28/2019
,C.. StrUCtion Supervisor 1 &2 Family
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=--;, Failure to Possess a current edition of the Massachusetts.
State Building Code is'cause for revocation of this license
DPS Licensing information visit WWW.MASS.GOV/DPS 9 OffiO f COer�rt7�yO7cclle2cG/g �"�ua�
ME IMPRO 'airs&Business. ac/zrG
VEI�IENT CO Regulai
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MICHq ==_ .__ anon.
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SILVq;'jt08�. o iration
4. 6/03/2019
21WAT D.SILK,
HYANNNI� g NMV 02601
7
--.- Under-
r
Michael Silva
82 WALTON AV.
HYANNIS MA. 02601
508 245 2906
CS 106219
H.I.C. 175708
Sept 15 2018
Phil Dimonte
34 Rabbit Ln.
Hyannys Mass 508 617 1849
Description :All New Windows will be Harvey Classic with%2 screen and grills will 6/1 . Remove
old Bow window in living room and then replace with new box out triple mull double hung new
trim on inside and new p.v.c trim on out side . Bedroom one remove double hug mull window
and replace with new mull double hung new trim outside and inside . bedroom 2 Remove two
single double windows then install two new double hung new trim out side an in side . Master
bedroom Remove two double hung windows then install two new windows with new trim on
outside and inside. Master bathroom Remove one double hung Window and replace with one
new double hung window with new trim outside and inside . Porch remove two 4 window mull
casement and then replace with two new triple mull double hung windows with new trim
outside and inside Remove one double.hung in garageand replace one doublehung mew trim
out side and in . Remove all old windows and debris from job . Painting Inside and out of
window trim extra cost '
Material labor cost.$12,500.00 Painting $ 1,300.00 1/3down order windows and 1/3 when
windows on job and rest when done .
a Phil Dimonte
- �Aa 3- 9-a-- 17
Town of Barnstable xE�aP
200 Main Street;Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-725 Date Receved; 3/17/2017 C>
Job Location: 34 RABBIT LANE,HYANNIS ` '; `Z: --
Permit For: Building-Insulation-Residential a
Contractor's Name: Elwell H Perry State Lic. No; CS-10406 can
Address: Acushnet, MA 02743 Applicant Phone: (508) 99 -5770 `?
NJ
(Home)Owner's Name: DIMONTE,PHILIP&VIRGINIA TRS Phone: (508)695-8624
(Home)Owner's Address: 109 PLEASANT STREET, PLAINVILLE,MA 02762
Work Description: Air Sealing 8 hours. Install weatherstrip to 4 doors. Install 6" Cellulose to 176' floored attic. Install 12"of
R-36 fiberglass to 88' for damming. Install 61' Celluloset to 1020' open attic. Install 2 roof mounted
bathroom vents. Install 66 prop-r-vents. Install(8)6"x16" soffit vents. Install 2"FSK rigid board ins. to
210' common wall.
Install 1" fiberglass sleeve to 1/2" heating pipes 251.
Total Value Of Work To Be Performed: $4,330.06
Structure Size: 0.00 0.00 0.00
Width Depth. Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor;or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Elwell Perry 3/17/2017 (508)992-5770
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $4,330.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 3/17/2017 $85.00 XXXX-XXXX-XXXX- Credit Card
4419
TotalPermit Fee Paid: .......................................... ........... ...................................................... .....................
.xia:." ✓o...-,ux �'9e• � .«. i&' N....sz. �� �.c.� � �u.����'`'s�' x�.j
o+TM TOWN OF BARNSTABLE 28098
Permit No. ----------------------------
` . r�. . Building Inspector -
1 U04M Cash --------=-- --
039.
OCCUPANCY PERMIT Bond
--------------------------
Issued to BaysideBuilding Co, Address
lot #3A;A 34 Rabbit Lane, West Hyannisport
:r f
Wiring Inspector ' o Inspection date
Plumbing Inspector*,, T "`�, /� Inspection date
Gas Inspector sc r 3 tsal. a9r& Inspection date 1„}u '
Engineering Department Inspection date '
Board of Health �' �'`/` Inspection date - 7-iy-4rJ
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.
stt c u f 19,0 .........................................�
Building Inspector
� , �' �- +1'F�t{:;jr •�^ .. �.�'{� S�! �'�.. .. '_# `F .'kj. T... :'. ..n' �.��. , • S.-% ,✓r 't l."+;,',{t,���., .
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ems,•.° '°�°ew:. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= sa8aar : TOWN OFFICE BUILDING
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HYANNIS, MASS. 02601
�OIU�Y M.
MEMO TO: Town Clerk
FROM Building Department
DATE: o
An Occupancy .Permit has been issued forthe building authorized by
Building Permit $ . .v;? EJ, ........................ ......................._........:__ _....._ ...
issued to ......... .... � ?ft. �. ................ _ ... ._.._»_ _� ._ . __.�
U
Please release the performance bond.
M
p MA �w any _GC/ ^T
Assessor's ma and lot number.
;- w :. G�'zC � aari'ia. � . . ��FTHET��
Sewacae Permit number .>— . . e' �.
i e� iv. TITL 6^ � Z BAWSTABLE,
House number ;� � f `'@� `b� �. L . r' 9Gp�1639
......a�C.. ........................ nwaY°�e
TO'W'N .- OF BARNSTAB,LE-
BUILDING *INSPECTOR
APPLICATION FOR PERMIT j
TYPE OF CONSTRUCTION ....4V ............................................
.......�`�..........19..cS
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....�. Y/.......3.d.... ..d.�.!'fM17........� ez........... i. �?11 ......... ...................................
ProposedUse ... .�?f ........................................... ................ .................... .
ZoningDistrict :.7.. ............:............:........................:Fire District, .......... . .,5444- ws:".............:................................
Name of Owner ...... ! ,Gf S!l.(!t.!?........���....0 .. e...Address ....................... -W ..........:
Nameof Builder .......... ./.. .................:......:...........Address ....................................................................
Name of Architect ..... ......L./,........... }.E°..............Address . /.....:. ...................
Number of Rooms .............J................................................Foundation ...Al x f.—w.....h'. .................
Exterior ...... .lLc�'.... !!l.l..�f... ...` '...............................Roofing, .......:'J .Z� ........................... `
Floors .......f�lz� :...�..1!:! V .............................Interior ........GT !'!t............... t
Heating ...... .. ....Plumbing Il .......C..�C ....... !!/l
Fireplace ......� l.�fi.k...... ....I .l.�.r���........................Approximate Cost ................ /1.( -Z. ........................
Definitive Plan Approved by Planning Board _______________________________19_______. Area ........... .
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
If
Y
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above
construction.
Name ,4��(�. ..�J44! .{�!' 6. . .. ...............
Construction Supervisor's License .... d S y.5 f
I•.�,"O; BAYSIDE BUILDING CO. '
} 28098., One Stor
t�lo_ ....,s......... Permit for ..................................
Single-'Family Dwelling * ,
.. ..... .................................................. ..........
Location ,Lot 3A, 34 Rabbit Lanes
r ............................................... 1
n...................West Hyannisport... •i
.....................
Owner .......Baysde Building Co.... ........ r �.
Frame r
Type of Constructiori ........ .. .. ......... _ ti ~:' -• _ :T
E.................................................... an, ! •� , r - .e `:' _ f - - .1 _
Plot ............................. Lot r............................ _
June 26= 85
Permit Granted
.................... ..... .....19
Date of Inspection: .........19
Date Completed / .../ .19d6—
�:�.�. .,. � *, • .ram i; � � � �
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f Asses P;
sor's ma ;and lot number M� � ......�f�:AA �`�`4� `��' FTHEt
o�
Sewa% Permit number ...
Z 33AUSTADLE, i
House number ................R...........................:....................., ro NAB&
17
f( p t639. \0�
_ y _
Q MAY a.
TOWN OF. BARNSTABLE -
BUIL'`DING .INSPECTOR
APPLICATION FOR PERMIT TO ........�
,TYPE. OF CONSTRUCTION .....(.k.. cx ....... ....................................................................................
..........JiQ ......�.X...........19.. 5�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....x.c .....:.�! ...........x f.�,/.E.....!�,,�,;U..l. .............�. !...... �-2 i75!....................................................
ProposedUse ...... .i•(;i;,�a. 11".....................................................................................................................................
Zoning District R. ...................................Fire District , `
Name of Owner'.... ! .. j`4!..P........:�/V .. /n,?.f'.Address .... .......... . C.+ ,.. ...............................................
Nameof Builder .......... ....................................Address .................:..............1...................................................
Name of Architect (J. � �v .. ..............Address ......................��?..!....................................................
Plumber of Rooms .............I.S .............................................Foundation ..../.l .le. ..... G
Exterior ......(./6, ....� .5`i.!. ... ................................Roofin
.....Zz. �,. .............................Interior
Floors ! ��.!z.�P•,.� �.`�''y / eln I............6�.(...........................
Heating ...... .., .!`(.......('rk�....... .......................Plumbing �� /`/l/ j
........... ...............................
Fireplace / l.. ............................... .. .......................Approximate. Cost ...................... .... ...:...... ............................
.:........... r /
Definitive Plan Approved by Planning Board -------------------_---_-------19________. Area ...........
! c.2...s.:
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
. j
. i i •
OCCUPANCY' PERMITS REQUIRED FOR NEW DWELLINGS it
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name :UJs> P. .:/e/,c�/f,; .:>. .. e?.....�z z............
Construction Supervisor's License .....1�... /.. /. .
BAYSIDE BUILDING CO. A=248-204
M98 ' One Story 4
No ...$......... Permit for
�. Sing,e Family Dwelling
...,`..................... .r.. ............
Location Lot 3A,
................... . ..........
.... a
y �6. '� .
West Hyannis p.ort. r � -
Owner Bayside Building Co.
................................. .......... a
Type of Construction ..,..,,Frame .
Plot ............................ Lot ..........................
June 26, 85
Permit Granted ........................................19
Date of Inspection ....................................19 -
Date Completed ...1.................................19
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