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L=a 02 2019 11:08AM Tupper Construction Co. 15087785010 page 1 TUPPER . CONSTRUCTION CO. LLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 EMAIL:adminiotupperco.com Date: 2 Town of Bar 4 nstable Building Inspector S 200 Main Street Sag/ c e Hyannis, MA 02601 (508) 790-6230 fax Re: Insulation Permit at Permit # Issued On 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, Richard Tupper License # CS-69058 �V Town of Barnstable Building Post This�Card So That,rt�is V�s�ble,From�the Streets Approved:Plans Mustbe Retamed.on Job andxthls Gard�Must,be Kept M�- s Permit .ego-s �' '' '" `� °"` �� "" �. '' "''' '" t�sucFi#Buifltlin „shall Noebe"Occu �ed,u�til'a��Fnalxanspection_,has-been,made ,�f , ,. Permit No. B-19-938 Applicant Name: Richard Tupper Approvals Date Issued: 03/27/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/27/2019 Foundation:. Location: 316 UNIT A SEA STREET, HYANNIS Map/Lot: 306-241 OOA Zoning District: RB Sheathing: VP Owner on Record: KLUN,KATHLEEN M&-DAVID W JR '"� Contractor Name Richard S Tupper Framing: 1 Address: 106 TREEHAVEN ROAD x., '- Contractor License�''CS 069058� 2 tg WEST SENECA, NY 14224 q ' Este Protect Cost: $2,082.00 Chimney: Description: Install open R-19, R-33 and R-40 cellulose in attic,seal and.insulate Pe mit Fee: $85.00 attic hatch install ventilation chutes.Vent bath fan&air seal home Insulation: Fee Paid $85.00 to restrict air leakage. ,` Fi nal: Date.. 3/27/2019 Project Review Req: �� Plumbing/Gas �j�i�c Rough Plumbing: '}F p Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored"by this permit is commenced within six months after issuance. All work authorized b this permit shall conform to the approved application aridAke'a roved construction documents,for whicFi°this permit has been granted. Rough Gas: Y p pP PP � pp ��. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zoning by laws and codes. This permit shall.be displayed in a location clearly visible from access street or road and shall be maintained open for public nspectign for the entire duration of the Final Gas: work until the completion of the same. , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided onthis permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �J y�aKAY �F1HE - Town of Barnstable *Permit Expires 6 n�hs rax issue date • snaxs-rnsM : Regulatory Services Fee 9� MASS. Thomas F.Geiler,Director °' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Office:.508-862-403 8 Fax: 508-790-6230 APR 2 3 2004 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /� Not Valid without Red X-Press Imprint RNSTABLE Map/parcel Number. �06 �100 �d '.:sZ— Property Address_ 3 Residential Value of Work 7 c7© Owner's Name&Address Contractor's Name 14�r, A, r Telephone Number 00 Home Improvement Contractor License#(if applicable) 2 o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance I Check one: [`I am a sole proprietor r ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name c�c i S�� I /� Sd�✓ -v C Workman's Comp.Policy# / l 7 02 w Copy of Insurance Compliance Certificate must be on file. o a =c Permit Request(check box) l tv ER'Re-roof(stripping old shingles) All construction debris will be taken to rn ❑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 o rmission H e Impro ement ontractors License is re e Signature Q:Forms:expmtrg Revise053003. i'/T j t . � om�nareiuea,�.a��oac�iirJ�� d, �. :. Board of BuIIding7zggufatidns and Standards h I icense..pr�registrataon valid for intl►vidtil use fly HOME I, PAVE1�AENT CONTRACTOR before the expiration date."Tl found return to: Ete�istra on r p -Board.of Building Regulations and Stan4ar& 0 '4r ion 0/1004 GneAshllprton F1aciFRtn 1301 I; r� -Boston,Ma.02108 { l r� JJ �CAPRA HOME IM� CEMSy` FRANK CAPRA 40 COPPER'LANE �TERVILLE MA..02632 114Er° Town of Barnstable °* Regulatory Services SAP a XSTA13 Thomas F.Geiler,Director mass. ''°Ten 3raA'�a g Divisi on Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property /�n/C (-4 to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit application for: 31 (Address of Job) gnature of Owner Date S`�ti L 6rj Print Name Q:FORMS:OwNERPERMISSION - Town of Barnstable *Permit#- Expires 6 months from issue date Regulatory Services Feet X.PRESS PER7KE Thomas F.Geiler,Director -P., Building Division `J JUL O 6 ZOO6Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN �F BARNS www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ttpp ti Not Valid without Red X-Press Imprint Map/parcel Number J®(o�7 `J "'-n t " �4. Property Address �P�Gt SST' Residential Value of Work a, (! Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 'TL.yK-es Stye ri /® t Contractor's Name y,i c,it `" Telephone Number Home Improvement Contractor License#(if applicable) Construction 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 Insurance Company Name 4dlL A Workman's Comp.Policy# Ma f 16(w Copy of Insurance Compliance Certificate must be on file. Permit 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 j -g—Replacement Windows/doors/sliders. U-Value (maximum.44) 1 *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. copy of the Home provement Contractors License is required. SIGNATURE: . Q:Forms:expmtrg Revise061306 _ i�; ` j/LG L/(///L//iV/i IIGiLii/I Vl 11j MYYMY.�.+✓..--.. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y 'y www.mass.gov/dia Workers' Compensation Affidavit; Builders/Contractors/lElectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Ora T�77ation/Inditizdual): '`i4'GiG� 77J� Address: C0 City/State/Zip' 44114arl� -Phone#: .51dE' 41P a D�1 Are au you employer? Check the appropriate bog: Type of project(required): y 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.M I am a sole proprietor or parer- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition workers' comp.insurance. 9. Building n. working far me in any capacity. ❑ dog addition o workers' Comp.insurance 5. ❑ We are a corporation and its [N 10.❑ Electrical repairs or additions required.] officers have exercised their 3.ElI am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs cm additions c. 152 1(4),and we have no myself:[No workers comp. � § 4( ) .12.❑ Roof regains insurance required.]t . employees. [No workers' 13.0 Other P,440W 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 ibis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such, xcontractoss..that dheck ibis box-must attached an additional sheet showing the name of the sub•contraators and their workers'comp.policy inforrnstion. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. / Insurance Comp any Name: Ver4u. t4 e° ► Policy#or Self-ins.Lic.#: PP f C)g q— Expiration Date: Job Site Address:'31(P4; 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 maybe forwarded to the OfF ee of Investigations of the DIA for insurance coverage verification. 1 do hereby cetWfyyA#r the pains and penalties of perjury that the information provided above is true and correct Si afore: 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 3.Building Departmena. 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all empIoyers 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 tobe an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of alicense 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'Veither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to tie contracting authority.°' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply t6 your situation and,if Lecessary,supply sub-contractors)name(s),address(es)and phone munber(s)along with their certificate(s) of insurance. Limited Liability Companies(LLCM or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an I:LC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial . . accidents for conformation 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 tie affidavit for you to fill out in.the event the Office of Investigations has to contictyou regarding the applicant . Please be swe to fill in the permit/license number which will be used as a reference number. In addition,an applicant thatmnst submit multiple permit/license applications in any given year,need mly'submit one affidavit indicating current policy information(if necessary)and under"Job S>te 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 ism file for future permits or licenses. Anew affidavit roast be filled out each ' year.Where a homeowner or citizen is obtaining a license orpermit notrelated 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 h vestigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406*or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 yVWw.IIl2SS.g0Vlllla of1N�� Town of Barnstable 0. Regulatory Services vB $ Thomas F.Geiler,Diiector ' Building Division. Tom Perry, Building Commissioner 200 Main Street; Hyannis,MA b2601 wwmtown.b arnstable.ma.us Office: 508-862-4038- Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction. -If Using A Budder I, 4 e x S SEX IZ ,as.Owner of the subject property hereby authorize i 1=Fd nc to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) 7 � �G Signature of Owner IiAtcr Print Name Q;FORMS:OWN SRPERMISSION Board of Building Regulations and Stand au (i ci Licei :e or registration valid for indivtdul use onix, . -HOME INIRR VEMENT ATRACTOR t beWo !the expiration date. *ff found return to Regis, er 106566 Boar+,of Building Regulations.and Standards r tr 2 {2006 One� shburfon Place RIn 1301 ,1� ype - �rvidual Bost ,Ma.02108 r t! =xa BRIAN CEIrFOR =' + Brian CLfford � Canteraille, MA 02632 — _ --°- Adminisrratoi Not valid ut signs*ure . ..--_. ..... ' _.-...-- - 1 A pFIHE rph, Town of Barnstable *Permit# P�' tip Expires 6 months from issue date sntwsrABLE, Regulatory Services FeeMAW �.s- 039. Thomas F.Geiler,Director 9�p �63q. �� � lFD M°r Building Division Tom Perry, Building Commissioner -PRESS PERMIT 200 Main Street, Hyannis,MA 02601 U.Office: 508-862-4038 2 9 2003 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL (SR OF BARNSTABLE / Not Valid without Red X-Press Imprint �Map/parcel Number 0 "1 M Property ess esidential Value of Work z Owner's Name&Address G—/w-,ee Arz�- /210 Contractor's Name z i Q T Telephone Number ��~� 9 Home Improvement Contractor License#(if applicable) ,202 o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one:. ❑ I am a sole proprietor ❑ I aTaAhe Homeowner ff[ ih;ave Worker's Compensation Insurance Insurance Company Name W� `L' Workman's Comp.Policy# 2-Z-s�r Permit R=ting 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 Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 Town of Barnstable *� Regulatory Services P Thomas F.Gaer,Director i, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508 86..-4038Fax: 508 790 623 Property Owner Must Complete and Sign This Section If Using A Builder C3(/lr1 e sub* property se as Owner of the s I , l P P�9 hereby authorize M 0,/V 1 to act on my behalf, in all matters.relative to work authorized by this building permit application for: j (Address of Job) ature of er Date IU )A IS -00 Print Name' O:FORMS:OWNERPERMISSION Board of Building Regulations and Standards HOME IMOROVEMENT CONTRACTOR registration ,� 8560 ^`Ex0i tat ion:.4/2i`d2005 t kType individual RICHARf�VILLANf J� wi icAT9 . I RICHAO VILLANh a j 10g'WXON LANE-.. HYANNI ,MA 02601 ' Administrator