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0340 GREEN DUNES DRIVE
i r r e R,k 31, x .. . - +};5'° S •. F / 3,y� a `"a, c 4 rIt, t P a ,.� Town of Barnstable � Building rvttrn LWe is Card So That it.is Visible From the Street-Approved Plans-Must b`e'Retained'on Job and this Card Must be Kept - MA Until'Final Inspection Has Been Made, s6s¢ ��i ° a Certificate of Occupancy.is Required,such Building shall Not be Occupied until-a final Inspection has,been made. rermit Permit No. B-20-1656 Applicant Name: Jasen Muto Approvals Date Issued: 07/01/2020 Current Use: Structure Permit Type: 'Building-Siding/Windows/Roof/Doors Expiration Date: 01/01/2021 Foundation: Location: 340 GREEN DUNES DRIVE,CENTERVILLE Map/Lot: 246-158 _ - Zoning District: RD-1 Sheathing: Owner on Record: GETCHELL, ROBERT J&LYNDA P Contractor Name. ° .MUTO INC. Framing: 1 Address: 135 MORGANS WAY Contractor`License` 183111 2 HOLLISTON, MA 01746 _ �z Est. Project Cost: $31,684.00 Chimney: Description: Remove existing roof and install new CertainTeed Landmark Pro Permit Fee: $ 161.59 asphalt shingle roofing with venting i Insulation: Fee Paid:_;° $ 161.59 Project Review Req: t Date. �' 7/1/2020 Final: f_ 00y ` Plumbing/Gas . Rough Plumbing: -_m ff This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commen-ced within six months after issuan icial Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. t j Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the"Building and.Fire_Officials are"provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:) - 1.Foundation or Footing Service: t` 2.Sheathing Inspection Rough: 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 S.Prior to Covering Structural Members(Frame Inspection) Final 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Q{1J Lri/J�. iG- T EJ P P E FtWN C1P P1AR TA0;1-E CONSTRUCTION CO.t-Lc . 79B MID-TECH DRIVE,WEST YARMOUTH,MA 02673 It 3PHONE: 508-778-0111 FAX 508-779-5010 WWW_TUPPERCO.COM DI' VON' Date: I Z/i I Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on j c-� �f ' i ` has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. vv Sincerely, ss- Richard Tupper . License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I S Applicatior�` 01::fE Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address .3�(a . Or{ to UN u b Village Ce-,7 t Owner NO 14 eA I-labi C Address 7 Telephone J-N 776 rr��y (!! 7 (p Permit Request r' 11 /7 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -2106<s Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach scup orting dgcum tatiori. Dwelling Type: Single Family a"'-- Two Family ❑ Multi-Family (# units) � ry Age of Existing Structure / Historic House: ❑Yes ❑ No On Old KingsjHighway:�,0 Yes ❑ No Basement Type: E3'56`11 ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)f Number of Baths: Full: existing new Half: existing ne\W m Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil 3-5 ectric ❑ Other Central Air: alle--s ❑ 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 rcha�Q (il p/�P� Telephone Number �� 7,7 d Address �� �I�h 1l �, License # tJ , VC<h-) 7 Home Improvement Contractor# 8 7 Worker's Compensation #AAZML0 19110D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��� A//6 �C h4 0. (0 7 SIGNATURE DATE I X, FOR OFFICIAL USE ONLY z APPLICATION# t DATEISSUED P MAP"/PARCEL NO. ADDRESS VILLAGE fi , M1r OWNER DATE OF INSPECTION: 't ._ FRAME rINSULATION.�M :r s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT : . ASSOCIATION PLAN NO. ` . OWNER AUTHORIZATION FORM I, 07 41 tyrjA 6,7-c-Ae �l (Owner's Name) owner of the property located at 3�o G'RPe" Z6NeS 1)(2. (Property Address) (Property Address) ' �� II hereby authorize! '�� Q0m,4- CU41(1AJ (Subco ) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date I' , AC® ?D '2 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.T HIS013 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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Lora -Lowe Southeastern Insurance Agency, Inca PHONE �No:(508)990-2731 439 State Rd. Arc No Ext: <508)997-6061 E-MAIL P.O. Box 79398 ADDRESS: PRODUCER N. Dartmouth, MA 02747 C STOMERID#: INSURED INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Arbella Protection Insurance Tupper Construction Co LLC INSURERS: AEIC 27 Roberta Drive INSURERC: CNA Surety West Yarmouth, MA 02673 INSURER,D: INSURER E: - INSURER F COVERAGES CERTIFICATE NUMBER: 2013/14/1 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M pY EFF MPM/D Y EXP nYM LIMITS GENERAL LIABILITY 8S0000874 11/01/2013 11/01/2014 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 100,0O A MED EXP(Any one person) S 5 000 PERSONAL&ADV INJURY S 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO- PRODUCTS-COMP/OP AGG S 2,000,00C JECT LOC $ auromoelLE Llaeamr 56662400002 12/01/2013 12/01/2014 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY(Per person) S A X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS PROPERTY DAMAGE NON-OWNED AUTOS $ X (Per accident) INC $ UMBRELLA LIAB X OCCUR 460005836 11/01/2013 11/01/2014 EACH OCCURRENCE $ A EXCESS LLAB CLAIMS MADE 1,OOO,OO AGGREGATE S 1,000,00C DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY YIN WCC5OO559301200 10/03/2013 10/03/2014 X WC STATU- T X OTH- ANY PROPRIETORlPARTNER/EXECUTIVE RICHARD TUPPER I ORY LIMITS ER I B OFFICERIMEMBER EXCLUDED? NIA - E.L EACH ACCIDENT $ 1,000,00( (Mandatory in NH) I LUDED FOR WC COVERAGEIf yes,describe undeE.L.E. DISEASE-EA EMPLOYEE 5 1,000,00( DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) 0 CERTIFICATE HOLDER CANCELLATION s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. "For Information Purposes Only" Tupper Construction Co LLC AUTHORIZED REPRESENTATIVE 27 Roberta Drive W Yarmouth, MA 02673 Lora Lowe ©1988-2009 ACORD CORPORATION. All rights reserve_d. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD I I UwLtXNt PF.HPUMNiANCk IM`IT7 t Massachusetis Department':of Public Safely t47 Herme9 Road,Suita;'tt0 ! 8oartf of Building ReguEatlons-an'd Standards M"NY 1202D (877)274-1274 wwva,bpi.txam License: CS' -069058 { i RICIiAItD S TIPPER ; r Z9 B MID-TEGH'DR WEST 1`4RMOiFCH MA= 02 73 Mch$rd Tupper ✓ . .ma` s: =t t t, . ;Expiration • ` f Commissioner 12131/2D1d - .,- {�f REVERSE 516E ppR 0li.S16kAYfUNS AtIA ExPiRATll1!!DAt f,�) orr one .�a� iaec9 Re�ut>allon. - g t OVi ME ROdE;MENT 0`. RACTOR R. .Won 121 Types ' �t,N '_ a4 � r9ti0n fill 14 IntlivfdUal. RIGNAR TOPPER, « . - ticha Trap v s " RIG` RD UP'PEF2;_ ` lt�t1 29"Ftotie 'Dave .s'.�.s.. .•1 Vd YARM4. MIA 026 � �'— � , A ry t3ndersecretary r Comuaoravealth of!Massachusetts: "Departrrierat of Industrical�lcciclents ` ce©f.ovestagat om [- I ng,ress.Street, SUite 100 ate' Bost M.I.- X4 2,01,`T www; nass.gov%dia Workers'Goanpensa�ion I>ns.u"hee::Aidavjt: under /ContractorslElecl~>rae ans/I'id>inbers AP Ifeant Information Please'P>rint Legibly Name-(Business/Qrgamzat onflnd vidual) T4ppef CODStr11C ion CO. Inc: Address_ 79B .Mid Tech Drive City/State/Zip:West Yarrn0tAh, MA 02573 phone :,_(50.8)778 0111 Are you an;empioyer? Cbeck the appropriate box Type of project(required); 1.Q. T am a employer with 4 ❑t am a generalconiract�r and 1 employees (full and/or part-time);* :bave lured the:sub=confractors New c:onstnlet%on LD I am asole proprietor,or partner,- listed on the attachedheez, 7El Remodelri : ship and have:no employees These.5ub-conractors;lave; g• Demolition working for me in any capacity: employees and.have workers.'' [No workers'`:comp.;insurance comp insurance 9. [}Building::additon: required.1 5 [l *0 are a corporat on and its 10 Q..Electrical repairs::or.additions 3".0 Tam a homeowper doing-a1I;work ofitcersatave.exercised their i l Plumbing:repairsor additions myself. [No workers' comp:, right of exemption per MG:L . , I-2•❑Roof P. 152 r"epairs insurance:required] ' y�1(4} and we have.na employees. [No workers' 13.❑Othec . .:comp_insurancg required-)_ . ._ "Any applicant that cheeks` 'o " must atso fill out tht;.section Beim shooing their'norkers-cornpensat�on polrey inforniatiou.tHomcywnerswhosubmitthrsaffidavitindivaing'thzy.atedoingalIwork`andthen_hireoutsidecontractors.must'sul?rmt:anew:a 8avtt7iidicatin�such_ *Contractors That check this'box must attached an additional sheet showing the name oftbe s6 ebritractors grid sure whether ornot;i7iose entities have employees. if the'sub-coiiva ctors h2vc employcos,tficy'inust provrde their'workers'':comp policy nnmberc. I ant an employer tlltlt ISPYnvIIIIIt;.)UOPIte1 S� i'llPensadola;msuranee for"'ttty eJ➢Iployee5: eIOW Ls"tlYe p011Ly andjOb s« inforitaation. lnswance Company:_ lame: AEIC Policy*or Set ins:Lic.#: UVCC.5005593.01"2007 10/,3I?4 £xptration.Date:.. Job Site Address: 340 Green Dunes Dr W H annis ort City/State/Zt , MA p � Y P Attach a copyof the:warkers' compensation policy declaration page(sh:owingthe p®Btcv lluanber and expiration date}. Failtue to sectue c vve age as required under Section::25A of1bIGL t . ' can lead ,to the..itaposition of cnmxnai pertaittes::c f a one q.p'tp S.l,JOQ 00 and/or oae-year imprisonment;a�well.as divit.jicnaltics in the:fonm of a STOP UUQI2K ORDE12 aiid.a line otup to�25000 a day a tine viola_111.tos:: :B.e advised that::a copy pf t}tts statement tray lie forvtarcied`to the U, ce of Illvesfigations:of MA for in ranee covexage Verification, I do hereby c' :if}r uncle the pa Is:and perialt�es of perjury that tl anfort tatdon:provided above vs tt ue acid col�rec Serrature: d Date:: 11/2 5/13 Phone#: 5 0':8 -011'1 ©ffdciad use_only Do Ilotfvrate iaa>1/ais area,to be<coinleted by city or tofvn of faclad. City or Town:: Perint/License#. Isguing Authority.:(circWon6 l.Board.of)�lealfl Z 13ue1dang,Department 3 .Citylown Clerk 4 E:IectncAl tispector 5 tomb rig Inspector 6..�flaer Contact Person: P6:one# L