HomeMy WebLinkAbout0580 PHINNEY'S LANE 58ti �h � nney s
Lang ✓
Town of Barnstable Building
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PostvThis,Card So Tha �t"is Visible,From Lhe.Street�,A roved,Plans Must be Retained ono and this Card,Must be Ke .t ''
t HARAtsiA61.6, • ;^�
* Posted�Unt�ksFinal�lnspect�on �
. erI111t
°; ear Where Cert�fiate of Occupancy is Requred,:such Building shall,Not'be Occupied until-a Final,lnspect�on:has been.made +;d-
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Permit No. B-17-2830 Applicant Name: William McCluskey Approvals
Date Issued: 08/29/2017 Current Use: Structure
Permit Type: Building-Insulation-Residential. Expiration Date: 02/28/2018 Foundation:
Location: 580 PHINNEY'S LANE,CENTERVILLE Map/Lot250 016 Zoning District: RD-1 . Sheathing:
Owner•on Record: SHRAUGER,MARK A&SARAH J Contractor Name: WILLIAM J MCCLUSKEY Framing: 1
Address: 580 PHINNEYS LANE . Contractor License: .CSSL-102776 2
.:`E
CENTERVILLE, MA 02632 r, -
#=s�ProJect Cost: $5,000.00 Chimney:
Description: Add R-19 fiberglass and 2" rigid insulation to the basement Dense
p g g Permit Fee: $85.00
' ', Insulation:
pack the walls with R-13 cellulose.Air seal thebasement with
expanding foam.General weatherization , Fee Paid' $85.00
Date ,." 8/29/2017 final:
Project Review Req: Add R-19 fiberglass and 2" rigid insulatn WIN,e basement m—a
Dense pack the walls with R-13 cellulose Air seal the basement y- G ! Plumbing/Gas
with expanding foam.General weatherization - ,p Rough Plumbing:
M � /v
8uilding Official
Final Plumbing:; ..... .: g.
t nr r.
This permit shall be deemed abandoned and invalid unless the work autharazed by this permit is commenced within six months after issuance.
WE , x Rough Gas:
All work authorized by this permit shall conform to the approved application and he'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.
� � Final Gas:
This permit shall be displayed in a location clearly visible from access street&Teoad and shall be maintained open for public mspection.for the entire duration of the• u
work until the completion of the same.
y _ Electrical
i° ` x �
The Certificate of Occupancy will not be issued until all applicable signatures by the Buildmg�and Fire Officials are\provided on thispermit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.foundation or Footing a, Rough:
2.Sheathing Inspection - 2 '
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: t
"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 '
.
Town of Barnstable
RsyEIPT
nA ABt.L, " 206Main Street,Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-2830 Date Recieved; 8/17/2017
Job Location: 580 PHINNEY'S LANE,CENTERVILLE
Permit For: Building-Insulation-Residential
Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776
Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398
k
(Home)Owner's Name: SHRAUGER,MARK A&SARAH J Phone: (508)292-2937
(Home)Owner's Address: 580 PHINNEYS LANE, CENTERVILLE,MA 02632
Work Description: Add R-19 fiberglass and 2"rigid insulation to the basement.Dense pack the walls with R-13 cellulose.Air
seal the basement with expanding foam. General weatherization.
Total Value Of Work To Be Performed: $$,000.00 1
L
Structure Size: 0.00 0.00 000 m
Width Depth Total'AArea '
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: William McCluskey 8/17/2017 (508)398-0398
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $5,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 8/17/2017 $35.00 XX3{3{-X30IX-30IXX- credit card
0299
Total Permit Fee Paid: $85.00 �8/17/2017 $50.00 XXXX-XXXX-XXXX- Credit Card
0299
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fag: 508-398-0399
9/26/17
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601
RE: Building Permit#B-17-2830
TO: Building Inspector(s),
This affidavit is to certify that all work completed for 580 Phinneys Lane, Centerville has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
ro Ocr1 Fps
�i'NoFe
ggNs�ge '
4
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Pr I fi licatilon #� �
ace `� pp
Health Division Date IssuedCV
Conservation Division Application Fee
Planning Dept. Permit Fee '
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address
Village
Owner Address
Telephone
Permit Request
cis
—
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District J Flood Plain Groundwater Overlay
Project Valuation ! Construction Type '
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach` porting74ocuMntation.
.Dwelling Type: Single Family •J;d' Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' HighwgW ❑ s ❑ No
Basement Type: dFull ❑ Crawl ❑Walkout ❑Other v ate+
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: ZGas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes , Ao 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 Vss Telephone Number -0 C
Address NLicense#
Home Improvement Contractor#
Email Worker's Compensation #���`��)�:t'J►�/ f I�'f
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ�:CTWILL BET KEN TO
i
SIGNATURE _ DATE �d ��
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
F
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
f
a ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
1
FINAL BUILDING
< YE TA CLOSED OUT
}
A�S0tQ ATION PLAN NO.
046,4E881NG
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property'located'at:
(Property.Address)
(Property Address)
hereby authorize ,
(Subcont a•tor)
an authorized subcontractor for RISE Engineering, to act,on my behalf to obtain a building
permit and to perform work on my property: This form is only valid with.a signed contract.
Owner' i na ure.
RISE Engineering 5 Dupont Avenue South Yarmouth, MA.02664
s
T The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 0211.1
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print hey-ibl'.
Name(Business/Organization/Individual):; Tupper Construction Co.. LLC
Address: 546A Higgins Crowell Rd
City/State/Zip: West Yarmouth, MA 02673 Phone 508-T-78-0111
Are you an employer?Check the appropriate box: Type of project(required):
L 0 I am a employer with 4. 0 I am a genera]contractor and I
6. 0 New construction
employees(full and/or part-time).* have hired the sub-contractors
2,0 I am a'sole proprietor.or partner- listed on the attached shut. t 7• 0 kemodeling
ship and have no employees These sub-contractors have, 8: .0 Demolition
working for me in any capacity. workers' comp.insurance g; 0 Building addition
[No workers' comp insurance 5. 0 We area corporation and its;
required.] officers have exercised th6ir
10.0 Electrical repairs-.oradditions
3.0 I am a,homeowner doing all work right`of exemption per MC�L 1'LE1 Plumbing repairs or:additions
myself. [No workers';comp. c. l 52, §1(4);and:we havq no 121F repairs
insurance required.]t employees. [No workers' 13.[ OtherWeathgriZat1011
comp. insurance required.]
''Any applicant that checks box#1 must also fill out the sectip below showing their.workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new'fdavit indicating"such.
Contractors that check;this box must attached an additional sheet showing the name of the sub-contractomand their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:.. AEI C
Policy#or'Self-ins.-Lit.#.. WCC. 560559 3 0.12 014A Expiration]Wte:: 10/3/15
Job Site Address: City/State/Zip- c
Attach a copy of the workers'compensa 'on 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 crin final penalties of;a
fine up to$1;500.00 and/or one-year imprisonment,as well as civil penalties Inthe form of a STOP WORK ORDER and a fine
of up to$250A0 a:day against the violator: Be advised"that a copy of this statement maybe forwarded to the Office;of
Investigations of the DIA for insurance.coverage-verification.
pdo l erebycertify under the pains nd' enaines ofperjury that the information provided above is'true and correcl±
Signature. �. 1 Date:
Phone.#: t 5 0 8):7 7 8-0.111
O,f tcial use only. Do not write in.this area,to.be cont by city.:or towRofficiat
City or Town: Permit/License
-
Issuing Authority(circle one)i
1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5..Plumbing Inspector
6.Other -
Contact Person: Phone';#c
ACC CERTIFICATE ' F LIABILITY INSURAN DATE 29120I�)
/
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION-ONLY AND.CONFERS NO RIGHTS UPON.THE CERTIFICATEHOLDE€t.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),musi he endorsed:;if SUBROGATION IS WAIVED,subject to.
the terms and conditions of the policy,:certain policies may require an endorsemeL A Statement on this certificate.rides not confer tights to the
certificate holder in lieu of such endorsements}
PRODUCER CONTACT I:Ora FitzC-era3f�
�^ NAME:
Southeastern Insurance Agency .'PHONE -t508,)'997=606& ��No:(50&199A=2131..
439 State' Rd: E-MAIL ' 1,£itz@soiithea§ternins:com
:: ADDR - ... -
P.O. Box, 79398. ;
INSURER(S)AFFORDING COVERAGE.. NAIC0
North Dartmouth MAT 027:47
INsURERAArbella. Protection. Insurance; 1360
INSURED
jNsuRERe`Boston:Insuranc® Brokers a Inc
Tupper Construction Co LLC INISURERcc
27 Roberta Drive INSURER D:
INSURERE' _. .
West Yarmouth MA 02673 .
..:.: ...�,.. :INSURERf:.,. .
COVERAGES CERTIFiCATE'61UMBER,2615, REVISION NUMBEF
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 CONTRACTOR OTHER DOCUIMENT 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 CONDinoNSOF SUCH'POLICIES.iLIMITS;SHOWNN MAY HAVE BEEN REDUCED BY PAID CLAWS.;
INS'R POLICY EFF :POLICY EXP
Lam: TYPE OF INSURANCE, POLICY NUMBER MMIDO D LSMITS
GENERAL UAWLRY
EACH OCCURRENCE s 1' 000,:0;00
X COMMERCIAL GENERAL LIABILITY' OARMAGE 70 REN -D 100,000
siE o I s:.
� 1/T72019 1/172015 MEDEXP(Any.oneperson) 5
A CLAIMS-MADE,I f OCCUR 500006743: 5 000
PERSONAL&AOV:INJURY 5 1`r000,000
GENERALAGGREEATE S 2,>000,000'
GEN'LAGGREGAT'E LIMIT APPLIES PER: - PRODUCTS-COMP/OPAGG 'S. 2.>000,000
X POLICY JECTPRO-. LOC
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY. a arr eno 1`iOOO 000'.
ANY AUTO. BoDiLY INJURY(Per person).::S
A ALL OWNED SCHEDULED 020009,389 2j1/2013 11j2014
AUTOS -�X. AUTOS.. BOT3ILY7NJURYIPeL:arxtidert).S .
HIRED AUTOS 'X NON-OMED ,PROPERTYDAIAAGE
AUTOS" Peraccident -.. ... .. ...
Ix Umn iredrr tWl6( t[mSt I .250 000
X. UMBRELLA LUIB OCCUR EACH QCCURRENCE 5 .
A EXCESS LIAR CLAIMS-MADE c• AGGREGATE S
600058368 1/1I2014 '1/ij2015
DED ': RETENTIONS - .., .... ......,... .-. ..- 'S
-B WORKERS COMPENSATION rWG STATU•:.. OTIf
AND EMPLOYERS'LIAMUTY Y l NFR
ANY PROPRIETOR/PARTNER1EXECUTIVE E.L.EACH ACCIDENT S 1 :000 000
OMCERIMENIBER EXCLUDED?. N N I A
(Mandatory in NH) CC50055930120I9i 0/3j2014 0/3/2015
EL DISEASE.-EA EMPLOYE '-S 1.-:000 000
It yes.desmi4e Under'
DE E.LOISEASE-POLiCYLIMtT- S 1 000 0.00
OESCRIVsYON 6FOPEF:ATIONS/,LOCA770NSl YEMin-,cc({lttsG ACORII IO],AEAttloial Retnants.5che0ule�lt'Iirorespace':is reputred)- t
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED P.ouCIESBE CAPIEL: CLED$EFORE:
THE_EXPIRATION DATE 'THEREOF; NOTICE' VLgLL ;BE DELIVERED IN
- ACCORDANCE IMTH THE'PQLICY PROVISIONS..
INEt?RA4P,TION PURPOSES ONLY
TUPPER CONSTRUCTION CO
546 A.HIGGINS C'ROWELL ROAD. At DRIzenRl PRESErlravive
WEST YARMOUTH, MA 02673
Lora FitzGerald/T.BL
AGORD 25(201056) 0 108-2010:ACORD CORPORATION• Aii rights reser4ed.
iNS(I24rmirttLPl M• Tlau°6r`ARrI i zmo aril Innii a►w reanicfnamr8 mm►icc of AnnRn
H_' %w�ews-� !m`;�tv.a-rk:freura..kia.�'rq. r•'r�i�+ �.� � 3 ., "S � _ r;:
TO+rT :...I
s AFT xc 8 r rya tac P err e 4 s> € #ect3� n�Y i rn G t o spa G s w5':
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.. - �5=3Ciy •C:�A'�fa Mom.���� ��� ���'^S��.�:Wi �to W^'T+=f�. 1. _� .
eaa6t,^.Gwc^i` '30 AN
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r 2715 07:27a TupperCom 1bU8ffdb010 P.
CONSTRUCTION CO. LLC
546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673
PHONE: 508-778-0111 FAX:,508-778-5010
WWVV.TUPPERCO.COlM.
Date: ,J-/ o
�l i_n
Town of Barnstable
Thomas Perry CBOgo
LO
-
200 Main Street
-�~ I
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 has been inspected-by a certified
. r
Building Performance Institute (BPI) inspector. All work performed meets
or exceeds Federal and State requirements.
Sincerely, Permit 7G
Address: JrY
Richard Tupper
License # CS-69058
e
Town of Barnstable *Permit# 4 (�
Expires 6 months from issue date
Regulatory Services Fee , 06
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commission r
200 Main Street,Hyannis,MA 02601 FEB 2 2 2006
www.town.bamstable.ma.us q
Office: 508-862-4038 oWt4 OF BPA� gt-17790 6230
T
EXPRESS PERMIT APPLICATION -. RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
r
Map/parcel Number.
Property Address 5-90 A%NX✓'a�c
[Residential Value of Work $5gCO Minimum fee of$25.00 for work under$6000.00
Owner's Name&AddressSit,�r�
Contractor's Name&f'��.,/,5;- /,tA 7S.t���c� 4//. c� Telephone Number,r61T-
Home Improvement Contractor License#(if applicable). /0: /-2
Construction Supervisor's License#(if applicable)
orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
WI Homeowner
e Worker's Compensation Insurance
Insurance Company Name /17,ozlemrl A/01we., llsxaz4yeal.
Workman's Comp.Policy# &/6 "
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
e-roof(stripping old shingles).All construction debris will be taken to &JUWZ_ 41/44 --741
❑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.
Ho Improvement Co actors License is required.
SIGNATURE:
Q:Fonns:expmtrg
Revise071405
_ FEB-22-2006 WED 09:45 AM TD BANKNORTH WEALTH MGMT FAX N0, 508 394 3691 P. 01/01
Oceanside Inc.
FEB-22-2006 08:66 O
r. 508 775 244,a P.02
Town of.Barnstable
i.
q Regulatory Service
F'
Thomas r,-Geller,Director
Building Division.
Tom.Perry, Bunftg com wislo er
200 Main Street. HYaunb.MA 62 01
www.towu.bernstab_le.ma.ns tv;
}-1
?yk
Office: 508-8624038
Fax: 508.790-6230
i
Owner Must
- Propertyi�.
�J?
Complete and Sign This Section li
If Using ABuilder
et-*of the subject property
herebyauthotizc G
to act on my beh ,
in all matters relative to work authorized by this building pe it application for, E
(Ad ss of job) —"
ignatu of Owner Mte
� � k
�r.
tintkutJ AA
Name !+
r r j
.,
Q:FORMS:OWNSRAiRivtlSSMN
:;TOTAL P.02
y
✓� lJ�I�/1�L04tUlE'��'L�.f1. O�c���'GC7.00�Zf.IQP.�6 `
7€J.
Board of Building Regulations and Standards License or registration valid for, ndividul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Re istratio
xpiratio� Board of Building Regulations afid Standards
9 � One Ashburton Place R 1301
6/9/2006
m
Boston, Ma. 02108
Type . Privhte Corpor tion ' a`
OCEANSIDE_, INC
Richard Clark
217 Thornton Dr
Hyannis, MA 02601 Administrator Not valid without signature
;.a
f s,
tea