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HomeMy WebLinkAbout0138 WEQUAQUET LANE /38 .�.e$k�cce+ I,s�ne t/ f . , 291511:20a TupperCom 15087785010 p.1 C IrUIMPER CONSTRUCTION CO. LLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673. PHONE: 508-778-0111 FAX: 508-778-5010 VANW.TUPPERCO.00W - Date: CD l Town of Barnstable - ` - Thomas Perry CBO 200 Main Street E- 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 # �)-O( 601 � � 7 Issued on . f l �J has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. . Sincerely, Permit Address: Richard Tupper ` PP License # CS-69058 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application A IJCJ I i!J Health Division Date Issued 7 Conservation Division Application Fee Planning Dept. Permit Fee y Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 3 Village��if/� �i�V t I e, f Owner Address l-� C� P�(A Lq cam Telephone J J Permit Request 120M -fn �'Iopza_ - 11&ea Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family�2( Two Family ❑ Multi-Family (# units) ' Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway: O=Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Others Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) -R Number of Baths: Full: existing_ new Half: existing mew Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil , 2 Electric ❑ Other Central Air: ❑Yes /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 Telephone Number 6 -7-7 2--Q ffl� Address14J�Vlln6aJiLicense # (2_5"t1)(A 6_f ( ) wyanon, ,I Vl�1 V I � D� Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING 101 THIS P OJECT WILL BE TAKEN TO SIGNATURE DATE I f. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. E= ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ FRAME i _INSULATION:--= f -):�ii -LA v' j FIREPLACE C ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4. GAS: _-_ ROUGH FINAL FINAL BUILDING- DATE _ - - - s DATE CLOSED OUT ^ ASSOCIATION PLAN NO. w F = `1'own of Barnstable Regulatory Services ga V.scu,nrn1or � i639., �• Building Division Tom Perry,Building Commissioner R 200 Main Sweet,-Hyannis,MA 02601 ` www.towu.barnstable m&us ' Office: 508-862-4038 Fax 508-79"230 , Property Owner Must Complete and Sign This Scction ff IJsin A.4 11 d! ,as(?caner of the subject propeny hereby authorize _'_ . ia to act on mybehalf, in all matters rclative to work authorized by tbis bivading permu application far: Uz ( dres of jo) **Pool fences and alar= are the n sponsl ityof the applicant. Pools are not to be filled or ud ized before fence is installed and all final ` inspections are performed and accepted. Signature: keur (rwr,o.zo,$) Email: bodysense2@version-net Signatwe of Applicant kit��kiIJII h� Prim N '-. � Print Name Date . A QM MS-10YO& IMMISSIONK UIS - a r ' The Common ealtk:of 1M assacl usetts V Departmeial a�,f Indtatrial Acciden-- Office of.lravesti;aation& 666 Wtisharagtori Sta°eef Bos86aa,1V1A 02111 ww:iv Lass. ovIelact' Workers' Compeiasalion Jason aace.Affdavit: Buiiiide�.s/Coaa>tract®rsliJlectrisians/P.ltinabtrs An ficant Information Please Print Legibly Namer(Business/Organization/Individua►)e._ Tupper Construction Co ; . LLC `. Address: 546A Higgins Crowell R City/State/Zip: West Yarmouth, MA 02673 Phpne# 50$7778-0111. _ Are you an employer?Check the appropriate Type of project(req red)_. 1.0 I am a employer with 10 �` �':1 am a;generai contractor and 6. ❑IVew.constructon employees(full and/or part-dine) , have hired the:sub-contractors. 2.Q ! am a sole proprietor br,partner-: listed on the attached sheet:.t ❑Remodeling ship and have no.employees These sub-contractors have 8. [] Demolition working forme in env capacity: workers- corm). insu ance g_ - guilding.addition trio worlcers'camp.insurance 5- Q We are_a corporation and its, I0.[]Electrical repairs or additions required.] offrcers.have.exercised then 3.0 1 am a homeowner doing alI'work right of exemption per MGL 11.❑Plumbing repairs or additions, myself. [No workers'camp, C. l 52;§1(4),and we have no Rovf repairs insurance required]'r e0*joyees. [No workers'' 13..0 Other Weatherizatimn I comp.insurance required.]; *Anv applicant that checks box it]must also rill out Elie section below showing,their'wa;trees.'compensation piific}inkormation.. Hotneowrers'who submit this affidavit 4ndi.catirig they ale doing all wvrk aad then hire oufside contracfiors must sabmit:a new a davit indiraiin such. �Contractots that check this box mustattached an additional sheet sho in;the.name oCthc sub-contractors and<tlicir-*orkcrs'camp;policy'information_ I ally'im employer that is providing workers'comp e'nsadon ins;id ance for my employees:'Below as the policy and job site information. Insurance Company Name: AEIC -Polcygorself-ins:.Lic.*< WC-C 50055930120.14A ExpiratonDate / 5. Sob Site Address`. CitylState/Zip: (� Attach a copy of the workers'c,66 pensafifi poEigy declaration page(showing the polity,number and expiration.irate): Failure to secure coverage as required under Section Ci 25A ofs. .ML . B2 c cats l'ead_to the. rnpositic,n of firmhal penalties ofa. fine up to$i 500.fl4 and/or one-yeai lmpnsontrtent,as iuell as civil penalties in the form:of.a S 1 f3P UJOItK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-:ofthis'staterent may be forwarded to the Office of Investigations of the DlA for im ra lee coverage verification: Ido hereby certify parader the pain ak 4-p l allies of perjury that the inform atanra.provideal moue is trite and correct Simature_ (s Date' : Phone 4: (5 08), 77 8-0,111. # Official use only. Do not write in this urea,to.:be conwieted by ch - tot en offeu�l:. or City Town:t} .� : PerrttBt/License:#: lesuing'Authority(circle one): I..Board>of ffealth Z..Building Department 3.City/Town Clerk, 4.Electrical Inspector .Pluacbiug:Inspector 6.Othei- b Contact k ersvn Phone AC ® DATEtAlwoD/YYYY) CERTIFICATE OF-LIA61LITY INSURAN � 2o14 THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMATl019 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ImOLQER, 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 1N3URER(Sj; AUTHORIZED' :REPRESENTATIVE0R PRODUCER,ARID THE CERTIFICATE HOLDER: IMPORTANT: if the certificate holder is an ADDITIONAL-lNSUREb,the uolicy(ies)must be'end orsect. if SUSROGATlON 1S iAiAtVED,su5ject to the terms and conditions of a policy.certain-pollcles may require an endorsement. A statement on:this certificate does not confer rights to the. certificate holder in lieu of such endorsements). PRODUCER Co" .. APA LOr2, E']:t:EGeTald Southeastern Insurance Agency PHONe {508}.997-6061 F^x 439 State Rd. EMAIL AlC No (508I99D-273i P.O. Box 79398 DDRESS: lf3-t22southeasternins.cai _ INSURER S)AFFORDING COVERAGE ( •NAIC'# g North Dartmouth MA 02747 ltiS6RERA Arhella Protection Insurance... 4136f;. INSURED ^ INSuRERB-Aasocia'ted Em�laXers Ins Co ,. Tupper Construction Co LLC • 1NSURERC _. .. ... _. - 79 Mid Tech Drive INSURER Drr._ • ,yt. -.. Unit B :INSURER E t, 1 West Yarmouth CIA 62673 ... INSURERF: ._ . COVERAGES CERTIFICATE NUMbER.2015=1 RE"tilIS ON NUi476ER: THIS is To CERTIFY THAT THE POLICIES.OF IN$tlRANCE LI$TED BELOW HAVE BEEN ISSUED ro.THE tNsuREO NAMIEO ABOVE FOR THE POLICY PE0106 !NF]fCATEt)..N0T1NITt{STANDtNC�ANY REC}U}RE"�S€NT,TERNI.OR CONDITION OF ANY CONTRACT GR'OTHER DOCUMENT IOTH RESPECT-TO NCH TH?S CERTIFICATE MAY BE. LIED MAY PERTAIN. THE INSURANCE AFFORDED BY THE.POLICIES.DESCR19E0 HEREIN IS SUSJI_CT To ' E:(CL.USIONS AND CONDITIONS OF SUdH POLICIES,LIMITS SHOWN MAY`,HAVE.BEEN.REOLICED t3Y.PAID CLAIMS: PLL c TERFt,S; LUSR:r - - -aDUL SUBA w - I_TR I. TYPE OF:IN$URANCE. I - POLICY EFF POLICY POLICY NUMBER-. . .t A .. PA 'MMIDWYYYY S ::. UMI'm' _GENERAL VAB7CITY _ - - - , t E d E,C}1CCCURR_PR E 1,.000.,000''_ X COMMERCIAL GENERAL LiABI?ITY PRAM �t�t " •, - ' _ ISE a `,erne I$. 100;000 A 4PAIS40ARE rx :OCCUR 8500008493 il'/1j20i4 1/1/20IS 7. . PJtED E:,P(Ang rtw.�percr) f IPERSt)t`AiSL j),INjj pY •ga 1.;too,0U0: — t C iSER.•`-;�AGGREdATZ GENL AGCREaAAT-UM'T AFPUES Psq r [ , PRO1 1�RQCuc ecslols ac0 :s, 7,000;013"0 �.X POLICY `:IOC tt , - r:. AUTOMOBILE LIABILITY, Ea xcU lent. "1,00 0;000. ANY AUTO BODILY INJURY(Fir pemor A i ALLOINNED TSChEDULEF3 12/.1/201G 2h/2015 AUTOS AUTOS U2000938.9: - I Y` HIRES AUTOS IL�X���-��,NO:L'-O'NNED BODILY'I .UR (Fe B et.) S. •- I t AUTOS. '. •. a E ?20PERTY O..ACE . : UMBRELLA VAB ( i , .-. ._ .. - f thvtesa:riiii R'�ntdr•im sokktza:I' 250 .00a1 I OCf,UR p f EXCESS UAB € F EACH OCCURRENCE E 5� A ` CLAiMS-MAue {t t 7 AGGREGATE 5 DEA. RerE+tT ION S 60Q058368. i 1/1./2014 ;LIJl/2015 �� $ WORKERS COMPENSATION E S AND EMPLOYERS'LIABILITY YlN. , :� Td�'CaiAT{ (: OTC .. ANY PROPR,ETORIPARTNEWEXECI%f•3VE •"'�+-- a OFFICERIMEMBER EXCLUOEO? I I!N J A E L EACH..ACCIDENT $� I 000 0�0. 1(tJlandatoryinNH) �! CC500S593012014A �073J2014 0/3/x015' i[�as etasc pa ut9a 1 E t 01§ESE EA EA1P'OY_$S 1 GOO,Oi10 0_SCRIPTION OF OPERATIONS:batw�— - _ , .. ELppsEA E oucY3 M s 00 ,0 1.;0 00 DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES(Attach-:ACORD:Ol,Adddranal:RemaKcs Schedule,i{:rtivao space s;retautreil?,. ' CERTIFICATE HOLDER CANCELLATION SHOULD:ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE• ` THE EXPIRATION,.;DATE T}iEREOF; ;NOTICE WILL BE. DEUVt RED IN s ' N ::ACCORDANCE tN(THTHE POLIGYPROVI$ION$,. I; I?vzFORMP.TIOR PURROSES`.'ONLY TUPPER CONSTRUCTIOt3 'CO LI C. 546 A .HicxiNS CROWELL ROADn " ' At1TNORiLFO'fREPRESENTATIVE '.. .:. - .. ' WEST YARMOIITH ,MA_ 02693 Lora FitaGerald/LRL ACORD 25(2010/05) INS025r�n,nnzinr ` 41M-2010ACORDCORPORdTIO Ali N. rlghts>resrrved. 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I 6/,j�dldpJ ,Assessor's map and lot number ............:.... .... ��� w , yoF roe t E Sewage Permit: number ..... ... ... ................. ARISTAIL House number .. .................'.......................................... MM6 ..... fi 9� E i IC SYSTEM 'MUST 09 ` - nR 1ANCC MPY T O W N O F B.A R �L¢E .w BUILDING : INSPE:ENVIRONMENTAL COU VOR APPLICATION FOR PERMIT TO .�...� / �.......t...,N� c `..... .... ... ,p ................ TYPE OF CONSTRUCTION .... .0. .. ......;. ...rl .C........................................................ ...........19. TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby T applies for a permit according to the following information: _/ Location ........... V..../.............. .1 ...........lN':..� �......... ... ��.A.��/� Proposed Use ...... . .........�,,�.4�.�.1~�I'.�..� .............................................................................. ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner ..,� � 1....rt . ... ......Address Name of Builder F-. ""...`�:.�. ��� .....Address ................................................................ Name of Architect .I..)^.�j.� �. ....�..��j.� Address kF ..... ,� /TY/........... /.... Number of Rooms ................. ..1............................................Foundation G• 4... i, .��..4,.� Exterior .. ..�../Y, ..................................:...Roofing. .... 5t.. . .......................................... Floors4Tli..r ..................................................Interior ...l.lf.��� l..�U ................................. Heating 7./ 4►mil..........................................Plumbing �4�•�! ..�r.1 ...... . .................. f� Fireplace .................. -I .............................................Approximate Cost .........J.►�'`� ............................. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .....1.13! . ........: .....� Diagram of Lot and Building with Dimensions Fee I SUBJECT TO APPROVAL OF BOARD OF HEALTH ���,. \'13 V 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 ... ... A ................... Constructi Supervisor's License�� /.. S L S TRUST No 25354.... Permit for ...1'2 Story..its .. ......... ........ ....... —........ *e/q Singlb Family Dwelli g .......................................................... .................... Location ..Lot 42, 138 TI, quaquet Lane ................................ ...... ca�rv� ....................................15T�........ .... S L S Trust Owner .....;............................................................. Frame Type of Construction .... ................................. ........................................................................... Plot ............................ Lot ................. Permit Granted ... 2.7.1..............f19 83 Date of.Inspectio P 9 IX Date Completed ... .......ig -7 71 �•,i . TOWN OF BARNSTABLE Permit No. ------— . . - Building Inspector Cash i0)O. wear►� OCCUPANCY PERMIT Bond _._________-_ Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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. ........................I.......................... 19..._._._ ........................................................................................_....._......_. Building Inspector 17 I L4 w Q 7 42 a ,gipti4q zg 40 s On the. 'basis of my `Imowleage, information and :belief .'I certify. to �/,• : that as a result of a survey made on the` ground I find that: structu.re(s) are located on the site us ' 6hpwn.o14 Co•Npbane MIA A6k-- TiuVq ZmhA;;?/k,-Lanus The .title lines and lines of. occupation of thesite are as shown hereon* lhe site is situated. in Flood Gone Community Panel No. Zs000/ ooaoAvate' sue" ; Date: aL N ;a �H of t .. o p1 '�4J, Ii illiam 1<, tiJarwick,1 .3` WILLIAM �y d M. +WARWICK' i. No. 19M N �y �IST���`�p� sURV�� du 7 1 on.! GeVT1PJ CAT ic IQ ; wT 42 WtQ,JAaLJi�-TLAK4 GC-►JT�t2U1LL 12Q15TAMLr_- ��' 1T.�'Z7" k.! JULY ZZ, 1">V-t) 54ALF- 11. u','oo� WM• M. 1(j A a�,t,/_le � A S�aDG N Z�j zid wx $D! rJv.# ir-,n t- r�vuT►d , MAC. oav w a►7 :r ' r Assessors map and lot number Sewage Permit number .................................................` _ _ e�Q� � ♦� ' Z RAJUST&BLE i House number 900 NA3&;.. ,•" TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ` .. r% `✓ '�� F f '................. .... ........................................ .., ................... TYPE OF CONSTRUCTION .... . :. ` ........ 6" �' `........................................................................................... ...........................�............19.���.5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........t� .. �.................41.. ..............�� ?.�......�'ate ...............:`...�..............r��...........r;.. ....?`..:..........� Proposed Use ........L ...... ............). . ..:'T `!J y .............................................................................. f ZoningDistrict ........................................................................Fire District .............................................. ........ .............. Name of Owner � Address ..............� '�� ?.....:.!`.�� Name of Builder "....Address....... ........................ Name of Architect .. , , ! ► ... '?.. ! ,.Address -. .....�- ............. E'` ................................................... v fY Vrt Number of Rooms .................... .........................................Foundation ....... i�'_ ...... ........................ ......... ............ Exterior .. �.?... '}... ,er !�'. .. ......................................Roofing ....! %r I%}. ............................................ Floors .... ' ...................................................Interior '> . ..... ... .................................. .. ....... .+ .........0 ......L`? 1 Fireplace ................. '? ...:..............................................Approximate. Cost ....... .�� t ............................ ..... f%. Definitive Plan Approved by Planning Board -----------_""_""_-----------19___"____. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t t J � 1�. OCCUPANCY,PERMITS REQUIRED FOR NEW DWELLINGS sue. r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ........... ... ............................................. Construction Supervisor's License�� �� f S L; S TRUST A= y� No .,25354 permit for ..11-2 Story Single Family Dwelling ............................................ Location ,Lot 42, 138 Wequaquet Lance .................................................. Centerville ............................................................................... Owner .. S L 5 Trust ................................................................ Type of Construction ,,,Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ,,,,,,July 2 7, 19 83 Date of Inspection.....................................19 Date Completed ......................................19