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HomeMy WebLinkAbout0285 CLAMSHELL COVE ROAD . . __ l _ I r ' 1 �� � j. .� a - �� ki 1 ID lJ • < <tJ r • t %/ i /. f ��y t ♦ '1 /✓' 4t 0 f g-.- 1 ! WCHARD JAME5 CERTIFIED PLOT PLAN IN ?ARN MASS. , .z' I CERTIFY ;WHAT THE FDvmgA-1711V PICRARD cl. O'HEARA/ RL.5 R. 61 ; SJ�WA! ON THIS Pl AN IS, LOCATED 191 MAIN ST. (RTE. 2 E) ON 7HE° GROUND AS INDICATED AND WEST DENNIS ) MASS . CONFORMS f0 THE ZOMAIG'. LAWS Ofi ? I '7A8 'MASS. .. DATE: Z �� / ram, �--==_ JOB NO. .;�3 CL/ENT. YEA i REG. 'LANl2�SU 'V yo DR. $Y: ' /� SNEE T , y m I SEPTIC SYSTEM MUST BE Assc-ssor's map and lot number .!.l...l.. ..... ......y.�:.. ..� • INSTALLED IN COMPLIANCE 7� K5 WITH ARTICLE II STATE Sewage PPermir number .............: SANITARY'.CODE AND TOWN ' ............•••.. ......••••• o REGULATIONS. --- ti °ft"ET° TOWN - OF , BARNSTABLE A i 8 §Tani,$ •� :yv BUI�LOING INSPECTOR .;,, AP.PLICATIONr FOR PERMIT TO ............:.:.............................................:............................................................... -, TYPE OF CONSTRUCTION ..............F i• ''/.... ......... ..�a.e............................................................... i ........................ ... d......�� 19� . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �cv Location ........ .�.... ..C��....... �!.!. ....... /..C� 'i.l.?.C'..L,�...5. .? t'... 5 :............................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict .....................�..........................�............................Fire District ............................................................................... Name of Owner ... ?�../...�..!.�:� . ...............Address ........��'.211.�......s'�.S............7_�2.Q..v....=............ Name of Builder .... C?. ". ...Jc.. G.5r4.4.7........Address ...9.��? Jr Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................................................................Foundation ........./ ........ 4rr..........�.;..�..,..../.....1......,.a... o Exterior ......... 6. ...(........................Roofing ..........1 I.X R. .............................................. Floors ......94u...... �!�. .......................Interior ...... .J�.I. y. .C,W.a..l�............................................ Heating / -/ J �7 / ��/ °?. .�e�-.... ��P.?.� �..4.......Plumbing ....... .....11'c�.Z�1..�... /ll..'14..�f...°.y ... o � Fireplace ........................Z..........e h.s.I. .......................Approximate Cost .............. v�....................................) .. ... Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area /,20 S. ....... ... ......... Diagram of Lot and Building with Dimensions Fee ............................... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH s; I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na e � �� .. sue._. ............ Rich, Dr.Dr. Alfred ^ ` 19960 1 1/2 story Nu -----.. Permit for ------------ y �a dwelling----~iug—............................................................. ' �85 l Cove Road Location --'----..�����.��..--------. � . .._ --.-----.—. � ------------.. . ^ - ~ Owner -----Dr~..Alfred..Rich ----'—.. ' ~ Type of Construction --...f..�0��.--.----- —_---.----'-----.----------.. Plot ............................ Lot —..�48.................... �� Permit Granted l/J— ~ — � . ' . Date of Inspection --..]9 � � � Dote -��~- Como��o6 .���r�"��..^���----]9 . / ^ ` ~ ' � ' PERMIT REFUSED .----.~—....------------. 19 � ' . ---.~.—~.,..--,...—.—...---~..~—.- � . ..—.--...^-.---.----,----..—'.—.~..- ' � ` .—.--.—.^--.~—.—~.....—,..—.—.--.., ............. ............................................................... . ' . Approved ----------------' lg —._'------------~.—.--..--.--, � ` —.��—..�.---------------........`.. � � � ^ � ' | mop and �* number ���!''----!--'�---' � ��[, ~ `� �� ' ' \` � ' Sevvoge Permit number -...---��.����-----______. ^ HE ������ ��� � � � �J� � � � � � . � �� �� |� ��]� ������|� �� � �������� � ' ' ARNSTABLE,1639. � � 0`0 � 0 � INSPECTOR � ��� ���� �� ��� N'�� 0 �0� N ����0m � NN �� - � �� �� "���=, � �� �� � �� ��� ��~� � �~ �� . . . ~ . . . APPLICATION FOR P2R88Q[ TO ........... �� ����������� .-�~�� v- / ����-----. ---. .TYPE- ----`---- ' �r— ................/ ' -' ---''�------ � --.----..~�. �-.�,_.Og�'..- � ' TO THE INSPECTOR OF BV|Lo|wG5. | The undersigned hereby applies for o permit according to the following information: . Lbcotion ---.'�'.-.- .�.--/-.... -...'�---.... ..../�.... ..!./.. ..-.....�.!ry.---------------. ' ProposedUse -------------.-----------.------------------.--------------. Zoning District -----------.------------Rve District -----------------*--------.. ' ' Nome of Owner -./.'- R �/ -----A66ress ........... --`L[---..:/-..�..-.^-...----. | o Nome of 8ui|6o, -�r7� ��! -,�'.� ��--'A66,es - � / -=~��..,./''�=/-.'~�^ ��� / ' | Nome of Architect .......................... ..._-_._-........_----.A66,es ---------------------------- . ' '1 Number of Rooms -------�--------------.Foun6otion ---/�.�--._'��.�-...��-.!�....'�...x../�..r-. Ex/ehor ----���'!� -' ...-~�.. �r'1-------'Roo�ng --- ��[r/��±.//-r�.................................................... . y� -�_ /'� Floors --�.'�' -'!����'/j-�-' ���'!.// ------�|nne,ior --_r.��{-.�'.�-- �---------------.. Heating ---.-`----.7.-.'-'�� -.°�-.I...'r/ Plumbing ---. -...�.-/�� r----- ..--'�----.. ^ ' | Fireplace --------',---' .^.......................Approximate Cost ......... ! Definitive Plan Approved by Planning Board lQ-__'. Area .......................................... Diagram of Lot and Building with Dimensions Fee _______________ | ' � SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the . . ' ' ^ . � ° . , - ' Rules and Regulations of the Town of 8omxta6|e regarding He above Nome ............. | �' � Rich, Dr. Alfred ' No ....19960... Permit for ....1 1./2 .story....... .. . .... . . ...... single family dwelling ............................................................................... Location 285 Clamshell Cove Road ................................................................ Cotuit ....................................... ...................................... Dr, Alfred Rich Owner .................................................................. Type of Construction frame ...................................... .................................... ....................................... Plo .t ............................ I�0t ...... ..................... "I\ Permit Granted ... Feb,� .........1:..... ............ary 14.........19 78 Date of Inspection .........;.. .................19 Date Completed ...........k.........................19 PERMIT REFUSED ..... 19 ................. ... . ...... . .. 1A U. . .............. (� .. .... ................. ...... .......................... . . ... ................... ................ .. ........... . waA. .......... .. .... . ..... .. ........... Approved ................................................ 19 .......................... .......... ..............................................v. t.............. Assessor's map and lot number ........ ...1 ,1�.....�......:. QC��L y F THE T Sewage Permit number .Ad1w4l�.. Z BAMSTADLE, i House number ......... c.7 .... � hi. ?:..:1... A..�/'C?.... ro Mnea p 1639" 00 Dmo 4 TOWN . ,OF B•ARNSTABLE BUILD-ING INSPECTOR - APPLICATION FOR PERMIT TO ..... ! .r .....T....�.1..�. ....�. !. .: TYPE OF CONSTRUCTION .:r":nx-R .!�.P.......�'......� Wcx G / ' . , .. .......................................... . .......i.....i.................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: j Location V �5 -_f{� �R �, Cd u ' ProposedUse ...-.l . .��! ..............................................`��'• ....�. .... ' w. n F? .................................................... I Zoning District .................. ... Fire District .... .ee..l. .................................................... i t&t� P.:.. .. tff,, .f .:.:.�S�IC.h...Address .. :�1��.... ..... . E.1 �n�?.. i'� ..Name of Owner .................... . ...... ................. Name of Builder ......,?.'►,QrQ11ct.�. ............Addressp�lG ,h,1 � :... .�.......................... ......... ............ ..................Address .................................................................................... Name of Architect ................................................ Numberof Rooms ...................................................................Foundation ............................................................................... Exterior ............ t &U i V•..........Roofing ? .i !�. ? ti s..1 .................... ................. Floors ....... e' 'rl.. .!-Q.:r ....................................................Interior ......................... ........................................................... Heating .....Plumbing ................................................................... Fireplace ..:...............................................................................Approximate Cost .............. 7.00c� Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ...... 4!..... ...:: v_ ................ Diagram of Lot and Building with Dimensions / —� Fee .................. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH J I hereby agree to conform to all the Rules and Regulations-of the Town of Barnstable regarding the above 44 construction. I; Name ...� .:v,IS I _a `' .......................... 1 -- A�=5-49 RICH, ALFIDID P" 6 DABGARET . ` No 3.2.l38_. Permit for _?\d#tiqg`_.__. ' --..]������Y���.���..{�������-------. ` Location ]...Ccme,.Ro.ad. , . .................[latoj't...................... ....................... Owner .Alfzayd b Type of Construction ' ` ' ------------' ' ' ncx ' ^ | Permit . Granted Dote of Inspection | , ^ upre Completed PER IT REFUSED - . . � .... lA ' . --. �� —. ..���.-----. / . —..------. ----------------.. -------..`�^ ----------------.. ---------'^----------------' ^ _ Approved —.--------------. lV ^ . ' ` -----------------^'-------~' ' ............... ,�/ Assessor's��nap and lot number .......��. . '' THE �...... Q�L - �C!G�. � y' �P �� � SEPTIC Q o Sewage Permit number .lt,O.i�dr !�.- C SYSTEM MU •�� / INSTALLED IN COMPL " ST qO MAB9 LE, i House number .......................................... WITH TITLE 5 o 163q. ENVIRONMENTAL CODE TOWN OF BARNSPAMbE ATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... J r'' Gt.1 .4t... ......`� �r ee.��....t�?ci..... TYPE OF CONSTRUCTION ....... ............................................. ...............19.3 . TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location2g S Q,��.keJ � � "....................... ........................ ................................................................................................................. Proposed Use ...... .. ........�.......!,.�ee Ze..` ...... n. .>7 s .............................:........ . .......... Zoning District ..................[� ! ...........................................Fire District CC.iu.j. Name of Owner `� Q� a.rE. ..J24�� Address C�QVv(Stle� Cam..d.......�...... g. . . .. .;4. ........... 1... ..................... Name of Builder Car.4P✓1...... "tat 0!:taLA............Address p�. ............'"` _sk. Nameof Architect ..................................................................Address ................11.................................................................... Numberof Rooms ..................................................................Foundation ....y.........................\.....................................:.......... Exterior ..........I:j,.`s .........f.�..�.......�51.Lk.............Roofing .........1'�C�.�.�.Q.4b..!.�...�........................................ 1 1, Floors ....... CsY>.0 ..re...................................................Interior .................................................................................... `,... �. ..Heating ....................................................................:..........n..Plumbing� ............. .. '........................................................ - Fireplace ......................... .....................................................Approximate Cost ........A..7o0.U.......................... .� ..... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ......4?Q...J'.............. Diagram of Lot and Building with Dimensions Fee ��' ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. w Name ......... ...� ..�:A "....................... . 1 a. RICH, ALFRED P. & MARGARET Nis, 22138... Permit for .Add-1,.t QJa............. :..Breezeway....&...Garage........................ " �;'� { Location •. ................ Q.tuit................................................ P; Owner ..Al.f Ca d...P......&...Margare.t...Ri.r-h Type of Construction ..Frame........................... ti y J ................................................................................ Plot` ............................ Lot ................................ j Per . Granted ...AP.x.il...2 19 80 F la toe o s e ion .19 'K Date Completed .................../.i2..'.ez-19 PERMIT REFUSED f ........ �........>...................................... 19 ppppp�yyyyy� `i� .........a.. ....ej... .:: ............................................. 8 `49 �• CV t' ....... M. {-A ..r.� ............................................ ....... •a ..e................................................... APProed ............. ............................... 19 iYi ............................................................................... ................................................................................ J I o ?z ry WELLO If r._ j:—✓� ':,� /.' CERTIFIED PLOT PLAN IN jr CERTIFY TH�4T THE F�'G:�',�.�ylc%'!✓ PICNARD J O'I-✓EARN, R.L.S., R. S... SHOWN ON THIS PLAIV IS LOCATED /9/ MAIN ST. (RTE. 28) ON THE GROUND AS /ND/GATED AND WEST DENNI S , MASS . CONFORMS TO THE 001VING LAWS 1 CA LE:E: — - ' Off• =Y' ,;�1 i _�/ �D S S. DATE: - V JOB NO, CL/ENT. -�. .'✓ narR' I7Fr: I.Cllln '.st/ vFYoP OR.. BY� I Assessor's office(1st Floor): Assessor's map and lot nu _ ©1-5 � Conservation ' �- 3- INSTALLED IN COMPLIANCE �� � °• Board of Health(3 floor): t WITH TITLE 5 1 �saisr�nt Sewage Permit number ..5 �., ENVIRONMENTAL.CODE AND 'oo s639. d° En ineerin Department 3rd floor): JS 9 9 P ( ) � P,S'� T®Ri�ll9 REGULATIONS �e��r House number i Definitive Plan Approved by Planning Board 19 1 'APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BA•RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION kz& I r 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit /accordinngg to the foil wing information: �j Location S �L (, ` " 7. Lp P t/Lf ("7- 0 1�f Proposed Use .&JG 06P, Zoning District ` ' Fire District vIT / Name of Owner /lU el �L� Address ��� `e/-/• - c..Dv� //,,,,,,,, .1 y�.� Name of Builder ZN12Z/ &M e TAO� Bvelk,-,Address Jam' �w/dGcijV Name of Architect Address Number of Rooms 2 Foundation Dv fie,,, Z' L f Exterior / Roofing5�� Floors. Interior Heating ��i -1 a�f /yC'c� ZQiye Plumbing Fireplace Approximate Cost O•d0 Area Diagram of Lot and Building with Dimensions. Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of BarnstaVraring the ve construction. Name Construction Supervisor's License vPL9,\ } RICH, ALFRED ` No 34984 permit For BUILD ADDITION Single Family Dwelling Location Lot #48 , 285 Clamshell Cove Road Cotuit Owner. , Alfred Rich �..� Type of Construction Frame Plot Lot Permit Granted April 22 , 19 92 Date of Inspedtion ��'� _19 Date Completed 19 ri Y. i. L:C, APP � - .?-,q CERTIFIED PLOT PLAN /At ' I CERTIFY 7-,VAT THE,FG'L--v,9A-f10,V RICHARD �J OWEARN, R.L.S., R.S SIoWN ON TNIS PLAN /S LOCATED /9/ M T.AIN S �RTE. -28) ON THE GROUND AS INDICATED AND WEST DENNIS , MA 5 5 COMFORMS TO TI-/E ZONIM0 LAWS io !, SCALE: OF tk r `"FYG�MASS. _ DATF: =f JOB NO- `=' CL/E.NT. ,�. .'✓ REVISED CODE HEATEDSBY OIL,E X A M P LE.�; 1 . HOUSE- - ° r GAS OR HEAT PUMP = '3 PROPOSED -HOUSE - -HEAT LOSS ' Y TRANSMISSION COMPONENT U—VALUE X. AREA "U'A" . NET WALL a �g _3 , WINDOWS ROOF , p33 .DOORS FLOOR. * BETTER THAN• CO>DE .REQUIREMENT ..** DOES NOT M17ET •CODE REQUIREMENT EX. 1 "CODE HOUSE" HEAT LOSS TRANSMISSION COMPONENT U —VALUE '. AREA - "UA" NET WALL . 08 WINDOWS . 65 /Zo Y�° 3 ROOF .033 DOORS .14 j FL00R .05 ---6 I v it SINCE CODE 'UA" IS GREATER, PROPOSED HOUS PASSES 2.36 °Ft►+E r Town of Barnstable Regulatory Services 9s"xcaM S.ASS.i E$` Thomas F.Geiler,Director .9 i63 �0 A Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# � �� (D I3l 101 FEE: $ c,2'—S 0—'0 SHED REGISTRATION 120 square feet or less Ga QA C� ,% 't -�- Location of.shed(address) Village n o Property owner's name Telephone number 0O504 Size of Shed Map/Parcel# i Zk% tro -Z-0 b Signature A Date X Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? 3 6 /&ol Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN I Q-forms-shedreg REV:083001 I ^_ w I tA ` faI j`'00r' C. f CERTIFIED PLOT PLAN /N ` - MASS. I CERTIFY TPA THE PIC14ARD cJ O'NEARAI, R.L.S., SgoWN ON THIS PLAN /S LOCATED /9/ MAIN S T. (RTE. 28) ON THE GROUND AS /ND/CATED AND WEST DENNIS ) MASS. CONFORMS TO THE PON/NG LAWS OFF=1!`-`rFr;�.�/)'/ASS. _ DATE: SCALE: JOB NO. CL/ENT.• '`•'/ rn 4 rAr AFr; i Awn .Su vF r�R OR. BY: `"�'_ _...__ SHEE T_ OF �oFImE>q�ti Town of Barnstable *Permit# Expires 6 niontbs from issue date BASTABLE. : Regulatory Services Fee 00 RN 9c� 03 MASS. ,0� Thomas F.Geiler,Director A'f0N1A`A Building Division *,p i �F Tom Perry, Building Commissioner `SS ^ -4 200 Main Sheet, Hyamvs,MA 02601 `�U/tl 2 I"��lg�',� Office: 508 862 038 ' 8 I. Fax: 508-790-6230 . ��oF 0� Z�� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY '9R/VS Not Valid without Red X-Press bnprint Vlap/parcel Number Property Address OS l esidential Value of Work (T3 w Dwner's Name&Address L!. � ( 1 C`Y3 a-�s" G l aM S Are_11 Co Vie, 8d. (a ;& j Contractor's Namer!'a%ZZI L4O y�Pe�!-"Qj/e-M Q A4 Telephone Number Home Improvement Contractor License#(if applicable) lCO 7 YO Construction Supervisor's License#(if applicable) CL5 057 03.) orkman's Compensation Insurance Check one: " ❑ I am a sole proprietor ❑ I the Homeowner have Worker's Compensation Insurance Insurance Company Name /► [. L Workman's Comp.Policy# C 6✓✓tl e, aL:5-o g a? Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. i Signature co &4&!aA Q:Forms:expmtrg Revised121901 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 00S, Parcel d V/ TOWN OF aVIRNSTABLE Application # Health Division '' ''� '"i i� ! �= Date Issued Conservation Division Application Fee Planning Dept. Permit Fee l':VT E_i 01F.1 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Sk Vi�- C 1.A+v%st�.aF(,L C o y Village C.O"rU .T owner_R,cAk 11 LF`r,d + MA✓zC<,il�2 Address .a YS' C LAWS146 LL COU6 Telephone S-09- qd Y 3$3 0 Permit Request Fa►rL- jl ^-� A LFQ+tir-. co F- /N i Z/21 Q rL LAAA rz✓L1 b AVV%.✓}6 c St;e�Gr 2c- vc. T'o Tis LL, AC ��-�✓�cc.i< NSVL#+T% W o CIA c �(6o eL T " &A c p' �ft1V - _ iJ P G t fAck 'M PL PLAN Square feet: 1 st floor: existing proposed 2nd floor: existing �VS�proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure -32, Historic House: ❑Yes "N"No On Old King's Highway: ❑Yes XNo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing -7 new First Floor Room Count Heat Type and Fuel: ❑ Gas �Oil ❑ Electric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing INew Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:�A 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 SQ�6 -7G0 Girt 1 Address P,-sfvA ST License # c s _ O 2 V 8" 13a��5�v\, `^"''°` Home Improvement Contractor# ( � Email t3 tk A(,c=1y n er j r,,eSroml%o&c, Worker's Compensation # C�tiV` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Tb,,;Jt,J of I L nvLgA SIGNATURE Lk-) DATE k"A_ a i- �� i ' FOR OFFICIAL USE ONLY - I APPLICATION # DATE ISSUED MAP/ PARCEL NO. r r F ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION �a j FRAME s INSULATION is FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL kk GAS: ROUGH FINAL = r FINAL BUILDING ( r7 R N A w DATE CLOSED-OUT ASSOCIATION PLAN NO. . . n . nj p OMain Ikvel a g-s cam, 60 � --(3 BARNSTABLE SMOKE DETECTORS REVIE�I/ED f016 r 9 A1.1 ko BARNSTABLE BUILDING DEPT. DATE 6' 1" 17 18'8" 3,S, _� 6' 1„ �" EPARTMENT 2' 10"—� i---5'5" 2' 1 3�. e;, — DATE t 1 I RES ARE REQUIRED FOR PERMITTING ose 2)7� Entry/Foyer�0 Cn 1 3'2"—t 2'S —1 , 2' 1. loseq` cn Master Bedroom N* Living Room cn hire 00 00 f foseM 'v 141411 16' 10" 8' 11" 30'6 —, B Hallway N j — I r� — 2'4' 5' I"en• 1) loset� b v in &4 v- Office j 1.F2'4' j - 1 Kitchen M ' 8"-1 Bathroom cn v� 10' 20'2" ' 40'S" M slti = S►�n o KC- + TIC t25, Main Level F i I s�ye12 ' t=L 17'4" 15' 11" 141 21411 T _ 3'S" i` Closet °O i 3'4" �loset i Fn 61 911 V I 7 _ ' 10" 7' 1,' r, wa �t Master Bedroom �n N 2'6"-4 1' 01 3' 2'9" Bedroom cn osAl) oo ;n Closet (2) Closet (2) 21611 �-2'3' 2—i 4' �o �`'`i 216„� —4'6" - "o, E� I Li qo Bathroom Co 1--3' 1" `t M 16' 3" 8' 1" 91 25'2" i 9'6" Lcvcl 2 s �130 C Oda �. Iry u3►+}�LW�-aa'�-'T G�D�C�('f � The Commonwealth ofMassachusetts ' Department of IndusftlAeddents I Congress Street,Suite 100 Boston,MA 02114-2011 www.tnassgov/dla Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricions/Plumbers. TO BE FILED WUH THE PERMTIING AUTHORITY. Amlicant Intirrmadon Please Wilot Leeib v Name(Business/organiration&dividual): Whalen Restoration Services Address: 22 American Way CIty/Shde/Zip: South Dennis, MA 02660 Phone#: 508 760 1911 Are you an employer?Check the appropriate box: Type of project(required): 1.13 I am a employer with 25 employees(full and/or psrt time).* 7. 13 Now construction 1[3 I an a sole proprietoror parmaiship and have no employees working for ma in S. ❑Remodeling any capacity.Did workers'comp,insurance required.) 9. ❑Demolition 3.13 I am a homeowner doing ail work myself.(No workers'comp.insurance requtred.)t 4.[31 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors aither have workers'compensation insurance or.ars sole 11.[]Electrical repairs or additions proprietors witir no employees. 12.❑Plumbing repairs or additions S.a I am a general contractor and I have hired the subcontractors listed on the attached sheet. 13. Roof repairs These subcontractors have employees and have workers'comp.insureneo t ❑ p 6.❑we ate a corporation and its o8icers have ourclsed their right of exemption per MOL c. 14.[Other 152,§1(4).and we have no employees.[No workers'comp6 insurance required) •Arpr appllmatthat cheeks box 61 Hurst also fill out Ike section below showing their workers'compensation policy iatbrmation. t Homeowners who submit this o idavlt indicating they are doing all work and then hire outside contractors must submit a law affidavit indicating such. tContractors that check this boxmust attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sulscontramrs have employees,tiny must provide their workers'comp.policy number. lain an employer that is proWiling workers'compensation hisumnce for npr employees Below Is the policy and f ob site Wormadon InsuraaceCompagyName• Ace American Insurance Company Policy#or Self ins.Lie.#: 6 S2UB5 B89454216 Expiration Date: 4/1/17 Job Site Address- o)RS C 6 f-L"'E I t Couf City/Stete/zip: Co rvt 7- Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MOL c.1S2,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or on"ear 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriScation. I do hereby certify under thepains and penagles of perjury that the igjornration provided above h true and correct Sieuafure• w .•`�—� '^'' `'''�-- Date._ i `Z - � z—��o Pho�te#. OJJielal use only. Do not write to this area,to be completed by ei(p or town ofJleM City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department $.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts Department of Public Safety Board of Building Regulations and Standards oh�{ rr./�rr.Ilr :_\ Office of Consumer Affairs&Business Regulation' License: CS-074928 ;� '` _• TOME IMPROVEMENT CONTRACTOR • Construction Supervisor y yftegistration 129244 Type: i'IExP iratlon: 7/30/2017 Private Co oration ' WILLIAM WHALEN :'' " 122 POND STREET x � »a Whalen Restoration Services inc BREWSTER MA 02631 J f 1j ., a William Whalen `? 22 American Way � CA_� South Dennis,MA 02660' Undersecretary JI — Expiration.: Commissioner 08/10/2018 Unrds4ricted-Buildings of any use group which contain less than 35,000>CubiC feet.(991m3)of License or registration valid for individul use only before the expiration date. If found return to. enclosed space" Office of Consumer Affairs and Business Regulation n 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to:possess.a.current.editiori of-the Massachusetts State Building Code is cause foe revocation of this license. *w�1T Not valid without signature ' For DP5 Ucensing information visit: www.Mass.Gov/DP5 l VA Restoration Services Inc. Fire,Smoke,Soot,Water Damage&Mold Remediation Services Cleaning - Deodorization - Reconstruction Specializing in Fire Restoration - All Work Guaranteed Access, Authorization and Direct Payment Request Form as per estimate I we authorize WHALEN RESTORATION SERVICES to perform work p ( ) p at property located at 285 Clamshell Cove Road, Cotuit, MA 02635 to repair damage caused by water on 10/1/16 As owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept- responsibility for payment upon completion. I (we) authorize and direct my Insurance Company USAA LI iX fmJ�Z Q n m Policy No. , to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hereof: 1 DOWNER DATED SIGNED OWNER HALEN RESTORATION RE . SIGNED 22 American Way,South Dennis,MA 02660 Phone: (508)760-1911 - Fax: (508)760-9995 - 1-800-244-2598 -E-Mail: restore@whalenrestorations.com Web Page:http://www.whalenrestorations.com OFFICE COPY=WHITE CUSTOMER COPY=YELLOW m:Theresa CTo:K. Spelman/RlFred a Peggy Rich Certificate GL 14:31 10/13/lb LI Ng 7-7 WHALRES•01 TCAHALANENORKUS CERTIFICATE OF LIABILITY INSURANCE DATE( 1 0 1 1 312 01• �� _ __ 3/2016 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.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(les)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 endorsenient(s). PRODUCER License#1780862 CONTACT John Powers HUB Orleans New England NAME, co. 500)945.786G FAX 265 Orleans Road _�MAIi Et : (arc,No): North Chatham,MA 02650 ADDRESS:John.Powers@hublnternatioiial.com INSURER(S)AFFORDING COVERAGE NAIC 9 INSURERA:Arbella Protection Insurance Company 41360 INSURED INSURER B: Whalen Restoration Services Inc.; INSURER C: Whalen Services Inc, 22 American Way INSURER D South Dennis,MA 01660 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANOING 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. R TYPE OF INSURANCE IN SD WVD^ POLICY NUMBER _ MMIDD POLICY EFF MMIDD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE a OCCUR 8600065367 04/0112016 04/01/2017 MA1SES(Eyoowwreece) S 100,000 X PD DBd:260 MEO EXP(Any one person) S 5,000 PERSONAL&ADV I NJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 PRO LOC 2,000,000POLICY❑JECTF OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ $ 1,000,000 A ANY AUTO 1020016678 04101/2016 04/0112017 BODILY INJURY(Per person) S ALL AUTOS OWNED 'X AUTOSSCHED BODILY BODILY INJURY(Per amideni) $ NON-OIANED PROPERTY DAMAGE X JHIREO AUTOS X AUTOS Per accident S UMBRELLA UAe- OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS CLAIMS-MADE 4600066369 04/01/2016 04/0112017 AGGREGATE $ 1,000,000 to- X RETENTION$ WORXERSCOMPENSA71ON PER OTH- ANOEMPLOYERS'LIABILITY Y1'N STATUTE ER ANY PROPRIETOR/PARTNER/EX E.L.EACH ACCIDENT $ OFFICER/AIEMBEREXCLUOEO7 NIA (Mandatory In NH) E.L.DISEASE•EA EMPLOYE $ 11yes,desrnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S J DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE L THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Alfred and Peggy Rich ACCORDANCE WITH THE POLICY PROVISIONS. 265 Clamshell Cove Road Cotuit,MA 02635 AQU�T,I.IORI2 EO REPRESENTATIVE J ©1988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014f01) The ACORD name and logo are registered marks of ACORD if .. f 1-111:1heresa Cahalan-NorKUS To:K. Spelman, Whalen Restor. Services Inc./2 WC c (15087609995) 09:46 10/19/16 GMT-04 Pg 4-4 j AC J?& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 1on9rzols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.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 poticy(les)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 endorsemen((s). PRODUCER CONTANAME: Theresa Cahalane-Norkus HUB INTERNATIONAL NEW ENGLAND LLC PHONE 508 9 FAX— -- fA/C.Ho.Exit: 45.0446 __.__lac.No): ADD IE s�theresa.cahalanenork@hubinlernalional.Com 600 LONGWATER DRIVE INSUnER(S)AFFORDING COVERAGE _ NAIC N NORWELL _ MA D2061 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED — '_-- •— --- WHALEN RESTORATION SERVICES INC INSURER B INSURER : INSURER 0: 22 AMERICAN WAY INSURER E: y SOUTH DENNIS MA 02660 INSURER F: COVERAGES CERTIFICATE NUMBER: 94927 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 6 R POLICY EFF POLICY EXP _ LTR TYPE OF INSURANCE Iftso wyn POLICY NUMBER IMMIODArym (MWDDNYYViLIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR DA. O N D — PREMISES FEa occurrence S MED EXP(Any cno poison) S —• N/A PERSONAL 8 ADV INJURY S GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY M PRO- LOC _ JECT PRODUCTS-COMPIOP AGO S OTHER: S --- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea aecldent ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED -- AUTOS AUTOS N/A BODILY INJURY(Peraccldenp S HIRED AUTOS AUTOSWNED PROPERTY DAMAGE S V— Pe, accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE _ 5 _ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE y S DIED I I RETENTION S WORKERS COMPENSATION �/ AND EMPLOYERS'LIABILITY YIN X I STATUTE ER _ ANYPROPRIETOR/PARTNERIEXECVTIVE E.L.EACH ACCIDENT S 1,000,000 A OFFICERfl.IEMBEREXCLUDED7 N!A NIA NIA 6S62UB5B89454216 04/01/2016 04/0112017 - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 Ues,desuibe under — SCRIPTIONOF OPERATIONS below . ...... .__._.._.._... . . .....__.__........ ....._..__....... .. E.L.DISEASE-POLICY LIMIT_ N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe nllached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay claims for benefits to employees In slates other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy In force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govflwd/workers-compensetionAnvestigallons/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Alfred and Peggy Rich ACCORDANCE WITH THE POLICY PROVISIONS. 285 Clamshell Cove Road AUTHORIZED REPRESENTATIVE Colult MA 02635 Daniel M.CrOWJey,CPCU,Vice President-Residual Market-WCRIBMA @ 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ZZ: IV SCALE: Y= APPROVED BY: RAWN BY: r• - DATE: REVISED DRAWING NUMBER i A Fly" ilk F HT f 3=8. .� �A o • •.e3 i I I 1 slam i b Win l SCALE: y'' �� APPROVED BY: D AWN BY: DATE: REVISED t7l— rr,, DRAWING NUMBER I ., i f . . ., , � � _ - t - � ----- - --- �, � . I � I _: _. _. _ '� ._. _ �. t-- ,. __ _.�J, �, e' f ICA kle,�oe"--e g5 a444t 5 1} F, X./q z ®ev c s r