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Home My WebLink About800 BEARSE'S WAY (27) �� B��s ��` �_ �� y�- ode - �� LA FRIEDIJNE&CARTER ADJUSTMENT, INC. 436 Maui Street, R O. Box 338 Hyaiuus, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: (toyBuilding Commissioner or Inspector of Buildings O Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN-HALL - _ - Barnstable, MA RE: Insured: DALOMBA, John �d Property Address: 800 Bearses Way,.Unit 4 p Hyannis, MA 02601 F' Policy Number: DWP00100322 � Type.of Loss: Fire it Date of Loss: 12/15/2012 ' File#: 116625 Claim has been made involving loss,damage or destruction of the above captioned property;which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143; Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies,of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. D.A. BENTLEY Adjuster 12/18/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map" Parcel "_/ P�y�� Permit# Health Divisio�r Date Issued 1�4o/n( fL Conservation Division Feed Tax Collector Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address > 4,45,� i NWl Ail S Village Owner ` 6 r�e P042z' Address v v Telephone �- Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay 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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existjng new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ 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 BUILDER INFORMATION Name e �-f (a A r i/ Telephone h n e Number Address 0 je-'IdA License# JI�IVL4 i'Ck . A119 , Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION D RESULTING FROM THIS PROJECT WILL BE TAKEN TO d SIGNATURE DATE . C� f FOR OFFICIAL USE ONLY �F i r R 'f PE�t"MIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ( ' VILLAGE OWNER. r DATE OF INSPECTION: FOUNDATION - FRAME INSULATION p FIREPLACE �. ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL - c _ GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED OUT ASSOCIATION PLAN NO. 4 J ' h DATE(MMI DDNY) A4 -7 INSURANCE 01ERTIFITF LT PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 341 Court St HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 3700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plymouth MA 02361-0 INSURERS AFFORDING COVERAGE INSURED INSURER A: ARBELLA PROTECTION COMPAN Benabby Inc. dba Disaster Specialists INSURER B: National Casualty Co. P,O.BOX 480 t INSURER C: SANDWICH MA 025630000 INSURER D: INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONIIEL LIMITS A GENERAL LIABILITY TB 03/31/01 03/31/02 EACH OCCURRENCE $ 1,100,000 00,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 00,000 CLAIMS MADE �OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ 2,000,000 POLICY 7 PRO- JECT AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC. $ AUTO ONLY: AGG $ k;B,iX EXCESS LIABILITY- EACH OCCURRENCE $ 1 000,000 OCCUR CLAIMS MADE LM00027826 04/19101 03131/02 AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ RETENTION $ WC STATU• 0 WORKERS COMPENSATION AND MIT JR A EMPLOYERS LIABILITY TB 1 03/31/01 03/31/02 E.L.EACH ACCIDENT $ 500,000 E.L.DISEASE•EA EMPLOYEE $ 500,000 E.L.DISEASE.POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry-Interior;Janitorial; Buildings operations by Contractor Executive Supervisor CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN. .Town of Barnstable Building Departrnerd 367 M810 St. NOTICE TO THE CEFRACgATE 0 EgRy �E}D TTOTH THE�LEFT �BUUTtFAILURE TO DO SO SHALL IMPOSE NO OBLIGATION'ORIDTY'l7fANYKIIt(0 UPOM TiiL�AJSiIFfER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTA ACORD 25-8 (7l9 1 �(® ACORD CORPORATION 1988 r .. F ilip2l ��r BOARD I Lice n OE BUILDING (' se: CONStRUILDI REGULA7tp N SUPERVIS NS Number: CS OR 055731 �" Biryhdate: /07/16 112 Restrict 002I n°: 4251d T�: 00RICigRD r f . � P B J LENNOX O` OX 480 ' M i �j SANDV►rICH, MA 02563 "`� —5;! ry Administrator 1 97. HONE INPROVENENT CONTRACTOR Registration: . !. xpiration: 8120102 ova e�tio /. BENABBY INC/ DISASTER SPEC �(r' -�f p5��t., RICHARD LENNOX ; ADMINISTRATOR Box 480/ 9 Jan-Sebastian Y Sandwich NA 02563 i v a� w = . Cla► e 1is We Make Disasters Disappear December 5, 2001 Town of Barnstable—Building Department Building Commissioner 367 Main Street Hyannis,MA 02601 Dear Building Commissioner: Benabby Inc.,d/b/a Disaster Specialists has been hired to do demolition and to secure Building#4 at Cape Cross Roads,located at Route 132 and Bearses Way,Hyannis,MA, following fire damage. The fire has ruined partial structure at the above address. Scope of Work A) Removal of Fire Damaged Wood B) Removal of Water Damaged Material C) Removal of all Debris and Secure the entire area if any further information rs'needed,we.,can, e contacted at 800-675-3622. Disaster Specialists • P.O. Box 480 Sandwich, MA 02563 508-888-1113 800-675-3622 FAX: 508-888-2951 �. Amica Mutual Insurance Company SOUTHEASTERN MASSACHUSETTS OFFICE Amica Life Insurance Company 596 Paramount Drive Amica General Agency,Inc. Raynham,Massachusetts 02767-5172 Mail: PO Box 529,East Taunton,MA 02718-o529 G AUTO HOME LIFE November 26, 2001 Town of Barnstable C Attn: Building Inspector Ck 0S 2 0 1 367 Main Street Barnstable, MA 02601 File Number: F1220010.70-39 Date of Loss: November 26, 2001 Owner/Insured: Audrey J. O'Brien Street: 800 Bearse Way, Apt 4NC Town: Hyannis Type of Loss: Fire To Whom It May Concern: Please be advised that we insure the above named individual(s) . A claim has been made for Damage to Real Property and as the insurer, we are presently in the process of adjusting the. loss . We are mandated to comply with Massachusetts General Laws, Chapter 139 and as such, if there are fiariy present liens on the above property, please notify us within 10 days .of receipt of this letter. If we do not hear from you, we will be under no obligation to pay you any portion of this claim. Very truly yours, William N. Lamb Jr. Claims Department Amica Mutual Insurance Company wlamb@amica.com t, ' *AR . Toll Free:1-80o-59-AMICA,Web Site:www.amica.com Claims Fax: (508)824-5927,Underwriting Fax: (5.08)821-5525