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Home My WebLink AboutBld-20-002050 a I _e rviou.�. i vi t1 t7�l t.,! I q le-4, .. TOWN OF YARMOUTH Building Department BUILDING 'fir. (508) 398-2231 ext.1261 0 ,, ` 4. PERMIT NO BLD 20 002050 PERMIT V M,7 riE '° JOB WEATHER CARD , M ISSUE DATE 10/16/2019 • APPLICANT 1D.SCOTT MURDOCK' PERMIT TO : Repair AT(LOCATION) 33 PINE CONE DR,WEST YARMOUTH,MA 0267 I ZONING DISTRICT Bldg.Type: Residential SUBDIVISION MAP BLOCK LOT 023.63 mm BUILDING IS TO BE: CONST TYPE— [ ) USE GROUP ; i £ ...,.._,.,,,..,__ .....�._._,..,....,.....,....�.,_.,__�..�...�._,.,..�.,..�..�w.�.�, .w..�,.��.mn-,,.�.ti�. w� , ,.w..�.._..�....�M_w...�..,�...,REMARKS re-roof house and shed, replace trim and siding-shinglesS CONTRACTOR )due to tree damage 1 ) LICENSE t I E '§ )) AREA(SQ FT) l 417435480.1 EST COST($) 115000.00 ..w_ PERMIT FEE($) 175.00 I OWNER ;BARRETT KENNETH D TR „. [ . BUILDING DEPT BY I ADDRESS C/O BARRETT JOHN C, 17 ROWAN ST I IDEDHAM 1MA J02026 H T/ j2 CMs t 'HONE W. ,... ._ .-. . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWAL{ OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL SEPARATE PERMITS ARE FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL MEMBERS(READY FOR LATH OR FINISH WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GAS AND COVERING)3)FINAL INSPECTION BEFORE REQUIRED,SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS. OCCUPIED UNTIL FINAL INSPECTION HAS OCCUPANCY 4)REFER TO DETAILED INSPECTION BEEN MADE. SCHEDULE POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONS APPROVALS OTHER: I WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS SIX MONTHS OF DATE THE PERMIT IS ISSUED AS OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION NOTED ABOVE. t® Division of Professional Licensure 33 t,/vE Board of Building Regulations and Standards Constrtl:t't6ri iStUpgrvisor CS-080395 ti yfires 03/13/2021 D.SCOTTMURDOCK, ,l, C 42 SOUTH YARMOUTH 4 M DENNIS MA 026 $ ' Sys • 'VC)/S f Commissioner . • • • 3` Massachusetts Department of Public Safety Construction cti Supervisor tly Board of Building Regulations and Standards Restricted Unrestricted-Buildings of any use group which contain License:CS-080395 less thin 35,000 cubic feet(991 cubic meters)of Co ion Supervisor enclosed space. D.SCOTT ��, 42 SOUTH VAR . DENNIS MA 03833 F • `` . a current edition of the Massachusetts 0 - Expiration: State : Code is tense for revocation of this license. I ommissiortier 03113n019 DPS Licensing . , on visit:WWW,MASSApV/DPS G `""6effebifkifl(iR9 ifitkigi m8 'fitiOation HOME IMPROVEMENT CONTRACTOR TYPE:Supplement Card Registration valid for individual use only before the expiration date. If found return to: { Registration Expiration Office of Consumer Affairs and Business Regulation 100121 - 06/08/2020 1000 Washington Street-Suite 710 OCEANSIDE,INC. Boston,MA 02118 D.SCOTT MURDOCK �� 217 THORNTON DR,_ � � Ji ) HYANNIS,MA 02601 Undersecreta Not valid without signature ry f _ 1 ACr:1RC7�°' CERTIFICATE OF LIABILITY INSURANCEDATE'(MMIDDIYYYY) r sei, � 01/07/2019 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 endorsement(s). PRODUCER NC ACArsE: T Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PNDNE (508)775-1620 FAX ,NO ADD Iullivan n_,.oins.com 973 IYANNOUGH RD INSURER(S)AFFORDINGCOVERAGE RAC/ HYANNIS MA 02601 INSURER A: AIM MUTUAL INS CO 33758 INSURED SOURER 13: OCEANSIDE INC INSURER C: INSURER D 217 THORNTON DRIVE INSURER E HYANNIS MA 02601 _.„INSURER F COVERAGES CERTIFICATE NUMBER: 353542 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIE 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. LTRh TYPE OF INSURANCE 'ADDL SUER` FOUC�Yy LFF . ICY IMP hilsa imp, POLICY NUMBER ,JMMIDD/YYYY1 MIMMD(YYYY1, LMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE Ei OCCUR DAMAGE TO.RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL BADV INJURY__ $ . GEL AGGREGATE UMJTAPPUES PER GENERAL AGGREGATE $ POLICY F EEG'T I 1 LOC ... PRQDUGTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY . I IEa COOMBa cc NED SINGLE LINT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED '"-"SCHEDULED (Per accident) $ .,. AUTOS AUTOS N/A BODILY INJURY NON-OWNED PROPERTY DAMAGE $III HIRED AUTOS AUTOS [Per accident) UMBRELLA LIAR OCCUR ~EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I RETENTIONS $ WORKERS COMPENSATION PE T OTH AND EMPLOYERS'UABILI TY Y I N STATUTE ER ANYPROPRIETORIPARTNEREXECUTIVE E.L EACH ACCIDENT $ 1,000,000 A OFFICERRdEMBEREXCLUDED? N/A WA VWC10060198022019A 01/01/2019 01/01/2020u(Mandato*yinNH) E.L DISEASE-EAEMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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 states 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.govIwdhvorkers-campensationfinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r D nelM.Cr y,CPCU,Vice President—Residual Market—WCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Client#:586925 20CEANSIDEIN BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE # ACORD. CERTIFICATE OF LIABILITY INSURANCE GATE(MMIDDD/YYYI) 1/OB/2019 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT. Dowling&O'Neil Insurance Agy N o. 508 775-1620 tram* 973 lyannough Road AJC,fin Ems: ��Alc,xo):5087781218 P.O.Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(s)AFFORDING COVERAGE NAIL 9 INSURER A:Arbella Mutual Insurance Company 17000 INSURED INSURER a:Arbella Protection Insurance Co 41360 Oceanside,Inc. 217 Thornton Drive NsuRER c: Hyannis,MA 02601 INSURER D: 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. 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 BYY PAIDLY CLAIMS, INSR VIIBIi MIDDII f), AirD 1YYYY)' L'RR TYPE OF INSURANCE { F y INSR!tYVO POLICYNUMBSR (N IN LIMBS A X COMMERCIAL GENERAL LIABILITY 8500066712 01/01/2019 01/0112020` CHOCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR p�j Ea r,,°, ) $100,000 X PD Ded:250 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN LAOCREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000 POLICY a JECT Li LOC PRODUCTS-COMP(OPAGG $2,000,000 OTHER B AUTOMOBILE LIABILITY 102006166603 D1/01/2019 01/01/2028 C_O a cho SINGLE UMIT y1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUTOS ONLY X AUTOS SCHEDULED BODILY INJURY(Per accident) $ X HIRED ONLY X NON-OWNONLY ED PROPERTY DAMAGE $ L AUTOS (Per accident) $ A X UMBRE L AB X occuR 4600066716 01/01/2019 01101l2020'FACHOCCURRENCE $S,000�p00 EXCESCLAIMS-MADE AGGREGATE $5,000,000 DED 1 X.RETENTION$10000 $ WORKERS COMPENSATION -_.... AND EMPLOYERS'LIABILITY YIN STA ERµ OOFFFFICER/MEMBOERREE7CACLUDED t CU n ... EL EACH ACCIDENT $ (Mandatory In NH) EL.DISEASE-EA EMPLOYEE+$ Eyes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1M1,Additional Remarks Schedule,may be attached If more space Is required) Insurance coverage Is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained In the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S227036/M226890 RPSW1 lie Commonwealth of Massachusetts Department of hulastrial Aeeldents 1 Con gresm aye&Suite 100 Reston,Aid 02114-2017 wamansamgomfdia Workers*Compensation lantrance Affidaviet Buliden/amtractoratillectrlebna/Pluebere TO BE FLUID WIIE TUE nothurrwo nulsomrv. doeljeanttghamotam beam Mit Legibly Name musbnisithsanhationffnaviduao: or,E441,, Address; cityistatemp:i-IYAA) 1.5FJA 021601Phoneks? 77/ .3./i0 &epee an employed C&esitthe appropriate bone Type 0-f—prajecr(required): lar lam a employer whit gr. erapicemes andfor pateeima).* 7. 0 Now construction em satepeptieterermetuenem mad lave no employees end*fix tre in S. 0 Remodeling any avec*Pitt water reap.bantam topmal 3.1 9. Do:nation:3l am akencowate doing all wrok myself Plo wofinne 0011113.Warm=relfill'al I ig E3 Molding addition +1.C1 I atm a McNamar sad winbahising cartmcbms 10=dismal Ivo&ao wWPluecrlY.I wilt teamethat all coettettose abhor have wodastai compensated instuattos or amnia additions proprietors with no ampleness. 12.C3 Plumbing repairs or additions s.0 rem avow&comment.and I have hired sult-cmdackee Emden the Waded sheet 13.C:1Roofrepairs Thaw em•eantreeters hese empbrece and have wodnie mar.innate:0 14.E3Other 6.(jIlto me a empoettion andits affirms have exereisel their sight of exemption pride&a 152,,gift),and we lime no employee&[No WO ken'temp.Insurance requited] *Any applicant s cheeks box dimwit also fill out the radon below diming emit workers'oompensatan policy Wereto. lbstsconnan who admit this affidavit indicating they me doing all welt&adduct hire outside contractors moat minds a new affidavit indkedall kontracton the check this box coast slants:den atklidmial sheet showing the memo cake saIrconfracens and Ade whether or oat dime metes have tapPbYro&Mae talb-cantnegont NW°eloPloYord.they mast pawlde their waders'comp.pulley number. lam an employer that bprovkling wetifers'co,pentation smuillturfor not explayeat Below Is the pea"attiljob site Intense** Insurance Company Name: . 91- Policy#or Self-ins.Lie.it: VWc2..IOO ç, OiO /%ipzration new: Job Site Addtess: Citytate/Zip:, Attach a copy of the workers'cotnpensation pacy declaration page(showing the policy number ptration date). Paihtte to secure coverage as required under MOE,o.152,§25A is a crimktal violation penishahle by a fine up to$1500.00 and/or oneyear imprisonment as well as civil penalties in the tiorts 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 ofhrrestigations of the DIA thr insurance comae Verifiedg0S. .rike kore/ofaat4 ender it paha of that the nprovided above is tree end etnreet tun' Date: g 407v? Plana ,c6r-T7 I —Si ° . officki ass only. Do natter*o In MI rareak to be contilseed by dip mint oilkiaL City or Town: Perndt/Lkense Issadag Authority(circle one): L Board of Reel*2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other I Contact Perna: Phone*. _ ,