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HomeMy WebLinkAboutBLD-23-003535 4 V 1 ' ONE & TWO FAMILY ONLY- BUILDING PERMIT -TiTown of Yarmouth Building Department of -.-- F it - E I V E D 1146 Route 28, South Yarmouth,MA 02664-4492 ,• 508-398-2231 ext. 1261 Fax 508 398 0836 DE 2 8 2022 Massachusetts State Building Code, 780 CMR e Bu dir g Permit Application To Construct, Repair, Renovate Or Demolish K�;;.:..• , 1--- a One-or Two-Family Dwelling LBU LD{ G DEPARTMENT iti. This Section For Official Use Only Building Permit Number: Date Applied: / i1-\ ccA(5 .. - id.-ID4 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro a Address: 1 1.2 Assessors Map&Parcel Numbers RECEIVED 3 f 313 0 lz Vet.a-i L) 3 T— /DD- /4//- 1.1 a Is this an accepted street?yes no Map Number Parcel Numb(r11 1.3 Zoning Information:n 1.4 Property Dimensions: JHIr O J 2023 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) r' " HY: itir 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: — Outside Flood Zone? Municipz 3n site disposal system Check if yes❑ ; SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:fala -12-%-r 116.1-)F 66 ►Jorfl " -{ 4_.'c r F7 33 es—h - Name(Print) City,State,emir pd•boy, 6/3 - - . - - 33?- 2o6 -1Z,6f dav0Laiti ae,u2o.0_1- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check.all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 1&Specify:itAIPZ_ i?4' At tef h t (/ Nh� Brief Description of Proposed W -: OW/le fll1 > D ')'ib4' /?Oafs-_ ,(ya r0Al 4if PeR�; r 11-C 2 N? Pao it 36:v20cwt (€ifi'Is /7, Be 16f-4OvPv- X-ev/.tc-ev -i/44v Artie. i N sot,nod- - P05,3fT - AohA( rfoo.L A,A-4-.... -4,vkS fc -i 0Af( /od,t5 rife. gRT.•rwoosvt - SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5c-07j 1. Building Permit Fee:40,7 Indicate how fee is determined: 2.Electrical $ c-/Ce°. 01) 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6'x ltiplier x 3.Plumbing $ /$jam. O0 2. Other Fees: $ 3S C I ��� 4.Mechanical (HVAC) $ List: 'r- 5.Mechanical (Fire $ — Suppression) Total All Fees:$ \ a\ :1 Check No. Check Amount: Cash Am 6.Total Project Cost: S V iifi O 0 Paid in Full 0 Outstanding Balance Du : t n r SECTION 5: CONSTRUCTION SERVICES 5.1 ,,Cons truction Supervisor License(CSL) Q9a 2 W�(UN kid License Number Expiration Date Name of CSL Holder n Z� Po w List CSL Type(see below) ti4— No.and Street Type Description 1tp CcW l�-?t. 1vtet A - �,2 Unrestricted(Buildings up to 35,000 Cu.ft.) `�" 7 R Restricted I Q&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances 77c( `ff7 0Y17 r g yps i44(QA 4450hifiDµs • I Insulation Telephone Email address -t' b'vt D Demolition 5.2 Registered Home Improvement Contractor(HIC) Olt A (.',✓ /1s/oM ) 1/ ICI Re Kt( 7 -Zy-z HIC Compan •Name or HI Registrant Nan}e C Registration Number Expiration Date Z Z -eR Cl'f U fit( ' 81414 J e tA te,/,LPsi No.and Street, 7 �l AA S r fiA DL�' `�D ,771(_ Nr ou37 Email address City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes -.---- No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Wlt4f e" Qe7.59LA12)"S- to act on my behalf, in all matters relative to work authorized by this building permit application. vo L- zZ- Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. 2-5-eve- Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.2ovIota Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned.provide the information below: Total floor area(sq.ft.) 3310 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) 2/0,6 Habitable room count 5- Number of fireplaces Number of bedrooms 2 Number of bathrooms Z Number of half/baths / Type of heating system - GAS Number of decks/porches / Type of cooling system N-A Enclosed Open / 3. "Total Project Square Footage"may be substituted for"Total Project Cost" R TOWN OF YARMOUTH of -° , BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: ' / 71,1 fti . atA(kt- NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" AA�� y �}�-�!� ad7;k2217-- NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS f• d 'B' ' cc r Mr¢/e-2<Cr— CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE frtt -c41 ) t>cli — APPROVAL OF BUILDING OFFICIAL L NSURANCE COVERAGE: I have a current 'ty insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. es No If you have ecked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner • Qe h:homeownrlicexemp TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5 I hereby certify that the debris resulting from the proposed work/demolition to be conducted at �� N DoL4k IAA' S l - , - Work Address Is to be disposed of at the following location: IRLA0(-4-'C1•— l%I Sf1©-Sid Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Zzz- Signature of Applicant Date Permit No. I ni- t,urnrnurtweuttn of lvlussucnuseus• DE a ment of Industrial Accidents f1 C ce of Investigations =` l _Lafayette City Center ' 2 Avenue dt._ .afayette, Boston,MA 02111-1 75 0 ~"�`� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): WHALEN RESTORATION SERVICES INC Address:22 AMERICAN WAY City/State/Zip: SOUTH DENNIS, MA 02660 Phone #: 508-760-1911 Are you an employer? Check the appropriate box: 25 4. 0 I am a general contractor and 1 Type of project(required): 1.0 I am a employer with employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9 ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or addition: 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or addition: myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13 ether jr✓< Df ,tA G� comp. insurance required.] f'Z E' ( A 2-S *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ACE AMERICAN INSURANCE COM NAIC#22667 Policy#or Self-ins. Lic. #:6S62UB5B89454222 Expiration Date:04/01/2023 Job Site Address: 3gb Wilk AA%`a) Sl City/State/Zip: S' 42 w4u"4Ik . "• - Attach a copy of the workers' compensation 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 criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fin of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: j/ �� Date: 29 �CC_ 7� Phone#: 7 Y 7 �7- �U t/�3 9- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): IE:Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0 Other Contact Person: „L___ ,i Specializing in Fire Restoration—MI Work Guaranteed Access,Authorization and Direct Payment Request Form I(we)authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 388 North Maas Street Sotah Yanmwb.MA 02664 to repair damage caused by Waterl3t>rst Pine on 2,4/2022. As owner(s)of this property,I(we)understand that I(we)rag authorize this work.I(we)hereby atthorZe WHALEN RESTORATION SERVICES to performths work and accept ttsponsbtTaty lor paymast ton completion I(we)authorize and direct my Insurance Company,,to make paynerats directly to WHALEN RESTORATION SERVICES,Insurance Clan Specialists,for doing this work and to that eraett I(we)assign the benefits applicable to this has to WHALEN RESTORATION SERVICES. I(we)acknowledge receipt of a copy hereof DATED SIG Y (' DATED SIGNED RESTORATION REP. -..M1140 WHALRES-01 CWOODSIDE AC-ORE, DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 12/22J2022 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(ies)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT John Powers NAME: HUB International New England 265 Orleans Road jn"/c°°;No,Ext):(508)945-7866 FAX No): North Chatham,MA 02650 E-MAILADDRESS:John.Powers@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED INSURER B: Whalen Restoration Services Inc. INSURER C: 22 American Way INSURER D: South Dennis,MA 02660 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 BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPA 5427058-12 4/1/2022. 4/1/2023 DAMAGE TO RENTED 100,000 PREMISES IEa occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (Ea acciNED dent)identSINGLE LIMIT $ 1,000,000 ANY AUTO MAA 5427059-10 4/1/2022 4/1/2023 BODILY INJURY(Per person) $ OWNED X_ AUTOS SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 5427060-12 4/1/2022 4/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION I PER STATUTE I I OOER TH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mary Jane Benoit ACCORDANCE WITH THE POLICY PROVISIONS. 388 North Main Street South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ?0'99; ----- I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)12/22/2022 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(ies) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cheryl Woodside HUB INTERNATIONAL NEW ENGLAND LLC (arc°.No.Ext): (978)661 6678 /c,No): E-MAIL ADDRESS: cheryl.woodside@hubintemational.com 600 LONGWATER DRIVE INSURER(S)AFFORDING COVERAGE NAIC# NORWELL MA 02061 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: WHALEN RESTORATION SERVICES INC INSURERC: INSURER D: 22 AMERICAN WAY INSURER E: SOUTH DENNIS MA 02660 INSURERF: COVERAGES CERTIFICATE NUMBER: 846458 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 ADDLISUBRI - I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED $ _ CLAIMS-MADE OCCUR PREMISES(a occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER , $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OOTH STATUTE AND EMPLOYERS'LIABILITY --- - ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A N/A N/A 6S62UB5B89454222 04/01/2022 04/01/2023 __-- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I 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.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mary Jane Benoit ACCORDANCE WITH THE POLICY PROVISIONS. 388 North Main Street AUTHORIZED REPRESENTATIVE C ck South Yarmouth MA 02664 Daniel M.Cro(*y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • Jofiin Baylis From: Bill Whalen Sent Tuesday, September 6,2022 1:55 PM To: John Baylis Subject: FW:Your OPSI License has been renewed From: NoReplyLicensing(REG) <noreplylicensing@state.ma.us> Sent: Friday,August 26, 2022 12:20 PM To: Bill Whalen<BWhalen@whalenrestorations.com> Subject:Your OPSI License has been renewed THE COMMONWEALTH OF MASSACHUSETTS DIVISION OF OCCUPATIONAL LICENSURE Office of Public Safety and Inspections www.mass.gov/dpllopsi August 26, 2021 WILLIAM WHALEN 122 Pond Street BREWS'I'ER MA 02631 Your license CS-074928 has been renewed. The status of the license can reviewed on our verification site at https://madpl.mylicense.com/Verification The physical copy of your license will be printed shortly and mailed to the address above. Please allow two weeks for USPS to deliver the license. If you do not receive it, reply to this email. Regards, Licensing Unit • • • • Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards • CS-074928 Expires:08/10/2022 WILLIAM WHALEN Z07i l 122 POND STREET _ _ •_' BREWSTER MA 02631 • Commissioner riadG f;- t tic.6m Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 129244 WHALEN RESTORATION SERVICES INC. Expiration: 07/29/2023 22 AMERICAN WAY SOUTH DENNIS.MA 02660 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration, Office of Consumer Affairs and Business Regulation 129244 07/29/2023 1000 Washington Street -Suite 710 WHALEN RESTORATION SERVICES INC. Boston,MA 02118 WILLIAM WHALEN J 22 AMERICAN WAY " `v/`- ""`� SOUTH DENNIS,MA 02660 Undersecretary Not valid without signature f; 1st Floor 3 S 3 N o:+ k. M ik 0 • .5 - Yit-g..ct.ouoilt „ r 1 I Al I "'—I Pi 13' r,._CI t ■ ^-� 0 f _ '-idlailway ,a.4_ i' r I F,rl r` 3 CODE COMPLI- "'' "LNON6 DO NOT RELIEVE THE OAKI'� I� f r `D . . E RESPONSIBILITY OF"AS BUILT" \ 1 100K N Kitchen , (ovfg�l�l r,5 P° �, 1 ��=3G_�1 Bathroom_;:: 'rii L p '''1 Di: 0 IC/AL 3+ 9+ 8�� a i r N e, 16 A-k 14 DoL c o co\Y 1 Living Room a 3'4"---I N I It- t 1+ 16+ kl •set`.'?2 r-; M 1 15'6" 1-2'4„ I 31' 21. I 7 _Sr FI bbi? BENOIT MARYJANE EMS �D � I_2Rk bA 'lar - < CE"iii),(4 - second Floor LE-it e law Avg NosTo � N `_sanding Crl tr) • f /Closet I1; 2' 10„ 9, 1 13' 5" L I R61,t 0 VE - e e Q, ',thy rip�[ - h L�,/ M DAm,INUED Lr1 Citi6�. 2' 9„--111" ie k rER.. R.oOr i 4 l2, bw►icte 1-1('K.E1) '2' 3"—' 1' 1" Front Bedroom Nar rhl`5 00 Closet (1) v 14'6" 17' 9" 1 sec'nnci F Basement • —_ P2.1 ti og (4 Nki4, V_( 4T , 5 `14 a',ADA ItA 11'6" I 5' 10"—_ T11' '"'-5'4"�' Co in oo 71- �� r 6y N r 8' I i '._- , 10 0o Basement 1 TUP , J '/ % Cr, �� W 61 [� in I M M id I 16'8" r - I 17'4" I Rase] BENOIT_MARYJANE_EMS 12/27/2022