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HomeMy WebLinkAboutBLD-23-005714 . p a g Ai/0t-5 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department r.. .4.1%, r 1146 Route 28,South Yarmouth,MA 02664-4492508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only (±E V Building Permit Number: U Z3--Q(�'�/ Date Applie APR 10 2023 Building Ocial(Print Name) • Signature SECTION 1:SITE INFORMATION a UII G DE PARTMENT 1.1 Property Address: 1.2 Asses ors Map&Parcel Numbers 3 Co,zi'P 4-7 Z-A/V- 1/6 - 7- /o,i --z o// 1.1 a Is this an accepted street?yes c2 no Map Number Parcel Number 1.3 Zoning Information:,3 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I 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? Municipal 0 On site disposal system - Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record. / rz tr3e- IN.-- P it h►.. t.o Rill A (I00, CT- 06ob Name(Print) 1 City,State,ZIP .j ittL k-f-L, C i- gbo -2os-3-294/ in(ol%,t-.Ys �oo b Iv'ti;-c6,0 , No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) X. Alteration(s) ❑ I Addition 0 Demolition ❑ I Accessory Bldg. 0 Number of Units Other p Specify: 6✓7?I`'` brl'-(Ai e L.:- Brief Description of Propose Work2: g e VI ale- Ile&c e-- 2' P P--tiv.)`4 l` ?9(s M i&-iN I?r''y/,?) I., t 11 v-e- C r3•iV r" / Pit- lv i..1-n iw, • / , ./,f rr_ ' rr f s fire- ,r lob r_ 152 l e?xf 1)/1/,`is/ wA-/( 3/e Ae- Gf tAv.e ce ,Y,,J u,',- Opcstreiz i P4‘;‘Y I.6.SECTION 4:ESTIMATED CONSTRUCTION COSTS. JAY O�jG4 , v G O Item Estimated Costs: • Official Use Only G (Labor and Materials) 1. Building Permit Fee:Sf1 Indicate ho 's tertfiined: 3 I.Building ���/�.ie v It Standard City/Town Application Fee Q Z4 2.Electrical $ QOv,.`� PQR ❑Total Project Costa(Item 6)x multiplier . EN 3.Plumbing $ 75QL? 2. Other Fees: $ C C-y //,, �J \�o\NG OE P 4.Mechanical (HVAC) $ List: i ge l _ i 5.Mechanical (Fire . . - . .' ` ev Suppression) $ Total All Fees:$ 1\ i Check No. Check Amount: Cash ount: 6.Total Project Cost: /05- `the. - 0 Paid in Full a Outstanding Balanc Due:1 6> ��-] f g. 'A `y tt 'iys, $,. _*�Y A _ i ill', r. s4 - I ... ..) f.9. @E. is .: a ,} .. _ • 3 • -_... -..- _. .. ..s.. _..�..{.J. w w 1/1 G al C' -x 3qR rim s , r f j{ yi.( � f �r �j _ ._ y3, SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) -J/l - id �l' ���� ��/z License Number Expiration Date Name of CSL Holder /�iS� List CSL Type(see below) (/I�� lflii /'� � ( - No.and Street Type Description 0,e(,: >vz7Ac_.- Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry /Z't'/I - �C _ RC Roofing Covering e4.4,.•s `t�/r.� WS Window and Siding (' SF Solid Fuel Burning Appliances 77K yr' 7�`p37 k' 1 "e,,,m,,,s—lc+to'l I Insulation Telephone Email address D Demolition 5,2 Registered Home Improvement Contractor(HIC) / HIC Registration Number Expiration Date HE e ompany Name or HIC Registrant Norte 2--2-2--2— j114,t C�1 G�"/4.-' vc' d S yy GJ1r�I te,c/ (�v ‘,...)A 4'�r�/1•s h- r-. Na.and Sy et Email address � `� City/Town, State,ZIP Telephone 502 73.7 - 1 (7 f 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: OWNE AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ir]`4 6(--(6 7-? b C' to act on my behalf,in all matters relative to work authorized by this building permit application. 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. 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.aovIota Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) /6 7 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) /6 7`f Habitable room count Number of fireplaces Number of bedrooms .../` Number of bathrooms ;- Number of half/baths 0 Type of heating system (/J'r i iiri?- - 67�` Number of decks/porches / Type of cooling system owe. Enclosed Open / 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ��,��W"��1 TOWN OF YARMOUTH y y'•�E $ Jr- \ BUILDING DEPARTMENT way ?:u o8 1146 Route 28, South Yarmouth,MA. 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: 3 (0/1/(O,e J) tof7( �it`�G�l 4z NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" M tt(2-y Re'f"I7 (6 Wit IS— ir:"60 "Z 3 L 9 '( NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS -3- il(yS77 4 4,;,,e At'l �•t-) L p: Qb 00( 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 buildine 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 I 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 if 7' (H/9 7 G.°e APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current ability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. if.s. No If you have checked vesi please indicate the type coverage by checking the appropriate box. A liability insuranceP 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. I / Check one: Signature of Owner or Owner's Agent Owner , gen 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. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 3 6e,,veoya 'olive Work Address Is to be disposed of oat the following location: Xig-eleadrA- S�d' (/ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. Signature of Application Date Permit No. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , / Lafayette City Center ? 2 Aven ue de Lafayette, Boston,MA 02111-1750 ' __,1 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: Type of project(required): I.❑■ I am a employer with 27 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑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.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no 13 Other („4-)ik if 12 Aiu�.'i employees. [No workers' comp. insurance required.] i' F iifti-•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: CHUBB/TRAVELERS Policy#or Self-ins. Lic. #:6S662UB-5B9454-2-23 Expiration Date:04/01/2024 Job Site Address: 3 [ o'��e-0 a L#1 Ne City/State/Zip: de a4-e , 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 fine 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 certi 44/ nd r th s and penalties of perjury that the information provided above is true and correct. Signature: 10 (jI1t 3 Date: ,v ( 3 Phone#: ( ii') 6 D -i 911 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): 10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 5.1=1Plumbing Inspector 6.0Other Contact Person: Phone#: Vf/ '1 Restoration Services Inc. Fire,Smoke,Soot,Water&Mold Remediation Services Cleaning • Deodorization • Reconstruction PAYMENT SCHEDULE PREPARED FOR Marybeth Collings 3 Concord Lane Yarmouth,MA 02664 The following payment schedule is part of the contract submitted to: Payment#1: To allow for the application of the building permit,the $28,483.65 ordering of materials,signing of subcontractor labor agreements,and scheduling repair work. Payment#2: Upon completion of all rough electrical, plumbing, $28,483.65 installation of insulation,commencement of drywall work and ordering of kitchen cabinets. Payment#3: Upon completion of drywall work,commencement of $28,483.65 floor installation, interior trim work and painting. Payment#4: Upon completion of interior trim work,finishing of all $13,483.59 flooring and completion of interior painting and wall papering,finish electrical, finish plumbing, kitchen installation,post construction cleaning,final town inspections and to the owner's satisfaction. TOTAL: / $98,934.54 jUt 1/?Sh 3 "4,Aor-1// Contractor's Signature Date th Colli g' Date WHALRES-01 JPOWERS ACORO MM/D(DATE D/YYYY) CERTIFICATE OF LIABILITY INSURANCE MM/D23 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 ONT CT John Powers HUB International New d l En an 9 PHONE FAX 265 Orleans Road (A/C,No,Ext):(508)945-7866 (A/C,No): North Chatham,MA 02650 ADDARESS:John.Powers@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Union Insurance Company 25844 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 IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPA 5427058-13 4/1/2023 4/1/2024 DAMAGE RENTED PPREM SESO(Ea Occurrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident) ANY AUTO MAA 5427059-13 4/1/2023 4/1/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS ONLYY PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 5427060-13 4/1/2023 4/1/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYY IPROPRIET ER EXRTNER E ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Marybeth Collings THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN rY 9 ACCORDANCE WITH THE POLICY PROVISIONS. 3 Concord Lane Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/07/2023 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: John rowers HUB INTERNATIONAL NEW ENGLAND LLC PHONE 508 945-0446 FAX (AIC.No.Ertl: ( ) (A/C,No): ADDREss: 1�n.PO wers hubinternational.com DOR 600 LONGWATER DRIVE INSURER(S)AFFORDINGCOVERAGE 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 INSURER F: COVERAGES CERTIFICATE NUMBER: 879207 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. IOLICY EXP NSR TYPE OF INSURANCE ADDL SUB) POLICY NUMBER (MMIDDIYYYY) (POLICY EFF PMMIDD/YYYY) LIMITS LTR INSD YWD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCED $ GE TO CLAIMS-MADE OCCUR PREMISES SES(EaENTED occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECOT- 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(Peraccident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY _ — ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA NIA N/A 6S62UB5B89454223 04/01/2023 04/01/2024 (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/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N 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 Marybeth Collings ACCORDANCE WITH THE POLICY PROVISIONS. 3 Concord Lane AUTHORIZED REPRESENTATIVE Yarmouth MA 02664 Daniel M.Cro fney,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 1c'hn Baylis From: Bill Whalen Sent: Tuesday, September 6, 2022 1:55 PM To: John Baylis Subject: FW:Your OPS1 License has been renewed From: NoReplyLicensing(REG) <noreplylicensing@state.ma.us> Sent: Friday,August 26, 2022 12:20 PM To: Bill Whalen<BWhalen@whalenrestoratians.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/dpl/opsi August 26, 20 WIT,LTAM WE IALEN 7 viz 122 Pond Street BREWSTER MA 02631 Your license CS-074928 has been renewed. The status (Tithe license can reviewed on our verification site at https://madplonylicen.se.conATerification 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 F • • • Commonwealth of Massachusetts '�l Division of Professional Licensure Board of Building Regulations and Standards Conste.' ii6IYS6.1. rvisor • CS-074928 • Expires:08/10/2022 WILLIAM WHALEN 122 POND STREET - BREWSTER MA 02631 • Commissioner dui Z fi. „tkw �- • Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home improvement Contractor Registration WHALEN RESTORATION SERVICES INC_ Type: Corporation Registration: 129244 22 AMERICAN WAY Expiration: 07/29/2023 SOUTH DENNIS.MA'02660 Update Address and Refurn Card. Office of Consumer Affairs c Business Reaulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE Corporation before the React_stration Expiration expiration date. If found return to: 129244ti 07/29l2023 Office of Consumer Affairs and Business Regulation .WHALEN RESTORATION SERVICES INC_ Bosttonn,0 Washington treat -Suite 710 WILLIAM WHALEN 22 AMERICAN WAY ,1`r--��fs `r,•^- ,'� t � ,_._ SOUTH DENNIS,MA 02660 Not valid without signature Undersecretary Main Le:el :3 �a Cc) t-_ L.N-14 - 'a l,l )(As aztAi � P-tr n4.\-ekk.*cg e -,ems .0 — Z2G._s1-2) z. -c\- ti� t 39'9" t CabldetT0 t) : 3 1. 10' 7" 1 ' 20' 6 1' 7' 10' ( 1 -o0 h wer( ) -0 I ® '(eL�1 D �. i>o r^ - - 0 __°Oo0 B L2) hroom °° Dining Room 3r 2,Kitchen "-2'I" 8"_ Bed I �b0(Z �D� P�i� real g.ith Clo et ' y— F M 2 'HOW? c��' ® Z VIOub Lu 1 o�' bektu tl - i' 10"—, 1 if Ed ktEt,i 1--10f La. t;i tte`C 28' 2" N 18' rr ♦�-. r-, r n .�--- r rr�ii--44r rr _ 1 Kitcicn�lo (1 3 3 B Ri' Bed1 �loset N r . F 2'4' -" 1 —10' 11" ' f-, Living Room A N M C I Jr. Bed2-Front Bed - ' ` 24' 7" ram.. .11. 14'2" 1Z rn AC!u;,; dr(t(UIJ um UIVII VIIJJI v'iv�i UU f< Hi„ Tr Al PLCANT FROM THE REcr','''"'"'LIT; . J'.i'LT" ..- LA -1 $ 4:3 =r�-`; 'F`; 11,a Main Level COLLINGS-ESTIMATE - c J 1 — 4/5/2023 Page: 1 Basemen. 39' 5" 1 ' 21' 2" "J 17' 3" L• s Prz ( b-0‘ P '' ,. Ka.N,,e __L Er mec(00-4,4S. A-f--eAk- OQ Garage Basement Ii+ N N Al H o Sig" � P6 t. -no,s,* k r .4 H H z Up a iir Basement COLLINGS-ESTIMATE 4/5/2023 Page:2