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0180 RIVERVIEW LANE
�+ r ,�, i4tr 1 � d'� r•e.._ i � EN a f� ;_� 2�1 � .,•t �. N "��.;. .. .., '�€ r s A �' �. .. �•.,. rvf.a,�, .�`�,••'.�;. .p .':�•. .� .;.-^.� c"��� � '�..rr.`.q -.o '"� ,s:.,,� ,v-.. F :^a 'a •' .;{s� �'�' iw ... � „ .. , c. ,. Ff �a..,. ffi..a ..,y.y,,.,;uy ,a A.... �' '�', *�'�♦ � ,R ry'•gv. �+7+" e �� � � �+j +k}-�.r.. G°*{P�.. '� � ,. ..' �.� 'Y.r._ J :. r�, T, ',a`�+-" 1� A 1 i, �.k ,? M1 t • r a +, 4 �. o • '{� ., b" `a ;° ' � M.: � ,,� ,- � b 6 4 g ,p 4 , F �� R d t e $ A�� .� E ! tl �� M 4 o', , .' �., � - r y C .' 5 . � •: E .. .. - '� Pjj t .. .. .., ,. � �.., r�� ,.. - ., - ,. �'p k � e '� t .. , .. c �.; . . u- k r .. �... :: r, � n , Aa '.. . n .. - n '. . .. F ... �, r ' ., , -, ,. � — '.} 1) ' }i 2u ._ . .. - P. .. .. _—_____-.. �.___ _.___ Town of Barnstable Building 7{. ..� •� .+ ,V.w`w.��s-d.- - �,a.�u �M��«,,ne ra�.a^:. .w^ »�-.,.,..�r,..+v�.+.,..�w ..+rw,.,. B�t n t arA X - a Street-A roved Plans Must be Retained on fob and Post This`Card.So That it is Visible From the pp this Card Must be Kept ,Posted Until Final Inspection H,as Been Made . p yam�+ Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.: 1 �j illl 1. Permit No. B-19-2697 Applicant Name: Jason Stoots Approvals Date Issued: 09/05/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/05/2020 Foundation: Location: 180 RIVERVIEW LANE,CENTERVILLE Map/Lot: 228-169 _ Zoning.District: ' RC Sheathing: Owner on Record: DORFMAN, ROBERT&MIRIAM Contractoru Nam�JASON DSTOOTS Framing: 1 Address: Po Box 606 Contractor License! C5=090293 2 CENTERVILLE, MA 02632 Est. Project Cost: $63,000.00 Chimney: Description: Solar PV Installation, 16.20 kW's,45 modules)roof mounted,flush Permit Fee: $371.30 i Insulation: mounted,grid tied,&net metered , Fee Paid.:, $371.30 Project Review Req: r Date: 9/5/2019 Final p Plumbing/Gas -'t Rough Plumbing: icial This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuanc� ,Final" Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of-use of any,building and structures shall be in compliance with the local zoninIg by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. x, 1 Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Budding and-Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:' G 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue luring is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. tow Voltage final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: E,n�.ptrL S�T Town of Barnstable Building 3' '.,� .•; „�,: „ ';'",°" ,'rsF' 4i.,. v' .,:5; .. W' .,y..,, 's, S',; -,i� .Rr a,..,.3„''.: .�a,,; <.-: _ , .w.,,:;v w„- -:, r6 wu�ar PostThis Card So That�t is VisibletFrorn the Street A°pproved Plans Mus#be Retamedzon Job and'this Card Must be Kept i " , Poste 1639 re d Until Final Inspection Has Been MadePermit eat IWhe a Cert��cate of OccupancReq^ red,such Building shall Not be Oct opiedFuntil Final Inspection;has been made Permit No. B-18-3584 Applicant Name: Miriam Dorfman Approvals Date Issued: 12/03/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/03/2019 foundation: Location: 180 RIVERVIEW LANE,CENTERVILLE Map/Lot 228 169 Zoning District: RC Sheathing: Owner on Record: ROBERT 5 DORFMAN 2009 TRUST&Miria �m Contractor°Name: Framing: 1 - Address: 180 Riverview Lane Contractor License: °r 2 CENTERVILLE,MA 02632 Project Cost. $9,100.00 Chimney: Est t PermitFee: 96.41 Description: Replace previous deck,replace front steps �° $ h i Insulation: vFee Pad $96.41 Project Review Req: Date .3�. 12/3/2018 Final:x (9)12119111 r 69J 477 9 Plumbing/Gas v _ f Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author¢ed;by this permit is commenced within'six mon#hs after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning-,byrdaws.and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street ortroad%'nd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by;the Building brii, a Officials are_prov�ded!on this''permit• Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Rough: 2.Sheathing Inspection ✓" ', .r, 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.- Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT NEE �•.l4-T�.. Town of Barnstable Building; . • ,r , = u - s �1/is�ble-From�th.e:S.treet �A roved Plans-<M,ust beRetamed on Job and�this Card�Must�be Ke t „ Post Th�s�Card So That rt�s,;;, xs,�.�� � �, ��� � �.� : ■AEAtfrPAtLC. " :,�- w. ,,�{,....viz -�:� "�� trx*M �. .Y r- MA88. :.... ed�Until Final,lns ect�gn Has`Been:Made, , R _ . ; � ,� Re aired such:Buldm shalt Not be;Occu• ,ied:until a ma F,. l Inspectiq.n;,has been�made ' .� �,<.. Permit No. B-18-2472 Applicant Name: RICHARD A PRCHLIK Approvals Date Issued: 09/18/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 03/18/2019 Foundation: Residential Map/Lot 228 169 Zoning District: RC Sheathing: Location: 180 RIVERVIEW LANE,CENTERVILLE h i9 Contractor Name RICHARD A PRCHLIK Framing: 1 Z7 Owner on Record: BERGLES PRISCILLA L TR k Contractor License GCS 080591 2 Address: ROBERT S DORFMAN 2009 TRUST $' A tl f :, . EstProlect Cost: $80,000.00 Chimney: CENTERVILLE,MA 02632 }ram $458.00 P 'ermiV ee: �` Insulation: Description: Renovate kitchen,master bath,basement bath AAdd.a owder bath : p Fee Paid y $458.00 off mudroom..Add a wet bar/kitchenette to I`owwer�level pool area Final Date 9/18/2018 0 0 F Project Review Req: Y Plumbing/Gas . ' f % y✓ Rough Plumbing: Building Official Final Plumbing: 4 Rough Gas: This permit shall be deemed abandoned and invalid unless the work a6fhbnzed by this permit is commenced within six months after issuance.' Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents=for which�this permit has been granted. . All construction,alterations and changes of use of any building and stru'ctu�res shall b-m compliance with the locaI onmg b,laws and codes. Electrical This permit shall be displayed in a location clearly visible from access treet or ad"and shall be;mamtamed open for1pu,ic£inspeetion for the entire duration of the work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures bye 13"th 01ding and�Fir60 icials are provided on this permit. Rough: Minimum of five Call Inspections Required for All Construction Work:'"" 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persorls contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Application �...... c.. ..... ��- 4 _ f R•WM►sarar, . ....Ot�erFee.................:. ?emit Fee................................ ..... NAM ............. ....... �......... Total Fee Paid.... ..................... ......._. TOWN OF BARNSTABLE Pews�A . .. .... �.. . .. BUILDING PERMIT Map........._ . .....?M=l......... APPLICATION Section I —Owner's Information and Project.Location Project Address i Village - Ow ers Name --do� Owners Legal AddressA city /' State /� zip 6 :('P J z- E-mail wl Owners Cell# / /? Section 2—Use of Structure Use Group � ttt �i�iC DEFT ❑ Commercial Structure over 35,000 cubic feet AUG. ❑ Commercial Structure under.3 5,000 cubic feet' L 22 Single/Two Family Dwelling = v Section 3 —Type of Permit ❑ New Construction = ❑ Move/Relocate ❑ Accessory Structure ❑ ;Change of use ❑ Demo/(entire structae) ❑ Finish Basement 0 Family/Amnesty ❑ Fire Alaml Rebuild ❑ Deck Apartment Sprinkler System ❑ dit ll ❑ion ❑ Retaining wan Solar /Ad Renovation ❑ xPool ❑ holiation Other—Specify ° Section 4 -Work Descriptiorc ( r� i Act muiah�d--2/9/2018 e Application Number................................... Section 5—Detail Cost of Proposed Construction,' Square Footage of Project Age of Structure t � Dig Safe Number #Of Bedrooms Existing 5 ' Total#Of Bedrooms(proposed) 110 MPH Wmd Zone Compliance Method x'M"MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics z Whin •` Oil Tank Storage g 3 ❑ rag Yoke Detectors []ePlumbing ❑ Gas - - ' ❑ -Fire Suppression a ❑ Heating System ❑ Masonry Cbimney ❑Add/relocate bedroom Water Supply Public ❑ Sewage Disposal ❑ Municipal On Site Historic District [] Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �f-L I am using a crane ❑ Yes 8 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No i Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage. #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard .` i Required Proposed • h - - - ' ..._. il..t.'' tip z.t i '�" ^e af.�e .� '`..Irc � I Side Yard Required Proposed,- l Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No r Last imdated_2/9/2018 J 1 • ° Application Number..:.........,...... Section 9-,Construction Supervisor Name Telephone Number_ • 2.JW 6 2-ri S' Address City .3 State zip OZC06 0 License Number_ 6z1 l License Type-UMW.WPO�1pira(ion Date Contractors Email—(,0,I72+12!�whI/�� J04• cow? Cell# ,•l ►1. � s I understand my responsibies under the rates and regulations for Licensed Construction SBpervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection proced=s,specific inspections and o documentation require 780 CMR and the Town of Bamsiable.Attach a copy of your license. . Signature Date, 7• 26•.�. Section-10 -Home Improvement Contractor Name it— Telephone Number • yam/ 2tw G2,14-- Address G IJ441 City � State Tip Registration Number V225"Z59 Expiration Date I understand my responsibilities under the rules and regulations for Homo Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation arc ' by 780 CMR and the Town ofBamstable.Attach a copy of your H LC... Signature Dates./�, Section 11 Home Owners LicenseExemption Home Owners Name: f Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedm es,specific inspections and docamentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date 7 iit Print Name "Lb Telephone Number :5zZ _•?.&• &2f V_ E-mail permit to; �l.J� Section 12—Department Sign-Offs f Health Department ❑ Zoning Board(if required) El 3 Historic District ❑ She Plan Review C required El Fire Department ❑ i Conservation For commercial work,please'take your plans directly to the fire department for approvab i Section 13—Owner's Authorization L as Owner o the-subject property hereby authorize �' to act on my behalf in all matters relative to wok authorized by this build' g permit application for: J (Address of job) �2 Si tore of Owner.. , date t Print Name Last mdated 2/9201 S The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print Legibly Name(Business/Organization/Individ al): t Address: L41 City/State/Zip: tl'' Phone#: Are yob an employer?Check the appropriate bog: Type of project(required): 1. am a ��er with'employer 4. [] I am a general contractor and I p y 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- fisted on the attached sheet. 7. [J Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their` 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other - comp.insurance required.] *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 hue outside contractors must submit a new affidavit indicating such. tContractors 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 provi 'ng workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: !2 dQV"_ L City/State/Zip: L101 444 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 certify der the pains andpenalties of perjury that the information provided above is.true and correct. Signature: Date: ' Phone#: ley Official use only. Do not write in this area,<to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health,2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other + Contact Person: Phone#: Information and structions Massachusetts General Laws chapter 152 requires all employers provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every p on in the service of another under any contract of hire, express or implied,oral or written." An employer is defined "an individual,partnership,ass ciation,corporation or other legal entity,or any two or more of the foregoing engage( in a joint enterprise,and mclu g the legal representatives of a deceased employer,or the receiver or trustee of an divi partnership,also ' 'on or other legal entity,employing employees. However the owner of a dwelling ho a havin not more than thre apartments and who resides therein,or the occupant of the dwelling house of anoth who em loys persons to maintenance,construption or repair work on such dwelling house or on the grounds or b 'ding app t thereto s not because of such employment be deemed to be an employer." MGL chapter 152, §25 (6 also states that"eve state or local licensing agency-shall withhold the issuance or renewal of a license o` permit to ope to=a,b` iness or to construct building in the.commonwealth for any applicant who has no produced acce table vidence of compliance with the insurance coverage required." Additionally,MGL c pter 152, §25C( sta s"Neither the commonwealth nor any of its political subdivisions shall enter into any contra for the performan e o public work until acceptable evidence of compliance with the insurance requirements of this hapter have been pr s ted to the contracting authority." Applicants Please fill out the orkers' compensatio a davit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nam (s), ddress(es)and phone number(s)along with their certificate(s)of insurance. Limit d Liability Companie (LL or Limited Liability Partnerships(LLP)with no employees other than the members or p ers,are not required t carry orkers' compensation insurance. If an LLC or LLP does have employees,a po cy is required. Be ad 'sed tha this affidavit may be submitted to the Department of Industrial Accidents for c firmation of insuran coverag Also be sure to sign and date the affidavit. The affidavit should be returned to a city or town that th application or the permit or license is being requested,not the Department of Industrial Acci ents. Should you ha a any questio regarding the law or if you are required to obtain a workers' compensation p licy,please call the epartment at a number listed below. Self-insured companies should enter their self-insurance ense number on the appropriate line. City or Town\tthe ls Please be sure affidavit is c mplete and printe\ea . The Department has provided a space at the bottom of the affidavitu to fill out in a event the Officestigations has to contact you regarding the applicant Please be sure n the.p .' cense number whie used as a referencenumbei. In addition,an applicant that must submple permi ' ense applications i 'ven year,need only submit one affidavit indicating current policy informanecessary) d under"Job Site Address'the applicant should write"all,locations,in (city or town)."A copy of the,affidavit t has been officiallyd or marked by the city or town may be provided to the applicant as proof that a valid a davit is on file for fumi or licenses. A new affidavit must be filled out each year.Where a home o er or c tizen is obtaining a lic p it not related to any business or commercial venture (i.e.a dog license or pe t to urn leaves etc.)said peNO equired to complete this affidavit. The Office of Investigati ns ould lice to thank you ice for y ur cooperation and should you have any questions, please do not hesitate to 've us a call. The Department's address, .elephone and fax number: The Commonwealth of Massa usetts Department of Industrial Aeai eats Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4400 ext 406 or 1-877 MASSAFE Revised 4-24-07 Fax#617-727-7744 www.mass.8ov/dia ®„ Commonwealth of Massachusetts /) Division of Professional Licensure Board of Building Regulations and Standards - Constrgcti$r�'Sbpe,rvisor j CS-080591 _> 1 ires: 06/28/2019 RICHARD A PRCHLIK 'r 68 PILOTS WAY �,t, / WEST BARNS TABLE MA' 02668N` ` Commissioner x ' I 1- / Town of Barnstable Buildin .r,..;,, ,.: ,. � �"" ;�, .,. ems,.kt.,'... „M, �,'::$ �. � � �;. PostzTh�s_Ca`rdSo That it�s,=Vis�bl'e From: he-5t'reet A 'rovedPlans,Must be,Retained on-TJoband th�sGa- M t a pp rd ust bye Kept MAW Posted UntilFinal Inspection Has`Been Made: w s x< 163grar, K� ��, Permit rug° Where a Certificate of Occu anc xiis Re aired such Bu�ld�n" shall Not be Occu ied=unt�1 a Finalrins(�ection has.been,made 1 el mit Permit No. B-18-2471 Applicant Name: RICHARD A PRCHLIK Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/01/2019 Foundation: Location: 180 RIVERVIEW LANE,CENTERVILLE Map/Lot 228-169 Zoning District: RC Sheathing: Owner on Record: BERGLES, PRISCILLA LTR gar ' Contractor,•,Name RICHARD A PRCHLIK framing: 1 Address: ROBERT S DORFMAN 2009 TRUST � h Contractor License CAS 080591 2 CENTERVILLE, MA 02632 Est $Project Cost: $7,000.00 Chimney: Description: SIDING AND WINDOWS 24 p ( ) =Permit Fee: $35.70 y Insulation: Project Review Req: g' Fee Pald $35.70 8/1/2018 Final: _ Plumbing/Gas Rough Plumbing: � ,,Building Official: Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and t ejapproved construction documerits which this permit has been granted. All construction,alterations and changes of use of any building and structures�shall be incompliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streett or road and shall be maintained open forpubhcrospection for the entire duration of the work until the completion of the same. ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the 8u di g and F e Officials are',p�ovided on�th�is'permit. Service: Minimum of Five Call Inspections Required for All Construction Work ate : 1.Foundation or Footing : �a Rough: 2.Sheathing Inspection ' = 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i :... ,.t .. . '. ...... - -- - - - - - -- - - - ..... j r_ I 7mb .1,.-. . Application .. issued... .. ....................Date INAMAUG 01 2018Building Ins .....nn � _ .TOIA ��`Ol H:����STABL MaP/Parcel TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: _ROOF/SIDING/WIND O W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY &FORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: ✓1.�1_ 2r'-��/I Phone Number �'? ®l� Email Address: Cell Phone Number Project cost$ — oa)r Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: I� Date: TYPE OF WORK f �Windows no header chan e)# � Insulation/Weatherization Siding ( g _ El Doors (no header change)# Commerc lDoors require an inspector's review 0 Roof(not applying more than l layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name 9 Home Improvement Contractors Registration(if applicable)# ]_� (attach copy) Construction Supervisor's License# (� - �O`�`� (attach copy) Email of Contractor 6V,t t%�j t LA �� Phone number U' � ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN -A#A# #81rrn01r- n 000MIAI 121M)RF A PFRMIT CAN BE ISSUED. �y APPLICATION NUMBER For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X% X X Additional tent dimensions can be attached on a separate piece of paper. 4 , Check one: this event is a: for profit non-profit event Check one: Food served Yes ' No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION , . I Homeowner's Name: , Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature ' Date All permit applications are subject to a building official's approval prior to issuance. i C minonwealth of Massachusetts The 0 Department of IndustrialAccidents Office of Investigations 600 Washington'Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:guilders/Contractors/Elecctriicc a Prmtumberrs Ple Legibly ARP licant Information Name(Businesoorg ftafi oa/Individual)' Address: City/State/Zip: �i-- � Phone Areyou an employer?Check the appropriate bog: Type of project(required): ^ � 4. I am a general contractor and I 6• New construction 1,l�'1�.a employer with have hired the sub-contractors employees(full and/or part-time),* 7.. Remodeling listed on the attached sheet. 2•❑ 1 am a sole proprietor or partnet- These sub-contractors have g• []Demolition ship and have no employees employees and have workers' 9. Building addition working for me in any capacity. e t o workers'comp•insurance comp.mstnanc 10.0 Electrical repairs or additions [I`T 5. ❑ we are a corporation and its required.] officers have exercised their* 11.❑Phimbing repairs or additions 3•El am a homeowner doing all work right of exemption per MGL 12•[]Roof repairs myself[No workers'comp. c.152,§1(4),and we have no 13.[]Other insurance required]t employees.[No workers' COMP.insurance required.] •,may applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this a$davit indicating trey are doing all work and then hire outside contractors must submit a new affidavit indicating sorb I ontracwrs that cbeck this box must attached an additional sheet v�Wonrkererss,comp pob°�um e and s �or not those entities have employees. If the sub-mutradnrs have employees,they mast P p and ob site I am an employer that is providing workers comp ensation insurance for my employees. Below is the olicy j information. J Insurance Company Name' Expiration Date.. Policy#or Self-ins.Lic.#: :1 City/State/Zip: luiL� Job Site Address: page(showing• the oli number and expiation date). Attach'a copy of the workers'compensation policy declaration a e policy of criminal penalties of a Failure to secure coverage as required under Section 25A well MGL c. 152 can lead to the imp fine up to$1,500.00 and/or one-year imprisonme�,as R'ell as civil penalties in the form of a STOP WORK ORDER and a fine Be advised that a copy of this statement may be forwarded to the Office of of to$250.00 a day against the violator. verification. Investigations of the DIA for insurance coverage , and the pains and penalties ofP�J�1'that the information providoe..d above is true and correct: I do hereby certify Date: /'L7' Si atiae: Phone#: 7"ZJ Do not write in.tW area to be completed by city or town official Official use only. co , Permit/License# City or Town: Issuing Authority(circle one): Inspector 5.Plumbing Inspector 1.Board of Health 2.Building Department 3.City/Town Clerk ,4.Electrical 6.Other Phone#: Contact Person: Information and Instructions `+ Massachusetts Gen Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this ,an employee is defined as"...every person id the s ice of another under any contract of hire, express or implied, o or written." An employer is defined "an individual,partnership,association,corp ' n or other legal entity'or any two or more of the foregoing engaged a joint enterprise,and including the legal entatives of a deceased employer,or the receiver or trustee of an in ' 'dual,partnership,association or other le entity,employing employees. However the owner of a dwelling house ving not more than three apartments an who resides therein,or the occupant of the dwelling house of another w employs persons to do maintenan construction or repair work on such dwelling house or on the grounds or building urtenant thereto shall not beta of such employment be deemed to be an employer." MGL chapter 152, §25C(6)als s that"every state or l0 1 licensing agency shall withhold the issuance or renewal of a license or permit perate a business or to onstract buildings in the commonwealth for any applicant who has not produced eptable evidence o ompliance with the insurance coverage'required." Additionally,MGL chapter 152,§Z n states`mTeither a commonwealth mar any of its political subdivisions shall enter into any contract for the perfo ce of public w k until acceptable evidence of compliance with the insurance requirements of this chapter have been ented to th contracting authority." Applicants Please fill out the workers'compensation a vi completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nauue(s), ss(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) imited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry or 'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised th this davit may be submitted to the Department of Industrial Accidents for confirmation of insurance cov e, be sure to sign and date the affidavit The affidavit should be returned to the city or town that the appli 'on for the ermit or license is being requested,not the Department of Industrial Accidents. Should you have any estions regar the law or if you are required to obtain a workers' compensation policy,please call the Dep ent at the numb below. Self-insured companies should enter their self-insurance license number on the appr line. City or Town Officials Please be sure that the affidavit is comp ete and printed legibly. The has provided a space.st the bottom of the affidavit for you to full out in th event the Office of Investigatio as to you regarding the applicant Please be sure to fill in the permiUlic a number which will be used as a ference n . In addition,an applicant that must submit multiple penmitlli a applications in any given year,n my submit on davit indicating current policy information(if necessary) d under"Job Site Address"the applicant s uld write"all locations in (city or town)."A copy of the affidavit has been officially stamped or marked by-th ' or�town may be provided,to the applicant as proof that a valid davit is on file for future permits or licenses. 'A affidavit must be filled o,ut each year.Where a home owner or c' ' is obtaining a license or permit not related to business or commercial venture (i.e.a dog license or permit to urn leaves etc.)said person is NOT required to complete affidavit. The Office of Investigations ould like to thank you in advance for your cooperation and sir d you have any questions, please do not hesitate to giv us a call. The Department's address, lephone and fax number. The Commonwealth of Il nsachuwM DePartnent of Tudost W Accidents .. Me of luvesUgadow 640 Wasbington Stet • Boston;IOTA 42111 Tel.#617 727-4900 Wd 406 or 1477-MASSA E Revised 4-24-07 - Fax#61.727-7744 www.mass.gov/dia i Office of Consumer Affairs & Business Regulation- Mass.Gov - Page 1 of 2 e Mass.gov M, I tt I J.% 0 JL U M %1j UU T U1 1 %%S Affairs Kegulation b uES; i n e s s ( OCABR HIC Registration Complaints Registration # 135897 Registrant RICHARD ANDREW.PRCHLIK Name RICHARD PRCHLIK Address 68 PILOTS WAY City, State Zip W. BARNSTABLE, MA 02668 Expiration Date 05/16/2020 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search . Site Policies Contact Us https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=135897 8/1/2018 9 Commonwealth of Massachusetts ` Division of Professional Licensure Board of Building Regulations and Standards Constr.,gd06 ri-lSUpFrvisor g �f CS-080591 �5 e r" f I Laf�pires: 06/28/2019 RICHARD A RRCHLIK 68 PILOTS WA� WEST BARNSTABLE MA02668N� # f J } Commissioner e.. e r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Z Parcel 1 (1061 Application # Health Division Date Issued �i�-G' Conservation Division Application Fee S w Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis CProjec S eett+Address 1 d® Y2 i 0 ecI' U t Ci v ,-Village _ l ,e Q-VN" y Owner - 156s--, P C C:"� Address `L SfZ� Telephone-- J o 2 " -29 0 L%!6-7 :3 Permit_Request Re►`lov-e, Ry- ctiUc Ir7�n,l�— �i1 scats �lC pav`� DacL ntJ SOtM-Q F126 " Square feet: 1 st floor: existing j fo proposed 3hq 2nd floor-:-existing proposed Total new Zoning District Flood Plain Groundwater Overlay �P`rojec!Valuation t 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: existing _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 1 ❑ new size_ Irv.1 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Othe,-j = Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use T ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Telephone Number fib$`" AC-A19-0 Address; License#'CS""No L -13 in W1 (eIA ©a, 7 Home Improvement Contractor Email Worker r o pensation,#- � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROWCT\YIL'L BETAKEN-TO SI NG ATURE�" FOR OFFICIAL USE ONLY - APPLICATION# 4 DATE ISSUED 4. MAP/PARCEL NO. ADDRESS VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION 360041 Q L5 6,S 4 l ., FRAME INSULATION { FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �V Town,of Barnstable ' Regulatory Services VARIL ° Richard Y.Scab,Director }� #, Building Division - Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 . - www.town.barnstablema.ns , Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A Builder . /✓�e,�4 lam, ;as Owner of the subject property herebyantboiize 'r� ,. �r�> �' to act on mybehA in A matters relative to work authorized bythis binding permit application for. 'Ipoolfences and alarms are the`responsibilityof the applicant. Pools are not to be filled or utilizedbefore fence is installed and all final inspections are performed and accepted., t Signaturre of Owner _�; y� _ ignatune of App ant �194iSC1e_(A L ; LFXIL-'S �_Pant Name - _ Punt Name �_`•`-Date• -_. __T =- �� . . QTORMS.OwNERPERMISSIDMOIS Town ot-Barnstame Regulatory Services _ `oF T°ry� Richard Y.Scala,Director Building b' I 'on r # IL433248MAJ3M Tom Perry,Building Co ' sioner 200 Main Street, Hyannis, 02601 . w0w town.barns[ab e.ma_us Office: 508-862-4038 Fwa 508-790-6230 HOMEOWNER LI EXEMMON —_ �!,lease DATE: JOB LOCAlIO - n=ber slxsd village • 'TiOMEOwNER • name home phone$ wok[phone� Ct.lRRENTMAiI.IlJGADDRESS: city/Oown ante zip code The current exemption for"homeowners"was dad to include caner-oc:cz ied dwellings of six units or less�d to allow homeowners to engage an individual for hire wh does nI posses a license,provided that the owner acts as stmervisor_ DEFINITION HOMEOWNER Person(s)who owns a parcel of hind on which he! resides or' to reside,on which there is,or is infended to be,a one or two- family dwelling,attached or detached structures acc sory to use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a eowner Such`9wmeowner"shall submit to the Building Official on a form acceptable to the Build Official,that he/she shall be ors le for all such work er rimed under the ermit (Section 109.L1) • The undersigned".homeowner"assumes responsibility fur o hance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned`homeowner"certifies that he/she the Town ofBarnstable Building Depar[mentminiTn=inspection procedures and requirements and that he/she will comply s 'd procedures and requirements. Signahue ofHomcowner Approval ofBwlding Official Note: Three-family dwellings 35,000 cubic feet or will be required to comply with the State Building Code Section 127.0 Construction Control • HOMTOWNER'S ON � � The Code states that: 'Any homeo er performing workfor a building permit is required shall be exempt from the provisions of this section(Sectio 109.1.1-Licensing of constracti n Supervisors);provided that if the homeowner engages a person(s)for hire to do such rk,that such Homeowner shall a supervisor." Many homeowners who use exemption are unaware that they are the responsibrlitles of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors, ection 2M) This lack of awareness often results in serious problems,particularly when the homeowner hires unTacensed p ons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The omeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,rant communities require,as part of the permit application,that the homeowner certify that he/she understands fhe r•espons' 'ties of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and ado t such a form/certification for use in your community. Q:IYJPFIIES1f PJASlbmldmgpermitfmmskEXrp &doc Revised 061313 Town of Barnstable. *Permit Expires 6 months from issue date Regulaltoir°y Services Fee � �S • fs Thomas F.Geiler,Director Building Division e q)(4)oq Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 4v Property Address co V iA,,, o) l4— Uiesidential Value of Work 20 ) l'Z Minimum fee of$25.00 for work under$6000.00' Owner's Name&Address Contractor's Name FA Telephone Number-5O�— �� 9 Home Improvement Contractor License#(if applicable) 9 5 3 i Construction Supervisor's License#(if applicable) 6 0Workman's Compensation Insurance -PRESS PERMIT Ched one: APR 2009 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF E3ARP�STABL 0,I have Worker's Compensation Insurance Insurance Company Name T - f W orkman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ^ . aRe-roof(stripping old shingles) All construction debris will be taken to— .* o ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 4� Seal / dater Proof Chimney 495 Initial x4 Star Warran pgradew—B c applied if proposal is signed returned within 10 days. (see enclosed brochure) 2% Discount if paid by check immediately upon completion ` NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH -CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will-be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION; LLC: Carries workman's Compensation and Public Liability Insurance on the alcove work, certificate available upon request. DATE OF ACCEPTANCE: .2h 3w y Homeowner F°ras r Ction, LLC i I ` s.; -, �,flit 114 IN Mill �,V I t k I EXISTING HOUSE IF- F W C P1 O u„o QQ EXISTING DECK —- Om. C REMOVED EL a'to l/l ---- - PECK R OST TYP L EXISTING DECK —'"— T0:BE REBOIL? - NEW DECK RAIL PQ AND P05T SYSTF-M ....r ••.,._ —� `^ �f/� r BY OWNER TED k NEW DECK EcAns �:., ,O• HS SELECTED BY OWNER W DECK PLAN z V4 LU w p # ...� > lot t Lu LV00 W U <_r r. - ' OUTLINE EXIST HOUSE RT2)LID P.T.DECK7bIST5Q 12.II w e + rf O.C. P.T.2X10 Z a w 4) 0 N a`) I N Y t •° - P.T.2X10 MIST � - .. � � o�C�$ BOTH SIDE DBGK Q y o `. RAIL P0575 ABV 10 2 ec Lm V) SIMPSONOU210.2 0*0157 HANGER ON - ry CONT. PT, 2XI0 NAILER ON P.-T. ZX6 VEAT. SPACERS @ Ib"+Z ROW5 I/Z" GV. K, ?NRU BOLTS P, 16 O.G. STAGGERED u TYPICAL NEN POST= P.T. 6X6 POST BEL, W/ 54 PSON 10 AC(,-7- POSTCAPS - - SET NEw PO5T5 ON SIMPSON"ASU66 P05T BASE ON EXhSTING•ib�'x(G" • . CONC PIERS w// I&I HDGV ° aT kp E%PnN510N BOOT ro 14 TIP. SIMPSON N2.5 TIE. (A61,ubGK 3o�st5� - • ml, S _g y4 PPIRALL .. • ';i .' 9 Woi rYIANIZEO AM PSL ^� SIMPSON ° SUR/L41O (sKevvED BeAfrn HANGER . P.T.2X6 DIRE' BRAGS SIMPSON ENDS - .. - DECKp So s DE OF - _ �o a ,. -DECK FRAM2NG PhAN W ' w W ~ J LN L11 > w J > QC LJJ 1- Lu 000 W U i l , NOTES: I py LEC--END '^' �y''qL S?C_ZfL•LS.VJn4NJ - ©TAN 4 D6�P:Ex OUTLtTISPLIr W1REC p;,pAplUSiADIf RECfS5E0lfD LIGHTING ©° SPEAT.E^. g DUPLEIt OUTLET �.({}P.XTEGOR LIGHT SMOKE pf-TfCTOR Y � � 220 vOLT OUTLET CEILING LIGHT Q CARL'.UN MONOxIDf DETECTOR Q. TLOOP-DUPLE%OUTLET .ALL LIGHT ® EATnROOM PPN Y � $ —TCn SINGLE POLE EnO LIGHT REGESSfG Q MOTION SENSOR S+�SWITCH 2 POLE LE-1—LIGHT N PnoNE �__� zeuLe aouRE<cENr EXISTNG • ©CAN .. f' DECK 0—DIRECTIONALUGHTiN[- Pcar wALL owner FLOOD LIGHT r � I 11 PROPOSED W� J KITCHEN �. PROPOSED a \ BEDROOM2 J C6 PaoPosEo - \•, 2w Z o E M a ®®W$ AlPRDPosEDSTER— (PROPOSED LIVING�� ROOM �� \/ �'� BEDROOM \(� \.� MUD ® 1 W \� m Lu�ci) oN PROPOSEDLl GARAGE \'✓ � < / ` W w = ai -- ✓ ` f PROPOSED DINING Lu PROPOSED - // \ PROPOSED STUDY YA / L f FOYER PROPOSED - / MAS ATH /c/ � BAT u O ' Q \ i \ ---- - O BEDROOM \ � - \\ REPLACE �� ^/ \., • J O N E(15TING EXISTING /'�� Q w M \ - • PROPOSED r�_J ,i ,\� / \ •• U _G Z N ` PORCH , \ �/ - o m J a ❑ ❑ f❑ ❑ C J � \ Ton� O w_W O \ aw m w . wZ od >> w aw 12 Lu F < Q m Lu DO PROPOSED FIRSTFLOOR PLAN REV. DATE DESCRIP ION k &O ble Bldg.Dept. Appjbw,-d by� permit#: f Y7 Date:07/02/18 Scale:1/8"=1-0 BASEMENT ELECTRICAL E-2 i NOTES: t� I • i i i ! 0 /O / F EXISTING PATIO % U J J a� i J_ (D m ON. _ Z N U wga go J M. - 0000 uj LU W h N PROPOSED m W U O 00 RECREATION Z z r- 'n I ROOM PROPOSED RECREATION W _ w (D I ROOM 3 J I[ Ip J -------------------- z W IQ PROPOSED 1 IF POOL = I� STORAGE - I PIPES O DN. ' UP PROPOSED / a �o POOL AREA L m3 LL 0: PROPOSED I Y-----'I - - L_____l O O" .... KITCHENETTE Fi w m � Z a A ----- /y� o I VENTED PROPOSED O Z W Q — 0 'PROPOSED BATH FITNESS RM g 0 w LL I - OLLi I m > a 71 pO p w>' I - J a W w. U' REV. DATE DESCRIPTION 1 ' X I Date:06/13/18 PROPOSED Scale:1/4"=1'-0" BASEMENT FLOOR PLAN BASEMENT FLOOR PLAN A-5