Loading...
HomeMy WebLinkAbout0020 GINA COURT i �uv T'It. +11r.11:. L. 3sUr (?f% ,o. 2 97.S (5tQ'��! USA_ lo4C.� F..�. �♦ � .s; . E��o , - -AL P tT •. usc. l c+cx--% H4.L. INN SO fif=. SAo F•.pd. TaTAL lPeWd" s 42S &.Rt?. FND TOTo1. 1D Ll W FL.aW t 330&Pa. . I Z— Ire/' .LNG 1 • �i(i j'° sr". IL IGOrO Y ST Z9.5 tab ,r^r .�lr.:cn ►� . . 4,P� :� :. IUK• 97.•o ZDAM sl �vt took tet''• 'it f q,Rad � ---""wv. Goa.. 1�yaL 'Sox 11<, 5t vnc �1L 0 Iw L 100 U* Iw f . t• Goe.. fit►.i U.4 p,-r I . .y laid✓�L. I/a:c• W/1S41ED � ' LOCATIOW zv 1 . STcs►fE .�� ' MAY!'1. 193� o Wad 1 CCRTI.i='-4 TkAT Ti4r— Fou*#DATION SUOWLJ t c-gaow Cc;hvkr '-P; WM4 TWE 51DC.LI►r= LIB II Auo -e.'C'ru-'&cI_ Vc-auIgc=M;;:urs OP Tµ :.t DA'Ft'a . < ,8�4XTC.tZ RCG1St rlr=C LAL•10 uzv``fu� Tt-(l s 1:7t_A�•t t: WOT MA-SC-P VL•a A�.t OSTEevtLt.L v MASy. ;eJ•:r.�•l�tnt=e.lT �.IJR..fe_Y .� Tear- ric��ir.'f"� l.��r...i� n - Town of Barnstable _ Building . n saasrase� Post This.Card So That it is'Visible From the Street-Approved Plans,:Must;be Retained don,Job and this Card Must be Kept »LAS& Posted llntiPFinal Inspection Has Been Made. Pei)',-,lt 1 Jr J�Lal i Where a'Certificate of Occupancy is,Required,such Building shall Not,be Occupied until a'final Inspection has been made. Permit NO. 6-19-3283 Applicant Name: ANDREI YARMALOUICH Be[ Islands Home Approvals Improvement Structure Date Issued: 10/17/2019 Current Use: Foundation: Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/17/2020 . Sheathing: Residential IVlap/Lot: 210-192 `` "`-'Zoning District: RC' Location: 20 GINA COURT,CENTERVILLE Framing: 1 Contractor Names ANDREI YARMALOUICH Bel Owner on Record: MANLEY, RICHARD J Islands Home Improvement 2 �v Address: PO BOX 1795 w Contractor License ..172476 Chimney: CENTERVILLE, MA 02632 Est. Project Cost: $5,000.00 Insulation: Description: Taking the wall down between the kitchen anid living room andf Permit Fee: $85:00 v Final: install new structural be to open the flooriplan, Fee Paid: $85:00 Project Review Req: ATTIC LOAD ONLY. Date 10/17/2019 . Plumbing/Gas I p Rough Plumbing: Final Plumbing: k Building Official' Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this.permit is commenced within si'x months after issuance. All work authorized by this permit shall conform to the approved application and;the¥approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials.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 S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Z. r z i _ la, w A� n :: . Barnstable Bldg.Dept-4pp;Oved by: i permit# �2 1//"2 DIA :80L%WASNERS Ai 24""0 C 2 :EACH SIDE OF CONNECTED EAMS STEEPLATE PER PLAN X- ANGED -/4 PN 3A3Sp FLIT H BEAM DET Al.L = t, c l.Z�kr ' 6r,` ), tt '-c OF plpssRc • ` :MtCHELE tiGN . CUD1LO F o TRUCTUAA ' t' Na 34774 FOIS7EP���� a `SS/04)ALI: J i •t S l) <s T '1. �YJ m yy VVV •. `ADDENDUM i/ . MICHELE CUDILO P E 4 � C.6. It.— : Structurca.I' E"n"gineer . 123 Cottonwod lone.. Centerville Massachusetts 0�632 N CJ Drawn By MC Date , Ni G�Ny .n �. „w r * Scale AS` NO `. F�teT'Name,;" Project. N'o..� .- _,. t( zc : .. Cv 9 Lb x Z Ito. f+G i f MA M1C4V. gA� N ' Faist�P�,c,� a , MODIFICATIONS MICH�LE CUDILO P E Canscalton Structural En asneer centerville; Massachuse02632 1979 SQ8 771-7601 t Drown By MC Oate 09/10/}9 Drawn 20 , GINA COURT` CENTERVILLE, MA scale As rvorEo Rev Q S K 00 ' 'Fife ,.,ITe K,RKA00 Prcject No Application Number..-e...... ......3...�.�s............... MRN19TABM 00 6[ J1 Permit Fee.......................................Other Fee:....................... 0 9. Total Fee Paid...... ...... V .................................................... ...... UL /0/1 TOWN'OF BARNSTABLE Permit Approval by.. ............... ..................... 7, BUILDING PERMIT H I a Map..........................................Aarcel ....... APPLICATION Section 1 — OWnerl gInfokmiation and Project Location' Project Address__,�_O 6r'P-Y,6-_ Co)k1r7L Village........ Owners Name- Owners Legal Address City State zip Ownef-s Cell# E-mail Section.2 —Use of Structure Use Group �_. ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet .Single Two Family Dwelling: Ty" :Section 3 PP of Permit ❑ New Constructioin ❑ move[R-elocate ❑ Accessory Structure F! Change of�use_ El Demo/(entire structure) ❑ Finish Basement D Famil Y/Amnesty ETFire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition 0Retaining wall Solar 2/Renovation ❑ Pool El insulation Other Specify - S&tion-'.4 -Work Description 00, e-, L'oa-11 P1 YY-7oA—C 2� T.Fiqt iintis;tpo- 11/1 inns R J Application Number........................ .......................... Section_ 5—Detail Cost of Proposed Constructi 9'296>0 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method -[]'MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring Oil Tank Storage R Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public , ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—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 y Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑. Yes ❑ No Last updated: 11/15/2018 The Commonwealth of Massachusetts Department of IndustrialAccidenis Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizadon/Individual): 11K I-r6ll d IV74 61-L4to, V Address: C41!� %�/ City/State/Zip: �� cs A V13, & -Phone Ar_a yog an employer?Check the appropriate boxe 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- listed on the attached sheet:. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for mein any capacity.acttY• employees and have workers' _ El Building[No workers' comp.insurance comp.insurance.: 9. .addition r ed. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ❑ � eP • myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs ram]t . c. 152,§1(4),and we have no nsurance { employees.[No workers' 13:❑Odrer 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 than hue outside contractors most 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. : y I am an employer that is providing workers'compensation ' ranee for my employees. Below is thepolicy and job site information. Q / Insurance Company Name: -�• rc•- ��- � ' /�� Policy#or Self-ins.Lie.#t /�'!�/� � 7 ® Expiration Date 2 / IN/� Job Site Address--I /t^1(9—. Co City/State/Zip: �O?��•t� 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 o. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or orie-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 maybe forwarded to the Office of Investigations of the DIA for' ce coverage verification. I do hereby certify under the and penalties f perjury that the information provided above it true and correct Si ature: Date: o J , Phone#: 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 Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every�state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public.work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation irimmuice. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the member listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. .lbe Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or iaarked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department'of Industrial Accidents Me of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSA,FE Revised 4-24-07 Fax#617-727-7749 www:mass.go'v/dia 4 Commonwealth of Massachusetts imp Division of Professional.Licensure Board of Building Regulations and Standard Constriecti't A4thp.rvisor ,r¢ CS-111.303 , fires 06101/2021 1rvf n AM ANDRE YARMALON H a�< �. 204 CINDERECLO TtMI 14 I MARSTONS MILLS MA�`01648 r Commissioner 60 etweff,L . Office of Consq On. HOME APR CONTRACT>. Reg ,1172476 Pe Expl _�18 :pBA , BEL F NDS HO 4 r a { , ANDREI YARA�A a 204 CI�bERELLA TERk h fi MARSTQNS MILLS • adereecre ry '^ Y Application Number............................................ Section 9- Construction Supervisor Name 60tAGpI'elephone Number Address �'�P?oC1l6z City rr/-7rsf-a"S mAtate /V'� Zip License NumberCS- ///30SLicense Type C.S�- Expiration Date 0 O/ Contractors Email wig(2 oco cJ lGit rp Cell # l I understand my responsibilities under the rule and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Cod . understand the construction inspection procedures,specific inspections and documentation required by 0 MR rdTown of Barnstable.Attach a copy of your license. Signature Date ection 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date ZO 2­0 I understand my responsibilities under the les and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building e. I understand the construction inspection procedures,specific inspections and documentation required by CMR the Town of Barnstable.Attach a copy of your H.I.C... Signature - Date L-Asection 11 —Home Owners License Exemption Home Owners 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 APP ICANT SIGNATURE Signature Dates 2sJ� Print Name 04 Telephone Number g � w E-mail permit to: 0 W y Last uvdated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Y t N, ► ;,, Conservation` ❑ �' ,' f }'A For commercial work,please take your plans directly to the f re department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize to,act on my behalf, in all matters relative to work authorized by this building permit application for:, ` (Address of job) Signature of Owner date Print Name - , � T Last updated: 11/15/2018 { i r Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map oZ 0 Parcel Q- Permit# - Health Division ��—3/G �l d/—� AR 1d� L Date Issued �� f Conservation Division r�� .5 ( Fee /fQ 7. - Tax Collector � � l '� " �.,�,.� `� .l-G' �G�/ - �o 6 2 Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE A. ��) Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address -Village Owner �� �� !v `l1-N.`e �A Address -Telephone Permit Request c��� \� ti\ oa Square feet: 1st floor: existing\(pa,6 proposed 240 2nd floor: existing proposed Total new Z)C O Valuation 0 Zoning District Flood Plain Groundwater Overlay Construction Type Woo k-A nr\e Lot Size X S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Cl Yes %,No On Old King's Highway: ❑Yes ❑ No Basement Type: ,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) N, A Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new O Half: existing C� new Cp Number of Bedrooms: existing_ new C> Total Room Count(not including baths): existing �( new _ First Floor Room Count Heat Type and Fuel: * .Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes `A No Fireplaces: Existing l New_� Existing wood/coal stove: ❑Yes *No Detached garage:#existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:)kexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes )kNo If yes,site plan review# Current Use t S Cie e� Proposed Use S R BUILDER INFORMATION Name r `- Telephone Number 6,G Address A Q _ _\2t� 9A License# o S 0 "3 i Jv\ASS OD,03�,Home Improvement Contractor# 1`3 a \t-\°� Worker's Compensation# �'('(i�Z \( (y\ G G,4 R ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATELN)�I� l u t;Lo� FOR OFFICIAL USE ONLY PERMIT NO. y Z s DATE ISSUED '- MAP/PARCEL NO.' . ADDRESS ! VILLAGE { OWNER DATE OF INSPECTION -� FOUNDATION { 4 FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING rc DATE CLOSED OUT 2 go ASSOCIATION.PLAN NO. -• tit - r t 730 CNR Appeaft J ' I ' � Ta61a.1SZ1b(aeaataaed) ' ` pees. pti v e Packages for Oaa and Two-Faaatll►Residmdd Bntld[np Heated with Faisd Fads J MAXIMUM MINIMUM Cnazing GIaaag drag wall' Roar Baste Slab Nc1ziz*C0Gik9 Arm'(%) U-valuJ R vala ' Revalue' R.vaia s wall EMdrsc Paeiaae R-vallics 1Gvalae' 5701 to 6S00 Heating Degree Data' Q 12`J. 0.40 31 13 19 10 6 Normal R 12% 032 30 19 , 19 10 6 Normal S 120/. 0.30 31 13 19 10 6 13 AFUE T 15% 0.36 . 31 13 23 WA WA ` Normal U IVA M46 31 19 19 10 6 Normal V IS'/. &44 31 13 25 N/A WA =S AFUE w 1S% 0 SZ 30 19 19 10 6 ��E X 18% 032 31 13 25 WA WA Normal Y 11 A 0L42 1 31 19 1 2S WA WA Normal Z 19% Q42 31 13 19 10 6 90 AFEIE AA I 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY. t i A QeAt%rU'A-e A->� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 4� 3. SQUARE FOOTAGE OF ALL GLAZING: e 4. %GLAZING AREA(#3 DIVIDED BY S. SELECT PACKAGE(Q—AA-see chart above): } NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fomis-f980303a t � 780 CMR Appendix J Footnotes to Table 35.7-1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fls of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Razing Council (NFRQ test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used. For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R I3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-vaIue requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-vaIue in Table J1.5.3b. If a door contains glass and an aggregate.U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,scab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). i ESTIMATED PROJECT COST MA RKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) 7�>C,d square feet X$96/sq. foot= 3 . (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X-$25/sq. foot= PORCH . square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value O:ZA r t The Commonwealth of Massachusetts Department of Industrial Accidents - - 600 Washington Street Boston,Mass. OZIII Workers' Cam ensation Insurance Affidavit location: Q O C , z1 A- city �e t�!c V\\J _ l`' \A S 5 "hone# 4&'R- A faC, ❑ I am a homeowner performing all work myself ❑ I am a sole propnetor and have no one worldng in anv caaacitr �, 1 am:as employer Invviding worker com�easation for my emplavees wos�ng tm this job. ... .. ..........:.::.::: :.::..:::..:... ... :r,}:..::........... f18lIIe � ....;K:.}•:::.}.:..:.};;:}.;,}.:y;.;:,;};,:�:}:;;:.:r :,....,.- rr.•..:.`.XXK.,...k.:.:.:... .... - ::x:-::>:•:r:}}?:;:::?:�•:.:.:.�::.:::.::::::.ter:.:.,..,.. ........ :.::: :::::•.,:•::.. :.. .. .:....::}:.... .... ......,•:t-:•:-::::•• `:..,.. :•:-:-::: •:�:•:.v-- +v.Y:}.vt••.,-•iP:-:•::•::•::v.vL�:.}:•.v{.:.}}::•:::::•:.�::}::: _.�:.�:.. ww..:.: O::. :.4;•.}}:., .:':.•:-:w:,:;\}...r::.:.•. •.v. .....;...:} ax,•: p;/,.;?•.v:.vi.,.' .r .,;{,4,.:::tiv,:{titi::iiti•::4i}:{Jiiyi%ti{L::}:�iit4iC- p a.a•:::k;da: . h XL t:{s:•t f'k t@ ?iSr;{:: addtnS:... ... .•- .✓Y ..... 44 ;•: F}-;'/fit:.. ::.:•:}. o3s>}.}.}:•:::.a.•.:• }-:••r• ::::•..:. ...:. .•vaY}•:: rk r. .via}•..;w.,•.v,::::,':•?:>:;a:i:!::�i:i4{v:>::. ................... ..........y .'•:i:•:^;{{:::.v.. ...,•....: .t{......yr ...........v .... ... .. ....._.... ...... .. ........ ry ••. ........•..•.,v}..........:......... x+;. Van: ..}4. vh\:•:iy:.�i:vC:??i•ii:}i:.::::.. .... �'. 'L.. .SC .. - rm •.v4••r.S.a,..nv:.::v .. :.. .., v.::{�:':.a�,.., :.:.....:............... .. :.:.....::... ..........:. .. .x.......•...}:.::. ....::.?•.::•::-:..::...,r�.r.;.:. ..}.a•:.._:k•:•::•...,}.,.aoaeo-'fi.{.{Y�... .};.:..y;:;;,},y.,;i,:..y.,;y...... .. .. .. v.. :. ..;.. .. .:+Qk;.}};.y:.]}}+�)Ka?!;h{:t?.v.}X{{{..y:.}}Y.?.vM:}:Y�.�•5•s.:' w.:a: :?a. Insvramet:v.. ... ❑ I am a sole proprietor,general contractor, or homeowner(csrrle mre)and have hind the comnactas Iisted below have the following worker' Irmensarian polies.• .:..:>:�>:�:::::::::.�.�:::::::nv:- ............•�:::.:........:{}.:..:;...- ......-............. .:.vv.:.....:::xntv..::.v::nv::::?:{K:{..:.. 4.•}:v..vi:•:,:>.{-,:v:•ii:;:{.:::v::::.:::..::,-: : .:�;.:.v:.........:.:K?v.v:....:;:+}:{::::Y•::.�::.;..,'•.t?::::-..... nv.•.v•::.v:::............n..,.. � fi Q•.:...n.;.s;'v,.....:•:::•.v:.v.,.::::::•.•::.�:::::v:::•:.�::::.. .,...:.:.:::.v.:::::....... .,...\..ryi:•:{.:;}:i{•:•:.::v.v::;ryt:a:{'•aa%...,\1.,....:.v•.:v.::v v.....t. :...va w:;{.}}:::;:k.}.tie. :•r}.v.L:::•:•. .{. t7DIDp8tt�'11 ... . .. . .. :...,•....:. ... ...... ..,,.},,...:....... .....................:..:, w,?,.?• +'•Cca%'{�x•:t:.,: +?y.}.,:.n..........a•::..........:::.............. ..:::::�::.�:::.�.�i•::�:.�'-:?::-:......::.:::•.�:n {K•:-}:•:v�......vv:::::h;:::.gin::.:::::r.•.�::::......... ................•.w••.yy,...............v: ^y�}•. wv:. ...............:.:�:;!.tiJ}:^:•:::::�:�::�: .. .....,.....:•::::rv.v•w::::-•.v:::::: y....:..:::.;...:.v}....},?,....r::x.•::::.{:::.:htv+:x,•,v:•.w: `iJPi�l'4�9�} OPtP:.;;r.}?!K"M:vnx:::}i:•ii?i}:.;.y................ . ..... ....:�.:,v.:... .•w•:"::Yi':!•};:.}}:w..:::::•{{{::...};:rx.........1.v.....:n....... v.,......w.{ ..:::........................ a.. ..rv:.::txx••:'. ::.... ............... .:w.::in..- .... ............ti.}................:avrt...Y....... ..••::... ..... n...^.?......\•:.. :::x4:{a'M.:}.\•.{�.,ti{•}iv:::v:w:::::•i!MCv'Cii4?:-::.. :::::.:,:v.::•?i?:i-::i}is�:::�i:t{.:N"•tii{::a i :::::::. :::.....:.....:.�::.v.:�.v v::.v:::... ::•:..:::..:L\;X :..a.x...r:•}1:k•:.,,v..;n}v,J{�. .. .-.. ..r.•.ax ... ........y. .:...-... .n%•}}}..,;;�.{x .:}A`•."::}w•i::n Gk•:{•:i:{{;4:•i:+.•}:t�:4:{4ii:{iiibii%;i4}i:.}::.: '....................,A•xx:::::v:?xiiv}:: .i:; :!•;.,}..:..:......vv:::::::+:...:::}Y....}.M:hr{%:2}.}jC99{::i:•ri.•.•... .,.::. .:at:..••'• .... - <..t .. .:a}.v:.}.,;.......ddlCJ!! w.,..:,.;..::::.:.}}{.}.,..aY a.�y}.:r.r.....y:.......}xoca t•.}:.:;..,..;a.?fib}" •r a .. .{} r,Y;.}:.} ......... ....... ............... .... ?sac.{w2�•a•'-t::::: :�?:" .:..,...<::.::. x;..:.�:..::>::::;::<:_:-;::: .::::::::�:<>:,:;a:qx>:>::r�����'>�-:i;•�'cY::.y:�:;;;:r}:;:;•:�'::��`'}:::..}.}r.: .:.:.. ..::�{t.:.:•.�..:::.}w:.}:{::.:•...,;.;.,}YY:. x.,....,. , ... :::•:.�:�:•........:.......,•.{•.:::::,--;::.X...:::...r. :.;;:;n;:::.t••.�,.,m,.;vo.!con•:x•:{�}.•!ar�., •}.v:: ti ..... }. m}x, •wv:.:t•>:.•;:r.}:::c..:.:.:x•}::}::::�.��� vx.vktx:.;}}}YJ,.�X.;}....::•.:t.:,•.W.•r:}•Cy.:;.};... :..• `..:.. ...}: ."�'+C"•rrM^'^C'n •-: ................•.•:.,:•:::;•:�}:•}x;;.;}�.::;:::;}:•}:>::;::.�}:::�}•• :.., a,.,\.::KL•... Y}}}ears ..... •:..• ..::.•;;:x•x•:;•;:;:;k}x•:a:•.,•:•:;:;;q?�c;`:+r.::•i.{�:;;af'wY:,.:,,K,ckf ...rs..::•y.. : rx�• ref•. : .: t>_— •. •-- - -- .... :.:::...........,.:..},:x+::::::.t•-}:koti^,(k;:.,,1...,,.;:......:.k:+'E...�....,c�'t�.?Y 'y acnv..x�?t�}})!R. .. �'''.Kc•�r-' `-•,�>,:.,,.:::::::,:. ..:. •• bIIORCS"�'"'.'�::xd.?`P�6A:,`��t;Rb7.iG`&;.�3�ri:,.:a<t;ta:; :?::;;:;:�iY::«;< I.............:::. .a..ti •'a':.lnx a ::v :. �v.• v:.xxx y,y. ....r.•..v..}Wq •ryt. vnv.7. {:'A ..,; }. .�?..?• '?� .........:�: . ............ .-.......4...:n:.ti,{{{•}y;..,;}:?{{v:{4:'.- •:.vw...�n}},,, �Y:x,.;.yy�x v,;.:vaav:•• w.,•.,,,v.,x.�::•.� ::�...... Y:x.........: ...'�,ia}.•.:..Q..:}vvay.•�•.i07�.., 'Yy{ {ti:�}�.+7:+.';nv}ati[:�:{'i:::i:}:i;:_ �. ........:•:,a-:::::::.,......• r.,•:...... K��Ckar�ew{.uoRk2 ..ltldH�.sit,*}vau...yy'.n•' ?...;;:;::�::•:;;;.;>;::•>:•>:': ,,,...:�cqY}};�.;:.}.�•:;:}},}:}.aMa•.aa}:a•}:•:•tk;.a::.}}}}}}....x::�wswY:.. ..:... �tR ....". ..K`�-�. i:,»xawx•>:+s:;?:: ...... ..:,:......,.. „y,1,•„ ,,:,.. ...{.....M1.k•;}.,.X.Y.tir•::7'.}....... rrck?R3,3, � '.;%�t:�ffSik2b:?w,�•`t�-{ �kfq lnsvrnnce-ca.:... ............. . ............::.:..{,:.}:�:;..:�.:::'.::;..<•.:�:.:��3�2^.�.k� k�r,.3a oft;P#,•,..;.:{::...:.:..:.,..o�i°o. ..::::.. .�^ ..... ...... . ... . . .........:.:................. .....,:.::................ ....n .hr.:;•r.�:...;,.{.,:.�}}x:,..::.ww,,OOv..::...Y.c+t�x'•�a• ....LN.�.,��(.g. .• R t`•:••k�{"'. .. .:.... .af;... ..::;;:: .};}:;::;h'd;:�:??:�:�R%;�:z�>;::;:.;:: :.:,.'t�-::•�:�:•:..:{,....�q�pb'?x�,�'.''xa .:�^as«:t.;k•.yti}.;••}}::•::.,:::•:.�::::......... .. .............................. :..r.. ,.e.�:•::::k•?........•�}{ ...r.. ..:x�},•: ..,-:„.;:•r:.}-. ,. rasa.. cQtIIt1 ...... .. ,..,;:.:.;{..;v.:?!a..:",;• :•::.Y.'b?�?`•:?wA32aA'k`ti.7.•b...m?• tdaoai:2,:atyw.:�k:{,??�,..... ..:,': .:..:.::: _:-..::n�n•r:v:.::::::.K•:}:.::... �:........ ...:vw:vw::::::.:v•.v.;•.}::•.1.y r: .... ,...�:�:::.... ....}..:?..,:...... a..�:}.......}.:..:: 1 -•:•}}:::•:+ .,•.vaoY.{cY:vt.:{v:::.. ....... ... .............. ......:...:•::::: ...r:.:::........ :•:{:?..,-::::..:.:.{..:........... ... .....:.. .:;ti.:•...:.?Sh,`•:}'a'T.s`c`�s�:,�'tv+:.;'r.'is�f?:;:<:,•'{;i��:�::•:::::::c:_i::::}:;{;:;;::::. . .... ...::....; .?:3`::.:..:.:..... •.:>:,,.}.}..:{..x:a�ariA•i1?.i`.....'<`.�:. F;:.3c+"Rua,....,.. .. .. ...:v.•:::: :...}:...-a.t;:..;•: •::�}::.•..:.:.r.::... ....... :....?S:;k}'•;:`}:.:•:}•xt• ?.•rsa3aax. wr..�..N•}.{„ ..... ,..... ....},.,.ti4•:},.. .:,:..::;n;}-.,J.at:•.�r.{••: }:wowa!ka0':4'•�•":,'�•v .. . •.k}.;h:';: addrnr. . .... ... .. ........... ... .... ....,....... ...:h• �s... ...:.,:�n..k�•::• �i:Y..a«•':�a`.x4:•., r....� ::::. ..........::::...:. �°'�•'•}tom'' +e%tikk• t:{i<[<•::3;:y::::>:.8;%::'t�::< v:� ..:::-....... .......:•:::•}:•Y.,-::::.:;;.., .s:.}v.:::•.v:}•.v y4k?;.;.:.:vgLM^ .�.:;{.,•:::{:5'::'•:-:�:•i}:•}ii:-::•::•:::•r.•. Y•...... :. tkt t:}}•.v:k•};Lq}{;:{f.:... \ rr. .r.:•7.:.:{v3?:iibti;:.. ,a y...,. .. :..... :::.vvv.•r,{.}%ttii{•}L:`v::;:ji;:i3:i; }:•}:?o:{K{�`.:}`:i >?>: ::::.:: ...:..... .......::.v. w:::;}::..}::::::•}:...:}:t::}:�:}}Y::::{)i'•}iv:?•yfi.,vxKv?..}.n1•:P�4}•.,F.•:{.;.... ......t{.4 •{{::' CItP ..::::x:-}y:•..:.;..{.;{.?.v.::::��:.}:.::::.vn};.}4;.r., : :....y.••, L ,j���� -...w.: '{1�:t•]7ti•Xl'}�!5::•}Ji•:;!}:{J}}:4}:ti0:••:i}}:4}:4'3: .:.....:ata:v:•}.{v.:v.:::r;:r.;.;:.:DIIO�t�'is:,•. '?'}:•:4}:h;hi?i};:ti..•.,{:x»j;,;•v.;.;..::6}:•}}:i:. {:{.} :.:.;}:•:. .. ......................:vn:;.,. ...... .....:�: :........::... ... ....................... ....:.::v:i::i::::(W}i:;t:v::.v:{•}:v}:{•}:ti¢....y.:;•.i:^... .......wx},•.;:.;{yv,•;y;•};•X•7C{{ry:V ... .. ..::m tnh.-0JPn:..{......... Q xr..... n:::..... ......................... ........ ......w.vn:w::::::::::.:v:::vv:n�:::::n..............x...:•.v,x...+.....w.v:::::::... r�: ....:•'tt-}:.�::::.v::::._:.�}:•i`}w::•;? ?:i'�:i:S. ::}...,.anus:.:..i:'{..xa}}:....:.n::{•::•-• +?',� .....}xrn}.::v:.............:........... :.:.:::::::..•:::v.:v;::.v-:.vvw:::::.v:rr.:v::::::r.v.".:.:::.iY:}:: '•}:{::.:}}:ni'.:::i'.}}•.}v.}:•..,v.........•:••:vwv•,v::....••::.. ....{.,+}:•};yyr.• ..Sfi :t.a..... .a.....w,:v:::::;...... ..:•:>:->::{•}:::•}}:;}:}}}:.. .�:•:•}:;::Y.......r....,.::.....,,.n..,y.?;.}.}}}::.tee•}}v.}t:}.}..•}.•.t• :•.vYro.,vv:x.},vy.,...;....;,.:r .y... .: .. .......�:::::.�:: rt.::::,..:::•::,•::{:•,:r5}:}:::2{ax.} Y}ioLdt:}:: ?} .�}rr ...... ...: '.:tk:•. II]IITIIt![!''to.. -c�::::::.:,,:..,;..,:,..�::.. .....,::•:::::.:}}}};.a}};,};.rxi3.....:,�as:.4•. O��CP' "^Yang°'•xtf.{.•.t'.�ti�3;??a.'`:;{. ..........•ak:�:ao.+'::�::;t'�aia;�}.:�:•:•}>: :; IN FaBm a to secure eorersge as nqudid IDoder Seedon IU of MQ.1S2 amimd to dm lmpotddm otaima-1 pataidn of a mm up to sI.MOO aadi� one!ears'lmpzisonmme as MU as dtB pmemes in the form of a STOP WOGS ORDER and s aoa of SIOQ 00 a day apdmt nte. I understand am copy of this atatemeat may be forwarded to the Ofte ofInvestigation of the DIAfor covernpvedficMian. I do herrb c * under th prnAum of peUury that the infonnadon pmvided above is&w.and correct signature Date Print name ` APlume# Aar "`3 otHdal use only do not write in this area to be completed by c ty or town omdai arr or town: permiNiamet! MuLidlnt Department UT Iceasint Board ❑check if Immediate response b required ❑seleeaam's Oluz [311ea11h Department contact person: phone#,- ' ❑p�er�� U wumd 9/95 PJAI . • • • • • • •Ir • 1 as • • • • • • ' • • • •1• • .1• •1• • • 0 • • • • •lot 1 • • • 100 • • • • • �11 / 0 •) • fee 0 • •M 00(o,log.o • •• • • 1 • • • • .1.1• • 1 • • • e•• . • • • i-14 Ls • 0 11 • UI -i-Iel Of 1 •0 off44 0 1/ • 1 - • .111►: • • • -• M 1• • • • • • 0 0o• • • oo:1 t 1• •M • •t1 • • • •Y. �111• .Ir11• • 11 • .1reU • 11 • 0• 0. 1• ' 1• 11• 1 .11 UI .0 ./ •Ie�1/1•. .11 0 • / e Y o r• .10010 • •.1 •11 t• / o 00 1.1•.I• .11 •U • 1 Mo UI •1 • 0 • t, •lo r • 11 t• • •10 • _% • 00• • •• •1 Flo too 1./ a v I 1 • •.+K 11 • 777 MI .1.111 • • 11 ti1I • •��1.1�• • • e .grOl• • .1 t. • M • •11 • rum 11 .1 .1 •: 1 1 1 / 1 • / o � 1 1 1 0 • 1 r' 1 1 " - / / • 11 1 1 / / V11 + 1 1 1 1 r 1 1 1 v 1 J, 1 1 1 11 /1 1 1 • • 1 1 •• 1 0 • 0 0 - • • 1 1 1 r' 1 1 11 • 1 1 •1 11 : p 1 • • •• 1••11 • le•�• • •1 • t 0 1• .11 • 1•. 1 0 1• �•: ••1 Y 011 • .1111�1 /1110 ./1 •1/1■ • • • • 10. • - • • • • • •. too• . • • e•' • •1••1• .•/r • 1/1 01 11 Iv•:11�' �• /11 �r11r..1111 • • 1 • �/ • • �••r • �111 -• • • •1.1• •00 . e w 11 •• ••etr.�-•w •1111•�1• '•'ao •1• •o • • 1 •••11.1• �11 • • 1 ,•U • 01 ••►' •t .1 .b • to Yo•/K141 •10 .40 • e • •peeve••1t flat.)• •I•i 111/11 •�1•. •IIH ' 1/1 ram, •0• •KI/ • 1/ oe .•••• I • lo. • • ' 0 • • � •.1 01•ti11 •1 • •11 ••V. �« ♦..111•. 1.1 ••I11.1••/✓.1• •II • /1 1/ .1• • M• �, •� 1 1 1 •1 JI 1 e o 1 as • • 1 1 • 1 • • �•IIo• �• /• Ilr •71 •1 1• •' 1 • .1 /1 .1• • rl• •1• • •1.11 • •�•1 1-0 1 1 •1 ' •✓• •U M11 •1 11 •11 ••Y. « •.•I/1♦ 11 • 1 • • • / • .11 • w • •Iv •111 • 1 •1 • o L• 1• •••'••11 '•10.0Nw �'•U•1•�•• `•'.0 ut • • • I / 1 •Y.• •U�I/1 .1 •• •U11/ •�1 �• • • 1 1 0 •.• • •• • • 1 ••I••1• �/1 .1• • •1.111/�• •J • 1 , • •e•••1.1 • .- • • •�• • .v •• 0 0 000184 • do 0 • • 1I • 11 11 II ..r11 •• ■o •1 61 '.. • -, •rl ., 10 as •-1••111 r�l, 111111 •..1 11 1 I •r 1 ��• a•., .I, �. 11.101 •-1 • •• • • It. o/ • eo•••-• 0 • • Q • 1/ e • ••.q .••eaU •ti••«•ly 1 • e •vo •en • • • • 1 •11 • ll • .81 • • ROOM�������j������������j������/��������/� CLLC%% 4G` /:ViA�LLGGiAs��/.0 1 1 11 11 1 1 1 1 1 0 ' 1 1 1 1 I 11 1 1 111 ` 111 • 1 , MOO : I . i BARN3rABt.E ' ' • 9 Regulatory Services Ec awe' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:. 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least otie but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. E _ Type of Work: Estimated Cost Address of Work: ��O, �� �� �� �Ec �e.�' Owner's Name: Date of Application: -S-'a- a-0C,1, I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a t of the owner. A�,s, S�j4 t�Q-Q Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affldav �.t�.Y,.lt:: CAM t t.`-! - '_'.yf'I•:x h'�+�� ` �!U G.AtzasPf.t �-Iit I � Iv� �rx���� hc; '7'p • d�s�c�'.>"r�: o.`'��.v q' 0�3 A •3 5, taxtm i5o SF• 2.5 • . �� �.Rt,. try s`�� . t � e� 'cb fr1=. �O dig.I ' Q° OAK Tcfr•AL "Pec,IwW TtaTo s. 'MA-1 t_�f t=t vw t 33D&Pr3. _ t3t G c•.ot.dTtOtJ �ZdTb : l.,t� 2.titl�•�9R �Se�. �°•.x . >• + i -OWCf IAFI) 1 BA'X MR t{ �cr �u `�{{ tg 116 4-/13°00 � ► a .alTi�Zrire? II� 4''pAEa .: f '� 4�RP6=7v!r'Y Z�IZ lwv �X �`�� SE�i1C T/►+°tK Got.. fb.4 . . t• S� Pa•r . . WASwIED sTo..rr� r • CI���'tf=tEt7 pLbT �L./�ti L-.� L6U.TIOW C.atz-r1 '1/ ' T&AAT Ttdc-- FOU►+JD^TION S1.Sa,°uL.J t4[---I unw Caov LYS WITR TWZ: 'SIDC.LtWEs Lit f j PATCHMA I 5 d 6 • �:r . r ♦ � ;,g A.XTc tz. �: u�t;� t�.tc,_ RCGtSt rr�.o LA.Wo TW S PLA►.t I a oT 04•4 Art oSTECvtLt.0 s, A(ASy, tl.I+:f1'�_LtA[={./T �.tJt',1{'Y .d: T{jCt t1C`-'I_i•-T!_ l.�Jr.rf-n r� _ (2)AND.2644 (P 0 015 ------ - ------ I !' m z (13 � g - e I 1 g li ----------------- -- A g o m z c b q O A 9TEP ———— ———`————————————— I I I C Z ci y. . A — _ Z a -u (� I I 1I � Y l aPROJECT: /\ ADDITION DE /\A N - . S I m 359 CA?THIN LIJAN ROAD CENTERVILLE, `1.A o �/ PLAN PHONE: 508-1-28-3466 77 . QI _____.... RIDGE VENT lL 12 W ASPHALT 5"I4GLES e rtATL'li EXISTING tB 5/B'COX SHEATWNG z II �'•7°B'c V 16 O.C.'II'�I�.. --------- R 30 F.G. INSUL. u- t/ OU o• b `� s 1°3 STRAPPING 1 GYP.BOARD O G 1 M '� .. W FASCIA B" I.I-.. VENTING SOFFIT /J 1 is ALUFIINU MOULDINGM .UTTERS t DOHMOULDING SPOUTS c 1 1 FRIEZE BOARD AND OVLDING _•� p; -24 STUD WALL /R13 F.G. INSUL. / Q I . t _ I/:"S"EAT"ING /TYVEK (OR F_OUAL) — W.C.SHINGLES -^ C- - 3/4" PLY S IN V.l SHINGLES""� R19 FIBERGLASS INSVL. 11 R7°IOL V Ib'O.C. Ll_ a 77, GABLE ELEVATION _CROSS SECTION SCALE: 1/4' I'-O" SCALE: 1/4' 1'-0" I I !- N W z - 3"I r_7I.�II' I y y I I YO'-O"ADDITION �. 20--0'ADDITION SWEE" Y SIDE ELEVATION SIDE ELEVATION SCALE: I/4° 1'-0' SCALE: I/4' - I'-O° -1. JOB: ©IOB DRAWN BY:KW 1 DATE. V 17/01 rz . r Application number...................................3 0J............. -PRESS 4)P,-90 1 a s v Fee .................. ... ................... SEP 12 2019 Building Inspectors Initials....Sib................. 01AM OF BARNSTABLE Date Issued.:....... ...............I........................... Ma p/Parcel....�Z ....1. .............. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET. VILLAGE Owner's Name: Phone Number Email Address: Cell Phone Number Project cost$ � Check one Residenti Commercial OWNER'S AUTHORIZATION w As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: . TYPE OF WORK LSidin Windows no header change)# 0 Insulation/Weatherization g ( g ) � .. ��oors(no header change)# 3 Commercial Doors require an inspector's review U Roof not applying more than 1 layer of shingles) ( Y g ) Construction Debris will be going to y fn� CONTRACTOR'S'INFORMATION Contractor's name -�P�1` )`d}g M/9 C,o I/f v� , a / , Home Improvement Contractors Registration(if applicable)# J (attach copy) ., Construction Supervisors License# C,.S l f`c3® 5� (attach copy) C,`do" Email of Contractor Ydp p$,O i UJ C—[AO-4, Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER......................................................�.... *For Tents Only* . Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes A 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. Purpose of Event 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 Fuel source being used LP tank 20 lbs. or>Yes No____, if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. f 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 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 786 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 , AP ICANT'S SIGNATURE Signature Date 9� All permit applica ons are u sect to'a build' g official's approval prior to issuance. ( OBlceofConsumefAHalra„&Bysinessineyulation HOME IMPRgt/EMEN`P CONTRACTOR ndivldual i� n • t U7/01/2U2b � ANDREI-YAR D/B/A BEL IS MQLQ { t � . ' _. wIM :r _ R �=-�� ,,aROVEME • --_�:c: - NT ANDREI YARMAL 1f { _, 4 �. CINDERELLA Ta�Y MARSTONS MILLS MA b2B48 Undersecretary Commonwealth of Massachusetts Division of Professional ions and Standards Board of Building Reg Constrl ! �� rvisor .• 1 CS-111305 r �ires: 06101'12021 . ANDRE YARW ALOVIC � oe 204 CINDEREC-L O TER f MARSTONS MILLS'MA�03fi48 -: .a.� � Commissioner -..._ Registration valid for individual:use only i l efofe the explretion,dete, found return-to: Qtflce of Consumer Affal d Business Regul I 1.000 WashingtgamStree its 710 Boston,MA 0211a 7 NO out si i '.Ith i ure I Construction Supervisor Uflrestricted-Buildings of any use group which.contain. - ess ,cl than 35 000 cub"�c feet Be:, cubic( meters)of enclosed � " space. Failure to possess a.current edition of the Massachusetts State Building Code is cause for,revocation of this license. For information about`thls license Call(617)727-3200 or visit wWw.mass.gov/dpl -... 8/4/2b19 1030 Home Improvement Bel Islands Home Improvement 204 Cinderella Terrace Name/address Marstons Mills, Ma 102648 Cape cod HOMES,LLC Scott Manley Belislandsroofingandsiding.Com 20 Gina road, 508-280-1794 Centerville,ma 508-364-6909 (?07 1 Terms Project Description Qty Rate Total Extra charge to upgrade shingles to Landmark Pro is$850 POSSIBLE EXTRA: Any rotted plywood,trim boards,lead flashing or other carpentry needing replacement will be done and charged for as an extra at rate of$60.00 per hour,plus 15%mark up materials Bel Islands Home Improvement Guarantees the labor for Lifetime of roof and against Blow-offs for 15 Years. Bel Islands Home Improvement:Carries Worksman's Compensation and Public Liability Insurance on the above work, certificate available upon request New siding installation(Labor/materials)-front of the house 3,200.00 3,200.00 and left gable o 1.Strip old sidewall shingles 2.Supply and install proper underlayment(typar paper) 3.Supply and install new White cedar shingles. New Azek trim installation(Labor/materials) �.: 2,900.00 2,900.00 1.Replace all rakeboards(2 members)with new Azek trim and corrtex screws(16 pcs)-$2400 2.Replace garage doors trim with Azek Vim-3 pcs-$500 New Anderson windows installation(Labor/materials)-8 pcs �a: ;)�, .9 300.00 2,400.00 1.Remove old exterior and interior trim and windows 2.Supply and install new Anderson 400 Series windows 3.Supply and install proper vicor flashing 4.Supply and install new exterior and interior painting windows and painting not included Total Page 2 f 8/4/2019 1030 Home Improvement .. Bel Islands Home Improvement . 204 Cinderella Terrace )vain e/address Marstons Ma 02648 Mills, > Cape Cod HOMES,LLG�' Scott Manley Belislandsroofingandsiding.com 20 Gina road, 508-280-1794 Centerville,ma 508-364-6909 Terms Project Description Qty Rate Total New Sliding door installation(Labor/materials)-kitchen 900.00 900.00 1.Frame new opening with proper header to fit new 6 ft Anderson 400 series sliding door 2.Supply and inntall new Sliding door with proper flashing 3.Supply and install new exterior and interior trim. New french doors installation(Labor/materials) 750.00 750.00. 1.frame new penning to fit 5 ft french doors 2.Supply and install new french door 3.Supply and install new interior trim Extra work;(labor only) 3,000.00 3,000.00 I. Demo of existing kitchen, L 2.Take down the walls and install new 12ft LVL header with steel flitch plate and 4by6 posts 3.New kitchen window installation Extra work:(labor/materials)-frame new closet int the bedroom /800.00 800.00 with pocket door Pocket door,sheetrock,plumbing,electric not included extra work:(Labor/materials) ; 1,0 .00 1,000.00 Framing new closet inthe basement-rough framing only door and interior finish not included ' permit {�� .LS y1 , i 600.00 600.00 dumpster 650.00 650.00 Total $24,975.00 Page 3 f ��• L Home Improvemec t 8/4/2019 1030 Bel Islands Home Improvement 204 Cinderella Terrace Name i Address Marstons Mills, Ma ,02645 Cape Cod HOMES,LLC Scott Manley BelislandsrooCngandsiding.com 20 Gina road, 508-280-1794 Centerville,ma 508-364-6909 Terms Project Description Qty Rate Total Bel Islands Home Improvement-ROOFING PROPOSAL 8,775.00 8,775.00 ,labor/materials( architect shingles)-Old sections of the roof only - BEL Islands Home Improvement hereby propose to perform the following services in a neat.professional manner in accordance with manufacturers specifications and local building code Strip existing roof shingles(I layer of shingles) and remove all debris.Any more layers of roofing needed to be stripped-it will be additional charge. and install New Shingles:Certainteed Architectural Landmark shingles with lifetime warranty, 10 years Algae Resistant, 110 MPH Wind Warranty,240 Lbs weighttsquare-(Every shingle will be �' 1 nailed by the code with 6 nails-storm nailing system) install: 8"Aluminum Drip Edge install : Certainteed ice and water shield to eves,valleys,rakes,and skylights and low pitch areas ( 18"on rakes and skylights and 3 ft on eves and valleys to prevent ice dams) install V Certainteed Swift Start-with self-adhering asphalt starter course . on all eves and rake edges install Aluminum&Neoprene Soil Pipe Flashing Install Synthetic underlayment paper(Rhino). install Pre-cut Certainteed Hip&Ridge shingles and new ridge vent Total Page 1 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: $udders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl t Name (Business/Organization/I?ndividual): /zl/�'t C-0 V. Address: �-E7 �1 ��2_t'��6 ��✓�C�'--- City/State/Zip:lyhy3A C`[ Phone#: crV9 Are you an employer?Check the appropriate box: Type of project(required): 1.L! I am a employer with r� 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 workingfor me in an capacity. employees and have workers' Y P h'•- t 9. ❑Building addition ; , [No workers'comp. insurance comp. insurance. 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 I I.❑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. 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 hire 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 providing workers'compensation i surance for my employees. Below is the policy and job site information. Insurance Company Name: O" ��v. Policy#or Self-ins.Lic.#: w 31_ '-6 (T 6.7-0� Expiration Date: d2 11 :g r �[ Job Site Address: ' 0 . 61�- C�/ City/State/Zip:.' 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 4igrance coverage verification. I do hereby certify under t e ains andpenalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: 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 Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more,than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or'iepair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency`shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number fisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only'submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia �e TOWN OF BARNSTABLE Permit No. _..... 1 »"AU Building Inspector .P.a Cash ------------ 0 fIPY a.�� OCCUPANCY PERMIT Bond - x No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Jalres N. SLAth Address Hyannis " Lot 11., 2C Gina ICOU `•'� Centerville Wiring Inspector r �' s° Inspection date Plumbing Inspector q r f'1 y Inspection date Gas Inspector cO J"i Inspection date211 �0111 81 VEngineerin Department y( ! 4 g p G�� 6�'GG r.(/C."—Inspection date THIS PERMIT WILL NOT BE VALID, AND,THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19 sr /� Building Inspector Assessgr s map and lot number.... L' f THE r Sewage Permit number ............................. ... �� SEPTIC SYSTEM ~j - INSTALLED INQ , � E, , House number . .:... ........ WITH TM-9me 0 �O i639. �0 TOWN OF BARNSTAD�Mftc W 1� � BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........�. . .A`e ....::........: TYPE OF CONSTRUCTION ............ .. .'.........................................•, TO THE INSPECTOR OF BUILDINGS: The undersigned h`ereby`,,applies for a permit according to the follo(w�inng� information: Location ....... .........�.,......... ...............................................................< FCA .............................................................. ProposedUse ........�l,n. V .......'Try-!'4'.�..... ...............................................................I......................... Zoning District .....%42.�i , ....................Fire District ...... .z1... ..........5.....:......�.�\\ ............... Name of Owner .: .?.iC1�..Y1.....�......�.....�. .....`,..,....... 1.�. \1 ` ei C\/\� Tom, Address ............ .. e......� .......�\"�,Gh(i�-<?.. .. J Name of Builder ... ........b...... . ... ......Address Name of Architect .........................................:....Address ...................:........... ..........:..:..:.�...:....... Number of Rooms . :........Foundation .` '...............:.......... � � ......�. ...`......... Exterior ... ......�?.�... .. 5 .l.n ...........Roofing ......... .......................... .......:........a . .c .. .. ...: ,. Floors ...... .....Interior `. ...................... .......... Heating ............. :............................:.......Plumbing k?�i �?.................�'......... ......... . ............................... Fireplace ..... - .................................................Approximate Cost .... Definitive Plan Approved by Planning Board ----------------------_---------19________ . Area :lO.. ... : .......... Dia ram of Lot and Building with Dimensions `` . g 9 Fee' ..,..;. i�................:. SUBJECT TO APPROVAL OF;BOARD-;OF .HEALTH! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ........s S.!'`. cam...................... SMITH, JAMES K. # . t .�o 2 319 4 Permit for One Story ... g.............. t E ication' „Lot #11, 20 Gina Court \` ............... Centervi;lle................................. James K. .Smit:� _ Owner .....::........................................................... f. Frame .� Type,•of Construction .......................................... , ................................................................................ Plot ............................ Lot ................................ June 12, 81 � i Permit Granted ........................................19 Date of Inspection .............................:. -Date Complet d ..:...................� ..1r9l f 7 r f PERMIT REFUSED } r 19........ � .... s ...... ................................... .............. ',•. t\ — l' '� �`; I ` 1 ........ . :+' .. ........ �,,, ' Ali, Zvi ¢ .......... ................................................. ..... \ Approved ... pp .... .?. .... i .. ..................................................... ;f �K � Assessor's"map and lot number .......... Qy�F THE!0� ,/�Sewage Permit number . ..�...�...........................:.......... ... o?i 0 �/4 ca-G- 41 1 EARNSTAME, i House number . .,—Lo................................................... 9 MAB6 t�`~`f a MAY d'y TOWN OF BARN:STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ........S&.a,?tM eR. �......................................:......... TYPE OF CONSTRUCTION :........... !!3,c,% ?. .....: s,uM -......................`.J................................................. u n ....... a............19.%. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location rC1V.'�l C ...e\................................................... -c ... ........, .............�. ......................................... ...P-k\1 e— ProposedUse ....... 1,0.0! ........ �� ►.n`..'...... ............................................................................................................ Zoning District ..... ............Fire District � A\\ry Address n................�� \� �U n�� o Name of Owner (.A.� .?�:...... ....�..... rn., T� .; _ Nameof Builder .. ! .M. '.. ...... ....Address .....................................t.............................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................... ..........................................Foundation ........ ...... r, Exterior ........ ..�.......,. ............Roofing ............I C .................................................. p � 1 Floors �.v( . .... .......LJ4X. ...........................Interior ............c .................................... Heating ...: .. ....?,.,�..�............. C - .................Plumbing Fireplace .....UNN-�.................................................................Approximate Cost .......: .O O Definitive Plan Approved by Planning Board ________________________________19________. Area Z .k... �/ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f .A ?� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction: Name ... f"..M'\ ....NU....... �r�'`!.�. .................... 23194 One Story � —...S�irloJ�e-..Fazuily...D.Wel.1 ' ----- ' Location ..L.at... -2/l../�j-oe...C4)ur±--' � - Centerville '..,.--.—.�----------------.`---. James K. Snlitlz ' Owner --.---------------.. . —. `. —.. Frame Type of Construction -------------- ' ----''~—'—'~''~---------------' - Plot ............................ Lot ................................. � ' � June 13, 81 Permit Granted -------'------lA Date of |n ------------lg � - ' ""'= C" "p='=" ' � ` ' PERMIT _ _ REFUSED ................................ ................................ 19 ' ---'—'--~---- —'----~^---'''---' � .............. K . Approved « ................................................ 19 � � --------~---~—'--'-^—^^'—'^^'~`— , ----'--'---.------..---.---.—. � � � ` Z l L',? $Z LC>W a 1 i v +c `-., "�'30 C�d P•v. 4}sIF-, +.F?U y 'v.\� 97.3 ' 1.1 C�=: t G+r...�G��F..b.l.: �f• CXP. .►•+L N PST elm F'cx;AL PST usE.. lC>cx� �•�,c.� • �.pox 17� C>.G T3Pt'r'��vt L�Zrc?J'a� � t;T=. , , . •8 ' `ig•7 sd Tor,&L -TP eS l GW s 425 ls.R L?. FN o t tzGot.d,T►o U CZaTE :; !":J I-m l ;j'Ord / � A- �l PA TER ^;? i 4 \ a 98 z W—T To— t s o tom, , .,•,p� .. .. .,. P� -. ��� ,• �.iiTnR .yTTi� � ;;Y - LRAM ,Y ,�'P.�� laoa iu'' ;� iuv.• 47.00 ' `f .SYIBSsy�.. 4�pP6 DFSi; --•'`�IW. Gay. 9G.8 ;'. t000 94.o GQL. INV. 4G.Q - - L Lcs�►a 9b, %VMWED + i i CEiZTtF=tEt7 pLc)T PL_A. t i.00I'.Tla� CC- Tbu K_t_& �Z tJ c Sc tl.1�t" tt. t —4O .Y5 AT t� MAYi9, 1151 o h 'Ared I GtatzTt;�=� TF-Wr Tear Fou�'ivATIOM -5"0"JLJ x pt_It, akjc_C 3 E uc'.t:rn�� cc�titrL�<s wt-r� -rt,a �Ivc:u�E: L I �. Auto e�L-T~-ACI_" .Vr-4 ltZZ!fr.Mi. -�ow►J cs,= BAR s-tU- 1 to s90 PCo 151 Vi rMIrG I RcGtS r r�1-1) LAWC) 6luzv`llNf_'4 0d4 A," o>TC�'vll.O.G o ��rCrtsi� Iw�y�r• :.�}�cn�,.1�.ap; ',ul:�i.l - t"�f�4d�c �`F�, y'�o ar 1`�14.aw_ A.P L_i C. k-a-r �'aa;:eS �':�6b �Ni.lb t�� �{n� !`7�.a��.•MIY��WF.:- � ` �.sl INI:�..t _- �!"1M" A�{ l��t*