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BLD-19-003270
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N. i • The Commonwealth of Massachusetts • "rArk DQpartment of Industrial Accidents - = k 1 Congress Street,Suite 100 a= L Boston, MA 02114-2017 errwww mass.;ov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): eA)(§ J��l�( V� Hone-- aoS IA)C Address: 7 (doLF klc,e, City/State/Zip: E. 54A*t,l(Gfi MA Phone#: 50$- x74- 737.1-3 Are you an employer?Check the appropriate box: Type of project(required): L❑I an,a employer with employees(full and/or part-time).* 7. ❑New construction 2. a a sole proprietor or parmersbip and have no employees working forme inb� capacity.[Noworkers'comp.insurance required.] $• zmodelin,c any P 3. I am a homeowner.doine all work myself 9. ❑Demolition ❑ ys _[No workers'camp.insurance required.]t . 4.01 am a homeowner and will be hiring contactors to conduct all work on my propr I wn11 10 ❑ Building addition ensure that all contactors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions I0 I am a general corIDactor and I have hied the sub-contactors listed on the attached sheet These sub-contactors have employees and have workers'comp.insurance.? 13. Roof repairs 6.0 We area corporation and its officers have exercised their tight of exemption per MGL c. 14.0 Other 152,11(4),and we have no employees.[No workers'comp.insurance required.] - • "Any applicant that checla ex rtl 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 contactors must submit a new affidavit indicting such. *Contractors that check this box mist attached an additional sheet showing tie name of the sub-contactors and state whether at not those entities have • employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site • information. Insurance Company Name: Policy#or Self-ins.Lie.4: Expiration Date: • Job Site Address: 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 MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify u r the p ' and penalties of perjury that the information provided above is true and correct Signature: Date: • 1(13)6 Phone0: SO 3— at?4 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#: f l • 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 contact 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 ajoint 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 it political subdivisions shall enter into any contact for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contacting authority." Applicant Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your siittion 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 Partnersbips(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 Depar=ent 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 Industial 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 listed 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 leably. The Department has provided a space at the bottom of the affidavit for you to Ell 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 r• Boston, MA 02114-2017 • Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE • Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia LAW: v • 4M L1'iV s+s1s .C21.-ESt L•LII11\ 1 j � 4 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261 , • FIOMEOWNEB.LICENSE EXET\IPTION PLEASE PRINT: • • DATE: • • JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAIvM HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STATE TW CODE The current exemption for 'Homeowner' was extended to include owner—occupied dwellinzs of one or two units and to allow such homeowner to engage an indiviEal for hire who does not possess a license,provided homeowner shall act as supervisor. (Stare Building Code Section 110 R5.13.1) Definition of Homeowner. Person(s)whoownsap€ce1ofIandonwhichhe/sheresidesorintendstoreside,onwhichthereisorisiitF finedto be, a one or two fanny attachedordetachedstrG?ctar assessoty to such use and/or fi-rn stactires. Aperson who constructs mora than cue home m atwo-year period ah all not be considered a homeowner, such`homeowner"shall. submit to the building o onafa=acceptabletothe bul&.gofficial,charhe/she ahaAberesnoi mTe for all such work nersoned under the builrThnc nit (Section 110 P5-13.1) The tm.dersied `homeowner' assumes res-ponslility for compliance with the Stan; Buldtg Code and other applicable caries, by-laws,rales and tegnTations. The ¢adersigned `homeowner' ter es that he / she understands the Town of Ya nauth Buld ng Depa .o-.t TTmirnn'm inspection procedn s and teriLi1nets and'that he / she will cup.1-5. with said gocednes and rega*r-gents. HO vfOWNER"S SIGNATURE APPROVAL OF BUraDING OFFICLAL • INSURANCE COVERAGE: I have a cu ent liability insurance policy or its substantial equivalent, Rich meets the requirements of MOL Ch.142. Yes No If you have checked yes, please indicate the type coverage by chef' n ghe a pas ate box. A liability insurance policy . Other type of irrlFrmity Bond OWNER'S LhTS 1 NCEWAannaware that the licensee does not have the imsu.d!icecoverage req y Chapter 142 of the Mass. General.Laws and that my sionatnre on this permit application waives this r-q, m-,t O _ '- L_GL Check one: Signature of Owner or Owner's Ad entOwner Anent 1140 haute 2a South Y armouth MA 02664 508-398-2231 ext 1261 Fax 508-398-0836 r ' I • • BUILDING DEPARTh1cT • DEMOLITION DEBRIS DISP © SAI, AFFIDAVIT Pursuant to MGL. Chapter 40, Section 54 and 780 CNL� Chapter 1, Section 111.5, I hereby certify that the debris re-suiting from the proposed workddemolitioo.to be eencfncted I; CHASE <A/ r-De ) W Work Address • Is to be disposed of at the following locat.on: PINA St1,J(1—A1 CSV /NC. Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 11 I, Sec-don 150A. / .!.r.�_ ////3Ik S' ature at Application Date Permit it No. ey:Y4 y TOWN OF YARMOUTH s � c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: /► C y/A St; G Ar?Deft) LAhit Proposed Improvement: to cl),,A(.o a,,, DC Con A_ — It ink& g45e4,e. nc testi • smv&— wit`. g.– /=c -oeic — NO IAN°Tp)< N a-Witecit Applicant: c'O/rn/ SU OMAI A Tel. No.: 5'9-i-74r- 7r Address: '7� Lott F htt c C• SAs. otCy atq._ Date Filed: ///b// "If you would like e-mail notification of sign off please provide e-mail address: .SV 0114t Q CO'-, cry S`- At- Owner Name: rib,to (i" v CoAd Owner Address: )I C N A S4 YI O' A) 14 Owner Tel.No.:,2 9-3t3o -904 RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed)- Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: AM-1.4-7 DATE: t Vola f PLEASE NOTE COMMENTS/CONDITIONS: 40,-se-10 A . wtct tet S iledvoos- - ter sr C • Ratitcc rfocArp Guy — ct ,the fie En, eared Home • lutlons, Inc. NI *` • 4 Wolf Hill • ' 4w. E.Sandwich, MA 02537 Mil CONES, . CTI ON 508-274-7553 jsuomala@comcast.net ESTIMATE ADDRESS ESTIMATE# 1146 Frank Guinan DATE 10/14/2018 11 Chase Garden Ln Yarmouthport, MA PROJECT DESCRIPTION: BASEMENT KITCHEN ACTIVITY ACTIVITY 01.2 Building Permits Building Permits •Contractor to complete and submit building permit,as well as to coordinate all inspections. Permit fees NOT included in quotation MASK CARPET Application of carpet mask on stairs,area leading up to new kitchen area,and 6'wide protection minimum to exterior walk-out doors. MASK HARDWOOD Installation of rhino hard cardboard floor protection over first floor hardwood from front door to basement door. Remove Base Trim Removal of base trim around perimeter of new kitchen area as needed for cabinets. Tearout Carpeting Cut and remove carpeting for new kitchen area to concrete below Tear-out Drywall Cut and remove drywall 2'above floor around perimeter of new kitchen for wiring and plumbing access and routing. Remove 2x2 section next to ceiling to access wiring along 1-beam from electrical panel. PLyMBING • Services Labor and materials to cut into bathroom sink supply lines,drain,and vent for new kitchen sink and dishwasher Services Labor and materials to run water line to new fridge location Kitchen Sink&Faucet Basic labor and materials to install kitchen sink($550 allow)and faucet($350 allow)with favorable site conditions.Assemble,place and secure faucet. Connect supply lines between new shut off valves and faucet. Leak and flow test. dishwasher Labor and materials to install customer supplied dishwasher ELECTRICAL WIRING 220v Stove Outlet Labor and materials to run new 220 line from panel,and install new 220v stove receptacle Circuit Breakers Installation of 220v arch-fault circuit breaker for stove, 110v arch-fault breakers for dishwasher,fridge,microwave,and wall outlets Recessed lighting Removal of two(2)existing recessed lights, and Installation of(4) 5"LED recessed lights in ceiling 10 Installation of ceiling junction boxes and installation of two(2)customer /il ( //k• TY ACTIVITY supplied pendent lights over eating area. ;Wall Outlets Installation of(9) 110v duplex wall outlets,and trim CONSTRUCTION / Drywall Installation of new 1/2"drywall on walls as needed to blend. Repair ceiling as needed from lighting changes. Layout Walls For New Cabinet Locate and mark all stud locations,upper and lower cabinet locations. Layout Determine filler locations and dimensions prior to start Purchase Of Cabinets Purchase of all upper and lower cabinets,fillers,fridge panels,toe-kicks,and crown moldings as per Botello kitchen design plans. Cabinets quoted are Merillat"Masterpiece",Sylvan door style(full overlay),Oak/Cannon Grey, plywood box construction,dovetail drawers w/soft-close guides,lower cabinet roil-outs,lazy susan's all corners,decorative end panels,particle board box construction ($14,200 cabinet allowance) . Services Fabrication of custom 5-shelf open shelving unit above sink.Unit to be fabricated using 3/4"birch plywood shelves with 3/4"poplar banding,3/4x1- • 1/2"poplar vertical face each end. Total depth of unit to be 12"and will be attached to wall above sink,between end cabinets. Painting of shelf unit by • others($1200) Install Lower Cabinets Basic labor to level and shim(9)lower cabinets to proper height, remove/reinstall doors and drawers as needed,securing to wall and adjacent cabinets as needed Fridge Panel Labor to custom cut,level,and attach(2)fridge panels to adjacent cabinets Install Upper Cabinets Basic labor to hang(9)upper cabinets/shelve units. Level and secure cabinet, at proper height to wall and adjacent cabinets. Services Installation of decorative side panels on fridge panel,upper end cabinet,lower peninsula cabinet,rear of peninsula cabinets Install Soffit&Crown Molding Trim Labor to install crown molding trim above cabinets. No soffit molding to reduce costs • Install Toe-kick Strips Labor to cut,glue and nail base cabinet toe-kick strips In place cabinet knobs and pulls Installation of customer supplied cabinet knobs and pulls. NOTE:Customer must be present to identify knob and pull locations Granite Countertops • NOTE:Granite countertops provided by others and Is not included in the scope of this project 08 FLOORING •Installation of customer selected ceramic tile selected at Bellew tile laid straight pattern. (90 sf at$6.12/sf: ($650 material allowance,Including grout, thinset,and tax) DEBRIS Removal of all debris from Job site upon completion Services BACKSPLASH Installation of tile backspiash around entire perimeter of kitchen, 18"high, SUBWAY PATTERN (59 sf, :at$4.94/sf; $400 tile,grout,thinset material allowance) Services Installation of customer supplied fridge and electric stove upon completion NOTES: TOTAL • $34,28$"80 1)Contract does not Include costs to repair unforeseen decay or poor • wodonanshlp 2)Contract does not Include permit fees,granite,or painting upon _ completion / - y • %a . ./cttlmeline: approx4weeks • • • Ayment schedule:1/3 at acceptance,1/3 after drywall,balance An completion 5)debris container to remain onsite throughout project 1 . ( Accepted By • o 1 I3 I pted Date 4 41 e • • • A • . itCommonwealth of Massachusetts Division of Professional Licensure *Board of Building Regulations and Standards Con strllCtitSrigttipervisor - CS-082712 •. Epires: 0912112020 " t . JOHN E SUOMALA , t% ' '+ 4 WOLF HILL ` f E.SANDWICH�ilA.02637� .r � -+ Commissioner `--.-....--.•-.V/IP. Yor Inoflrn /a./Cf?'auacklie/J .'. • Office of Consumer Affairs a Business Regulation Registration valid for Individual use only • - HOMEINPROVEMENT atki;CONTRACTOR before the expiration date. If round return to: TYPE:(„�pkapar Office of Consumer Affairs and Business Regulation R 1608252on 0808/25/2020 t000Weshmgton Street-Suit 0 . Boston,MA 02118 ENGINEERED HOME SOLUTIONS INC. . JOHN E.SUOMALA. . 6"- $ ^ ..4.4.......".. " . 4 W OLF HILL - of veli• wit gout signature E.SANDWICH,MA 02537 Undersecretary A� CERTIFICATE OF LIABILITY INSURANCE DAM 1022/2018 ((MMAIT" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES nELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the oertitioate holder Is an ADDITIONAL INSURED,the polioy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subJeot to the terms and conditions of the policy,certain pololes may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCER CONTACT Dunn Mslrsfee Agency PHONE Tari a Davies Fuc P.O.Box 330 - No.DIP (509)322-3240 (A1C,No):(508)322-3241 Bands Bay,MA 02532 "AIS, tGi@ghdnn.coln INSURER(S)AFFORDING COVERAGE HNCE INSURER A, Main Street Merica Assurance Company 29939 minim Engineered Hare Solutions Inc Join Suatela RN$$KERB: NGM Insurance Company 14788 4Nblf Hill Rd INSURER C: East Sandwich,MA 02537 INSURER D; INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THS IS TO CERTIFY THAT 11E PCUCIES CF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED W WED ABOVE FOR hf PCUCY PERIOD INDICATED. NOTWITHSTANDING ANY REOUROM ENE TERM CR CONDITION OF ANY CO VI ACT OR ODER DOCUMENT WITH RESPECT 10 WHICH THS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFCRDED BY DE POLICIES DESCRIBED FEREJN IS SUBJECT 10 ALL THE TEAMS, EXCLUSICNS AND Ca131110NS OF SUCH POLICIES.UMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIAR TYPE OF INSURANCE Ido W o POLICY NUMBER INMASUER TE( ( IMMIDDMYYYYY1 won A f=NM ETON-GENWLmauve MPT2927H 02f262018 ' 1262019 EACH OCCURRENCE $ 1,000,000 DAMAGECLAMMSMADE EA OCR PREMISES Eaoo nDa,wl $ 500,00OCCUR _- LED EXP(Any one person) $ 10,000 _ PERSONAL&ATV NARY $ 1,1100,000 GENL AGGREGATE tsar APPLES PER: GDERAL AGGREGATE _ $ 2,CC0,000 7 Par❑JET ❑LOC PRODUCTS-COMPIOPAGO_ $ 2,000,000 OTTER S B AUTOMOBILE warn, M1P9384J 10/02/2018 10/07/2019 COM13NECI BNCN.ELSEY $ :Fs accident) ANY AUTO BODILY NARY(Per Person) $ 250,000 CAMEO / SC/ED4m BODLYTURY(Pracdderd) $ 500,000 AUTOS OILYV AUTOS V *TITS o aV AUT ONHED PROPERTY DAMAGE $ AUTOS OILY (Ps.accident) $ UMBRELLA LAB coca - EACH OCCURRENCE $ - EXCESS UAB CLAMS-MIRE AGGREGATE $ OED RETENTIONS $ WORKERS COMPENSATION PER 0114- AND EMPLOYERS'URINATE Y/N STATUTE ER ANY P TORIPARTEWE)EQNNEEL EACH ACCIDENT $ OFRCEPAIEMBER cnump? O NIA (Mandatory In NH) Et DISEASE-EA EMPLOYEE $ DESCRFTION OF OPERATIONS below EL DISEASE-POLICYILIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEIICLES(ACORD 101,MdMenal Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED)BEFORE THE EXPRATION DATE THEREOF, NOTICE Wa.L BE DELIVERED IN ACCORDANCE WITH THE POLICYPROVSIONS. • AUTHOR®REPRESENTATIVE _ chnftl rearacotoraelksio I CD 1888-2016 ACORD CORPORATION. M rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD Sears, Tim From: Sears,Tim Sent: Wednesday, December 5, 2018 10:06 AM To: jsuomala@comcast.net' Subject 11 Chase Garden Ln John, I have reviewed your ap ication for 11 Chase Garden Ln, and it appears that this project is creating a separate dwelling. Accessory Apartments r quire a special permit from the Zoning Board of Appeals, and we have no record of any relief being granted. Please advise Timothy Sears CBO Building Inspector Town of Yarmouth ni 508-398-2231 Ext. 1259 mailto:tsears(avarmouth.ma.us UUILDINUT 1 { titE � 1 ii.A Th11LLJiL_4 n } SY —.� +yam '-----^"�-! tiS• 1 ,i c } w c-v'•i t i,'1 ip �.—. .-..++--.^�.'^`_'.`..•' - rL r 1 ; 1 03 ) r, --` 1 iI. - -I j r ' I %i Fill 1.- .._ ✓ .C.„``Jam . is I _ 1 *Z� jr.�:.I. r';..^ q 1; ..r-5 % i. --4.1. ,... J..:v `. T.0-1 e-- •.1' , F^...c �4. .=.?Y 6,t�i`— 2j / & j} ., 1 {ci j �- .n . ---er- � � 1 rc4;.{ y -4a i f 1 I 1 } 'I4 I le,-;'" -j '3r r. - j • ' r trtd EEE 1 ^_ a l". ` t .r�`f"3 i/ t ea 1'. �' qtr, "F'kY'ra{t ♦ , .t ,(',.r 1- t r`r- 5irt(ac ft: ti.':':-.,41:/.: 14 1 ! i i • Ate A . RECEIVED i'4, r,, 1. ;- 'ii 1a•1 ,..t - i �� ..'1"." 182018 ';arz2 t` -ie ,�___v_._j_,: { i ` � NOV f, , _ rk HEALTH DEPT. j� �1 -• 1I 'QRoPoscD loci -UttO t: - 1 t1 ai 1) C)•(AStz---CA2(%cn) Ln1 iu, F. 1 itt �UGc j iI l ; Ill 1 1 1 I lj.ccr'{'1 }Tt i' i.-.01-14.'[..01 • I e�=i 1 1 i l. F ,'^. r. r-..--1-4 �c ="a� -x_/_: .. ..--:--- -•yt_""_�".�..— .. 6- i 11 I y 41 }y ..— _, - t'' \ ! 1'j__ r ir; v .n. -,--t' :r. , ......1`':.,G"',[= t' . Tw F+•,C-Y.l '-..tx.,.c. i .t..F' l4i—'_' is-2-11 { 1 ) 1 of -------'-4---. { �-_- ' -- T tit f- .-�--, t w:� ), _ .. li S _ f,- J t.` I J. 11 i I t ! '%. *.r....e.r._.�._ __... i i ,� vi 1 .�", .Cl {.t • . 4± i }I * (` (' i''i ,i i at 4 lr , „ '3 1 .i ) is 1i i ��- e � —'l`}^e r�7 I is 111 1 r- _ o...r Wit$ e }} � t• ---;TI • .,"' '' 1 " s• t�""ra v 4 S) r�( I 91[ �"'.i . it:` y7f'Jc i �{{1-t,. REED , iiL+ r1i7:1 Nov 282018 4._AAt; i ___ , r ' ht HEALTH DEPT. i1,; --- II Vc s -.PROrvx.* VOTl1lEiJ s d.1 li {� U C}(A 5e C�AROEn? LN ' - § e I llVt1''� ° 1 f.4 I, Jot 4N , i FRect ti 'I, '' e i�, 1 I I Ill i II e a-..v} i ,f M1'. l"l J\ 1 A OD S±NIL mX11 10E6 i 0 . D~lj J� it5Tii0q ......, g2tfl ?Ce oPose c 28 ` K1rchCN A2c-a -7- Ek ts-ridq Ek %sriJJ4 crI N I SN c b S<< re S%cn c,M �- l * mit S St:cnons -17 P2GviovSLY vin)ISHet RECEIVED STAi2S NOV 282018 LAup'a4 HEALTH DEPT. DOWN , /1 CHASE- 4Art.WIJ LA) I CLC C♦2i CAL �� P�►���s c0n1Fi ' Srrt IO • i& St cli on.) \i, ( H a x 2.4 ) 1 133" 1" 24" 27" 30" 27" 24" 66_1" 661" 1 r 33" I ; 18" 3 I" 18" 33" WF336 I:F3 I I B ' WF336 .:tet ku " - GUINAN DESIGN tx ' .r.' ; ENG HOME SOLUTIONS WA2436LWLS : W2736 W3018 W2736 WA2436R.W ' 01 PLAN#3 cr+i WSS J . t ? Q `i a OCTOBER 26,2018 - r W X36 ,, 818LZDXFWT F B18R.2DXFWT ACCESSORIES: o W303F8 30"RANGE 1 CMS.NG(S) MICROWAVE , ! i' Ho 5827 W N 5356(3) B2 •XFWT SPACE ' I " (OPERS L CVBBS(2) 1W. OUTS(2) y,7 :°' N '; L. F,WMTKS(3) ot 1.TUK(1) e W303E8 24 PW -+l`'. £ N% lb , • �� x � N a o M ^ 24.PISHW °` r "' 82 •XFWT SPACE <5...,:;-,„ r1•TM y a w...34 c ROI 1.614 .mss:. i r M- n. MERILLAT MASTERPIECE a, alliel;'„ -/ 1 tl SYLVAN,S-PCE DRAWER W1436R N (FULL-OVERLA 4:.OAK/CANNON GREY STAIN Zp `. MBEP R 627 ZDXFWf QR33R Y Obi a a a th el WR36186UTT 36•REF ROLL-OUTS(2) Ai.— " r. STANDARD CASE SPACE -I MW: . _.5DOVETAIL DRAWERS •1_ 90 L 1441.272' `a�- a. SOFT-CLOSE GUIDES i ( WAIN01 a �- Vic ! a • RD01S42(4)/DEC PNLS '-iN !IT l NOTE:OVERALL CABINET RUN ON \ REF WALL EQU S.LS 126'TO PANE All dimensions size designations 2029 This is an original design and must Designed: 10/26/2018 given are subject to verification on TFcnea oGT not be released or copied unless Printed: 10/26/2018 FINAL job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Guinan EAS Design III 102618 All Drawing#: 1 Scale: 0 7/16"= 1' = _ _ , f= br ter_ camel J a nil �alllllll 11 !, ;H:00//r • 1' RECEIVED i I C}(A S- (Arthep Note:This drawing is an artistic ')(l 7 f'l IR Designed: 10/26/2018 interpretation of the general ec 000iea Printed: 10/26/2018 L ,,,E NOV 2 8 2018 appearance of the design. It is not meant to be an exact rendition. HEALTH DEPT. (H.inew RITC Tlschmn TIT 1 f11A14 I A 11 Ill...„„....u. / Ezi r OD CD CD CID CD hoot X0, 0 / J RECEIVED l( If 11,515: (A26 LN Note:This drawing is an artisticDesigned: 10/26/2018 NOV 2 8 2018 interpretation of the general re x o 0o s Printed: 10/26/2018 appearance of the design.It is not meant to be an exact rendition. HEALTH DEPT. r.men rTIC TLeim.TTT 1119!.14 1" 133" t" 24" 1 27" 30" 27" 24" 66�" 66,x" 33" 18" 3," 18" ;; 33" WF3.36 1:F3 , B WF3.36 GUINAN DESIGN ENG HOME SOLUTIONS WA2436LWLS I W2736 W3018 W2736 WA2436R.WLS PLAN 03 N ih I Lca I "i tl OCTOBER 26,2015 ® 1 ®— rn W."-36f' ��— - Nva B18LZDXFWf �_y Bi8R.2DXFWT' a ACCESSORIES: o W303 : 301 RANGE $A CMS.NG(S) ^ MICROWAVE rte«t t. N A S3S6(3) m N : 2DXFWT SPACE 5617 W z CVBBS(2) r iss ,. OUTS(2) ti i l N WMTKS(3) r 4 N TUK(i) o CO - W303 B 24'DW l . . 1 N 0. o' 0N f2.4.8581st r-in 62 2DXFWT SPACE v= w ;. ''36 ,c. c 1 x_Y ,'jr RO � 2) f. £�= MERILLAT MASTERPIECE 2 hon. SYLVAN,S-PCE DRAWER 9' 1 90 Wi436R N (FULL-OVERLAY) a MBEP.R 827.2DXFWT EZR33RA^ °? W SI OAK/CANNON GREY STAIN fa •- 8B °= • • cc) WR36186UTT 36'REF ROLL-OUTS(2) __ STANDARD CASE SPACE j MW: • _, ' DOVETAIL DRAWERS RE 1 90j a CO HGT= •71 SOFT-CLOSE GUIDES WAIN01 p N• r co r I `i. 'Y RD02S42(4)/DEC PULS 14 l' NM NOTE OVERALL CABINET RUN ON N (01 N REF WALL EQUALS 126•TO PANEL. All dimensions size designations 20290 This is an original design and must Designed: 10/26/2018 given are subject to verification on 7ECHKOl001 I not be released or copied unless Printed: 10/26/2018 FINAL job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Guinan EHS Design III 102618 All Drawing#: 1 Scale: 0 7/16"= 1'