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HomeMy WebLinkAboutBld-20-001921 O�7yA Office Use Only a o ' ' a0.4 0 _ y C y Amount cC 'Permit expires 180 days from issue date EXPRESS BUILDING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 Rit South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 -* Y3 g 947'0 CONSTRUCTION ADDRESS: 27 S ?2 W -5T Y A 1Z6 w 011 M , ASSESSOR'S INFORMATION: (( Map: .-�� Parcel: qq /�'� OWNER: JOtk �- ' /kt� /SVlli'� Wo emovIIJ t o ,c og s �C i1 . c5-73 NAME Co,PRESENT ADDRESS TEL. # CONTRACTOR: lei4Q. C Jf 1w(,7 )/\) L \-6 bt )."({'3 X)QJF7•)c/I.NiSA/0 o -(&0 NAIVE MAILING ADDRESS TEL.# 3 1' ❑Residential Commercial Est.Cost of Construction$ q r ,000 -017 Home Improvement Contractor Lic.# Y/ 434 V Construction Supervisor Lic.# c<t‹ l Workman's Compensation Insurance: (check one) 0 I am the homeowner 0 I am the sole proprietor I have Worker's Compensation Insurance 3 Insurance Company Name: L igyet rm 14 J UA L.- Worker's Comp.Policy# `i/U t;�- 1J V 35/(2 `-7 01 q WORK TO BE PERFORMED Tent Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: # Roofing: #of Squares ( )Remove existing* (max.2 layers) Insulation Old Kings Highway/Historic Dist. ( )Replacing like for like Pool f-ncing � v ,. )ci4 f •. ''' s: Vc�i6� *The debris will be disposed of at: `� \ Location of Facility I declare under penalties ofperj that a statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for deal or r cati n of icense and for prosecution under M.G.L.Ch.268, ction 1. Applicant's Signature: .) / / Date: /0 7 / I i Owners Signature(or attachment) �.. t'1L— .' G� Jc-'\. \ t Date: 1 2 W. - 7 Approved By. Date: .— r Buil " (or d ignee) ADDRESS: Zoning District: Historical District: 0 Yes 0 No Flood Plain Zone: 0 Yes 0 No Water Resource Protection District: Within 100 ft.of Wetlands: . 0 Yes 0 No 0 Yes ❑ No The Commonwealth of Massachusetts 1, � L Department of Industrial Accidents 1/4 <OFR 1 Congress Street, Suite 100 Boston, MA 02114-2017 5••` _ www.mass.gov/dia WO \j orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): L Q Cle N S MO Address: 0 6.0 Z�f City/State/Zip: SO )Tit^V N''5MI O (4,0 Phone #: ,900-• '- o t;z Are you an employer?Check the appropriate box: Type of project(required): l l am a employer with 1 ccmployees(full and/or part-time).* 7. ❑New construction 2.E I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.E I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. 4-Z.Demolition 10 E Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.E Electrical repairs or additions proprietors with no employees. 12.E Plumbing repairs or additions 5.E1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E Other 152,§1(4),and we have no employees. [No workers'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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: , M J 10A1— Policy#or Self-ins.Lic.#: WC , 5 _3514 Dec 7- 6 k9 Expiration Date: (; Job Site Address: J City/State/Zip: W• 1 4 i)c114,t.j4 62€7-3 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 verificati n. I do here cer ' u the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 3tYg , 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 CIerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 0 -12-19;06:04 ;Lohr Construction Co Shop ;7744135017 # 1/ 1 LOHRCON-01 NICOLE ACORL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `-� _ 4/10/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Nicole Waslick Phillips Insurance Agency,Inc. PHONE Fax 97 Center Street (A/C,No,Ext):(413)594-5984 (aC,No):(413)592-8499 Chicopee,MA 01013 SS:nicole@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ohio Security Insurance Co 24082 INSURED INSURER B:Ohio Casualty 24074 Lohr Construction Co,Inc. INSURER C:Liberty Mutual Insurance Co PO Box 243 INSURER D: South Dennis,MA 02660 INSURER E: INSURER F: _COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR. ,INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BKS58277319 11/19/2018 11/19/2019 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEI f LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) _ANY AUTO BAS58277319 10/28/2018 10/28/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOSSWN BODILY INJURY(Per accident) $ X HIREDTO ONLY X AUUTOS ONLY (PPerr acadenRAMAGE B X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS UAB CLAIMS-MADE US058277319 11/19/2018 11/19/2019 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY Y/N WC2-31S-384027-019 1/5/2019 1/5/2020 STATUTE ERH 1,000,000 OFFIC /MEBR ECLUE ,PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Equipment Floater BKS58277319 11/19/2018 11/19/2019 Leased/Rented 100,000 A Property BKS58277319 11/19/2018 11/19/2019 BPP 51,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes coverage for te following states:MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1146 ow o.o a ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ., YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location �� ( " `A (� Map #: Lot #: Proposed Improvement: \2A4..O Lk ' 7 djJ Applicant: \,6)(410___ N.)- 7— Address�,. c_.4V/v%/� Tel. #: ceN 3 .S Date Filed: /Uf 7 RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire rtment: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... at of applican Date PLEASE NOTE: COMMENTS: e$ Reviewed b . a er ivision Da SERVICE NO. 3,R �o NAME /< /7eCo. 07&4 STREET / O VILLAGEIt/ nJ v r 1!' `%C,7JC.4'IS R if �' METER NO. * erafihr �';//!�T� - ��-/R A 3 71 � \\tp WORK MUST ' ONDRM TO ALL TOWN :Y A S : 'EGULATIONS /.561.4) YARMOUT i ATER DEPT A of YA'� TOWN OF YARMOUTH BUILDING_ DEPARTMENT MATTACM ES[ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 BUILDING DEPARTMENT TOTAL DEMOLITION SIGN-OFF FORM State Building Code (780 CMR) Chapter 33, Section 3303.6-Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure, such as water, electric, gas sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in ac ordance with 780CMR 111.5." Building or Structure Location:0275- 4 Map: Lot: Owner's Name:3 p (E rJ ?t 0-- Address:a 75 kW Phone: Contractor's Name:14 {�COAJ5� Address: 'D C 2 3 Phons gjn c.CitrO Eversource: Date: By: ( I u Title: National Grid: Date:By: �T� t � � � Title: Water Dept.: Date: /O/7/ /47 By: Title: ✓k41v 7?4 be f tr. Board of Health: Date: /0 Gt c' By: i3 • l.` Title: • (Az t 4 4-ca Condition: t< < ( St,/11 t C. — Fire Dept.: Date: I 0 - 7 By: C.A ?T• IAuC� Title: Ja._ Historic Commission: Date: By: 4/ Title: ,{,t,.� Conservation: Date: ��1,.0p18.11Q- 1 By: C` Comcast: Date: Lc— 3/15 Corncast Memo To: Whom it may concern From: David Britton CC: Date: 10/03/19 Re: Hardline To whom it may concern, The line from the pole to the house at 275 Route 28,West Yarmouth—Yankee Village has been removed according to your request on 9/27/19.Any further questions, please feel free to call. David Britton Technical Operations Supervisor 10 Old Townhouse Rd South Yarmouth,MA 02664 David_Britton@cable.comcast.com 1 EVERS=URCE Eversource Energy ENERGY 247 Station Dr,SW 330,Westwood,Massachusetts 02090 09/24/2019 John R Barker Yankee Village Motel 275 Main St, W Yarmouth,MA 02673 RE: 275 Main St,W Yarmouth,MA 02673 Work Order#: 2357616 To Whom It May Concern: At Eversource,we're committed to delivering great service. This letter serves as confirmation that,as of 09/19/2019 there is no electric service provided by Eversource to the above address. Based on this information,there is no electric power at this address and you may proceed with the demolition. If you have any questions,please contact me at(781)441-3318. Sincerely, Ted Hooker-Humphries Customer Service Engineer I ESSC Eversource 247 Station Dr, SW 330 Westwood, MA 02090 Phone: (781) 441-3318 Fax: (781) 441-8765 Email: ted.hooker-hmphries@eversource.com national ri gd October 1, 2019 275 Route 28 W Yarmouth To Whom It May Concern RE: 275 Route 28,W Yarmouth This letter is to confirm that National Grid has verified we have is cut and capped the natural gas line to both the building and pool at the property above. I can be reached directly at 508-760-7484 should there be an further questions. Patti Weldon nationalgrid Senior Acct Mgr,Customer Connections 127 White's Path S.Yarmouth,MA. 02664 508-760-7484 desk 508-400-5051 —cell 508-394-1109-fax patricia.weldon@nationalgrid.com NOPPriii Massachusetts Department of Environmental Protection 100311802 Asbestos Project# BWP A 04 ANF M01 Q Asbestos Notification Form r Project Revision f- Project Cancellation A. Asbestos Abatement Description 1.Facility Location: YANKEE VILLAGE MOTEL 275 ROUTE 28 Instructions 1.All a.Name of Facility b.Street Address sections of this form YARMOUTH must be completed in MA 02673 5086486572 order to comply with c.City/Town d.State e.Zip Code f.Telephone MassDEP notification JOHN PARKER OWNER requirements of 3-10 CMR 7.15 and g.Facility Contact Person Name h.Facility Contact Person Title Department of Labor Worksite Location: CENTER BUILDING-FIRST FLOOR Standards(DLS) i.Building Name,Wing,Floor,Room,etc. notification requirements of 453 2. Is the facility occupied? E a.Yes rti b.No CMR 6.12 3. Is this a fee exempt notification (city, town, district, municipal housing authority, state facility, or owner-occupied residential property of four units or less)? E a.Yes 11 b.No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, if applicable: Approval ID# 6.Asbestos Contractor: AIR SAFE INC 22 WILLOW STREET a.Name b.Address CHELSEA MA 02150 9783395361 c.City/Town d.State e.Zlp Code f.Telephone AC000464 h. Contract Type: C✓ 1.Written r 2.Verbal g.DLS License# IVAN CARCAMO AS902784 7. a.Name of Contractor's On-Site Supervisor/Foreman b.DLS Certification# 8 KEVIN CLIFFORD AM000092 a.Name of Project Monitor b.DLS Certification# 9 FLI ENVIRONMENTAL INC AA000144 a.Name of Asbestos Analytical Lab b.DLS Certification# 10. 7/10/2019 7/10/2019 a.Project Start Date(MM/DD/YYYY) b.End Date(MM/DD/YYYY) 7AM-5PM N/A c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday 11.What type of project is this? r a.Demolition WI b.Renovation C"` c.Repair 1" d. Other-Please Specify: Revised: 11/13/2013 PA OP 1 „fa Massachusetts Department of Environmental Protection i 100311802 BWP AQ 04 (ANF-001) Asbestos Project # • Asbestos Notification Form fi'- Project Revision Project Cancellation A.Asbestos Abatement Description: (cont.) 12.Abatement procedures(check all that apply): r a.Glove Bag r b.Encapsulation r` c.Enclosure 1— d.Disposal Only r e.Cleanup 1w f.Full Containment r g. Other-Please Specify: 13.Job is being conducted: 14 a.Indoors rw b. Outdoors 14 a. Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 0 100 1.Linear Feet(Lin.Ft.) 2.Square Feet(Sq.Ft.) b.Boiler,Breaching,Duct, c.Transite Pipe Tank Surface Coatings 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. d.Pipe Insulation e.Transite Shingles 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. f. Spray-On Fireproofing g.Transite Panels 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. h.Cloths,Woven Fabrics i.Other-Please Specify: 1.Lln.Ft. 2.Sq.Ft. j.Insulating Cement LINOLEUM 100 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. 15.Describe the decontamination system(s)to be used: THREE CHAMBER DECON 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): 6 MIL POLY 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: NEAL MCMORROW ASBESTOS INSPECTOR a.Name of MassDEP Official b.Title of MassDEP Official 7/9/2019 SAW-19-329 c.Date of Authorization(MM/DD/YYYY) d.Waiver# SYSTEM ASBESTOS INSPECTOR e.Name of DLS Official f.Title of DLS Official 7/9/2019 26235-2019 g.Date of Authorization(MM/DD/YYYY) h.Waiver# 18.Do prevailing wage rates as per M.G.L. c. 149, §26,27 or 27A—F apply to this � a.Yes I" b.No project? no.,;�o,i• i i/12/1n1 z Massachusetts Department of Environmental Protection 100311802 C11-11BWP AQ04 ANF-001� � Asbestos Project# Asbestos Notification Form r Project Revision E Project Cancellation B. Facility Description 1.Current or prior use of facility: MOTEL 2. Is the facility owner-occupied residential with 4 units or less? r a.Yes li- b.No 3 JOHN PARKER 275 ROUTE 28 a.Facility Owner Name b.Address WEST YARMOUTH MA 02673 50864866572 c.City/Town d.State e.Zip Code f.Telephone 4 JOHN PARKER 275 ROUTE 28 a.Name of Facility Owner's On-Site Manager b.Address WEST YARMOUTH MA 02673 5086486572 c.City/Town d.State e.Zip Code f.Telephone 5 N/A N/A a.Name of General Contractor b.Address N/A MA 02673 1111111111 c.City/Town d.State e.Zip Code f.Telephone N/A g.Contractor's Worker's Compensation Insurer N/A 12/31/2019 h.Policy# i.Expiration Date(MM/DD/YYYY) 7,252 2 6.What is the size of this facility? a.Square Feet b.#of Floors Note:Temporary C. Asbestos Transportation & Disposal storage of Asbestos P containing waste 1.Transporter of asbestos-containing waste material from site of generation: material is only allowed at the place F. a.Directly to Landfill or IV b.To Temporary Storage Location/Transfer Station of business of a DLS licensed Asbestos contractor or a transfer AIR SAFE INC 22 WILLOW ST station that is c.Name of Transporter d.Address permitted by MassDEP and CHELSEA MA 02150 9783395361 operated in e.City/Town f.State g.Zip Code h.Telephone compliance with Solid Waste Regulations 310 CMR 19.000 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: SERVICE TRANS GROUP 301 OXFORD VALLEY RD SUITE 803E a.Name of Transporter b.Address YARDLEY PA 19067 8779999559 c.City/Town d.State e.Zip Code f.Telephone Revised: 11/13/2013 Pave 1 of 4 Massachusetts Department of Environmental Protection 100311802 BWP AQ 04 (ANF-001) `,. Asbestos Project# • Asbestos Notification Form II Project Revision C. ., Project Cancellation C.Asbestos Transportation&Disposal: (cont.) 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: AIR SAFE INC 22 WILLOW ST a.Temporary Storage Location Name b.Address CHELSEA MA 02150 9783395361 c.City/Town d.State e.Zip Code f.Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA LANDFILL MINERVA ENTERPRISES,INC a.Final Disposal Site Name b.Final Disposal Site Owner Name 8995 MINERVA DRIVE c.Address WAYNESBURG OH 44688 3308663435 d.City/Town e,State f.Zip Code g.Telephone Note:Contractor must sign this form for DLS notification purposes D. Certification DFW DFW "I certify that I have personally 1.Name 2.Authorized Signature examined the foregoing and am PRESIDDIT 7/9/2019 familiar with the information contained in this document and 3.Position/Tide 4.Date(MM/DD/YYYY) all attachments and that, based 9783395361 AIR SAFE INC on my inquiry of those 5.Telephone 6.Representing individuals immediately 23 WYCHWOOD DRIVE LITTLEfON responsible for obtaining the 7.Address 8.City/Town information, I believe that the MA 01460 information is true, accurate,and 9.State 10.Zip Code complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment. The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised• 11/11/9(111 n re Commonwealth of Massachusetts • .Qiyision of Professional Licensure • Board of Building Regulations and Standards ConstrQCttrort'5iSpervisor CS-005887 sp ires: 03/22/2020 1444 CRAIG A LOHRt Ir P.O.BOX 243J� ors��+z+/• SOUTH DENNIS-VA 020(6 00 Commissioner