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HomeMy WebLinkAboutBLDR-24-49 . ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department (3i � 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Ptt Massachusetts State Building Code, 780 CMR 1"*...—:. Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only IRECSAfFD Building Permit Number: Qj(D k—oZ N-Li a Date Applied: / -- JAN29atNGn�P (l�T24MENT Building fficial(P [Name) 7Si afore 1e -Date Rllll nA SECTIFORMATION oY. —_--_ . 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3 Wen Way (o0�ab7 LiS/i3OoB 1.1a Is this an accepted street?yes no Map umber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: l 4/;73% Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system I$ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: J.666ckn t\ugLheQ k 1.92Ans ULANo, 50 )- YarMo 041 il I\ 0 a 61.ti Name(Prriot)p /� 1-` ^City,State,ZIP t 1 Ckt No.and Street Telephone mail Addres SECTION 3:DESCRIPTION OF PROPOSED WORK2(check_all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other lg Specify: Brief Description of Proposed Work2: ��fak c�Yut e r ctf{e 5 _ tom) (lEvifj oSJIg1-'0A fe ui rc in is,- FL ed E. 1 t get-Ci..1 L �l 's" r F(1(4.\rK !r' 'basew 4-. SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) . 1.Building $ e'-y C3 0,0 O 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ afj(7, a p 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ / 2. Other Fees: $ 4.Mechanical (IIVAC) $ List: 3 ajLin 5.Mechanical (Fire . = Suppression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: S 1 5 G,0-0 o Paid in Full 0 Outstanding Balance Due: 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C• 019 rya <4IO/a w A awl kOmk\itv, License Number Expiration Date Name of CSL Holder Vc>v 1 C,t' List CSL Type(see below) U No.and Street © � Type Description scEwr M A Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP 1C J R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Q ev\etAjj\AcAtnteorok,anljko Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) t A ( ' r , 25 VJ`nc•‘e. �24.S\-orc&n or Sect)t LQS .lh6, HIC Registration Number Expiratio Date HIC Company Name or HIC Registrant Name /� No.and Street Email address oov pe�,;5 MIN O.i O 5b$-7t tb--t 9 tit City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes to No .❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize See 4k0.e1,.a to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of peijuiy that all of the information contained in this applicati is true and accurate to the best of my knowledge and understanding. VaLl act Print Owner' r Authorized is Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L.Chapter 40,Section 54 and 780 CMR,Chapter 1,Section 111/5 I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Work Address Is to be disposed of at the following locationlo...e 7arma0tV. Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111,Section 150A. Signature of Applicant Date Permit No. 1/442(edfr. Restoration S eriTiL es Inc. f im.Smok Soot Wntar Mehl Rcmcdtution 3crvICZ5 h. :n_ _ Deodcrisation . Reconstruction Specializing in Fire Restoration -All Work Guaranteed Access, Authorization and Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 4 Kcice.t, W `kArPevri. , to repair damage caused by on As owner(s) of this property, 1 (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept responsibility for payment upon completion. I (we) authorize and direct my Insurance Company, \-1( _ U A Claim # , Policy# ,to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hereof: OW1 ER NED WH RE O I , P. OWNER SIGNED _/American Way,South Dennis.MA)2660 Phone:(503)750-19)i , F«(508)7E04;9g5 . I-300_4#.2593 E-Mail:;:.oclnm,:mu ilelenres¢ormions_com Web Page:iir Q:iiril'il'w1 Asha3+-mesi0.ltions.com ONE or TWO FAMILY- BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 3 ka.f_ark uDa--t $t -l-r,7 Yarivicu*t1 Scope of Proposed Work: L3C'lirer �aa�a � t�z, Q C �, ��fS. bt06,.\\ ‘3\0 ai0v1 r\ \-58- 'F - $ Zitoor') Ga Ll Date: Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept. —508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept. — Kevin Huck/Matt Bearse, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Recei t Ac no Apkli s ignature Date Rev. March 2022 The Commonwealth of Massachusetts 3 Department of Industrial Accidents ;,, Office of Investigations " j Lafayette City Center r =.tea ,= 2 Avenue de Lafayette, Boston,MA 02111-1750 "Itt'%"� www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Analicant Information Please Print Legibly Name (Business/Organization/Individual):WHALEN RESTORATION SERVICES, INC. Address:22 AMERICAN WAY City/State/Zip:SOUTH DENNIS, MA 02660 _ Phone#:508-760-1911 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 27 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.11 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.11 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: CHUBB/TRAVELERS Policy#or Self-ins. Lic. #:6S62UB-5B9454-2-23 Expiration Date:04/01/2024 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi 4)und r th s and penalties of perjury that the information provided above is true and correct. Signature: fr k •t! It A-el Date: 1 b Phone#: ( 0g). 6 o"IV! Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 2❑BuildingDepartment 31:City/Town Clerk 4.0 Electrical Inspector 5E:Plumbing Inspector 6.0Other Contact Person: Phone#: � l ® DATE(MMIDD/YYYY) AC L Ro CERTIFICATE OF LIABILITY INSURANCE 01/24/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Norma Jean Fowler NAME: HUB INTERNATIONAL NEW ENGLAND LLC PHONE 661 6862 FAX/C lA/C.No.Ext): (978) (A/C,No): MAILS: �Norma Normajean.Fowler@hubintemational.com 600 LONGWATER DRIVE INSURER(S)AFFORDING COVERAGE _ NAIC# NORWELL MA 02061 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: WHALEN RESTORATION SERVICES INC INSURER C: INSURER D: 22 AMERICAN WAY INSURERE: SOUTH DENNIS MA 02660 INSURER F: COVERAGES CERTIFICATE NUMBER: 971306 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 /Y ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL A ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY JECT PRO- LOC PRODUCTS-COMP/OP AGG $ � — - -- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY X PER STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A 6S62UB5B89454223 04/01/2023 04/01/2024 -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage- Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Tsering Lama 3 Karen Way AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 Daniel M.Growl y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WHALRES-01 NFOWLER A`CPRE,• CERTIFICATE OF LIABILITY INSURANCE DA1/24/2024 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT John Powers HUB International New England PHONE FAx 265 Orleans Road (A/c,No,Ext):(508)945-7866 (A/C,No): North Chatham,MA 02650 ADORIEss:John.PowerS@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Union Insurance Company 25844 Whalen Restoration Services Inc. INSURER C: 22 American Way INSURER D: South Dennis,MA 02660 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPA 5427058-13 4/1/2023 4/1/2024 PRDAMAGE TOEa RENTEDoccurrence) $ 300,000 EMISES( _ MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) ANY AUTO MAA 5427059-13 4/1/2023 4/1/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 5427060-13 4/1/2023 4/1/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 70,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TseringLama THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3 Karen Way 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 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Home Impro erljent • tractor Registration l Type: Corporation WHALEN RESTORATION SERVICES INC. Sig44 c e: ,lion: 17 22 AMERICAN WAY _ SOUTH DENNIS,MA 02660 � _ yb . lion: 07//229//22 025 0" _�-= / �. IMP Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8,Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street-Suite 710 129244 07/29/2025 Boston,MA 02118 WHALEN RESTORATION SERVICES INC. WILLIAM WHALEN 22 AMERICAN WAY SOUTH DENNIS,MA 02660 Undersecretary Not valid without signature t Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Reg ulations and Standards =2onst Ithiplyvisor CS-014928 `. 66,pires: 0 811 012 0 2 4 • WILLIAM 17 Aft 122 PONDS BREWSTER to . 01 4 'orsva Commissioner Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic foot(991 cubic.meters)of enclosed space. Failure to possess a current edition at the Massachusetts. State Budding Code is cause for revocation of this license. For information about this license Cali(617)727-3200 or visit www_mass.gavrdpl Basement Level / 3 ` .ctCe•rx cA r c r 19 4" 9 c c ~9'S" Room2 (1) 9'5 10, /N MI 4 --1 Basement 1 33'8" Basement Level LAMA REPAIRS_REVISED 1/26/2024 Page: 1 First Floor • btwR\L cj `05J`v, or C2,\',n GJ /1S Ront"1 ��t �►�ca\\ C1c� Sr ��� o J 3 604.A C-.Q N n ,S I -4� 7"�� 15' 1" , I 11' 5" 3' 4" 4" crN o0 Bedroom ., in M '-' Bathroom - vD N 0 Showeb 8' LJ Closet (1) `t I 20' 4" 11. First Floor LAMA_REPAIRS_REVISED 1/26/2024 Page:2 . . . . . . . . . , ••• fl . . : • i • t • I . ..•• • $ t • ! • ! : • t ; • 1 • ! " • . : . . . • • 4. • • • )•,1 . • • • •- •. •••• : ; • . , , ? • • • • • • • . . . ,•, . . • _ _ Second Floor ‘Cot:.( CO'fc"-C1'15 0'n\/ 13' 1" I s'-1' 9" 1-- 10' 4" Closet (Et-) VD O !' Second Floor Bedroom i 1"— 12' 5" Second Floor LAMA_REPAIRS_REVISED 1/26/2024 Page: 3