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Home My WebLink About0025 PARKER ROAD of S ��-ke�"�• 1/lI UPC 12543 a No.53LOR "a NGS MN a Assessor's map and lot number /................/.:/....... . . .... � 0 SYSTEM MUST BE INSTALLED IN COMPLIANCE V41TH ARTICLE II STATE Sewage Permit number ............. .......... SANITARY CODE AND TOWN QLA11ONS, yoF?NET��` TOW OF BA1�.NZ. ABLE Ii SAR33TSDLE. = O 39-*, � RUIL•D1HG INSPECTOR . APPLICATION FOR PERMIT TO ............F .:...........................,.... ....... ...I.............................................................. TYPEOF CONSTRUCTION .................. w............. :, ........................................................ ....... .. ............19.?X TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby applies for a /permit according to the following information: Location ........''6( s /•'•• 'p�� ProposedUse .........Aa,, 5., T;�V 1 �............................................................................................ Zoning District ....Aj. ..... ..............................................Fire District ...."al .tsP/ ................... Address ��%fvP� ,y��`' .. `.�.. Name of Owner ,wr_ ZName of Builder ........ ..... ......Address ... .. .. ... _ :%�.::. Nameof Architect .............................. < .....................Address .................................................................................... v Number of Rooms ..................................................................Foundation ..w................................................ Exterior .... ............. ..... ....:......................Roofing + g. ..................... a01 Floors ............Interior ....................... Heating \......Plumbing ..........................................:. ®4i Fireplace ...... . ................................................................. ...Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------_______ ---------19________. Area :.: ..."......... Building with Dimensions Diagram of Lot and Bu g Fee' ...........1..1 SUBJECT TO APPROVAL OF BOARD OF HEALTH • r e r 7VF- Ole I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. rName ... ..... ... ........... Coffman, Mrs. Earl No ...1 ? 6... Permit for ............she.d........ ....... �4........................................................ .... ......... 25 - Parker Road Location ................................................... ........... West Barnstable . ............................................................................... Mrs s. E.a.rl..Coffman Owner .......... .. . .... .. . .............................. frame Type of Construction .......................................... ...................................................................I............. Plot ............................ Lot ................................ Permit Granted .......h.arch .4 . ..... .....19 74 . .. . .........-/--j' _.�7 Date of Inspection Date Completed* V ..........19 .PERMIT -REFUSED ......... ........................................ 19 ............................................................................... ........................................... ............................................................................... ......................................... ....................................... Approved .................................................. 19 ............................................................................... ............................................................................... a. �owTt , Town of Barnstable *Permit# Q Expires 6 months from issue dale Regulatory Services Fee RARNST.BLE. 1, �ba Thomas F. Geiler, Director �bArFOyr, Building Division PERMIT Perry, CBO,-Building.Commissioner CAPRESS200 Main Street, Hyannis, MA 02601 G SEP 17 2009 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF SARNSTAikE, EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address o2 E44e"�_ldential Value of Work �U Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name �Gl� e<</ //�l�h Telephone Numbers OLF —,2 Home Improvement Contractor License#(if applicable) 0 Construction Supervisor's License#(if applicable) s ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am t Homeowner ve Worker's Compensation Insurance Insurance Company Name 62CO 72- 12 egV ce - Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check.box) ec roof(strippin old shin les) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 1 'Note: Property Owner must sign Property Owner Letter of Permission. Home mpro t Co ac ense& Construct Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\E.xpress\EXPRESS PERMIT.DOC Revisc06O4O9 The Commonwealth of Massachusetts Department of Industrial Accidents �--� Office of Investigations 600 Washington Street Boston MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): /� lt'/� GDyr Address: Z_ . City/State/Zip: I�XI XX MJI I 14VV . Phone #: -7 2e? ��— Are you a efftployer?Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p y� 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E1Zeekepa"irs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 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 any employees. Below is the policy and job site information. Insurance Company Name: SCO r'ciffl'I Policy#or Self-ins. Lic.#: ��G��9 Expiration Date: y Job Site Address:o2S �/�,i�F° lt�' 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 certify under the ains and penalties of perjury 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#: a 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 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-contractor(s)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 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 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. i 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.gov/dia f �1ME, ti Town of Barnstable Regulatory Services y M a M Thomas F. Geiler,Director qj . i639� ♦0 �E1619 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, I in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP E RM I S S I ON 1 1 of t►,E ra,. Town of Barnstable R Regulatory Services STAB Thomas F.Geiler,Director Mass. 039, ,0� Building Division ArFD��p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements.. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner'shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC VILLANI CONSTRUCTION INC. Roofing & Siding Specialists PO Box 692 West Hyannis Port, MA 02672 508-778-2495 1-888-766-3043 Member of the Better Business Bureau—Insured—Licensed—Free Estimate Mr. And Mrs. Caufman August 24, 2009 25 Parker Rd. W. Barnstable Ma. DESCRIPTION Furnish and install the following, labor and materials re-roof building at 25 Parker Rd. W. Barnstable Ma. as follows: Main house l. Remove and dispose of existing roof shingles. 2. Install 30yr architectural roof shingles. $8,200.00 3. Remove existing rakes and facia trim. 4. Install.Koma pvc rakes and facia trim. $3,200.00 Garage 1. Remove and dispose of existing roof shingles. 2. Install 30yr architectural algae resisting roof shingles. 3. Install 3 bundles white pre-dip cedar shingles to cheek area. $4,300.00 Villani Construction'guarantees labor for 10 years. We propose hereby to furnish labor&materials complete in accordance with above specification for the sum of: FIFTEEN TEEN THOUSAND SEVEN HUNDRED DOLLARS: $15,700.00 Payments to be made as follows: DUE ON COMPLETION All materials are guaranteed by manufacturer. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon verbal request and will become an extra charge over and above the estimate. All agreements contingent upon weather, accidents, or delays beyond our control. Owners to carry fire, tornado, and other necessary insurance. This proposal maybe withdrawn if not accepted within 30 days. ACCEPTANCE OF PROPOSAL---- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do thew as specified. Payments will be made as outlined above. l Signatur .� � Signature .Date z � 08-25-09 07:49am From-AIG +973 331 6599 T-323 P.001/002 F-706 I <Toname:----> cTofOxnum;5087714417; �1� t'' •.w' - •I- `1"I� �;• -�,_� - - ` ,';I :•;::'' - t: `'� :8 25/2009 N:CCE ER'TI:FI� .A 1: PRODUCER 1 THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olde Cape Cod Ins Agcy Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 296 Winter Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis, MA 2601 COMPANIES AFFORDING INSURANCE FOMPANYA GRANITE STATE INSURANCE COMPANY INSURED Villanl Construction Inc Po Box 692 -Hyannisport, MA 02672-0000 COVERAGES :',i'.:;' :; ,., .:.,,.;': ::: •':;= ,•;.;;::::.':., :.;�; ,:' _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BF ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 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. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATC A ORKERS COMPENSATION LIMITS D EMPLOYERS'LIABILITY HE PROPRIETORI PA RTNERBIEXECUTIVE OFFICERS ARE.' /01/2009 ��O,j J20 0 TATUYORY LIMITS INCL f]EXCL CI7427055 �. OTHER overage Applies to MA Open,tloCe Oro 5 y. EACH ACCIDENT $ 00,000 DISEASE POLICY LIMIT $ 00,00 DISEASE-EACH EMPLOYEE $ 100;000 DESCRIPTION OF OPERATION S1VEHICI-FSISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE A130VF DESCRIBED POLICIES BE CANCELLED BEFORE THE 23O SOUTH ST EXPIRATION DATE THEREOF,THE ISSUINO COMPANY WILL ENOEPVOR TO MAIL 1Q HYANN IS, MA 02601 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUY FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 013LIGATION OR LIADVTY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE c t/i '��°""nZ°'uuec��i °� r License or registration valid for individul use only j I Board of Building Regulatio s and tandards ` HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Sta►�dards ,v i = Registration:: 128560 . One Ashburton Place Rm 1301 / Expiration _4/21/2011 Tr# 283931 Boston,Ma.02108 3 -Type, Individual RICHARD VILLANI RICHARD VILLANI• d — — 109 WAGON LANE`;' Not valid without signature HYANNIS.MA 02601 Administrator } i } +�•_ ivlaxsachusctts- Dcpal-tntcnt of Public SOON B0711'd of Building Regulations ;,,,(I Standards Construction Supervisor License License: cS 74360 Restricted to: 00 RICHARD VILLANI PO BOX 692 W HYANNISPORT, MA02672 Expiration: 6/23/2010 Tr#: 27991 ('unuuissiimcr - � } c - Assessor's map and lot number'.��7.. �f�- OF THE T0� Sewage �. erermumb /h / b�C. :��°SYSTEM 0 11AWSsTa LE. i House number AUST BE o,o� INSTALLED 114 CC3nrtPf_fAf�tC O CFO YAY. a• TOWN OF ,-BARE DE AND TOWN REGULATIONS BUILD'ING'� INSPECTOR ' f APPLICATION FOR PERMIT TO ...ae o!v.....V: ..�. ..........................?. ..... :.sf: .......... TYPE OF CONSTRUCTION .......ff✓Oc /��2 ! ......................................................................................... ..................... .....:...........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies' for a permit according to the following information: Location 4i24en /U 4.lev' 1 .4.!k.!,!s �6 e Proposed Use ..&emq� ./....Q ......� f� s��.N...; ..... czw /............................................................................ Zoning District ........................................................................Fire District/.....41.CsP 1!N:2iVstr�Le............................ Name of Owner .. t{.�..Co�......•.�..................................Address ..../. .e-G�'2......�d......`.`V.�t - �a z ,S-/ �l . . ................................... Name of Builder ... ki1 �dg'� saN �f �esf /�_ s�46/e ........................................................:Address ........................................ ......................:`.:................. Nameof Architect ..................................................................Address ......................`............................................................. Numberof Rooms ....... .......................................................Foundation ..... ............................................................ Exterior ............�!�...........td' .jt................................................Roofing ..... .....5. e . 0 Floors ell .... l..f.�!...l`.4 !.......... .ce..............Interior .. ^-j' ww/!' P- pc.��r�f�'!i'� ........................./... t J.. Heating ....Z-14....4%.'.L...........................................................Plumbing .....Cn.h,l.�?544��..f...Sa,.S................................ .................................................... 3 G� 0 Fireplace .......��............ ..Approximate Cost ............................... ................:... ......... .. . Definitive Plan Approved by Planning Board ------------_-----___ :.....v. ..s'....' - -------� Diagram of Lot and Building with Dimensions Fee ..........15............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 } (/YDI�� ► � - sef c�a 5cti 7X 12 OCCUPANCY PERMITS REQUIRED FOR, NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... ............................................... Construction Supervisor's License ...on .�r. l.......... COFFMAN, PAUL 25178 ADDITION No ................. Permit for ................................. Single Family Dwelling .................................................................... Lo Parker Road ................................................................ L West Barnstable ............................................................................... Owner Paul Coffman ............................................. .................. Type of Construction ....Fr........ame......................... ..... ................ ............. ................................................. Plot ............................ Lot ................................ Permit Granted ......June ' 10., .......19 83 ............... ......... Date of lnspecitiort�'-4--5%�.......................39 Date Completed ......... ...19 Assessors}mar, and lot number �7 ... ....... ?�...��. �' oFTHE to Sewage Permit numberf.:,.. 2. ..............:. Z '13AH39TA►DLE. i House number ................................................... Mann 00 i639•. 0 OR{r• TOWN OF BARNSTABLE BUILDING INSPECTOR - APPLICATION FOR PERMIT TO ...a1Y.... In, 2.....!... � !.:. �`' �� /,•�;,' .... : ....................... TYPE OF CONSTRUCTION ......�4Js? ! C'-e.....I ............................ ................................. ... . .... ..........�f.�r.-.11....= .:z...............I9,: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location !�G n. 5F• ..:...:.....:.......................................................................................................................................................................... Proposed Use /4 u�t/<��!.... !�?.,......�� '`r•'F:.:::: :n! .........� .!' r• f ?^ %............................................................................ <" r' Zoning District .............................. :...... > .......Fire-District :...1t1,Pst .1. 4AI-A, : ........ ............................ i Name of Owner" ............... . ..............:Address '9� oT .................. *..¢............................... s. 'Name of Builder :..w.............................. . ..........................Address ... ... ..�:.......................... ..... Name •of Architect ......:...........................................................Address............... ��...................................... Number.of Rooms ..:.....(....::.................:' ...............................Foundatiop ..."b &. 'Exterior a✓a�fP' x ,.w, �' .Roofing ...:. ...� .��:<.a:.. ..G .'v�/c°................................ Floors .... Lw'.�M' g" %.•ko�r 4L^7.......�t"✓1 }u <:...............Interior :.� it v 4i .IT_......... �t: L z I:.•(!` ............................ HeatingP Plumbing .. '....... ............................................... Fireplace' ..... ......................................... ...............Approxim_0e'Cast �y . 3 a' ......... r _ Definitive Plan Approved by Planning Board._' ___.___ _ --------19------- Area Diagram of Lot and Building with Dimensions ? f 9 g w .-Fee .... �}................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH - 14 —fJn 11 1 ✓ OCCUPANCY PERMITS REQUIRED FOR NEW' DWELLINGS I hereby agree to conform to all, the Rules and Regulations of the Town of Barnstable regarding the above construction. • i i It � Name ............ "*"***7 1.'AJ. *"'****"*****"****"**'*"*...... Construction 'Supervisor's License' �(� 5 7CJ� COFFMAN, PAUL A=1.97-41 25178 ADDITION No ................. Permit for .................................... Single Family Dwelling . ............................................................... 5Parker Road Locion ................................................................ West Barnstable ' ............................................................................... Paul Coffman Owner .................................................................. Type of Construction .................Frame......................... ................................................................................ Plot ............................ Lot ................................ , Permit Granted ....June.............10........................19 83 Date of Inspection ..........19 Date Completed ................19