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HomeMy WebLinkAbout0022 CODDINGTON ROAD hit" fit; wt litITT), I I"g p i�j Ri4 (TI AIC !,Y"i IT Iit TitItit..........tTt oFT Town of 0 t Barnstable *Permit# o� - Regulatory Servicesirrs "" fr°"'issue datr t ARMAs �[ Fee {]VU Thomas F.Geiler,Director 20t Building Division E Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 TOW www.town.barnstable.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION REei ENTIAL ONLY Fax: 508-790-6230 Not Vaud without Red X-Press Imprint Map/parcel Number Property Address o� � •,D �,�Pp veesidential Value of Work 11 t3— 7�7 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address , Contractor's Name Telephone Nuritbe Home Improvement Contractor License#(if applicable) l Z e f Construction Supervisor's License#(if applicable) , OC'rkrnan's Compensation Insurance Check one: am a sole proprietor ❑ 1 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# COPY of Insurance Compliaace ertificate must accompany each permit.. Permit Request(check box) J?Ie-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ED #of doors Replacement Windows/doors/sliders.U-Value (maximum .44)#ofwindows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. , 04 A copy of the Home Improvement Contractors License& Construction Supervisors License is required GNATURE: Lonstruction supervisor Home Improvement License Number#008267 Contractor Registration#114813 OSHA Approved Member of the Better Business Bureau Home Phone#508 420-5131 ---CELL PHONE#508 280-0802 ESTIMATE 1AMES DANFORTH P.O BOX;973 COTUIT, MA 02635 Ray Leoni 24 Wolf Tree Drive Woodbridge, CT. 06525 October 22, 2015 IN®rk to be completed on house roof, located at#22 Coddington Road Centerville MA. House and shrubs will be.covered with tarps.while work.is in progress. Remove existing roofing shingles. Leave existing wood shingles for a drip edge,. Renail any loose roof sheathing. Check all step flashings,on house;cheeks. Install grip rite ice and water shield on the bottom;edge 3ft. up onto the roof; in valleys, up the sides of skylight frames, around-,-new vent pipe flashings, and up 6'on the front upper roof. Install a Rhino synthetic roofing underlayment over the remainingroof sheathing, from the top of the ice and water'shield to the roof ridge. ,: Install a CertainTeed Landmark Premium shingles,which are;algae resistant P Shingle weight is 300lbs. per square. The standard wind,warranty;is 110M P.H. will use CertainTeed starter shingles along the roof eaves and rakes, =� I will also use CertainTeed shadow..ridge,for the roof caps,:over the ridge vent_ . This process will increase the wind warranty to 130M.P.H.: Install new aluminum vent pipe flashing. Cut open and install a.ridge vent on all.roof peaks„using Air VentrShmgle Vent II, or Cobra ridgi-vent. - Apply a masonry sealer on chimney. Clean out gutters-and clean yard with magnet and the end of the job. Removal of all rubbish. Material and labor $13,550.00 This price includes the building permit. There is a limited lifetime manufactures.warranty on the shingles. I will provide a seven year warranty.against any-roof leaks. All materials are guaranteed to be as specified.All work to be completed in a workmanlike manner according to standards practice.Any alteration or deviation from above specifications involving extra cost will become an extra charge above the estimate. Our workers are fully covered by WorkZ:ZNTRACTOR ' Cmpensation Insurance. DATE OF ACCEPTANCE// �/1 CUSTOMER SIGNATURE SIGNATURE Sm mow, �f�rancnszcntici.a�t�un��rc. cc✓zrc elt. x f3ffice.of Consumer Affairs&Business Regulatro>i License or registration valid for mdtvrdul use onl} t § ( —�OME iMPROVEMIENT CONTRACTOR" before the expiration date. If found:return to; egistration �114813 Type: Office of Consumer Affairs and Business Re ut"tret Expiration 10/27/2fl35 Individual tO Park Plaza. Suite 5170 g A MfS D DAN�ORTH€IEMOD Boston,MA 02116 t .TAMES DA:NFORTH � � �' 1)5 OLD POST iZD r t(1TUIT:MA 02635 _ x : Undersecretary t v f t' s4 a ilk VI v d r y e„ fh s { � 3r`iT ra 7 3t.h se ;.ia+nnv "j+ ! ' a-ssachus Board of Suiidit�g e License: CS-008267 r JAMES IDAi�TT 3:.r. 5 v .$'j� } P+r e & r 1 e PO BOX M. 0 , COTUIT PVdA 0235 .� �r a f a Exporaticm P^' s orl tsissaaner O 20I2016 Y ge,% V: x, n r 4 tt � a 2 • Y 61 #of f d si l�cai` 6�'` ia 3 Mam } Workers'Cojnpensautfon Innrtic Adams$u> lexlC;o `cianePhibibers .. Appikant Inf winaation Plr Print L b " Nmw Address 74J. CitY/Sta Zil 1l, Are you an employer?C:6eckthe ap aboa. I.®'l'axn a with ❑I a genes ex�nr and I T3' ,pT oiect(r la .tfv11 Ica *; 1zatirerl trite tags t 'TN6i wnslructica,� . I am a sale p lted t �e attar t ❑` . ship and hive ato eloyss snb lozve z. r❑I3i1 �tcuiring tjar me in any', rt Q and ham c I ❑- addition urtsrtcass cam.snsace �Je a a Intl its.ry 1€t ❑ su 3-El I am a homeowner dqi4ali.w ag aim m3w1£[No worVMS ms atght caf si n pes I�GL t c 152 §1( �andreaveno �o. 13 EI it aa checks boa1msua�as> s �rerco��cyM do. submit this affidavit W&M-1 me , k)==mrs.dM check tins bimmist atmIzedso Ihe af ike site, ems=t e lam an s ayer.t6�is jra�v "Muff to sali�aa a ca f"er my ee �': ��& rs A"p40fity �rrh Iu ce Compm°Nama - Expiration Datc.,je n&__ZeK 'Jab Site Addrewt�GY ,� �i�tLJ�(,�� dCL����Ctyy/5aip: ..' cli a p 'of 'c ge�a60 pt d arati page(showing the l�number sad espu atia�n date). " Fair cng as > ? .af #sI -152,a au lead to t iafsxlf a, >p to'$1,5t1f}_M an&& foam tsf a SAP WORK ORDER and a fine $250.00 ai da the ono `. Be t1 t a ofthes stgement um be:krwwded to t3ffic+�of 'Investigations.of the DIA coma gei, 4ln a =_:rya AI r tla aana a is 1 eaaa zx►rrarct F - De r s. KA i usn aertiy IJar ac€tt gate ara tfaas Gana, caa giataad aaly Vj! '�i£�or Tewa• P+�rmaa�tretsse ; Anthorify t[cir�acne}c I:lid m#Health`Z,. I3q to tmeat"3 �i Ts files• 4.Electrical or �.I%MbftIa ter 6.ter C"oct Person: 1? c 6 : ice► TRAVELERS J WORKER.S,COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6HUB-4861 P48-8-1 5) RENEWAL OF (6HUB-4861P48-8-14) INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA NCCI CO CODE: 13439 INSUREDS PRODUCER: DANFORTH, JAMES DBA PAUL PETERS AGENCY INC JAMES DANFORTH REMODELING 680 FALMOUTH ROAD PO BOX 973 r MASHPEE- MA'; 02649 , COTUIT MA 02635 Insured is AN INDIVIDUAL Other work places and identification numbers.are shown 1n the schedules) attached. 2. The policy period is from 09-29-15 to 09-29-16 1201 A.M. at the insured's mailing address. . 3. A. WORKERS COMPENSATION.I,NSURANCE: ;Part One of.the policy applies to the Workers Compensation Law of.the state(s),listed.here: MA c , r B. EMPLOYERS LIABILITY INSURANCE: Part Two ofthe policy applies to work in each state listed in N item 3.A. The limits of our liability under Part Two are: J . Bodily Injury.by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 policy Limit Bodily Injury by Disease: 10,0000 Each Employee C. OTHER STATES INSURANCE; Part Three of the policy applies to the.states, if any, listed here: COVERAGE REPLACED .BY ENDORSEMENT WC 20 03 0613 D. This policy includes these endorsements and schedules: n® SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating l Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 09-14-15 WC ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: PAUL PETERS AGENCY INC 28LBR 003254 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map /��o Park"e' .ro2 Permit# kHealth Division q0_,--�0k_g— Date Issued / b - l Conservation Division 0 &k Wk. ao-70 gj �.. Fee 41 . b O 'ok � l Tax Collector / A � c�e - D, ®C) Treasurer �a S p� Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address o a CA Village C e vLraeyi l l-t Owner � a.`u Lc.*r%i , 'rr Address ,f am C Telephone fsob- l it— Permit Request IT"a 4Lti 1 a M4& 'f K t .S-k n J ta.,vt h e jL1e J s cue L.t - s l a k e dcn r sL4.w Y Cr at�mk 7N S7 Sq._�'-'� &✓iA 'e11 rI ; Aer � I� S's cloaws Square feet: 1st floor: existing ! #6 o proposed 37 2nd floor: existing 160o proposed N c Total new J� - Valuation 'A'ov®C)o Zoning District es Flood Plain Groundwater Overlay Construction Type -Pr&wt C V C- Lot Size .2.vS a.c Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Idor Two Family ❑ Multi-Family(#units) Age of Existing Structure SO wrr- Historic House: ❑Yes O'No On Old King's Highway: ❑Yes No Basement Type: WFull ❑Crawl ❑Walkout ❑Other j zt: - Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 14 new Half: existing f new Number of Bedrooms: existingJ new Total Room Count(not including baths): existing G 4 2 new d - First Floor Room Count 44 + 2# 1 uo.nheaTEd over yev"t , t L&nl.earcL Su►mwLe.e plurc,k Heat Type and Fuel: UrGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: Cl Yes ❑ No Detached garage:O existing ❑new size Pool:O existing 0 new size Barn:0 existing ❑new size Attached garage:CB existing ❑new size Shed:O existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use " BUILDER INFORMATION hpi` � Name , Telephone Number Address .. � -s' License# v - Home Improvement Contractor Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '! FOR OFFICIAL USE ONLY . . PERMIT NO. DATE ISSUED MAP/P RCE£&O � - . , § « . • } � ) �\ ADDRESS . VILLAGE ( ( \ \ OWNER (v / . ' ' Q■ - \ DATE OFINSPECTION: FOUNDATION �. ` - rAX, FRAME INSULATION - . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL: " \ _ • ` f l 4 . GAS: ROUGH FINAL . A FINAL BUILDING wk \ 2 DATE CLOSED OUT . } ASSOCIATION PLAN NO k Town of Barnstable P� Regulatory Services Thomas F.Geiler,Director �e Building Division %6.1 p�Ep t�►'t" Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 www.town barnstable.ma.us Tice, 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J Please Print j DATE: ��L jai'/d S_ _ s. JOB LOCATION: L2 L'O ID bW «IT?!� �Y� Cer we-MV) L�/E� /�► number street village 'VHObMOjNjgW: 1L?9'y �D, LEa rV 1 , ' home phone# work phone# name CURRENT MARVO ADDRESS: • cityltowa 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. DEMMON OF HOMEOWNER Person(s)'who owes 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 re onstble for all Stich 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 Barnstable Building Department minimum inspection procedures d requirements'and that he/she will comply with said procedures and requirements. , Signature Approval of Building Official cubic feet or larger will be required to comply with the Note: Three-family dwellings containing 35,000 State Building Code Section 127.0 Construction Control. HOMEOWNER'S ExEMPTION The Code states that: "Any homeowner perforrmng work for wbich 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 persons)for hire to do such work,thafsuch Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assurning the responsibilities of a supervisor(see Appendix Q, Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly Rules Rc Regulations for Licensing when the homeowner hires unlicensed persons. )a this case,our Bowd.cannot proceed.against the unlicensed person as itwould with a license Supervisor. The homeowner acting as Supervisor is ultimately responstble. 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 Super*isor. On the last page of this issue is a form currently used by several towns. you may care t amend and adopt such a fmni/ccrtification for use in your community. c � 1 ne t.ummonweatrn oI Massachusetts 01 Department of Industrial Accidents Office.of Investigations ' 600 Washington Street Boston,MA 02111' r www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): o�y/ Address: ZZ• cop T�,i yyG-�r-r., City/State/Zip: C' b� LL, M , Phone#:_ 3 L�4 - "7�! -- 1 g o'L � . Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ I 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.El am a sole proprietor or partner- listed on the attached sheet $ 7. F2 Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Buildirig addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.aI am a homeowner doing all work right of exemption per MGL 11-❑ Plumbing repairs or additions myself.[No workers' comp- c. 152, §1(4), and we have no 12.[3 Roof repairs insurance required.] t employees.[No workers' comp.insurance required.] 13.0 Other kAny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: �. r Homeowners•who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such GContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy_information. T am an employer that is providing workers'compensation insurance for my employees.'Below is the pollcy and job site information. Insurance.Company Name: Policy#or Self-ins.Lic. #: 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 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. t do hereby certify under the pia&ts and pe a 'es of perjury that the information provided above is true and correct. Si ature: ' Date: D ,!� 0 Phone#: Official use only. Do not write in this area,to be completed.by city or town official. official. Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..Electrical Inspector 6.Other 5.Plumbing Inspector Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee � is defined as ...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined W as?rid dAaL.:partnerslip�: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 trustee of an individual,partnership, receiver or association or other legal entity,employing employees. Howover fihe owner of a dwelling house having not more than three apartments nail 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 thereto shall not because of such employment be deemed to be an employer." or on the grounds or building appurtenant 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 Comm twealth nor any of its'political subdivisions shall ce with the insurance enter into any contract for the performance of public work until acceptable evidence of compliance 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), addresses)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 onfile for.future permits or licenses..A new affidavit.must be filled out-each en is obtaining a license or permit not related to any business or commercial venture year.Where a home owner or citiz (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office'of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number. The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston,MA 0211 L. Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia OFTHET Town of Barnstable Regulatory Services ` 0M,' Thomas F.Geiler,Director 9 : MAMtee$ 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 Permit no. Date AFFIDAVIT 4 HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied _ .. building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost '�la aa0. 00 Address of Work: LZ COp po hlarTO A) ZO AD Owner's Name: 214Y C.N A) / Date of Application: /O /?i�Os I hereby certify that: Registration is not required for the following reason(s): FWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied gOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: MDate Contractor Name Registration No. OR Date, r s Name Q:forms:homeaffidav ♦3 , y tKE e 'Tows. of Barnstable BAR.ySTABLE. Department of Health Safety and Environmental Services MA9S by °5� Building Division lED Ndn s 367 Main Street,Hyannis,MA 02601 Office: 508.8624038 Fax: 508.790-6230 PLAN REVIEW Owner: �� F v� i Map/Parcel: Project Address: 2 Builder: The following items were noted on reviewing: u Reviewed by: C� Date: 0 -/S _�S a .� Assessor's office(1st Floor): l Assessor's map and lot numb 1� 1 Conservation(4th Floor): -ILLEM IN COMA tJrr I r ` Board of Health(3rd floo . WITH TITLE • Sewage Permit number ,.. t� �, Z� A8�MMLZ . j NVIR � ��/�,, Aiiii � 1 Engineering Department(3rd floor):' a " a'��. p `, O House number 4-1 Definitive Plan Approved by Planning Board 19 i; APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1,00-2:00 P.M.only �4 �g TOWN OF . BARNSTABLE BUILDING : INSPECTOR APPLICATION FOR.PERMIT TO {^d� L_ Q O', (ieyl R 1 v TYPE OF CONSTRUCTION GUDfJCt l! ,Q 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby J applies for a permit according to the following information: Location r�d- (_G>l/Z' l nt!i A-) Az ( �-,, Proposed Use CW1 A Zoning District lJ l Fire District Name of Owner �I e�e"j,�e Address--A / 11% t v\ ll / k� J_C4i Address 41 Old (04f,,'7`,AX u.,gy G!J l�f�rhsTAl� Name of Builder n►. �ra� Name of Architect WA Address Number of Rooms Foundationcc�c2��C °�., Exterior Uj j S Roofing e-4:14.24.t /T Floors 7 Ih.A.4 t, e"LJ Interior l Heating _�f /� /,Z� Plumbing i Fireplace Approximate Cost Area l©� 4 Diagram of Lot and Building with Dimensions Fee j- 1. I 1 h 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 #/c S `f 7/0 No 36712 -Permit For ADD GARAGE TO DWELLING Location 22 Codingto Centerville , F Owner', Ray `Leoni Type of Construction - `► Plot Lot - Permit Granted May 19 Date of Inspection: Frame 19, w r Insulation :glad 19 c Fireplace 19 i Date Completed _ 19 � f l _ L7 COMMO TH OF MA$�ACHUS-'� T'S DEFARI ENT OF LNDUSTRIAIirACCIDENTS " 600 WASHINGTON SST fames. Canmei. BOSTON, MASSACHUSETIS 02111 Cor- ,:ss,one WORKERS' COUTENSATION INSURANCEAFFMAVTT (licensee/permittee) with a principal place of business/residence at: Ge (City/staremp.) do hereby certify,under the pains and ties of perjury,that: [j I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Numbs I am a sole proprietor and have no one working for me. O I am a sole proprietor, general contractor or homeowner (circle one)and have hired the eontracrors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy. Number Name of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE:-Picuc be lwarc thit wbllc homeowners who cruploy persons to do miintenanee.construction or repair wort;on a dwcliint of not more than t rcc unit, in which the bomcowacr aiso resiccs or on tic grounds appurtcnant tbereto err not ceaerall. considered to be crnplovers under the Worlcrs' Comocasation Act(CL C 152,scc;. 1(5)),application by a bomeowcer for a licensc or permit m1v e.-iccncc the lecal sutus.of an emplovtr under the Workers'Compcnsatioa Act. u^cc^.::nc tr.:: : cz:)NI o:t is s::tc_ncnt will be forwarccd to tnc rxca;^c^.t of In. us:ri-I Accidcna' Ofncc of Insurance for coverage - cralucs :nc : :o scturc covc:�c s rceu;:cc uncc Sec 'on 25�.'oi�;G' '52 c:r,iead to tare impos;r;on of imi -1 p ccns;scc;of:f c cf uc tc S i;�G.00: .c-or irr?rison.^..c-nt of uc to orc yc:-:: .c c� i �caaacs it the form of a Stop Work Ordc:and a fine of 5100.00: cav at;u,nizz mc. Sicncc this day of /✓l A T t COMMO --- --------------- Y NWEALTH OF DEPARTMENT OF P q' ---—� MASSACHUSETTS 1010 COMMONWEA UBLIC SAFETY BOSTON LTH AVE. £ EXPIRATION1 9 MA 02215 DATE E LICENSE 05/3 tONSTR i � 1/1 �. SU RESTRICTIONS 94 P E R Y j$pN I } 6 EFFECTIVE DATE I CAUTION LIC-NO.� ` 9 2 FAMILY -HOME �5/31/1992 04535 TMRPRO ECTIONAG,gINS M1 I ' PR ' PjT RIGHT THUMB 030-34-881 �L C DQNAL9$ M APPROPRIATE T D AT h CoC 0 pN Y 7 80X�jN LICENSE. E -i1 BARMSTABLE f PMD►DDPR°"", NA © 8 an BLAsrir a s . 00 ,�'j�+�ST I�.G OPERATORS :-. �•*£ HEIGHT. NM VALID UNTIL SIGNED By /�.,._i\, '"rLU[��HOTO. P fix: _? DOB: STAMPED•OR-SIGNATURE of EE Anw OFSIpaLLr_ .. j �`�•?9=►r'. 1123/19i7 :. �oM""�,ER �fl[} e ;.f. x.a' "�1iTHIS DOpUMENT MUST '"I M!1 2I qCARR �1 � OTHES- DO THEPERSON N 4. RRIGHT 7H THE SPRINT HOLDER WHEN EN DIN IS OCCUPATION SIGNATURE O OF�x�.E�,,,� i •' '--� Hcg3EE :.wA'l, p�lFUly�9ovE - .. z ✓mil G� ',1� O[fuuSINAiURE LINT i -_%ftSIONER k Y 80.L481SINACIV I P Il _ � t 75 t Y .r t '''iaiiit�rls �x`G 1 PZ Bk 138129 Fez t A .. r,,`°S & N� JtAA�t " }• F S". CO t coDD 9e /A ' �On v / OHk,\` 0 e (3o x7 ode) "` A s . N o ` r• — 1 \ - A.D O A hW \ —Son-- 1E o4. xrn i � rNn I W/F m a \ 2 T0.57' e� I - - 00 \ 2IN fie B °o•o� _ �� O � I of D 35 SE�CK r 'O (A i / 1 9La -- ---,L�HSadruwS JO 3 - �, i� j /' r VTA I - - i P t I Rd ; LEGEND i NOTE: ¢ Utility Pole Water Gate 1.) The property line information was compiled from O available record information and does not represent �o Hydrant Scudde e� an actual survey on the ground. Hay Bale Wetland Flag Bay q�e 2.) The topography was obtained by conventional survey -�— c —OHw—Overhead Wire methods on December 1, 1993. �s a Post & Rail Fence LOCUST j o 3.) The datum used is N.G.V.D.. Benchmark used "M-28QS" —� Sign ' 5 a U.S.G.S.disk. EL= 27.416'. AL Marsh � 1 °oe � Stone Wall { Sf06 � � i I o °o I e l erg Ie�� Craigville Harbor ' ' Don, /F LOCATION MAP _ f Car'.tA�F Mo,ear' 8.1 S 2- Robert 50'bo(o _ �50.7`30 E.`.6 17 I \3p4.00. 146 4a o \\ 10' SETBACK - ,STONE.DRIVE - - o S 89'24'30" J 64.10 a ' m �o o 0 4n I BIT r C) o ° w d D r 8.50' +DRIVE _ 1 /36' o ' 4S / .•70 �i i / SHED p - y /` —� / `� ro7 Proposed s a 00 30.31' ,� for Foundati A , a !O / Addition o _ GRASS� 45+' Cv \ ) a Q / I Parcel 52 Existing Septic ry I ,a I' 2.05f Ac. - Tank (2.500g)— _ 4 „ - AL - ' Or0 Z ry m)BIT QJ F1W_ OH RI / (CRASS 0 u 1 O OHW o � � �ry D Box � - °jw � C) ' 2 2 - W WOOD q>j /• h Planter �� DECK 'OL / ) - I 11 i Horseshoe Z �n/ Pit /p /Leachingl Br• c (JS<� \ Area ., 'kHors❑eshoe Pit / Planter 0 79q i n s3. yerbe�f \° 267.75, {% \ 7 ` R0 \ 2 Mo�y 9 °2 02 00 Registered Professional Engineer Date Registered Tand Sur eyor Date \ Prepared For. Ray D. & Patricia M. Leoni \ W Tree Drive W PLAN SHOWING Woodbridge, CT 06525 PROPOSED ADDITION owner: Pesce Engineering & Associates AT Ray D. & Patricia M. Leoni 3 Leona Lane Deed Book 3469, Pg. 185 Osterville, MA 02655 22 CODDINGTON ROAD Zone: RD1 (508) 428-3730 IN Setbacks: Front: 30' A & M Land Services, Inc: BARNSTABLE, MASS Side: 10' 33 Old Main street Date:March 4, 1994 Scale:1"=20' References: So. Yarmouth, MA 02664 Assessors Map: 186 (508) 398-2121 fax 394-9642 Sheet 1 of 1 Parcel: 52 . FEMA Panel No.: 250001 0016 D Field: R.L'H./S.R.L. Date:01 DEC 93 July 2, 1992 — ZONE A13 ( E1=11') Calc./Design: R.L'H. 20 0 10 20 40 80 e Draft:R.L'H. Review:E.L.P. ob : 93-116 File: 93116os .dw K i . ,f t 70R---PORCH.. 41� �. 2 2 CotDU MG-ropt R D C E*HTE-=�kV t LL tit �W) ly I COM,RETE=F 1LLED ��C IST`(N G-. .DECK, NEW COI--r—REIL i 1 !1 _- E7xls-r'INC, 2X8 vP�a FUU N�AT1�3P,t j----- SPACET3 }6 Q.C. . K 1 i t .. 3 ME 15-xi.s-r-( G bCC K V>tPALK Ay.. TO SU PnCoF2' C CK . 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