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0214 WAKEBY ROAD
a si g.•3o - 9-"3 � . Assessor's map and lot number, .......;5.!„�.. .--.�...� �, �Q o Sewage Permit number%�7.R•F�'�'+�.....�!�!/ .�.f..:............:.:� 1 3UMSTALLE, i House number .......... r vo AM �.... p t639. �0 YP-4 a• TOWN OF BARNSTABLE BUILDING : INSPECTOR APPLICATION FOR PERMIT TO J6 i.�......!91? ....J.`9,.. ..._7)e: :z�*.14 nJ.............................::.....:.. TYPE OF CONSTRUCTION! fitJ,UU.........F !9":.... ......................... .......................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Qt fl. ��: . J... ��.�,... ....:...... . .. rN S �• S Proposed Use e?d./>'p�......:...-�2......-..•.ro. .. . ....... ...................................................... ZoningDistrict ....... ... 'frov.�1. .........................................Fire District ................ ,........................................................... Name of Owner ........Address .... ......./?1'........................... Name of Builder ..... Address i� l ✓S /� Name of Architect On, ................Address �7,��/..//Ll�/Y�l...�.........1!1?.�� Number of Rooms ........e!We........................... ......Foundation ..... . 7�....h.. Exterior .... z/� .... ...Roofing ..:. ................................. l� Floors ......t/ ya_r..vi�d+���1 Interior / ......................................... _ Heating :......2 r�G. `.......................................................Plumbing .............`v`ZL-7......................................................... Fireplace ........... .........................................................:..Approximate. Cost ....../..?/.. ✓1 J �............................. Definitive Plan Approved by Planning Board ___i_____________-----------19_______. Area ... 3.......s:.......4...... Diagram of Lot and Building with Dimensions Fee """"""............. SUBJECT TO APPROVAL OF BOARD OF HEALTH - r ti OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of thZTown -&nstable regarding the above construction. Name .. .. Construction Supervisor's License ..//..S�J .� .. ,....... CAMARA, DANIEL A=43-53 26999 Addition No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ...214..Wakeby........Rc)a.d............................ ...... .............. .. Marston Mills .. ............................................................................... Daniel Carrara Owner .................................................................. Type of Construction ...Frame ....................................... ................................................................................ Plot .... ...................... Lot ................................ Permit Granted ..Septeaber..24............19 84 Date of Inspection.....................................19 Date Completed ......................................19 Assessor's map and lot number—C...'., `f l r �.% �?' L��� '� �'` 1� C r FTNETO Sewage Permit number ...... ::......................... .... • °� ..................................... J 'Z B9BBSTAXE, i House number ........ MAS&Q 9 00 r639 O mxt a, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ..`.7:': / 1......... r If...... ? %... 1/r,t P ..A C. r TYPE OF CONSTRUCTION 9 `r...:�...�.................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: J `1- ,— � � Location li.......................................�....� .n 1t. r ProposedUse ., r1 / /',.. ........ ................................................. ...... ftZoning District ........................................................................Fire District .............................................................................. r Nameof Owner ................................................... ,•.r+r ✓,. Address ............. `. .......................................................... Name of Builder n 1 t7.... �.✓. .:. .:^+ ? Address ..................................................../ t� rt )c ...��?:.r �.,,i �O/--�— ...... .. ..... _ Nameof Architect s r`^..11.'......................................Address .................................................................................... Number of Rooms �• ......... . �rL�..`::.........G.e.e.t.�..r.1..'.�..i..C....�...�...ti.....Foundation .//?......................... ° ....... _ Exterior ....� .... .......� :....r...................... :...... ......Roofing ....•�7•,f�• � � 7/�r�r. � ............... ./-� C.C!-e, Floors .Interior Heating ..............:. ...........................................................Plumbing t > t! f , —, // .•: l ......................... Fireplace :..��t ................Approximate Cost O r l . ............................................... Definitive Plan Approved by Planning Board -----------_______-----------19 . Area .............. ..�...... � .. Diagram of Lot and Building with Dimensions Fee p� �J SUBJECT TO APPROVAL OF BOARD OF HEALTH : Soo, co f 4 . v n f 0 to Go a i~;' 13 - I hereby agree to conform to all the Rules and Regulations of the Town;-of Barnstable regarding the above _ construction. / Q���� .�� � •�'- Name ......................................................... ....- ._ /I . .�... Camara, Daniel & Joni ,-iA=43-53 vi 20738 one .story single family dwelling � 214 Wakeby Road Locotion --------------------- � . . Marat000 Mills ! ----------------~---------' | Daniel & Joni Camara ' O"vner ---------------------- ( � frame ` � Type ofConstruction .......................................... � � ' � � Plot � ' a | ^ 8octo . Permit" `°,'" � \ � Date of m,pecn io � | Date Completed � / _ \ � ' | PEmamo REFUSED ) _. —' lV ... .. . ------.. . ~^ � < ' . —_----.~.----------.. ..................... ' | --- / --. -...~.~Y----.---..�.—.-----. � ----.--.--.—.....----.--.—.--~—. � ^ � , ____------------ lA � < ` --...------------...---..—..---. ` --------------------~..--..— ^, � ' � Town of Barnstable *Permit# Expires tf months from issue date Regulatory SeMk� Fee 1ARNSTAHIS. : D�� ,„ i MASS. ♦� Richard V.Scali,Interim Director ta ` y)� , O Building Divisio Tom Perry,CBO,Building Com *t 1 Zt 200 Main Street,Hyannis,MA 02601 �� f www.town.bamstable.ma.us Office. 508-862-4038 Fax: 08-790-6230 EXPRESS PERMIT APP16ICATION - RESIDENTIAL ONLY Nat Valid withard Red X-Press Imprint Map/parcel Number Q�3 O'/5113 Property`-Address 21 W (s /of"A., Residential Value of Work$ .�'�]� Minimum fee of S35.00 for work under$6000.00 , Owner's Name&Address , �1t1-t ;7`{ AWY / i 41?4vns /VZA> 111A a?6 P' Contractor's Name? E4 OT "J--&oIL r Telephone Number 401-71-/ •d 3 ff Home Improvement Contrabtor License#(if applicable),_ Email: Construction Supervisor's License#(if applicable) 07 00? 7 X orkffan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name_ /VT1���L �jV/p/V ! S , Workman's Comp.Policy# Z MLf &3 Copy of Insurance Compliance Certificate must accompany each permit. y Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to . 0 Re-roof(hurricane nailed not stripping. g ver existing layers of roof) ❑ (h )( Goin o ❑ Re-side ; Replacement Windows/doors/sliders.U Value -1 2 (maximum 35).4 of wind T of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Wheii:required- Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. "Note: yopeweer must sign Property Owner Letter of Permission. the Home Improvement Contractors License&Construction Supervisors License is SIGNATURE: Q:MPFILESIFORMSIbuildinXPRESS.d c G _ Revised 061313 �1 7��' 7 9 i Home Depot Contractor License Numbers: MA: 107774, 112785 Salesperson Name and Registration Number: Janice Campbell : R-1-073-13-00016 Home Improvement Agreement Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. Customer Information: oni Shurtless New England South r0555365 First Name Last Name Branch Name Lead# 214 Wakeby Rd ffRSTONS MILLS MA 02648 Customer Address City State Zip (508) 428-2391 Home Phone# Work Phone# Cell Phone# onicpe@comcast.net Customer E-mail Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 Address City State Zip or Email CustomerCancellationNorthEast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICA OF YOUR RIGHT TO CANCEL. Ackn edged by: X A 02/07/2018 Cust er Signature Date 1 r I ,m I J t+ s GS-0711077 r� 40SF; OlObAR7E t-S fAQ ras�g w.� pRf 'j`.✓;=!'..'ef+•l. r� .�. ::s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 1 Congress Street, Suite 100 Boston, MA 02114-2017 wives mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information y+ Please Print Legibly Name(Business/Organization/Individual): `,J Address: 15 Ci /State/Zi 0?-7 Phone#: 77,1/- 7606 - ada� Are you an employer?Check the appropriate box: Type of project(required): I.❑ 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.�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 ~ working for me in any capacity. employees and have workers' insurance.; 9. Building addition [No workers comp.comp.insurance p• required.] . 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 1.3.0 Other comp.insurance required.] *Any applicant that checks box 91 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. 1 am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ce unde the pa d penalties of perjury that the information provided above is true and correct in Date: Phone#- Of cial 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#: e f01(-'!t Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card Registration: 112785 HOME DEPOT USA INC Expiration: 04!22,2019 2455 PACES FERRY RD C-11 HSC ATLANTA,GA 30339 Update Address and return card. Mark reason for chance. _ ❑ Address O ReneY:a! 0 Employment ❑ Lost Card _ 4 Office of Consumer Affairs€Business Regulation s; HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoclement Card before the expiration date. If found return to: Reaistration Expiration , Office of Consumer Affairs and Business Regulation i 12785 04;22/2019 10 Park Plaza-Suite 5170 HOME DEPOT USA INC Boston,MA 02116 ANDREW SWEET N, 4 V 2455 PACES FERRY RD C-11 HSG .� d ithout signature ATLANTA,GA 30339 Undersecretary S «� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations r► ;... 1 Congress Street, Suite 100 Boston, MA 02114-2017 =' www:mass.gov/dia rs Workers' Compensation Insurance Af da,%it: Build ers/Contractors/E1ePlease Print L b iblh- p, licant Information The Home Depot At-Home Services 1�aIrle (BusinesslOrt?anization!individual): Address: 908 BOSTON TPK City°/State/Zip: SHREWSBURY, MA 01545 Phone #: (508) 942-6942 Are you an employer? Check the appropriatX],X�m Type of project (required): p 200+ 4. a general contactor and 16 New construction l 1 am a em loverwith ave hired the sub-contractors employees (full andior pan-time). 7. ❑ Remodeling listed on the attached sheet. 2. l am a sole proprietor or partner- These sub-contractors have 8. Demolition ship and have no employees employees and have workers` 9 Btulding addition working for me in anv capacity. comp. insurance.'o workers' tom insurance 10.❑ Electrical repairs or additions [� p 5. We are a corporation and its required.] officers have exercised their 11.[3 Plumbing repairs or additions :. 1 am a homeewrter doing all work right of exemption per MGL 12.� Roof repairs ) m�self. [No workers' comp. and we have no c. 152. 1(4). 13. Other insurance required.] ' employees. [?�o Workers comp. insurance reouired.] ' kn\-applicant that checks box€1 must also fill out the section below showing their workers'compensation policx' nformauon. those entities have Homeownen whc submit this affioav�ndic indicating additioare nal sheet hot*ong the name of the sub outside and state t�hethers must submil a eor coat n indicating such. =Contractor that check this box olio number. employees. if the sub-contractors have emploveest the- must provide their workers comp.p rance for My emplovees. Below is the polio and job site I am an employer that is providing workers'compensation insu information. — Insurance Compam�Name:NATIONAL UNION FIRE INSURANCE COIJFAN 03/01/2018 Police" or Self-ins. Lic. #: XWC 65831 45 (QSI) Expiration Dat�e/:� _ L �5, lfl Citv/State;Zip:/Il�l�bT � ��5� lob Site Address: on Zler and expiration Attach a copy of the workers' compensati policy decofMGL claration pa152 cart 1 ad to thege(sbol�ge(sbo*'iDg the oimpon onof criminal penaltie of a Failure to secure coverage as required under Section 25A fine up to g l.500.00 and/or one-year imprisonment civilas well as penalties stzt meat m be forwOardedOto th O}z iceO frla a tie of up to 5250.00 a day 'aga a�n eetcoveBre coverage verification. advised that a copy of this Investigations of the DL r un he gins a d f perjun:that the information provided ab ve is. u d correct I do hereby eertiff �\ � Date: !� Siartanwe: Phone#: e in this area.to be completed by tilt or town official- official use only. Do not writ PermitfLicense# City or'town: I issuing Authority (circle one): 1.Board of Health 2. Building Department 3. Cit-N(rown Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Phone 4: I Contact Person: A`O CERTIFICATE OF LIABILITY INSURANCE Doz>��17 THIS CERTIFICATE IS ISSUED AS A (NATTER 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 pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe 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). CONTACT PRODUCER RDDu MARSH USA,INC. NAMEFAX TWO ALLIANCE CRffER PHONE 3560 LENOX ROAD,SUITE 2400 E-LWL ATLANTA,GA 30326 ADDRESS: INSXJJRRFAIS)AFFORDING COVERAGE � NAIC D 10D492-HameD-GAAW*-17-18 INSURER A:ad Repel=trMWERM CO 124147 INSURED INSURER a:Agri General Insurance Company (42757 THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURER a:New Hampshire Ins Co 123841 2455 PACES FERRY ROAD INSURER D BUILDING G20 ATLANTA,GA 30339 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: ATI_-003745W-14 REVISION NUMBER:2 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 I AO B POLICY1 POLICY EPF POLICY w1 Loans LTR TYPE OF INSURANCE NUMBER M A X COMMERCIAL GENERAL LIABILITY MWZY 310022 03MI 017 03101Q018 EACH OCCURRENCE s 9.000,000 T RENTED 1,000.ODD CLAWS-MAOE F x ii OCCUR PR>;' S Eaamurencc S LIMITS OF POLICY XS MED EXP(Arp ) S EXCLUDED OF SIR S1M PER OCC FERSONAL a ADV INJURY S 9,OD0.000 GENL AGGREGATE UNIT APPUES PER: GENERAL AGGREGATE 5 9,ODD,D00 r P" LOC ?RODUCTS-CflNIPIOPAGG 5 °AW.Uw X POLICY i_:JEGT I 1 S OTHER: A AUTO MOBILE LABILITY I MWTB310021 03101R017 03101(1D78 0 qld I LE LIMIT S 1000,000 X ANY AUTO BODILY INJURY(Per peson) 5 ALL OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per emdelt)l S AUTOS NNO-OWNED I opD�pAMgGE i 5 HI REDAUTOS AUTOS I 5 I UMBRELLA LAB OCCUR I EACS OCCURRENCE S EXCESS LAB H CLAIMS-MADE AGGREGATE 5 DID RETENTIONS i I S 5 IINOR)WIS COMPENSATION INLR C491123DO(TN) 03I01/2017 0310108 X PEA, C `AND ANY EMPLOYERS' RS'LA TNER BILITYD(ECUnVE YY ANC 023102423(AK,NH NJ,VI) �0310112017 03MI 2016 I E L EACH ACCIDENTI S 1,OOD,000 C I OFFICERI6 EXCLUDED? N N/A (Mendawry in NIT) WC 023102424(III I03TD712D17 03101I2018 E L oISEASE-FA aNPLo. s 1,O�.000 IF yes.desm"be WNW Ccr&mmd an Addilonal Page ,E L DISEASE-POLICY LIMIT I S 1,000.003 DESCRIPTION OF OPERATIONS below l I l I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEIU n Fc (ACORD 1M.Additional Remarks Schedule,may Ire attached IT more apace is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE 'THEREOF, 'NOTICE WILL BE DELIVERED IN ATLANTA,GA 30339 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE nt marsh USA In= Manashi Mukhetjee - I " O1988-2014 ACORD CORPORATION. All rights reserved. jNCORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I AGENCY CUSTOMER ID: 100492 LoC#: Atlanta AC�O ADDITIONAL REMARKS SCHEDULE page 2 of 3 AGENCY NAMED INSURED MARSH USA,INC. HOME DEPOT U-SA,INC. 01WATHE HOME DEPOT POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C•20 ATLANTA.GA 3M 9 CARRIER NAIC CODE OTECTNE DATE- ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Worars Compersafion Confime&- Cartier.Imli?mnity Insures Company of North Amer® Posy Number.WLR C49112294(ALAR.R ID,IkKS.In,LA.MS,MONE NM,ND,OK,SC.SD,WV,WY) Effective Dam:MM112M7 Expiraton Date:0310112DIB (EL)lima S1,1)DOADD Carrier New HampWie Ineurar=Company Porgy Number.WC CZ3102422 PC,DE tD,IN MDIdNAT NY,RI) Effective Date:031011Z0f7 Expoaimn Data=031MIX1111 (EL)Om t S1,0m,am Carver.ACE American Inw>ace Company Policy Number.WCU C49112262(OSINAZ GA,IL,NC,OR.VA,WA) Eftedive Date:03VW7 e#rdmn Date 031M2M8 IEL)Lunt S1.00D,000 SIP':1.D7o,000 SIR for LM states of AZ,CAIL NC.OR,VA,WA Cartier Natrona!Union Fee imammm company Porgy Number.XWC SM3144(OS0(CO,CT,GAMMI,NV,DKPA.UT) ENedive Daun 031MRM7 Expiration Date.I)M12D1b (EL)Lint S1,001),001) SI X0.00D SR for the states of COME WJA1,OKPA,UT S750.13M SIR for ft slate of GA S350AM SIR for Ore state of CT carrier Narronal Union Fire Insurance Company PoOy Nlormber. (WC 0045 PSI)(MA) Effective Dam:03 012M7 rn AExpirawn Dam:0WIr Mb DD IEL)Limit'S1,000,0DD SIR ssm.w-n TX Employers XS IndwuW.. Carrrorxriros flnron L-M-me Company PWay Number TNS C48513202 9):) Effective Dale 03/1)12M7 Expraw Dom:031D1f of (EL)Limit$10.000,MD SIR S1,ODO,ODD ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /0A/03 THE Town...-Of.Barnstable *Permifi#; a o►`7 O� Expires 6 months fromlissue dater 'r. RepuLatory Serv]CGes Fee. 16y �e� Thomas F.Geiler,Director p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS Pc'.!' ' o a Office: 508-8624038 UT 2 2003 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTfflj&tlPT A[BARNS Not Valid without Red X-Press Imprint Map/parcel Number CD 4-3 4S Property Address 'c2,14 wAMU 2-D. MARSTOMS M,t lA—S r`-'l 4 Oz 04 R) ,Residential Value of Work Owner's.Name.&.Address ��1.11 EPuE►S S tl v�TtkF� �I, �.. ue.�r�.kt�8�/ R-�J �►�2�rtr�o.i;c Ec,�i t_t.S G-l� Contractor's.Name Caw KI E 2 Telephone.Number 1508 4o8 —,off 3Q�. Home Improvement Contractor License#(if applicable) (;+traction Supervisor's.License.#(if applicable) ❑Workman's.Compensation Insurance Check one: ❑ I am a sole proprietor �I am the Homeowner ❑. I have Worker's Compensation Insurance. Insurance Company Name Workman's.Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to dACpyq91E2^ L/Ur4P5-TEOZ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property O r must sign Property Owner Letter of Permission. Home Impr ement Contractors License is required. Signature Q:Fomis:expmtrg Revised 121901 p o A,sessor's map and lot number .......,Y ............................... J 30 - 92 3 Sewage Permit number,,Z?l.�I �7?� .. Z BARNSTABLE i House number ...........Q f.. .....a�! SAM 2639 0 O i639• �O 0 MAY d' TOWN OF BARNSTAB lEc YSTCOMPLIANCE B WITH TITLE 5 BUILDING INSPECTOR '"`'fG"APEG� °o�$'�° APPLICATION FOR PERMIT TO ..64'64......1i?!..... ..... 9,. !.�? ��.%!? ....................................... TYPE OF CONSTRUCTION ....Wl�Ul� Fie.9r✓! '..................................................................................... .......... ..... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: l Location ...1�f f. lnl�.:�,�. .,t���`?Yr,................i ?. ...lC.1a!# �y: ..... ....... ✓ ?.ts ? �.... :. 5. . ?�'� Proposed Use . ........�,�r2l7�lY'....s,P'�.'�s.z-:��. .......�'�.....,../....../.?�c?.:'`[...................................................... ZoningDistrict ....'.......'�./.�'.yi1S/a�./......................................Fire District .............................................................................. Name of Owner �:/-19W.1'.9../...... .............Address .....le Nameof Builder ...... ........... ............... ...... .......................Address .................................................. ....... Name of Architect .,DAV<�l.... ................Address .......... .✓��.. �•�' >..h?:�f Number of Rooms D.N . ..............Foundation ..... ........................................ Exterior .....GLepvt' .....414%0. Q.'1� ... .-5. .r:v�.��. ..Roofing ......,�.�,.:� .............................. Floors ..... ....................................................Interior ..... ................................................ 29 Heating ........ .0.. ..........................................................Plumbing ..............�1/ ........................................................ Fireplace ............. ...........................................................Approximate Cost ...... ..........I.................1 Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...��� S.............................. Diagram of Lot and Building with Dimensions Fee . . ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town rnstable regarding the above construction. Name .............r....... . % .. .. �G. .!L!.�.* .. i Construction Supervisor's License .. CA24ARA, EANIEL • N 26999 No .................. Permit for ........ ..... .. .. ........ ..Addition....... ..................... ...... ................. Sinqle FandjV Dwelling 44 -vVakebvA;4dLocation .. I............... .. ! .......... .... ............... Marston Mills ............................................................................... Owner ......Daniel...Camara................................... ...... I ............. Type of Construction ....Fr.Z-Me........................... A ................................................................................ Plot ............................ Lot ................................ Permit Granted ,,,September...2.4..........:19 84 ............. . . . Date of Inspection .......................19 Date Completed ......... ....19 c boa a , oa y A sessor s map and lot num 6.�t.... .............or �' o� q THE toy` �n � Sewage Permit number ......7. ...�?'. -...../:.���/. '.. � House number © � l� BaHBSTADLE, ................... ... /. ............................ 9 M AB a O03 1\ ►.7 SSiEPTIC SYSTEM MUST O OM 1AYa`e O W1\ OF B-AR .P,AW, gL.-•IIOSTATENCE SANkTARY CODE AND TOWN BUILDING, i"."NSPEtECAATIO�13.fil__ - . �.� APPLICATION FOR PERMIT TO � C>.c. ::: ,P .C.Z �,/,� TYPE OF CONSTRUCTION 60.0..Q.. a- '1.G.. a.. .-:...2..�..................9.2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Q - l �/j 1 h Location .....zo........y........... t�,. . .C.. ., ......Ect........A.4.o_f.a.7gP..:...,/�f�..lr�i ......................... Proposed Use ........ ✓1� ,? 0.,.!?1 ..C...,�.............0C Cla.P¢•.r C)/..................................................:...... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ........Cxk' o_Y.C4.Address ..............Ct4.r........................................................... Name of Builder ...Do.:.O.J..17...... C��Address ..... ... ..... C'> Nameof Architect .....��-.M..( .....................................Address .................................................................................... Number of Rooms .......... /6/.r.. ............. Foundation ../o........,o.&4..... :...... Exterior y / i C.Yr1....�Q.c�eC�/..�Q/.1�� ..cfl�f2oofing .......rr.�. .�..�Xk.�...1..�......................................... Floors ...... ......1.../..G.Z...C...............................................Interior ................................ Heating .....0lf.aC..)....................................................Plumbing ...... ......................... Fireplace ........... 1.0...........................................................Approximate Cost ....... .L,. .. ........................... Definitive Plan Approved by Planning Board -----------_:_____-----------19_______. Area .......F.q.Q...... ..}- dO Diagram of Lot and Building with Dimensions Feep� SUBJECT TO APPROVAL OF BOARD OF HEALTH �1'50(511 00 00 30 2 � ► �5 a- �y l� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name .. .... .. � Camara, Daniel & Joni ^ � 4 20738 ^ one story No ................. Permit for ------------ � single family dwelling � --------------------------' � 214 Wakeby Road Location ------. . . ----..................... ` Muratoum Mills � [ ----'---------------------- | ' . ' Daniel & Joni Camara Owner ---------------------- frame Typo of Construction .......................................... --------------------------� � � ` ~ � Plot ............................ Lot ................................ ' - � ~ October 24 78 ' . . . —.. --lg ' ^. � � 75 Doteof Inspection —1 --l9 ' ' ~,� ' Dote �omp|eted ..�..�--.�..�.�7----|� -- � ^ . � � e ' � _ PERMIT REFUSED _---�..�----------------. lV � . ' ��. ............... .�nv,---.. —_--.---.—.--..----.--------�. � —.--~. ..------. � . � '----,`�^7'^---^^'------'^----- ' ' Approved ---------------- ' -----------------.—,---.—..—. � ` . . ' . ---------^---------~....—~.~—. � ° | | 46 7 + `J„�•3i .e TOWN OF BARNSTABLE permit No. 2071S Building Inspector l »n� Cash $inn no l hi rid AA■YL OCCUPANCY PERMIT Bond _ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use--without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Daniel & Joni Camara Address Hyannis lot #8 214 Wakeby Road, Marstons Mills Wiring Inspector � �--r � ,ram Inspection date zl / Plumbing mspebroiu Inspection date Gas Inspector Inspection date t Engineering Department i� '! ' �� ' C� Inspection date`' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. e , t ................. _ _ .... 19 w� Building Inspector ! JiiNiy;ivq ROOM n�'IC ate nI �A7h/lov" /?oD" i � ,� .3 0 A:J to /S' x /y' - /a x /� M / 7 o .g ok, I CERTIFY-THAT THIS PLAN SHOW_ S II THE ACTUAL. LOCATION OF THE • o�. :STRUCTURE ON THE LAND AND TIMT IT CONFORMS WITH T e �� ,� q�• �, BY-LAWS OF-THE TOWN Iry t � (AP" - `N OF N fit{0F •1 FRANK FRANK Na b23t Q-No.6519 t4 �9 4hp �t`11�+Q �FfS/OHAI.�a�� PLAN OFr LAND ;o AIA,es raN Axks MASS. OWNlro 9Y • FRANK CONERY 5 TREN'fi0N ST. ' HYANNIS. MASS. 0201 :SCALE 1 IN FT. /N�//7176 . . J