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HomeMy WebLinkAbout0179 WEST WIND CIRCLE wasr 4 o a J i o ` . i3 l i i 'i i �{{ I `I i �� { � o s �: o a ` o �_ �' E �1 ', , q � � � iq9 �l/��7 �l��- VA� �G3�Gz " " � �Lc�w, �II. � y,; � � 5ot� _�� z - 39�� ,?G,.. — �-- -- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f I 2 Map Parcel 0 I 1 D 3 g Permit# d th Division_ 'r-g� s Ind - / 2 Date Issued o !Co a ati0n-bivision T; �, 9 6/11 Application Fee Tax Collector 02, 4 Permit Fee Treasurer °� Dom-- SEPTIC SYSTEM MUST BE Planning Dept. INSTAL'LED IN COMPLIANC_— WITH TITLE 5 Date Definitive Plan Approved by Planning Board EPMRONMENTAL CODE A[%"- Historic-OKH Preservation/Hyannis TOWN REGULA,,IOItfS Project Str et Address 1qA fi myrol Village Owner Address WD Telephone ,-508" u'� (B� — V V' 32G—�i4L Permit Request t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay --->Project Valuation, ��� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cy Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 2'No On Old Kings Highway: ❑Yes, @'I�lo Basement Type: -t3Full ❑Crawl ❑Walkout ❑Other . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) C_; c= e Number of Baths: Full: existing new Half:existing new"' 0 lumber of Bedrooms: existing new u coo Total Room Count(not including baths): existing new First Floor Room Cou t n ' .s- M �j Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No �( Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - -- Proposed Use 70- Z/1/ T - - BUILDER INFORMATION !� Name [d;�S Telephone Number _( 3 2" C1 Address 3� M A License# p(T/6 p Home Improvement Contractor# a2- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 4;t'&A SIGNATURE / i` DATE D q-`D 3'-6 2 i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL,NO. ; ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME '�:c_� (. a —1 —0- - t INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL Alq .k3 PLUMBING: ROUGH w-, FINAL-. { GAS: ROUGH �_f FINAL FINAL BUILDING &� rz DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts —{ -� Department of Industrial Accidents p ^ = r Office 01//IyesMati0irs _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance AMdavit name: eta (&*3 location: st" I lf Mk phone# �I a homeownerperforming all work myself. am a sole r netor and have no one workin in ca acity % G%/ ///��////////////li. workers' co t nsation for my em loyees worlang on this job.::: e 1 r !?''C' iA�' ' s `> ? >::� %:":s';:�:? :�:::?::r:':�:'-0:_:?���>::?: ::::;::2:i::2: ::::i�{:>:Y;::::;::;:,:::;::<:,;:::2:::;:;:::Y::.;Y:.}}:•;:.Y:.:;:.:}}Y:.:;.Y:•:•:t:a:;•}:.::::::::::::>:::::.,................. ...................... .........:: ... i:4:•ii .. .. v.: ... .... { :C4 ii ?itil'i"• •'�liisuitan ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have • ensation ohces: ....................:.::::::.:.�::.::::.:::::::.::::<.}'::::.,.:.....:.:::::::.,..,..,.r:,}; :YY :iiY:<::ii<::!::i:Y:+:Y�r........}::Y:... workers co :.::.::::.,.::.::....r.:.::.::::::::::::................................ .......::::::................. ...:.:.,...,....::....{.:<::.}>::.::..:r::::,:. e followm mP...................1?...:::...................::....................:::.:.............:.:::::::::::::.:....:....:.:.:....:.::....::..::::::::.::::.:..:.... th :.:!.}:.::::.:.:... .::....:.:....t s C4C i.S •ii:•}:{{4::•i::4}i+:ii?viiiiii:fiii%ii}:}}•::::::}:•>}::i:i::.�.:::::: :.�. n.;:•......; Y:Y;v<v i:_iii:^iii!iiii;YYY:iiii'Y:yi•Y{:?^}: i; .ii....1.•:::!4:�»-:•}'•w::;....::.}'::.:�::,�::::.... ........ .....:...;.T:.:�.>::i:Y�i}iii}: :............:.....r.....,......:........ 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QI� ILw ft&mwe to secare coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sne up to deist.00 and/or one years,imprisonment as wen as civa penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day agahst me. I undetatand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct / r Date .ip z Signature s � f��✓ 3 — /� 0 Print name Phone# !/ 3_I official we only do not write in this area to be completed by city or town official perrndt/liceme# ❑Bmdlding Department city or town: ❑Licensing Board required ❑Selectnnen's Office ❑checkif immediate response is q ❑Health Department contact person: phone#; ❑Other Orand 9/95 PJA) i. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns, 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. The affidavits may be returned in the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. 'The Departrnent's address,telephone an number: The Commonwealth Of Massachusetts Department of Industrial Accidents gffice of lovest1gailons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °F114E,p Town of Barnstable Regulatory Services '* sszns . ' Thomas F.Geiler,Director nsass. 9�AtFD MA'S 0. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT 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. / Estimated Cost Type of Work: ��%011 � J Address of Work: oa l i�Lj Ark D,� � `L/ O Owner's Name: � Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied El Owner 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: Date Con actor Name Registration No. OR Date Owner's Name Q:forrmhomeaffidav r RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,eta) >120 sf-500 sf $ 35.00 $ >500 sf-750 sf 50.00 $ >750 sf 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00 i (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 i ( � 4' � �/1C'�7/Iq.01f(/JF� of✓�/CQ46�LlfQP.�6-; BOARD OF BUILDING REGULATIONS}:,` License: OONSTRUCTION SUPERVISOR ;•, r �01 1167 I 1 Number:;CS, t , BIr"wiw'01/03/1932 I I; �cp�res,01/031ZU04r Tr.no: 13558 1 Resfnct__eYd:.00 ANGELO KALDIS . 3 BITTERSWEET LN,, I HARWICH, MA 02645 Administrator RIP ,,,.�°-'C.'cr^x,X�....:- :�.�.•..-:••'-can_ - - ,...:.. +-.. x ✓sie �imnrmwo?cuea a�✓�aawcicaPllai Board of Building Regulations and 5tandant§ I` ;HOME IMPROVEMENT CONTRACTOR' Registration: 122982 :aF Expiration: 11/14/2002 t Type:.DBA ANGELO'S ANGELO KALDIS j3 BITTERSWEET LANE �,_ter HARWICH,MA 02645 Administrator tit ' t. �. �� '. , y bwivd'Af � IAN �7► 1 \/ybss d��r�� cYry '`.: ll""t, }. �.•, t b f(t = Y fd 1 (! ♦ x ,� 1, t. /t� 'd of�t -'� � ir+7 k -V� t } tLY N• 1 - F. r 1 n t •y\S.' 1 y t � !. 3t �'.'� E. � t.f + � kP�. a�,i •� n t � '( +d - � r t Yy^ u L i ( � 4 f t�JI�Y. � �f.� �' ''�. 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MAOX.11, _...._� Lte: 09/03/2002 Time: 10: 42 AM To: 6 9, 1-5087906230 G Fax Page: 002-003 Client#:33508 KALDANG CERTIFICATE OF LIABILITY INSURANCE 09/03/02DD,Vs, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 640 lyanough Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Route 132 Hyannis,MA 02601-1999 INSURERS AFFORDING COVERAGE Y INSURED INSURBCA: One Beacon Insurance Group Angelo Kaldis INSURER B: 3 Bittersweet Lane INSURER C: Harwich,MA 02645 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCE POLICIES. AGGREGATE LIMITS SHOYVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPEOF!NSURANCE POLICY NUMBER POL!CYE`FECTIVE POLICYEXPIRATION LIMITC A GENERALLIABILITY CBLW42768 0S/19/02 04/19/03 EACH OCCURRENCE E500 000 �( COMMERCL4!.GENERAL LIABILITY FIRE DAMAGE(Any one fire) 5300000 CLAIMS MADE ❑OCCUR IVIEDrn on IVIED EXP(Ar rson) S50 000 PERSONAL&ADV INJURY £rj00 QOO GENERAL AGGREGATE $1 000000 GEN'L.4GGREGATELIM,IT APPLIES PER: PRODUCTS -COMP/OPAGG E1,000000 _ POLICY PQRO- LOC AUTOMOBILE LIABILITY CtJNiBINED SINGER LIMIT £ ANY AUTO Cds ucidmt) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOQS (Per Person) $ HIRED AUTOS BODILY 1N1URY $ NON-OWNED AUTOS (Per aeeidenti� PROPERTY DAMAGE $ ' (Per xeident; RAGE LIABILITY AUTO ONLY-EA ACCIDBNT S ANY AUTO OTHER THAN EA ACC S A'UT0ONLY: AO:,' $ ESS LIABILITY I EACH OCCURRENCE S OC ^CIJR I�:CLAIMS MADE AGGREGATE £ E DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND W2$TAT U- ITC OTH- YII EMPLOYERS•L!ABIL':TY E.L.EACH ACCIDENT $ E.L.DISE.458 -EA EMPLOYEE $ B.L.DISEASE -POLIC'Y LIMIT E OTHER DESCRIPTION OF OPERATIONSILOC.4TIONS/VEHICLES/EXCLUS!ONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FAXED TO 508-790-6230 CERTIFICATE HOLDER ADDmONALINSURED•INSURER LETTER: CANCELLATION SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEaPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILLENDEAVOR TOMAILIn_DAYS WRI!TEN attn:Erni NMI CETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT,BUTFAILURB TODOS0514ALL 357 Main St. IMPOSE NO CB LIGATION OR LL4B ILTTY OF ANY KIND UPON TH E INSURER ITS AGENTS OR Barnstable,MA 02630 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE •� ACORD 25•S(7!97)1 of 2 #1735 MLV © ACORD CORPORATION 1988 i ate: 09/03/2002 Time: 10: 42 AM To: @ 9, 1-5087906230 G Fax Page : 003-003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 eudorsernentisl. DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, e%t.end or alter the coverage afforded by the policies listed thereon. ACORD 25•S(7/H7)2 of 2 #17 3 5 m. a• � ' 71 1 , r " L 1 I d � � J . o c� • � v G a oQ 1 N c �c s +TM TOWN OF BARNSTABLE Permit No. __Z9 ---------------- Building Inspector wo cash -------------- OCCUPANCY PERMIT Bond --------X------_� dY_�r Issued to Theo Construction Co. Address Lot 47, 179W�es�t Wind Circle, Osterville. Miring Inspector '' rf Inspection date ._ Plumbing Inspector , ! Inspection date P f u' Gas Inspector � ,, Inspection date + . =Engineering Department, � �� {r'' � Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID,D THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE, WITH SECTION 119.0 OF THE MASSACHUSETTS STATE N BUILDING CODE. 1 ...................................................... 19..._._._ ........�..............Building`..Inspector_...._......»_...._._... ,� t N 1 TOWN OF BARNSTABLE BUILDING DEPARTMENT sasasr TOWN OFFICE BUILDING rua tg i61q' HYANNIS, MASS. 02601 f MEMO TO: Town Clerk i FROM: Building Department DATE: 9'--��5 An"Occupancy Permit his been issued for the building authorized by Building Permit #._ g079' »_................................__.... issued to ................./Div Please release the performance bond. !.�"�A.{:.Trs'TA �`'{f'�{'f�" X'.r11", 9,� ` v���-.. 'FT,,vl I .� � �6F ' ,7 T.:Y 1, f '1 ,.f:i�i• T�.�n •r''1Fti � 7C�}� :.I},�'•?'�I•!^�o} Tj,}% -, ' ' r MM ���'�+�wr►:i � ,M'ocz r Ad i MorE: NoRrM mow owr ro. i► �F . "� w St•.w? •S', i; ,. ,6'. fr/�. �.5� /�A�.` `r111t.� V� �:• T r. 10 (4 �. 46 Cry t � �• �, tJk4 •t+ ` .+ •• .,, •+' �"` .r.Pia� ��. wtf � s ,• ,� �+.+' ej se �'tS �P N��h �aibr f4 tip. ��. .�� ,�-. ., ('. . r' I r ` ,j f �•t,"�1° 1 y��.y. : a�.1'' }�,7y' �` � "'�+++"' ,ate *Y,n .r ..r rf "' I A. - F}.,1•," rd .. rf /V'/' r 2�,• � '7� .< lea {n? •� �'at i' KA ,j , .T✓. t t r rJi:l^t r n}h R. X. i a r t�i t I , } 1 9,.. �4`+# , I r lr§ i �.. F a' ay;. a w ps�3 s pt�..+. FrSy, rC. a. A r '.}`•.' }`'t fr ,i S �i ,ii , L � �"• 4 - "+ '+,I ,! +s) s' t�,_ }'.t �ir t'� +�atw�, R � ti•, y�r� 't r . of tii h N5 rir #•,} i ', f } 't ,S i}. p ` r i} < .'It •14,, ' -1,It 5 .S'F y I f rx r �•, .rt {,rc a, t <:'�!�` t', w t �" • T�I , ft�4�T �A �I AIG i AST �,�PIRN FOU �4 T���III 4��4 T�71 I�l vAIV 4' _ t . , v, 4/.�.E 4F TMF' 4 +llA.�}! V. 1VNA M A 4 OUR. O-oR F�,, . • , ,! ,P, , � , :_t r �• •-; ��p�,(N OF I1gss9.. ' V'I� M94 � �� //�V.1 +a g ROBERTY ,`M #16#WAIF Y. o ' E ^�t� �7144. 02016. zoo C•• ky Al , Assessor's map and lot number ......f ..... .. �_ r ypi TM E tp�4 Sewage Permit number ...P./....(d..ef �� Z -33AUSTABLE. i House number ......................................................................... 90� IN q. � 3 �0 MA Or• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .v.j.�..�'\.....�... ...... .......... TYPE OF CONSTRUCTION ............. ..().&..A....... .C. _.......................................................... ..... ................ 9..�.y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ° Location .. 4?� h . .w .�4..... !.1.!C(kf.,...... ,5` �f.V.. .��t..... t4`'��. ......................................... ProposedUse ..... . \.v1►.s t....... ....... .............................................................................. 7— Fire District ..... —� Zoning District .......... . ...................... ........................................................... Name of Owner ���'..�44►S�.YUL \S?w...�. ...Address .�44 �?ct 'j� �� �QSa: �S1nn�B '`t'• ,,,•• .................... .. ..... .... .... Name of Builder ...Address �y....1oSt0�' .. .... ..�. ,... .�.....l.a'� V � Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .............................�................................Foundation ........4...?C`.............� ............... p l Exterior S►-� <1.�..N.'C.......� +�..f�?�. 't Roofing ....... ..... `..�....... .:b:. �.��.............. ...................... Floors ....W..O�V,...... ,.....C•II (% .KA..........Interior ........�?.. �......L \. 1......................................... Heating ...... ...... ..........Q..A.................................Plumbing ........Z,.... .................................. Fireplace ..................... n ...........................................Approximate Cost ............ 0.0.............................. . Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area .... .� ........ Diagram of Lot and Building with Dimensions Fee ........7��v� ........ .. ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH <I Q� 16 t 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 .... .� ���... � .THW CvmoTuuCTIvm Co. . � 28078 One Story �No ................. Permit for ------------ ___.Siogle.. ..Dwellio8______.. Lot 47 179 West Wind Circle Location ------..�--------------. ` 0aterville ......................................^....................................... Theo Construction Co. ' Owner .---------------------. � e Type of Construction ---ram----------- . . - . --------------------------' ' F1c» ^ �� ',^-------' ----------. ' , _ . ` / June 26 85 'h-,Gron�eJ ------'�-----.]g Date of Inspection --------.---'lg . / Date Completed . ' - ' - ` -. , ! ' ^ / ` ' ` ' ' ` ��r/ ' Assessor's map and lot number ......40 jv� THE r ' o o� y ..��Sewage Permit number ................. .. ................. .. d� �� �� Z BA"STABLE, • House number •f''r�f....... { .......................:........... qo rasa • pow 1639 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...s! .V.iA.. ...��....5. ,51 ,•~`C�. ^^a� ........................ �?......... TYPE OF CONSTRUCTION W Ca.Q,.A........ C d`- '..................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..�-.� U. � .W< .w .�a�,....�,�� .4 `4......d 'k�r .41«t .....�1/��.5 ......:.................................. ProposedUse .....5..1 . .�.-*......F4:%ftAl........ ` .............................................................................. ... ..Zoning District ....... ..c. c. ............................................Fire District ..... -v........................................................... Name of OwnerY c�... 95�1� \� ,...�.�...Address A4... trw .. '�4cpaS�. y�C 1tisUll .�'^......................... . Name of Builder ... ...Address � . V Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............................6Q................................Foundation .. ..�v C.e C,t,\& ....................... ...................., ............. Exterior .... ....... ....................,. Roofng .......A.5..�\..-,...°.\..A.....� Q .............. Floors ....1�.! ���...... .�.w. Y�.....� .*..........Interior ........!.. \'....... ... !::'......................................... ............ Heating ....... '...... ....... .�..................... '.....'.....Plumbing ....:.. ,... .:........................:...................... Fireplace V Approximate. Cost � a t,.... 00 (� Definitive Plan Approved -----------___----_-_ .�J .i......... roved by Planning Board - -------19-------. Area ............,..... � Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Y 4 V C� v r 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 .. ///s t�„ ............. � //r;- Construction Supervisor's License : . ..... ..... ` --' IBE0 .00NSIDDCII0X CO. A=121-11-38 ' L~� 28078 One Story No .................. Permit for ............................... Single Family Dwelling -------------.------------.. Lot 47, 179 West Wind Circle ` Location ---------------------. Oaterville ----------------------^---. Theo Construction Co. Owner --------------------_— Frame Type of Construction .......................................... --------------------.-----' Plot Lot ' June 2 85 Permit Granted ..-----'lA Date ----------]P - � �^ Dote Comoi ,6 ......................................lV ' /0-6 /^ ' ' ' '