HomeMy WebLinkAbout0176 MAPLE STREET o �
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UPC 12543
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HASTINGS,IMN
TOWN OF BARNSTABLE.BUILDING PERMIT.APPLICATION
Map 13 Z b y Parcel 3 Application# -,-;Lmc1630a-
Health Division Date Issued
Conservation�Division Application Fee
Tax Collector Permit Fee
Treasurer
Planning Dept. �x
Date Definitive Plan Approved by Planning Board
Historic-OKH yklf Preservation/Hyannis
Project Street Address (1 Map s�
Village _ I� Q hs"F'►���
Owner He�ry.,; 1 1 11 e-e I S Address 7 6 A-Z- �•� S'�
Telephone So e , 3 b z - 523 e
Permit Request 1?2 to 6-e-c iC�"1 *1 n s e--krG tom. o n
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ZCO Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 19 1S Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
vBasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
7 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
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
BUILDER INFORMATION
Name m 1 c Pil CT�S�-v� Telephone Number �S/--
Address V�;P6 2-2�5— (-usyol& ---s-t— License# 77 8`/6
V/-,C--nrf J 120 0z Home Improvement Contractor# 13 b 52.2-
Worker's Compensation# 5C-67 '1990 Q0d9
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ste,e 4C4-4 I
SIGNATURE DATE _ Sl(7 AD 2
FOR OFFICIAL USE ONLY
i APPLICATION#
DATE ISSUED
MAP/PARCEL N0.
ADDRESS, VILLAGE
OWNER'
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL .�
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING '
DATE CLOSED OUT ;
` ASSOCIATION PLAN NO.
1;
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map I Z y 6 Parcel 3 Application# �� 3 g a
Health Division • ' Date Issued
' t
`Conservation Division - Application Fee �� ►
Tax Collector Permit Fee
Treasurer
- Planning Dept. C ^.X
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address
Village (.)• hs
Owner. He Vi h ee", Address
Telephone 5o e — 3 b Z — 5t2j g {
Permit Request f Re o tL�-r-y r�%r't s,4'1 n 15 rArc k S c5 h -
r * l 11 I- •
Square feet.: 1 st floor:existing proposed 2nd floor:existing proposed Total new `
Zoning District 1 Flood Plain Groundwater Overlay
Project Valuation ZC 0 j 1 Construction Type
Lot Size Grandfathered: 0 Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family O� Two Family ❑ Multi-Family(#units) r
Age of Existing Structure Icl 1-5- Historic House: ❑Yes ❑No / On Old King's Highway: ❑Yes ❑No
Bas//ement;Type: ❑Full ❑Crawl ❑Walkout EllOther i
Basement�Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Nurnber of Baths: Full:�existing ► + new Half:existing new
Number of¢Bedrooms; existing new
Total`R Count(not including baths):existing new First Floor Room Count
Heat Type.and Fuel: O Gas ❑Oil ❑ Electric ❑Other
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:O existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
`• 'Current Use '-.— _ : .-� 'Proposed Use
• BUILDER INFORMATION
r
Name m 1 GV'v�I Telephone Number ,SA
Address Z2� �Sw�� �'� License# -77 0-16
P-1 u-nri S 02 6a l Home Improvement Contractor# b 52 Z
Worker's Compensation# 0 ? ' 990, 12 c09
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT"WILL BE TAKEN TO e
SIGNATURE Y�z7 y�� DATE `��/7 /cD9
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
�j
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' d 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers" Compensation Iusurance.Affdavit: Builders/Contractors/Electricians/Plumbers
_Applicant Information //---- Please Print Legibly
Name(Business/Organization/Individual):. i C�hp.2l . CSPIa(r�
Address: 7 2 5-
city/state/zip: Phone.#:
Are you an employer? Check the appropriate box: -Type of project(required):.
1.[' 1 am a employer with Z. 4. I am a general contractor and I
. employees(full and/or part-time).'" have hired the sttb-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
workin for me in an capacity. employees and have workers'
g Y P n'• $. 9. El Building addition
• [No workers' comp.insurance comp. insurance. 10.❑Electrical repairs or additions
required.] 5. We are a corporation and its P
officers have exercised their
'3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' . •13.❑ Other
comfit. insurance required.] .
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: d y rjrj o G`&V ec�_ gVY1 t010 y e_�c 5,
Policy#or Self-ins.Lic.M 00. 9 q9 0 1 2 DO q Expiration Date: 3161
(O
Job Site Address: 1-7 6 Mp City/State/Zip: tV• ?w 9e
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 statemerit may be forwarded to the Office of
Investigations of the JIA for insurance coverage verification.
16 hereby certify:ender the pains-and penalties ofperjury that the information provided above is true and correct.
Simature Date: 1160
�
Phone #:
Official use only. Do not write in this area,'tb be completed by city or town offciaL
City or Town: Permit/License#
Issuing Authority(circle one): _
1.Board of Health 2.Building Department 3, City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
oF ' ti Town of Barnstable:
Regulatory Services
_ "RWAZO&M7, Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main street, Hyannis,MA 02601
wrm-town.b arnstable.ma.us
Office: 5 08-862-403 8 Fax: 5 08-790-62 3 0
Property Owner Must
Complete and Sign.This Section
If Using A Builder
V 1 10 `�o S , as Owner of theproperty subject
J
hereby authorize A 1 {I G-yx�\ to act on my behalf,
in all matters relative to work authorized by this building permit application for, ,
(Address off ob)
s
true of Owner Date
eIVKA
Print Name
QFOP W 3:0WNT-RPERMI55ION
. (�\ )t"'."w�Yp�•�'R�r7�(�r{��I+�}y/ram+//n :.HOME IMPROVEMENT CONTRACTOR L11Q°se or.re;rslydfion valid for individul use only
Registration: before the expiration date. If found return to:
136522
p Board of Building Regulafipn
Ex iration:;g/1/2010 Tr# 274132 O s and Standards
ne:Ashburi,);n Place Rm 1301
t Type "Individual Boston,117a.02108
MICHAEL BENJAMIN=-GASPARD A
MICHAEL GASPA r"
225 Gosnold st
Hyannis, MA 02601 � �_�. �- Adminish-atPr Not valid.t�it�u g
�. si nature I
r_, — - —• _
oard of Building Regulationg and Standards x
].Construction Supervisor License
License: CS 77846
Expiration:=3.%23/2010 Tr# 19709
i �Rest�ict Y- J
� -
MICHAEL B GASPARD, i
225 GOSNOLD ST >
I" •
HYANNIS,MA 02601 Commissioner
" I
r-
oF1 Town of Barnstable *Permit# 9 0
Expires 6 months from issue date
SA>7A►BrA= : Regulatory Services Fee ,
1
�0 Thomas F.Geller,Director
Building Division
Tom Perry, Building Commissioner AU P
200 Main Street, Hyannis,-MA 02601 T��/ G 1 �00 •�l r
Office: 508-862-4038
Fax: 508-790-6230 N bFe4& , V1�
EXPRESS PERMIT APPLICATION - RESIDENTIAL
ENTL ONLY NSTq
Not Valid without Red X-Press Imprint
Map/parcel Number. 132046 LA '1 1
Property Address 1-1 b (Ylr ral Si (j• &r"'Oe ilkA
[Residential Value of Work Minimum fee of•$25.00 for work under$6000.00
Owner's Name&Address vie-4EN i S
Contractor's Name MI D• LT �CK Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) 0"7`7 F y is =_
❑Workmen's Compensation Insurance
Chek one:
L% Iam a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workmen's Comp.Policy#
Copy of Insurance Compliance Certificate'must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof) rl
e-side U�
Replacement Windows. U-Value maximum �1
❑ ep ( .44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property.Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
Signature
✓�ie 1°oo�rvnzoozuiealbi a�✓�aoaac�ivaetld
Board of Building Regulations and Standards
HOME IM OVEMENT CONTRACTOR
Re Istratio 36522
006
r idual
MICHAEL BENJ °
MICHAEL GASP _
225 gosnold st
hyannis,MA 02601
0
Administrator .
a
m
v
0
0
O
it
0
Town. of B arxn stable
°4K rt ro�MQ
Reguxatoxy Sexylces
.�� Thomas F{Geller,Director
. building DM810n
TomFerrh Building Commissioner
200 Maja 8tteet, 8yaI,MA 02601
barastable.ma,us --
Fax: 508-790-6230
office: 508�862-403 8
+� property Owner-Must
-Complete and. Sign 'his Section ....
if using ,A.$uilder
SS Owner of the subject property
_...ctonm be�ialf;
• '. . authorize ����►-�� �-5�-'`�� to'a.. y , , • .
hereby
o.workautS Dar=a bytis building permit application f or,
matters relative t
to dress of
_ wed
Sl$�ature of Owner
p tN=e
paECN a AppllC�tlon to.
6�pW�PNNp EP qP� • - '. . ..
Odd King's Highway RegionalHisYic District Committee
in the Town of Barnstable for a
CERTIFICATION.OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings,or photo-
graphs accompanying this application. .
TYPE OR PRINT LEGIBLY
DATE �J I
ADDRESS OF PROPOSED WORK ---16--�P�1 e S�- ASSESSORS MAP NO. IS20LA,6
OWNER —
t ASSESSORS LOT NO.
HOME-ADDRESS 17 b {�c, i t
TEL. NO.
AGENT OR CONTRACTOR _rtti�t_►.�I (
ADDRESS _ �s ���(a S'�, �4U,",ug (1►/.� TEL. NO. J�v�•`-f_ SI= �I�I�
This application is for exemption of proposed exterior construction on the ground that:
(1) It will not be visible from any way or public place.
(2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is Involved,show,
ing location of existing building.
R� — 5% ��1 �5 � S�c,-�•e SI�; � �eS .
�C.rvte QS -h n
I Space below line for Committee.use. . Owner-Contractor-Agent
Received by H.D.C. The.Certificate is hereby
Date v
i
Time
BY n�.a
ssessor's office-(1stf floor): /7 THE
As`ses.sor•'s map and lot number ......�.. .-. 1!?.......... To`♦
Board of Hej�th (3rd floor): fO
Sewage Pert number ........ o.'..f. .".��? ,�,� i BaBasTSBLE. !
Engineering Department (3rd floor): 'oo to 9.
House number o YAK 0
Definitive Plan Approved by Planning Board ---------------------------------19________ .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE j
BUILDING INSPECTOR
f,, fin..... -- ® M
APPLICATION FOR PERMIT TO ....................vN....�W...................��'!���.G...................................... .....
TYPE OF CONSTRUCTION ............................. ..... ..................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...../ 7 (o AWL t �1 ' L� ES— /.; 5"f� ''Z s
................................................. .). ............................................................ .j.............................................. ...........
ProposedUse �! 9 L ...............................................................
Zoning District ..................Fire District..................... ............................................... .S.%.,........
�KA
Name of Owner /11�. �. V//-.1. ..5.f 5..............Address ......�.l7 ........W.t4.......{..1.........."Al�7... �,
r..... �..................
Name of Builder .. �...k).'..R.I/US ':ZL.......CC7.....Address ....1 t -�v......t � '.......6.�....;...(A), ....e4411'l tt
........
IV
of. Architect -•
1/4—
Name ..........................Address ......................................_..........._................:...................
Num'he��of Rooms` .........: ` ...... .:.. ............'' .Foundotion ... ....... r"� ....`"...��1�?
Exterior ..... ...1.�.f .P1-'4AXL1I ElDf/v�i ��'' ( .............:....
.........................Roofing
Floors .........................................................Interior
Heating ..........................'v r� ...........................................Plumbing n:............... .....................................................
Fireplace �,/. , , ................... . .. . Approximate Cost ..,......... /..CIl1 '
ry
Area ..... ...................
. Diagram of Lot and Building with Dimensions Fee O 1
.. r
r° r .
• e
_ e \
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 ......... ........L( ................... t
d � V • �n � Y
Construction Supervisor's License .............�f......�............
VILIESIS, VITIE A=132•-046
ig r
I�
No ..32.3.7.3... Permit for .B.i,ld„Detached Garage
.. b
I AG.GeS.SOX.y....tO...pwe.11ing.............
Loccilion`...J .7. ...M.apl.e...S.tz:p.et.................. f
................... ea t..Bar ns.t.ab]..a.....................
Owner ......V.t;,. G...Vi.1 Q.s.i,9...:....................
Type of Construction .....F.x.ame.........................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ....October...,20... 19 88
Date of Inspection ....................................19
Date Completed ......................................19
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2x6 or�s 32' o.c.
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,Assessor's office (1st floor): SF SYSTEM MUST BE
Assesso7's map and lot number ......1..3.a'. .t'{.jn........2.Q,. , zw COMPLIANCETNEtO``w
Board of Health Ord floor): d Q � TITLE 5
Sewage Permit number ........j .-1�.".���;SJ............... �;NNITAL CODE. Z 13AUSTALLL. .
Engineering Department (3rd floor): 'o MASS
House number ..................................... ... 7.� fi�i1i1�b� REGULATIONS o OMAV.a\�
Definitive Plan Approved by Planning Board ________________________________19-------- .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �" S �� Q
........................n..n..—:...�....�............�...................................................... ........
TYPE OF CONSTRUCTION ............................. '�
....�................................. . ............................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned/ hereby applies for a permit according to the
�following
information:
Location S
...................................... ....... . . ............................................................ ./............................................................
ProposedUse ................................. ..�-......................................................................................................................
Zoning District ......Fire District
V�T7� VIL
Name of Owner .. �...5,,,,,,,,,,,,,,Address �'� � S.. ..
Name of Builder ...f+1Ji 19MA�5 !'I').' R ...........Address ....`t. 0..... 4�......6 � W� ��
........I...................................
Name of Architect Address...... ....................................................................................
Number of Rooms .......................!..........................................Foundation /"J v"'T/✓ ��JL"'� L
T-.�.!.!:.....ft-y )VW. st0 cNb
Exterior ........... Roofing
Floors ............................�APL .............................................Interior
Heating ...................................U..............................................Plumbing
Fireplace Approximate Cost .................. .v./.........................................
Area . .
Diagram of Lot and Building with Dimensions Fee �.D.1.......
j
i
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of&tTowjnof Barnsto e r go ding the above
construction.
Name ............................ ... .................... . ......................
Construction Supervisor's License ............ ?.. �..
• VILIESIS, VITIE
X Y.+
"�32373 Build Detached Garage
V
. Na •:........... ... •Permit for ....................................
Acces`so'r• to Dwell in
T.
r
Location 176 Maple Street
- r
`a West Barnstable
..........................................................
Owner' ......V ale. Viliesis ....................
Type of-Construction Frame
Plot ....... ................... Lot. .
Y Permit Granted~ October .2.0.r.........19 88
Date of Inspection ....... . ....... ....,1.9
Da a Completed a.. ..... ...7a 19 a'
�, �► • - , .
H
ell
Cj
.r '. �. `tom°
w
. / yam__ _. .
Assessor's map and lot- numb!er ....... ..... 1.�.. , 7 �S s
U7
Sewage Permit number ..........................................................
*TNETo�♦� " TOWN OF BARNSTABLE
Z BARNSTADLE• i
"6 9. BUILDING INSPECTOR
APPLICATION FOR PERMIT TO 14
TYPE OF CONSTRUCTION .................... G ........................................................................................
,�W'"vt �..........19 ........................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies/-for a permit according to the
)fall owing
information:
'L•ocation ........... !1 te(...... ( .................. .a..'........`✓a, ..�n....................................................
,......
Proposed Use rQ......... W_f ..9.........................................................................................
.....
rpII ,
Zoning District � � ...................Fire District ............u.�.......S. .1.`....::n.�............................
�A 1 { .... La.�•.ln�...�..!�...Addres� I.4/!llLf;�'�9/�l�,t?Z�l�c .
Name of Owner ....,. ..�........................"?.t ..............................
Name of Builder !IMF 1 A7.....� ;�I nit>f�„f�.�.f?. .....Address ...t'tJfe lam! '
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ............ ............................Foundation ...ka v�-'��
t ,j
Exterior .........�,); ...�-*.:..........................................................Roofing ......... .�.� .:��...........................................
-P-tr t
Floors � rU.. .�..................................................Interior .........,,:...... .........;...!fl.................................................
Heating ........ ..!. ...'' ......1- t ... �l f .,Py..........Plumbing � �( ins
.... .............
Fireplace .................. ...............................................................Approximate Cost -- (� \„ A
..:.... .................................
------------------------- ' :�...._: ............
Definitive Plan Approved by Planning Board ______19________ . Area
Diagram of Lot and Building with Dimensions Fee y
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�--� 7
q —we
. N
o
y
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......... .. .I....��tf!��? ........................
---Viliesis, Vide Helmt
2-
17817 1 1/2 story, I V
,,Na ................. Permit for ....................................
0,ingle family dwelling
...............................................................................
Maple Street
Location .............................................................
West Barnstable
...............................................................................
Owner
Vitie G. & Helmi Viliesis
..................................................................
Type of Construction ...................frame........................
........................................................../
......................
Plot ............................ Lot
Permit Granted ........ ..�Nly... ........I.....19 75
U Y.-i'.......
Date of Inspection ............................ .......19
Date Completed ......................................19
PERMIT REFUSED
/ 9
............................................... ................. ... ... .......
. .................... ..................
. .. .. ...........
........... ...... .... ....
Approved .... . ... ... ........ ll9
.... ........................ ............... ......
4 ...............
*'A-sSesSof s map and lot nor i3a = --I .......
.P.,.P., /. n
SEMC SY,YT�,q 'Mill Ct
Sewage Permit number ......................:..............................:..... INSTALLED IN, CCdxARIANCE,
WITH ARTICLE It MATE
TOWN OF B A RNE
�� ' ��. "°`"
Z DA"STLBLE,NAM
i
a'
BUILDING INSPECTOR
C
APPLICATION FOR PERMIT TO ....... �Z''�. ..J..t,.(. ......... �..!ot4'C. °... ..................................
j TYPE OF CONSTRUCTION .................... ..... ....................................................................................
..........19 ,l l
TO THE INSPECTOR OF BUILDINGS:
The undersigne hereby applies for a permit according to the fol g information:
Location e
.............. . . ..... .................. .. ............. ..... ...............................................
17
ProposedUse ................ ......... .. .....-Q......... ....... . ................................. .....
Zoning District .........f ,,yy....
1........................ ...........................Fire District ............... ?..... ............................
e
Name of Owner ...v..l 7n.:g....... ...... .h1:1!1..I...A dress :.:..............................
Name of Builder 19.1Z.1.A...... l..I.tl.y.t KPk- .V..'�1`:......Address ....:......&421.�... :"..... .:.... J �!!r�.�..;....
.Name of Architect ..................................................................Address ....................................................................................
G
Number of Rooms Foundation .. .... r"eG�
............................................ /. ........ .D�..................................................
Exterior .........W!.... ............................................................Roofing ......... ..... .:(.... ...........................................
Floors (.::i w... ..t.1. ..................................Interior ....... . .. .' j✓..1N..4
Heating ........ � ...1.\.............'"TR.`......�!�'. ...�..... Plumbing .. ........................................................
�. .......................................A Approximate Cost ;0-50--ado.: r
Fireplace ................. ........................ pp ..........................;.... i. .........
Definitive Plan Approved by Planning Board ________________________________19________. Area //��
Diagram of Lot and Building with Dimensions Fee ...........................
SUBJECT TO APPROVAL OF, BOARD OF HEALTH
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c.
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12a .57.74
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. _
Name ... ..y .... ......... ��2,.................
Viliesis, Vitie G. & Helmi
4L
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t 17817 1 1/2 story,
No.................. Permit for ....................................
single family' dwelling
................................................................................
Loc.ji or, ... ..Maple.............Street.......................................
....
West Barnstable
Vitie G. & Helmi Viliesis
Owner ..................................................................
frame
Type of Construction ..........................................
.................................................................................
Plot ............................ Lot ................................
Permit Granted :.............July...1.5..........19 75
G�L/119�7F 0.1
Date of Inspection ... ... ...... .... ...........• ..19
Date Completed ...... .............19
PERMIT REFUSED
................................................................ 19
...............................................................................
................................................................................
.................................................................................
........................................................... ...................
Approved .............................................. 19
...............................................................................
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