HomeMy WebLinkAbout0088 CEDRIC ROAD - Health $� c-e
tf rvflle
llz- 113
S M E A
No.2453LY
UPC 12934
smead.corn • Made In USA
J4
tyQb
SUSTAINABLE
FORESTRY
INITIATIVE
CordW Rbor sourcing
/Vf.
~ � TOWN OF BARNSTABLE
LOCATION 4f/< hn`r�L Q�y '�• .SAGE #
VILLAGE ASSESSOR'S MAP & LOT/7Z,
INSTALLER'S NAME &`;PHONE NO.
.q
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF_BEDROOMS - P ,_ L OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
o��
1 � _
.. r
1
3s 46
0
is '- T TOWN OF BARNSTABLE (�
'-OCATIO,W a 6 CLA46 . kS- SEWAGE # 1 9 -7-7g
VILLAGE re M x ASSESSOR'S MAP & LOT
ME INSTALLER'S.NA &PHONE NO. IniDCA S'&-0
SEPTIC TANK CAPACTfY /Sod
- a
LEACHING FACILITY: (type) /AIYC1' faC40 itf° (size) y
NO.OF BEDROOMS
BUILDER OR OWNER
PER..mrrDATE: 1 -1 - Z COMPLIANCE DATE: I'1 1 -
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility'(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland-and Leaching Facility(If any wetlands exist
within 3W feet of leaching facility) Feet
Furnished by 1
r
O .
O
3� f33 36--
model It Hyannis
TMET��`o� TOWN OF BARNSTABLE
i B98l9TOHL i
6 q
BUILDING . INSPECTOR
Diu,PY p''
APPLICATION FOR PERMIT TO Build One Family Dwelling
.............................................................................................................................
TYPE OF CONSTRUCTION Wood Frame
...............................................................................................................................
/ �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....Aar.......L;� ed, r4- ?M L......... . ..... .. .................................. .........................................:.... ................................
ProposedUse ............I..esi. d'enti.Bi... .. ....... ......... .........................................................................................................................................
Zoning District Centervi l.e-Cste.rvi.1le
�}... ............................................Fire District ..............................................................................
qOPI.t�;t Hom-s IncAshley
Name of Owner �= Address ;�� i'"�! Centerville
Name of Builder ...Prmest Homes t'1C• same
.........................................................
Address ....................................................................................
Name of Architect !lOne...............................•,,,,,,,,,,,Address
Number of Rooms ..............6................................................Foundation .....�!red ...Concretta.......................:.......
Exterior .... ..............................................................Roofing r 8 latelt
..................................................................................
Floors C8T7Ett ...................InteriorF�'W�l�
........ ................................................. ....... ....................................................................................
Heating b.ari31-E:ir Plumbing bath
Fireplace ....................M......................................................Approxi ........ .. } ....................................
Approximate Cost .!.
Definitive Plan Approved by Planning Board _______ —___-------19 . 4/0 r -S
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Uj z N
U \
ll
0 = tag '•,�`a.
it, 44
I
Cn 0
W v) P
'0
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. . .=:.....