HomeMy WebLinkAbout0419 SOUTH STREET �9' � ��'�
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°`T"ET TOWN OF BARNSTABLE
EARNSTADLL i
M6 9 ,,� BUILDING INSPECTOR
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AAPPLICATION FOR PERMIT T -'
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TYPE OF CONSTRUCTION .. s
/4 S Z)tc- g ..."...............................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereb applies fer a pirnyt accorR'ing to the following information:
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Location .!... 3................ ............ ....................�......... ...................9....................................:...................................................
ProposedUse ................ ...............................................................
ZoningDistrict ........................................................................Fire District .................. .......... .............. ......... .......................
Name of Owner a '.Address .............�l�✓. !� .. ...
Name of Builder `.. .... ........ ... ................. ........... Address ... ....d.... s E.
....... .....
Nameof Architect ............. ............. ......-..........................Address ......... ...:.......................................:............................
Number of Rooms ... .... . .............. ................................Foundation e,4
. ... .................................,..........:.......
Exterior ........ -`! ......... .........................................................Roofing .........:...............:..............................
Floors ................. ............................................Interior .................................................
Heating .. e ... ....................... ........................................Plumbing .....v..............................................................................
Fireplace ../..........................................................................Approximate Cost ..C. .�..V ....�
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Definitive Plan Approved by Planning Board --------------_--_-----------
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
THE PROPOSED METHOD OF PROVIDING FOR
3AN'IT'ARY WATER SUPPLY, SEWAGE DISPOSAL
AND DRAINAG 0e' � S HERE3Y APPRO� ED
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�� •TOWC3"OF BARNSTABLE,
/d ie BO R OF HEALTH
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A LICENSED INSTALLER r� � �eo we),.
PERMIT. AND INSTALL SYSTEMr OBTAIN SEWAGE
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I hereby agree to conform to all the Rules and Regulations of t' h Torn of Barnstable rega i g the above
construction.
Name .. ...............I .........................................
Nurse Association of
Central Cape Cod, Irc°
�� � ' add..to ��sooiatiou
.xp ..�����^-�Per��+for ----- .--.-.--
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Location .........�gl���.������-_-------.. '
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Visiting Nurse Association of Central C-�oe Cod, Inc.
Ownerr -..������__._____.__.__.____. ' ^
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Type of Construction ........................................... .
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Plot ............................ Lot ................................
Dlnr 11 72
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Date Completed T/i�77 Nm.......19
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PERMIT REFUSED .
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Approved ................................................. lR °
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