HomeMy WebLinkAbout322A OLD STAGE ROAD �''1� �Cal ��� ®�
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Assessor's map and lot number .....1.. �
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Sewage Permit number ......G✓ ( L o
• %•• SEPTIC SYSTEM MUST BE
/ INSTALLED IN COMPLIANCE t BARISTADLE.
House number ......................................................................... b'ITFI. ARTICLE .11 STATE 'oo Mb I .�
S�tNtTARY CODE AND TOWN �aM
- TORN 'OF kBARI STA" 'ALE
BUILDINq�, INSPECTOR
APPLICATION FOR PERMIT TO .... ... ....:. ... . . .. .. . .. . ..... ...d.... °Z........:::.
.. ..:.............:...............:........... ..:.... ........................
TYPE OF CONSTRUCTION .......
...................... ./ ......19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........................................:........:.....:.................................
. :.....�� ;�. ...1� ............. -
ProposedUse .. .................................. ................. ........... .................................................-......
v..........Zoning District ................ . .. .................................Fire District Atla,& ... .................................
Name of Owner .. .. . .Address .. '. }� ....... :......
Name of Builder :. ..✓hl .... ..................Address ..E&.... !1... ... ................. �..............
.Name of Architect ..................................................................Address ........................:...........................................................
u
Number of Rooms ....(l"C4C.e................................................Foundation �'!.
Exterior .... ...1fb,liB Roofing ....... . ... ... .... ...........................................
Floors ....
/..... ....................Interior .. ...
Heating ......................Plumbing ..... ...................................o�........................
61
pApproximate Cost ...............Z.:d0 Fireplace ..:........ . ...... .................,.................
Definitive Plan Approved by Planning Board ________________________________19_______. Area ..........................
Diagram of Lot and Building with Dimensions
Fee ..1.........................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nme ................. . . ..............................
Schumacher, Ellen
21202 add to dwelling:
No ................. Pei ....................................
............................. ...................................
Location .........322A...Old �4.......... ...... e..Road
....................
-
Centerville
Owner. ....... Ellen Schumacher............................................... ...........
frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Perrnit,•Granted ..... .............19 79
Date of Inspection . ........19
..
Date. Completed .... ..... 19
,''PERMIT REFUSED
........... ................................. 19
.......... .............................. ...................................
............. .............................. ............... ......
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...........I...................................................................
Approved .............
ov ....................... ...... i9
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