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The Town of Barnstable
9 ��� Department of Health Safety and Environmental Services
EO Ma's'' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
SHED REGISTRATION
35-2
Location of shed(address) Village
77 r-6,,
Prope owner's name Telephone number
Size of Shed Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic District? O
� IVy
wa District Commission jurisdiction?.
s Highway Historic
Old King g y J
Conservation Commission(signature required) 7//c
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
Assessor's office (lst floor): -
Assn ssor's ma and lot n er .. ......
p.
THE T
UST BE
Board 'of Health (3rd floor): 3 f i // �` �-6 R ����',SEPTIC SYSTEM, COMPLIANCE
SewQge Permit .number ....... .:............... P'...................... INSTALLED t EARNSTAnLE.
Engineering Department (3rd floor): WITH TITLE 5
�.t .P MADE aj
1639,
House number .................:.....:.:.......... ENVIRONMENTAL CO DYP�
APPLICATIONS PROCESSED .8:30-9:30 A.M. and 1:00 2:00,,P.M.. only; TOWN REGULATIONS
TOWN.' OF BARNSTABLE
BUILDING.,, INSPECTOR
APPLICATION FOR PERMIT TO ............... .... /.�,...... ....... ................. ....... ...............
TYPEOF CONSTRUCTION ...................::...... :........ ....} ll ......................................... .............. ................
l
.................... ..... ............
TO THE INSPECTOR OF BUILDINGS:-
The undersigned hereby applies for a permit according to the following information:
Location ...�/ ; � / ...� ... (iC<.............. ........t....................................
e
ProposedUse ..... ,, ...................................................................................................................................... _
Zoning District ........../�` .............:.........Fire District �- i O�
...... ... . .
Name of Owner ... ....2°c..? ...Address �7 ".,t, �......
Name of Builder ... . •. .�2' ?J.Address IT ..GIB lJ�.� •>?+�
Nameof,Architect .................. ...............................................Address ....................................................................................
Numberof Rooms .................4.............................................Foundation ..... . .. .. ........ . ...��.
Exterior .........de:,114411......................................................Roofing ........ ....
.... .. ........ .............................
Floors .Interior ....................................................................................
....... . . . . . .. ... ...................................................
Heating ` � .......Plumbing ..................IQ................................. ......................
Fireplace .........../. > ..................................................Approximate Cost � .... 0
Definitive Plan Approved by Planning Board & -ja 197 Area /..�.�.....`'....... . ...
Diagram of Lot and Building with Dimensions
a
Fee ......... .. ........................ i
SUBJECT TO APPROVAL.OF BOARD OF HEALTH
4-6
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/0--17 rye a r�
7-7J ii20
Fvt /S3
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
Ii
I 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 .�?pl: .. .. .......
—
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� - JACKSON, LELAND & IRENE
R�
ti No Z9778.... Permit for ... ne• St2TY............. r -
...; ••• Single Family Dwelling
Location ....357:White Oak Trail•••••••••.••••.••
r
Centerville ,
t Leland & Irend Jackson
y Owner. -. ....... .. ......................................
Type•of.Construction ....Frame•••••••••••••••••••••••••• -
............. k.................... .......
' Plot ............................ Lot ......................... -�
Permit Granted ........ ...........19 86
p r
_ Date of Inspecti 4...�D ••L 19 r�o
Date Completed ... ................19 `
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