HomeMy WebLinkAbout0735 OLD STAGE ROAD 1
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Assessor's map and lot,-nurhber
— ' SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage ,Permit number.................... .................�.....:,.......
n WITH ARTICLE II STATE
SANITARY CODE MD TOWN
OFTHE-
TOWN' OF 'B A R NISEI- OD L
all BASHSTADLE; • P
1_39-M_3` �U11.0IN INSPECTOR
� OMAya\e�
APPLICATION'FOR; PERMIT 1'O ......................
TYPE OF CONSTRUCTION ..................... '�4r'`-.:....''"—�L_'................................. .........................................
... .........................19�..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby `applies •for a permit according, to tth/e� following information:"
Location ........l.�Cld. ......... ..........��6.. ............. 1."l .........e� ................. ......-� ..........
ProposedUse .....(` .i;17 1J". ......................................................................................................... .........................
Zoning District ............................,............... ..... .....Fire District ....::................:. -... ..:..............................
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Name of Ownerto
--�?::e`..!:.'..... ........... .........,......Address ........f�[.t.4�+........... ...... 1�
Name of Builder .... .. ........ .�....f�....................Address ............ 1 -g. �G .� "�....,....................
Nameof Architect .......................... .......................Address ...........................�.........;.................:...........................
jj� l. ',
Number of Rooms ........... ..........................................:.Foundation .............F.......................................C� '
. .............
r , � r e
Exterior `a' �"" Roofing ..............:..1.3. ..Jn. ...................................
................ ..`...........................f ..,�;...
Floors ` /�,� � ...................... .............................Interior ............ [.. '...L .......1/.L .................. ..
iri ° �'
Heating .:..........6,1 .-. . . ...Plumbing .............../..........
✓. ..................................
Fireplace .................1:.........2.. .-.. . .ccif/'._................Approximate Cost .................... ,
L...............................................
Definitive Plan Approved by Planning Board ----------------------------------19________. Area .. .......................................
Diagram of Lot and Building"with Dimensions
Fee ..........�....... ...:.................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to. all the Rules and Regulations of the Town of Barnstable regarding the above
construction. '
Name . ....................A....... ............... .................
�x Gagnon, Edward
No 1902a.......Permit for
single...x. diael.J.i
Location .Lut..#S...QLd..S.tag,e...Road.................. ...- � .- • .
......C.enter.vill.e................................................
Owner Edward..Gagnon...................................... �• -
Typeof Construction ..wood..frame................. ✓ r �• �� t U y^} �jr .
......... ..•........................................4 .................
` Plot ...:..................... . Lot ......$5. ....................
=A .
Permit Granted ....Nardh 18 .1977
• 'Date of Inspection
-Date Completed s....? .-..... ..19 r ~
_PERMIT REFUSED r
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` `• Approved 19 `- •S ..
............... ......................................................... -�
. . ................ .................................................`......I
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ON THE G R D U/V D A S S H o i./N f/ER Eon/ - ;
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7-0 THE H U /L. D /NG SFT B.9CAK REQu —
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- - OATS" BO/9�'D OF HEALTH
0r9T'E RE Lj9 SURV'5VOF2 0VED AC E T