HomeMy WebLinkAbout0006 CHAPPAQUIDDICK ROAD - 13642 y�FTHETp�yTOWN OF BARNSTABLE
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19* BUILDING INSPECTOR *
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(APPLICATION FOR PERMIT TO ....... ............. ......................
-TYPE OF CONSTRUCTION ............ ... .... . ... .......................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a e mit according to, the following information:
let........................................... . ... ........................................
Lo�ation ........
Proposed Use ... .. .......
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Zoning District ......... ... ................. ......... ...Fire District ...:,PIN.............. .................
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Name of Owner .... ...i ....................Address ..........L& ............................
Nameof Builder ............................................. .......I.:.............Address ....................................................................................
Nameof Architect ...................................................................Address ....................................................................................
00T �'!°'.............:. ....... ............................................................
Number of R Foundation ...C4-0- .
Exterior ........................... C
.�. ...... ............. .Roofing ....42.01�14 ..... ..........................................
Floors ....... .......................................................Interior .........
Heating ..... .. . . 4M.401C.7.......................Plumbing ...... ..........�-�*A=...........................
Fireplace .. .... .. .. . .. ..... ....... ..............................Approximate Cost .... .......
Difinitive Plan=Approv�ed7by=1anning Board ----------------------------19-------- -
Diagram of Lot and Building with Dimensions e,
THE PROPOSED METHOD OF PROVIDING FOR
SANITARYWATER SUPPLY,' SEWAGE DISPOSAL
AND DRAINAGE IS HEREBY A�Y/i:l 7'1�'�--D
TON BARNSTABLE,'
BOARD OF HEALTH
A LICENSED INSTALLER MAST OBTAIN SE
PERM111', AND INSTALL SYSTEM.
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re4gardin he above
construction.
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Narile. .......
Small, Alan
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Location U�-.. ..uiddick I�ua�____
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Type of Construction --------------. ,
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Permit Granted --� ...������� I
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Date of Inspection
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Date 'Completed ......................................
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PERMIT REFUSED | '
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Approved ................................................. lg
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