HomeMy WebLinkAbout0006 FIVE CORNERS ROAD - 12748 Qyo�THETo�� TOWN OF BARNSTABLE
33ARNSTAM 639 1
Jul BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO A
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TYPE OF CONSTRUCTION ................:;::;;t/
.... ..................................................... .. .
................./.............................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit fa ing to the following information:
Location ........
................................................
0- ...............................................................................................................................
Proposed Use
Zoning District ........................................................................Fire District
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Wy lvw
Name of Ownep��w. . .... .... ...... ..........................:.....Address"� . . .....��Ag�:v
................
Name of Builder .... ............. .......Address ........................................
Name of Architect .......................................................... .......Address
Number of R ooms ........................... ...................Foundation
Exterior
...Roofing ....�.ZX4
.....................................................
Floors ..:.............................................Interior ......
Heating.
....................................Plumbing .........
.......................................................
Fireplace ..............................................
...................Approximatt- Cost ..............................................................
/Difinitive Plan Approved by Planning Board --------------------------------19-------- 7a
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Diagram of-,L9iben .-,i u, OFM—Ksi�'�Ml DING FOR
SANITI-- RY WATER SUPPLY, SEWAGE DISPOSAL H
AND [)KAiNAGE '1S HEREBY APPROVED
TOWN OF BARNSTABLE,
BOARD OF' HEALTH
�azvm3s N[Viso TIVISNI CINV
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnst e regarding the above 4,0
construction.
Name..... ... .. .. ......... ............ . ... ...... .........................
Wrooa' ���, Cyrilvl
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l274R one utoz��
No --' - Permit for ` " ~ `
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single family
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Location -..u��' Five.. -C0000ro Road
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erville
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Mrs
.Owner ----..�-�����..�?��.�------.....
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frame
Type of Construction ..........................................
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Plot ............................ Lot ----------'
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Permit Granted --�oY.Qmb.#r..14.........lg Ao
Dote of Inspection ------- ...............
Oone Completed ......^�«�� ��-^����-]A
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/ PERMIT REFUSED
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Approved .. lV �
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