HomeMy WebLinkAbout0027 LONG BEACH ROAD - 12978 oFTHETo�°� TOWN OF BARNSTABLE
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APPLICATION FOR PERMIT TO . ' 1.......... ........
TYPE OF CONSTRUCTION .........� G' ul '�� C�l..... /✓'` % ... w ..................................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............. . ....
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Proposed Use w� '....? .... .....`}� Z6�< .!/
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Zoning District ............ ....... ...................................................Fire District ....0 � .-5 .--a,Ze...........
Name of Owner .....r4-t1V..��G� ..C�4�!.................Address ......����
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Name of Builder J.... ..... .. . .... .......Address ....��J� v ��� !. L�l.....1.�-�% � 4f,..� G
Name of Architect Address
Number
Number of Rooms ......:.. .........................................Foundation ......C��,�:��/.
Exlerior ......... .s�9G'�.�..,c�`� �/.' u��..�2:c�`..�..�...................Roofing ...............�i��Q...................................................
Floors ............ ......................................................Interior ............ ....................................................
Heating �� .. ...................................Plumbing .............� .P...................................................
Fireplace ........... .... /? ..................................................Approximate Cost ......../. f
Difinitive Plan Approved by Planning Board ________________________________19--------. �
Diagram of Lot and Building with Dimensions
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HE PROPOSED METHOD OF PROVIDfN0 FQ.�_
Nt; g WARY WATER SUPPLY, SEWAGE DISPOSA: .
A D DRAINAGE IS HEREBY A PR VED
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TOWN OF BARNSTABL ,
BOARD OF HEALTH
/D INSTALLER MUST OBTAIN SEW.p,G ,
A LICENSED INSTALL SYSTEM.
PERMIT. AND
I hereby agree to conform to all.the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... ..... ......................
The Beach Club
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No —.��7/�.. pennit—for- —..rwplwqm .���"_.
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/� Loz�� Beach Road
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Centerville
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` The Beach Club /
Owner ------------.-----~---..
Type of Construction ----�raom�______.
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Plot ............................ Lot ----------' '
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Permit Granted --.�����-----.--.lV '0
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Dote of Inspection .^�� ----l9 �
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Dote Completed —.�,�.��..��x�----]q~��
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PERMIT REFUSED
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Approved ........................................ lV
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