HomeMy WebLinkAbout0093 LONG BEACH ROAD - 12596 ��Qy°FT"ET°�y� TOWN OF BARNSTABLE
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BUILDING INSPECTOR
- APPLICATION FOR PERMIT TO ................ ....... ..........................................................
TYPEOF CONSTRUCTION ............... ........................................................................ ............. ..........................
..........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby .,applies for a permit according to the following information:
Location ..........V........... .... . ......according
.......................... ..... .................................
Proposed Use ..... .. .........
.....................................................................................................................
Zoning District ......... ....................................................Fire District ....... ............................
Name of Owner ...41/- . ..................Address .....5................
...... . ...... .................
...............
Name of Builder ......;;1,4a. .. ......................Address ................ ..........................
Nameof Architect ..................................................................Address ........................................................ ...........................
Numberof Rooms .............I..................................................Foundation ..............................6...............................................
Exterior ....... .. ..... .. ... ..... . .. . .....................Roofing ................ .. ............ .. ....................................
Floors .........t. ......... ........... . ...V .............................................Interior ................. ..... ... ....
.................................................
Heating .......... A ..................:................Plumbing ..................................................................................
Fireplace ............................... ..........................................Approximate Cost ............... 0.. ......7777...........................
Difinitive Plan Approved by Planning Board --------------------------------19
Diagram of Lot and Building with Dimensions ov
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ITHE PROPOSED METHOD OF PROVIDING FOR
SANITARY WATER SUPPLY, SEWAGE DISPOSAL
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;7AND-DRAfNAGE IS HEREBY APPROVED
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TOWN OF BARNSTABLE,
BOARD OF HEALTH
LICENSED INSTALLER MUST OBTAIN SEWAGE"
PERMIT, AND INSTALL SYSTEM.
I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstable regarding the above
construction.
Na ..... . .. ...... ..............................................
Curran, To
em kN
12596 add to single
No ................. Permit for .......................
I family dwelling.=,
.............. . ........ .
Location33...Long...Beach...Road.......................
..... ......... .......... ........
Centerville
...............................................................................
Owner .............V......T.....Curran...........................................
frame
Type of Construction ..........................................
>fly
............................................................................
Plot ............................ Lot ................................
N
Permit Granted ..........PeP:�'ftT)?.q:r.A.....19 -69
—F&am
Date Completed ..... ............196 >o(ls //Y
...19 Date of Inspection .... ................
PA
PERMIT REFUSED
........... ...................................... 19
...............................................................................
.................................................................................
............. .................................................................
.................... ......................................................
LO
163,
Approved ......................................... 19
...............................................................................
....................................................................... ......
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