HomeMy WebLinkAbout0027 MIZZENTOP LANE - 11127 r TNET��yo� TOWN N OF BARNfSTABLE
i HAHHSMULE :
0 aYa`e�, BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... O S C 1.N.....Fo 2 c. ....
TYPE OF CONSTRUCTION ........ 0...O.. D..........................................................................................................
......... A..�.......... ...19...
TO THE INSPECTOR OF BUILDINGS:
Px The undersigned hereby applies f%orr a permits according to the following inforrm�tion:
Location:... . /.9.zLt .�✓1...�. / .fY, ...........!�l/ 5. .../7' /�!/v/✓/.s........n ...�� ,S,S.....
ProposedUse ... .�.5. . ........�.�t� ......../....o... . ....................................................a..............................................
ZoningDistrict .......................................................................Fire District ................... .........................................................
Name of Owner � � ... . ... . ... ..:......Address �J vf1Y�........................................T
Nameof Builder .............C.! t� ..................................Address .................................:..................................................
Nameof Architect ..................................................................Address ..............................:......................................................
Number of Rooms f
..................................................................Foundation ............................:.................................................
Exierior ....................................................................................Roofing .....................:..............................................................
Floors ........ �.... ................................................Interior ....................................................................................
Heating ....... ....................................Plumbing
Fireplace ....................................................................:..............Approximate Cost .... „
.......................................
Difinitive Plan Approved by Planning Board ________________________________19________ .
Diagram of Lot and Building with Dimensions
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......... i..... .. ..................
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No -. Permit for .........
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Location . ....................
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Owner 8nv p°
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Type of Construction ......�����--------
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Plot ............................ Lot ................................
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Permit Qronha6 ---..y1a -----]g A�
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Date of Inspection . `��---.lg ��� / ` ^
Dote Completed l�/ lg
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PERMIT REFUSED
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Approved,........................................ -- lg
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