HomeMy WebLinkAbout0023 LAKE STREET - 12597 %THE TOWN OF BARNSTABLE
BARNSTABLE,
NAM
�639- BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........ ..........................................
TYPEOF CONSTRUCTION ............ . ..................................................................................
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information-
Location ............... ................
........................ ....................................................
.......... . ................
............
A-Z ..
............. ........C / --
........... ............................................... .......... .
Proposed Use ............ ......
ZoningDistrict ..... ......... ........ .......... .....................................Fire District .......... A.�. ...........................................
Name of Owner ZI-6
................................... ............................. Address ..
............<I-
..... ...........................;..................................
Name of Builder ................. s .. ...................................Address ....................................................................................
::
Nameof Architect ...................................................................Address ........................................................ ...........................
Number of Rooms ....................... ........... ....................Foundation ....... ..............
Exterior ................ ......t0ov`e� Roofing ..........A0,4 ....CA7.7 - Ij :vl... .....
Floors .................... ............................................Interior ........
.... . ...
•Heating ............... .....................Plumbing ........... .. .... ...
Fireplace ......................AlAo^ ................:.A Cost ........... ...17. .......................0
Difinitive Plan Approved by Planning Board --------------------------------19-------- -
Diagram of Lot and Building with Dimensions
I&TOR
r -PUSEEr-
I
SANITARY WATER SUPPLY, SEVVAGE DISPOSAL
E D
AND DRAINAGE Is H�REBY
% -
Ft 0
L--�-TOWN OF BARNSTABLE,
BOARD OF HEALTH
A LICENSED INSTALLER MUST OBTAIN SEWAGE
PERMI , AND INSTALL SYSTEM.
0. NJ
N) Coo ,J
1\
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding thei above
construction.
............................ .....
Dottridge, E. 0. Sr.
i.
No .....12597 Permit for ...,,,add to single
famil dwellin
Location Lake 'Street a
... ..... .........Cotuit........................................ i
Owner ............E....0.....Dottridge,...Pr?.......
... X121
Type of Construction ...................fram.............. r................................................................................ '� • � -
Plot ... Lot ... ..................
Permit Granted September 19 69 t i
Date of Inspection ....19
Date Completed ..1...'.-� ./�....... .......19
I-Ae4
PERMIT REFUSED' ' 1 CAAM Y kl(
L- x ts
............................................................................... " f� � •,
................................................... ............... ±. ....
...............................................................................
...............................................................................
Approved
...............................................................................
...............................................................................
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