HomeMy WebLinkAbout0309 PINE RIDGE ROAD - 12195 THE
TOWN OF BARNST - BLE
BARNSTABLE,
MASL
039.
-P.TnR
0 MAI BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....A.Z ..............................
TYPE OF CONSTRUCTION ............
......................................................
.......... .............19.40..V;
TO THE INSPECTOR OF BUILDINGS:
The 'undersigned hereby applips for a permit according to the following-informdtion:
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.........................7...... .....I...........Location ....... ....
ProposedUse ...r6n5, e� .........................................................................................................................................
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Zoning District .......... ....................................Fire...........Fire District .....(.....................................................................
Nameof Owner 114 .............Address ........................................................I...........................
Name of Builder .............. ..........Address .................................
..................0 '.............................
Name of Architect
.......................... .......................................Address ....................................................................................
Numberof Rooms ...........y...............................................Foundation ;y..............................................
Exterior ....... ...................................................Roofing ....A�......................................................................
Floors ... ...........................Interior .......Z., F
Heatin . ......cl/.g ...........Plumbing ........ ..... 2—
...........................................
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'-
.......................................................
' James C '
~~^u-- , C. � '
,
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No - ��� 9J-. Permit for --..���.�?�����-..
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' Locoh�`°.�-.�1��. .Aoa4....................... ,
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Owner ............. ------'' »
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Type of Construction ---.�ram.................... �
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Plot ............................. Lot ............R9............. �
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Permit Granted --.��rnua��..�l_,_.]g -~
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Date of Inspection .. ���7l9 �0 ^^ '
| Oota Completed .....\ � l�
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PERMIT REFUSED
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Approved ................................................. lA
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