HomeMy WebLinkAbout0022 MELBOURNE ROAD - 15768 dM -2 Go% —Z3 too
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APPLICATION FOR PERMIT TO `C. �......... ........ :: I.......... ......... ! ....,.
TYPE OF CONSTRUCTION ............... ....... ., ' '.... .. ....... :.......................:..............
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the follow in information: *� // 4Location
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ProposedUse ...o�'g......F .�!y......... ...........................................................................................
d.Zoning District R! .4! ....................................................Fire District 110#
Name of Owner S° �. l/i � � ��.........................Address u �-e 6� rSo�srT �•/�ME l7fb
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Name of Builder ' '
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Nameof Architect ................................................................... .........................................................Address ....................................................................................
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Number of Rooms ..v Foundation POURD
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Exterior A/i�l . ��oofing ......►T.S. ......... ........................ . ..............' '
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Floors ..Y.AK....Y.6.RIP,1�'O F..A......................................Interior ..�.�....... .".!!'.... . . ��..
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hkSHeating .�1...............�.....................................................Plumbing .....PL AS T l C .......... ,. J647'
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Fireplace ....ya ......Approximate Cost , / ®�® �®
.. .....1......................................
Definitive Plan Approved by Planning Board ---------------_---------------19
Diagram of Lot and Building with Dimensions e,
SUBJECT TO APPROVAL OF BOARD OF HEALTH r O
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
O t lot
Name ........ .................�...... ... . .......
Luzietti, S. & T.
15768. Permit for .....one.:story
No ...........
single family dwelling................. `
LocationMelbourne Road
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Y�f'IS........................... '....................
Owner
S1 & T. Luzietti
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.................................... ra,.me..................
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Type of Construction frame
t.......................................................................
Plot ............................ Lot ................3.............. V
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Permit Granted .......December..l2........ �I 19 72 G V n
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Date of Inspection ..3........... ......... ..........19
Date Completed � I
73
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PERMIT REFUSED
................................................................ 19
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Approved ............................................... 19
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