HomeMy WebLinkAbout0170 MELBOURNE ROAD - 15794 �o�TMETp�♦ TOWN OF BARNSTABL ■
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"6 9 BUILDING ' INSPECTOR
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APPLICATION FOR PERMIT TO ..... ..9±3S,I.R0C-T .A DWELI+L N Ci 47-Bx I'4�C 3S'�
TYPE OF CONSTRUCTION .. cotes... /2AME..........�.�.8.g...SQ:. .r.:.....�!„� .......: :•........
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
23 .. `Location .. q1... . �. .../..� �..�....ty. !V!v�..
ProposedUse ... W L-. .. ... C'.....................................................................................................................
ZoningDistrict ...O�......�..1..............................................Fire District ..............................................................................
Name of Owner ..L�SdN......�J.'.......�OQ�CL ..............Address .!ti?..��!A1e�Ot�l�S.. Nt......�?. ��NLOV. .../..Y./'�Ss ,
Name of Builder .l- �N v TQ SIC£ ....Address AlA U-0tos LN• S,
0 Address .4�r.. r�D. �. P" G . �S ?
Name of Architect .... ...Q......`-.........'. �� EA•N 2 �V LSV(LL A- A ^
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Number of Rooms ....b..........................................................Foundation
Exterior ...
! !TC... � � A3.C.. ............Roofng �... ... .....�..................... .......................:. ... ... ....... .
Floors .C. !4.. T'..............................................................Interior .. 19.7. ... I'� ...
HeatingGAS..... 1.:. .-.........................................Plumbing ..............................................................
Fireplace O Nam- ........................................Approximate Cost , . Jb"O
.......................................... ....
��77
Definitive Plan Approved by Planning Board __S4�_N� 19_I/_.
Diagram of Lot and Building with Dimensionsul
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I hereby agree to conform to all he Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .....................
J(DDCE, IEX}N J.
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No -- Permit for Cna..XeWzily./dioellizg
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Location . ..I�l .. s.
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Owner .Ieao..Z.....Jodice.--'_.--.-.---. '
Type of Construction -.-.Jxam.......................
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Plot ............................ Lot .........;2.16-3........... ~
Permit Granted - ---'lV 72
Dote of | 19 '
uo/m Completed
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PERMIT REFUSED '
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Approved ................................................. 19
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