HomeMy WebLinkAbout0286 OLD TOWN ROAD - 12621 %THE
TOWN. OF BARNSTABLE
BAR35TIAUBLE.
M A�G&
1639-
a BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ................... 1�.
................................................... ...........................
TYPEOF CONSTRUCTION ..................-rra.A&.................................................................................................
..........
..........S£ .....L7..........19.0.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according-to the following information-
? /� MA...1 0 ey ......Location �................ ............. ............... ic�................ ..........................................
Proposed Use ..................................h. t?.............. .....
y............................................................................
Zoning District ........................ .... ........ %....Fire District ...................................
.. ..................... ............*i.......................
Name of Owne__ ..................... '5 ... .... A�fr_f -
r ...P g 1,3 Qt-s_�t'%.r .......1..9A).".y 94...Address .... .................................................
Nameof Builder ...... ........Address .................................................. .......................... ..............................................................
Nameof Architect ........//.......................................................Address ....................................................................... ......
Number of Rooms .......... eve-ox
........................................................Foundation .......7��M....................... ........
Exlerior .................. .............................................Roofing .............P9-J,4 L
...................................
Floors .............. ..........................................................Interior .........
Heating ...... ......... ....7 ....
.. leth
.........................Plumbing ........... .....................................................
.. .
Fireplace ........ ... . . . . . . . . . ...--.............- . ... Appro ximat- Cost ...... .. .......................................................
/ oeL 105Difinitive Plan Approved by PIanning Baard - -�/ /-7-----------Iqp -
Diagram of Lot and Building with Dimensions
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1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardind4le- above
construction.
/ Name\ :�l�l�•..... ..�% :.. �'..�:� ..........
Dennisport Furniture Co.
12621 one story,
No ................. Permit for ........... f
f
single family dwelling ( _
............ ..........................................
Location ;..., Old Town Road ° r
...............
���n t .j'`1................. ...................... a'ov to
Owner .......Dennisport Furniture Co. ;
............................ .........................
Type of Construction frame P=
m a
....................................................................... f
Plot ............................ Lot ................................
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Permit Granted .......9Rptember..17........19 69
Date of Inspection ......1tl--.. 19
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_;, Date Completed ......................................19
i PERMIT REFUSED ]
• .. .. �.`.......:.. :.:. .............. 19 r
...............................................................................
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.................................................. .........................
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...................... .....................................................
Approved ................................................ 19
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