HomeMy WebLinkAbout1614 OLD STAGE ROAD - 15127 b�Qy�FTHE TO�ya TOWN OF BARNSTABLE
1639.M BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .... f�.. t �.%�. �i.... ?'' .........................
TYPE OF CONSTRUCTION
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies or a permit accordingto the followingf information:
Location ..... �G..�/ ?�R. ....f ...!?. ......... �� / .............................
ProposedUse ........ ::. ... .... .e....- ........................................................................................
Zoning District ...... .4. „Fire District................................. ............. ...............
Name of Owner �*v
Gas .� '2
Name of Builder ...... .............................................Address ...................................................................:................
Name of Architect ................... ...................................Address ................. ..... .
Number of Roo s .................V6.............................................Foundation ...��® r ar
..........................................
Exterior ... ...Roofinir/"�' �c/�[ -
... . . .... ..... . .............. ...................... ....
Z4.er,
Floors ......... r............... .........Interior �
Heating !! .........Plumbing ....... ... ..............................................
Fireplace ........�rpr
/!f......................................................Approximate Cost ........p.... � .. � ..........................
Definitive Plan Aed by Planning Board -----------____---------------19--------.
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH �.�)� ;
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THE PROPOSED METHOD OF PROVIDING FOR
SANITARY WATER SUPPLY, SEWAGE DISPOSAL -
AND DRAINAGE 15 HEREBY APPROVE
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PC, , ex, //-?
TOWN OF B
]BOARD OF HEALTH
A LICENSED INSTALLER -MUST OBTAIN SEWAGE
PERMIT, AND INSTALL, SYSTEM,
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name : : ... .. .. . .G.'1...... ..... .... ... ...... .. ...
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Soith° Lloyd R. 6EArne D. /
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15-127 nxzvm dwelling ' .
No ..����L.. Perm -.----_-----..
,
from'Hinckley Road North ' \
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Old St Road
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' West Barnstable
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IJmnnd R. &; J�°�w D. Smith
Owner ---..������' ^--
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frame �
Type of Conohucdon .......................................... .
-.-.--.---.....--.^------------.. '
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Plot..................... Lot ................................
June 13
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Date of Inspection �� --
Completedop
Date
' PERMIT REFUSED
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Approved `~--------------- 19
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