HomeMy WebLinkAbout0108 HOLLINGSWORTH ROAD - 12091 ��Q���TNETp�yw TOWN OF BAR.NSTABLE
BAUSTULE, i
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0 MpT jVj BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION .....................��� .. .7. ::.. ............................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......... 7.. 4r�cz?A > t .............................................
ProposedUse .............................................................................................................................................................................
ZoningDistrict ........................................................................Fire District .........,..............d�A�..........................................
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Name of Owner ���.1G11- t{....� Address .a./............ ......... ........................�oj I�GC�.'4
Name of Builder G........ `!.... `.G. .........Address .........:....... ��... y
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..........� � v� ...........................................Foundation .......
W,e7 ......................................
/� rQ
Exterior ........64 ...Roofing Jf61� s�
Floors .......................Interior .........°�
Heating ..................................................................................Plumbing ............................ :
Fireplace 0-0
.......... .............................................................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 o B sfable regarding the above
construction.
s Name .................J ........ G
Eastham, Dorothy
No ....12091.. Permit for ........ add to single
family dwelling
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Location 08 ' Hollingsworth Road
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Osterville
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Owner Do.rothy..Eastham. . . .......................... ........... .... . . ......
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Type of Construction ....................fra...e...................
................................................................................
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Plot ........................ Lot ................................
I
Permit Granted November 21 68
.........................................19
Date of Inspection ....19
Date Completed 19
PERMIT REFUSED
................................................................ 19
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............................................................................... +
1
Approved ................................................ 19
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