HomeMy WebLinkAbout0128 HOLLINGSWORTH ROAD - 12582 THE
TOWN OF BARNSTABLE
l! am ..
03 9,
a M BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO ...................................................................................................I..........................
TYPEOF CONSTRUCTION .....................................................................................................................................
.............fiq..........;:Z..........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Ade..... .......Im...................... .............................
W V
ProposedUse ...R. .....................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner R.a_C' A/....Address .........OST
9- 'E: us as At ';"
Name of Builder Kq-.SSAF--(/....... ......T..O.C.0..... ......Address Address ................S ................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..........................................................Foundation ....0.. 0. ........................ ....... 'r...................
r O .�T..................................................
Exterior �.V............................................................Roofing .........
Floors ......C_!A.1-1 .Interior ...... .....................................
.R
Heating ....... P
.0 .....................................................Plumbing ...... ..............
Fireplace ............N.0..............................................................Approximat'- Cos 4�...3,
D-10.0.0.................................................
s � 6,l
Difinitive Plan Approved by Planning Board --------------------------------19-------- x-
Diagram of Lot and Building with DimerTs9jjs PRO POSE-D MIE"THOD )F
l :7
SANITARY WATER SUPP' y, SEWAGE DISFOPAL
AND DRAINAGE IS HERE Y APP'RUV"ED
TOWN OFF BARNSTABLE,
BOARD OF HEALTH
A ILICENSED INSTALLER MUST OBTAIN 'SEINAGE
PERMIT, AND INSTALL SYSTEM.
C)
rl2dAJ7,
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ,f.....�r.... ... ....... ..........................
Jacobson, Russell A. & Susan H.
No .....12582 Permit for ......,,,add to single
..............
family..dwelling....................................
Location 128 Hollingsworth Road
.........
Osterville `06—
...............................................................................
Owner .....Russell A. & Susan H. Jacobson
..................................................
Type of Construction frame
...........
................................................................................
e w
Plot ........................ Lot ................................
Permit Granted ..........Auguat..2.7...........19 69 +
71k I
Date of Inspection ....................................19
l� z �-� � '
Date Completed ...... ..'.......... .
N
I
PERMIT REFUSED �
I
................................................................ 19
............................................................................... 1
i
............................................................................... i
Approved ................................................ 19 F
...............................................................................
................... .........................................................