HomeMy WebLinkAbout0021 PINE TREE DRIVE - 13767 ��Qyof7NEro�y� TOWN OF BARNSTABLE
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a uaY BUILDING INSPECTOR a•
APPLICATION FOR:,PERMIT TO .... ......... .�.... ........�......... ... �. !.. .. ..........................................
TYPE OF CONSTRUCTION r'R Val e- e f t tt "r'� 6 t
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location h �If' e- �JiT' 2 1 e- �C' V , e ' "l S At....
Proposed Use e.: .�... .� G e-, ...................
........... ................................
ZoningDistrict ..... : .."..�.................................................Fire District ..............................................................................
C � \ ..... ' . ..... .Name of Owner ......�...� ....Address ............................. kl� ..�.�..
JY4.............!?1
Name of Builder V`e�. .u�1, .... .�.!!ti. .J..............Add resAz?c,':.` l� Nr' l 1��?..4�l rl�
Nameof Architect ..................................................................Address ..........................................................`...�................. .....
Number of Rooms g �. ... . ....................Foundation Q V. �-a�' \.e-'" �jLL�` A(
.....�:. ...... -. ?.........................................
Exierior `t�l IA&.l...................I.....................................Roofing ....5.�.�..\!Z .. ,......�...P1�..��.!�\.�..................
Floors ......�T.!�.k...............................................................Interior ..... .`.'l. '. ..................................................
Heating '.�.�- .?..r'...1. .................................................Plumbing .........)_.. .:. I .k;� t�e
......... ...�/.t............
17
Fireplace .......M... N--"'.:................
M. � .....................................Approximate Cost ...�.�'.j: 0.........................................
Difinitive Plan Approved by Planning Board ________________________________19________.
Diagram of Lot and Building with Dimensions '' 00
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PROP -SE ,PROVIDING FOk
SAITARY WATER SUPPLY, SEWAGE DISPOSAL
AND DRAINAG IS H -REBY APPROVED
TOWN OF BARNSTABLE,
nr%ARD OF HEALTH
A LICENSED INSTAL R MUST OBTAIN SEWAGE,
PERMIT, AND INSTALL SYSTEM.
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ing the above
construction.
Name ..................... :.... ..........................
Schablik, Emanuel C.
No .13767.... Permit for .......1..1�z..s.,ory....
single family dwelling
...............................................
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Location ....Pine Tree Drive
..................................................
Centerville
...............................................................................
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Owner ....... manuel C. Schablik
................. . .........................
Type of Construction frame.................
....................
................................................................................
Plot ............................ Lot ...... .A.3............
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Permit Granted ....A?ril 13 19 71
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Date of Inspection ....-7.-'..(.....................19 7/'
�r tt--77 d
Date Completed ..... (........19
31 PERMIT REFUSED E/
................................................................ 19 I !�
............................................................................... .
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...............................................................................
Approved .................................................. 19
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