HomeMy WebLinkAbout0185 ROLLING HITCH ROAD - 15718 T"ETo��„ TOWN OF BARNSTABLE
i BAWSTADLE. i
M6 q BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .... ....................:.. ...... ....... ................ .:.....:...........................................
TYPE OF CONSTRUCTION ..................f.I ` ...... .... 1 ..................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby a plies for a permit according o the following info mation:
Location ........... 10*44e.I ....I�:..... . . .. .. .........
P ...... .. ...
ProposedUse ..........; ...................................................................................................................................................
ZoningDistrict ................................... ....................................Fire District ...... .. ....�.......... ............
Name of Owner ...�.. ..... .��:°".�`::. ...................Address . :..:�......:`.':A`�°............. .. ...:...:�.................. �.
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect ..c . t r
...............:. ..........................................Address ....................................................................................
Number of Rooms .............. Foundation .... .°�:.. a .....................................
........... ................................. .........
Exierior ............Roofing
:. ..... .. '� ...............................................
......
Floors ..........j���.�.!��!�i.�....................................Interior ......... � �/�.... .................................
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Heating ...................................................................................Plumbing ..........................1 ':....
01-1 t-4........................
Firepp ...........l.................. !.
lace ..................................................Approximate Cost ......................l ...... ......... .::°—...
Difinitive Plan Approved by Planning Board ________________________________19________. 0
Diagram of Lot and Building with Dimensions Y
THE" + � ,; � mt3 ;N�
I PRC"R SL J I .
SANITARY WATER S" PI Y SEWAGE
AND DRAIa ACr ►S, Lii 6`�` A. ' ' js �`y� �-- `� all,—C
,TOWN OF BARN
STA�L
p CI= .}1EAL-I N
BC AR
A LICENSED INSTALLER Mid ST OBTAIN SEWAGE-
'PERMIT, AND {�'�T;=;l_1_ �c
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .:a : . :::.... ....................
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No - — Permit for .................
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Owner -- __________. �
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Type of [onm�u'�ion —�����!--------'�
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Pkot -------..—.. Lot --�� ( -
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Date of Inspection '
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PERMIT REFUSED '
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Approved ............................................... lV
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