HomeMy WebLinkAbout0020 LOVELL'S LANE - 16293 /Assessor's map and lot number -3
............. .......................... SEPTIC SYSTEM MUST 13E ..
INSTAL"LED IN COMPLIANCE
WITH ARTICLE Il STATE ry{
Sewage Permit number ....................... ...,..............................
�j SANITARY CODE AND TOWN
ypF 7NE 11 T O JN 0 Y- B t1 R \ S toff
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BBBHSTADLS, i
9� O 9'Ar. BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. •� :. ............ .... .,/`� lL 1................. �':...c1G............
TYPE OF CONSTRUCTION ............. G?C!L ........, C...................................................................
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......A :Gl/ 1z ..../41................19.?�
TO T4-INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
/a permit according to the following information:
Location ..........J..P............. ... ....... ..... f.:........ ............../...... ............ !G. ..............................
f.."�:���. !�. ::.... . . '` /i� ...........................................................................................................
Proposed Use .........
ZoningDistrict ......... .....r1.............................................Fire District ..............................................................................
Name of Owner ..... ......(..... .,.. ...`.........Address j2? .....L./l�` �. .; ................................
Name of Builder .......�.:�:.......(."..................Address ............................. .1............................ ....
�......:...........
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms `j .........................................Foundation �°........... :� (f..........................................................
.,(� . ice ri l / PhX)zExterior ............�.... ... . .......... .............:l{.............................Roofng ....... .............................. . ......................................
Floors ��� /?` y...J� C�j1��� ..... 7 ..................................................Interior .............. ems........ <..
ems. /../ � .i
Heating ;�.�...................................................Plumbing ......... ...................................................
Fireplace ...............................................................................Approximate Cost ........... .®DD............................. ..........
Definitive Plan Approved by Planning Board ------------___---------------19________. Area .... .�4 ....... ...
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�G
N.
4? moo°
I hereby agree to conform to all the Rules and Regulations of the Town o Barnst ble regarding the above
construction.
Name ! .. �: .. ... 2 ... ��...
Nordstrom, S. L. d 0 46 41-//2�
No ..16293... Permit for ......one..st°ry..........
single family dwelling
...............................................................................
d
Location;�6 wells Lane
............ ..................................................
Marstons Mills
...............................................................................
Owner .........S. L. Nordstrom
.......................... .........................
frame
Type of Construction ..........................................
.. t
................................................................................
Plot ......................... .. Lot ................................
June
Permit Granted 73
......
..�ouw�o
Date of Inspection ...19 `�
............... . ...... ..r.....
oh
�6 ... ... ... . .Date Completed .... ........19
PERMIT REFUSED ;
................................................................ 19
.......................................................................I.......
a : ....:...................................................................
......................................................................... I
..:...........................................................................
K�
Approved ................................................. 19
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