HomeMy WebLinkAbout0024 SURREY LANE - Health oo
24 SURREV LANE
BARNSTABLE
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TOWN OF BARNSTABLEv
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LOCATION T ��R� `� �� SEWAGE #
VILLAGE '� /ASSESSOR'S MAP & LOT Z9P-os 7
INSTALLER'S NAME&PHONE NO. ¢� ` i9��® 7`� s-m2g,
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER /J �arev
PERMIT DATE: COMPLIANCE DATE: S—/�' —O/
Separation Distance Between the:
Maximum Adjusted Groundwater Table'and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No. Fee /d_
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS '-�
01ppYication for 3Mioonl *pg;tem Con!5truction Permit
Application for a Permit to Construct( )Repair(W)Upgrade( )Abandon( ) O Complete System CAndividual Components
Location Address or Lot No. 0-y Su Rk L Y' /-'L- Owner's Name,Address and Tel.No.
Assessor's Map/Parcel ,,!)W�
Install is Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
/CIA-5 7
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) A'V VS 7!
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has be*isd, this Board of Health.
Signe ate
Application Approved by Date
Application Disapproved ing reasons
Permit No. Date Issued 116216-11
MLI
6
TOWN OF BARNSTABLE
L
601
LOCATION -�-Y 5(J 4/P 2/1"', /-/-
SEWAGE #
OCA
VILLAGE ASSESSOR'S.MAP & LOT Z-177
IN ' 9' "
INSTALLER'S NAME&PHONE NO. 04 t6 Ok'ry 21) 5-4
:SEPTIC TANK CAPACITY
LEACHR G FACILITY'.(type) (size)
NO.OF BEDROOMS`
BUILDER'OR'OWNER,
`
PERMITDATE: COMPLIANCE DATE. 1�7 70
Separation Distance Between the:
Maximum,Adjusted Groundwater Table and Bottom.of Leaching Facility Feet
-anyw
Pri'vAte Water Supply.Well and Leaching.Facihty (If wells exist
w e on site or ith� Feet
n 200.feet of,leaching facifity)
Edge of Wetlandand Lqachipg Fa.6fity (If any wetlands.exist of leaching fa 11i :Feet
ithin 306 feet Y)
ci t o
Furnished by
d
Fee l
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:'".1-11", -
- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIppYication for Miooga[ *raem Congtruction Vermit
Application for a Permit to Construct( )Repair O )Upgrade( )Abandon( ) Complete System AIIndividual Components
Location Address;wr Lot No. ` #1�k 4,- Owner's Name,Address and Tel.No.on ,p
Assessor's Ma /Pazcel � 1 415 � /C,//���
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder.(,�•) �'
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures r
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1,�) 10/"V 14 /l�f
WA-
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance whh the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss d by this Board of Health.
Signed - 9 _Date
Application Approved by Date
Application Disapproved for the following reasons
�_.
3
Permit No.'-- Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
` THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( J°'")Upgraded( )
Abandoned( )by � ! C,4 f C/ G /a'�/ e- ""
at 2 K S t/&/P F ry� X X ,elf- h en constructed in accordance
with the pro isions of Title 5 and the forpisposal System Construction Permit No. dated
Installer Designer
The iss67nce of this perrmt shall not be construed as a guarantee that the syst will f pgtion 4, esigneO.
Date .S ` O/ Inspector
No. Fee _
V
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
'Wigogal *paem Congtruction Permit
Permission is hereby granted` to Construct( )Repair( A)Upgrade( )Abandon( )
System located at
and as described in the above Application for Disposal System Construction Permit. The.applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Constru ion mist be completed within three years of the date of this _it...-
Date: Approved by
I
TOWN OF BARNSTABLE
LOCATION 2 L SEWAGE # ITT
VILLAGE ASSESSOR'S MAP Cz LOT c�
INSTALLER'S NAME fa PHONE NO. T LvaCd h'I L�'
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /9.7"- (sue) 0
NO. OF BEDROOMS .7 PRIVATE WELL OR PUBLIC WATER
BR OR OWNERll,17
DATE PERMIT ISSUED:
DATE COZIPLIANCE ISSUED!
VARIANCE GRANTED: Yes No
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No........................ Fins.....�'92...00........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
.................. .._....... .........c)F.....Barns...........................ble
..............•...........................
Appliratiun for 11ispati al Works Toustrnrtiun "motif
Application is hereby made for a Permit to Construct ( ) or Repair ]'X) an Individual Sewage Disposal
System at
...24...Surx.�y Ix n e......Ba.r 5lal)l.......................... - ... .................•---
Locattiion-Address or Lot No.
6'................................................. ............................................................ ......
Owner Address
W J.P.Macomber Jr.
Installer Address
d Type of Building Size Lot_-------------------------Sq. feet
V DwellingxL No. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( )
�+
Other—Type of Building ............................ No. of persons................_____------- Showers ( ) —.Cafeteria ( )
a, Other fixtures ......................... ---- -
w Design Flow............................................gallons per person per day. Total daily flow ............._.._ ............•.._.gallons.
WSeptic Tank—Liquid capacity........__.gallons Length................ Width................ Diameter-__:____-__-_- Depth.................
x Disposal Trench—No..................... Width.....................Total Length.................... Total leaching area....................sq. ft.
f Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( ) .
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
f% Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water.........................
--------------------------Soil...................... .............•----••-----••-•-------•-•------•----•----------•--••---............._........----•-
x ----sane..........................:......... I
U -----
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UNature of Repairs or Alterations—Answer when applicable _.-_- --1 100cr gd l-lar ••pit
Agreement:,
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued VA board of heal
Signed -• •.••-- -- •.. ...... ....--11 /89 ....
G�/a
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Application Approved By.. ._...._ ... _._
................................... ......... Date
Application Disapproved for the following reasons---------------------•-----------------------------------...--------------------•------------------._......------
Date
Permit No. ��...�....... 3
Issued......... Date
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No..��n
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town of I3arr�s tab le
..................................... ............_...............----.._..---..__...............
App iration for Dinpustal Workv Tnnstrnrtiun rrmit
Application is hereby made for a Permit to Construct ( ) or Repair s(,X ) an Individual Sewage Disposal
System at:
�1L cilrr r T,anP Barnstable
................_....,......................Bil.. ................,......................... ....._..-----........................-----•--- •-
Location-Address or Lot No.
1�oh 1
..............--------
«-.-..-.--....I.......................-.................................... ..................................................................................................
W
P.1+1 x s�C0"RJE;r Owner Address
v . v r.
Installer Address
Q Type of Building Size Lot............................Sq. feet .
Dwelling—No. of Bedrooms..............3.___._..._._._____.__------Expansion Attic ( Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QOther fixtures ----------•-•-----------•---------•-•---------------------------•--------•-------•---•....••-•••----------------------•--•------------•-•.......---
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
W x SepticLiquid capacity_.-..-..�ga gallons Lengthidth------------ Diameter__.____._....._. Depth................
Disposal Trench Width
• Total Length
leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
a / Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ---•---- •----------••--•-••-------------•--------.........-----.........------------------......_..._..------...._........._..------•----.....------------
0 Description of Soil....................._......::x ........••---•----------------------•----------------------------------------------------------------------------------------
V ..............................................I...........
...............................................................................................................................................
W
----------------------------------•-------------....---------------•------------------•------------------------------------------------------------------------------------------------......_...:_....
U Nature of Repairs or Alterations--Answer when applicable................__l.^ J.J._r. _i"1J _ L_:...............................
--------------------------------------------•------------•---------------•-•-••------.....:.....-•-------------•----------------------------•-••.------•---•••••......•--------••--••-----------------
Agreement:
The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed t. ,<��1't�/, � s. � —/l ------. --•--� _... ..`:?----•-.
Application Approved By... T A,
D e
Date
Application Disapproved for the following reasons:..............................------------------------------------------------------------------------------...
..................•----------••--•---•••-•----•-------,--•----------- -------••-----------...----------------------------••-••--•-•-------••-------•---•--•----•----------...----------------•---....._.
Date
PermitNo.......................................................... Issued_.......... _!L c....................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tow"1 .......................OF...Be rnS tab 1e
........ ...................................................................
Trr#ifiratr of Tomplinurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired"11V )
by...... ..:TX---------------------------------------------------------------------------------------------------------------------------------------------------
Installer
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at......-.Qk ..C3?v v'+' T. . �•.n c- ',� n i w 1 I n
=:. s>....Y_._....-j....__..�.......... .. ........................----•---•-----•--------•------••-••-.....-•----•-•----------•--•-------••--••---
has-been-installed in accordance with v the provisions of '1'I'"'a: 5 of The State Sanitary Code as descr'bed in the
application for Disposal Works Construction Permit No.. ........... dated.........../_/ 5?_ ` ............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONVTFRUED AS A GUARANTEE THAT THE
SYSTEM WI1 L-FUNC-TION"SA/ISFACTORY.
DATE............................... ... .........................•--•--...... Inspector.........................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� � .........T.?.:'.n.....................OF...........j�^.i'n. .1:a.?:. .`-----._.................................... EE: 2 J0
No......................... F . ....---...........
Disposal Workii Q0nnntrndinat pantit
Permission is herebyranted._ J•P.i•a n o ��e r Jr.
g --•--..-.-.._..•. ----•--....... ------
to Construct ( ) or Repairy(� ) an Individual Sewage Disposal System
at No ?�...a?�_r r-y Lane 3a r n s to b l;
.............................. ................................._.............. ... _. ..•-•-_.....
Street "
as sh non the application for Disposal Works Construction Permit No` _•..__. ......Dated.._jr .............
_.._._....��� -
2 �/ Board of Health
DATE-------` ...........-- • ---------------------•........_..----•-------••-•--�
_ FORM 1255 H6iQBS & WARREN. INC., PUB41SHERS �l
�
THE-COMMONWEALTH OF MASSACHUSETTS
BARD E HE TH
- - ----.---OF.... ?- -... - ............................
Applirativaa -fur Riivoii al Workil. uaa,itrurtion Vrrmft - —7
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System
t 32-
�ocation Addr' or Lot No.
` p Address
a ......•-•-- ..................... -•----•-•--•-•------•----•--•--•--•••---------••--••---•--••-----••-•--•............-•-••••••.-•--
nstaller Address
dType of Buildin Size Lot............................Sq. feet
U Dwelling 7No. of Bedrooms.....2._ ---_____---------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ---------------------------- No. of persons_--_____--_____-_--..---.__ Showers ( ) — Cafeteria ( )
Q' Other fixtures -----------------•------------
g s$L?-------------gal ns er person per day. Total daily flow------ .-..... g�
W Design Flow--------------------- --- - ---4�-----._..._...------gallons.
WSeptic Tank—Liquid capacity-A04 -allo 4ength................ Width.--__--_---_-. Diameter------.--------- Depth.-_----__-_
x Disposal Trench—No. .................... Width------------- ____ Total Length________---_-_--. Total leaching area--_-.----_-_.--_.---sq. ft.
Seepage Pit No......I------------- Diameter.JQ_O4 OtDepth below inlet.................... Total leaching area---_.- _-_--____.sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by---------- --------------------------------------------------------------- Date---------------------------------------
a
a 'Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-..-_----___-_--_-.-----
h Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_._...----_-_._-_-----
P4 ----------------------------------------------------....---------------------------------------•--•.........................................................
0 Description of Soil-------------------
_ .. _....
V } ,t�,A4 c-----------------•--------------------------------------------------------------------------------------------------------------------
W ---------------- ------------------------------------------------------------------------------------------------------------------------------------------------------- ----•----------------
UNature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------------------------_---__-. ----.
•--•-------------------------•-------------------------------------------•------.------•------••-----------.--------.-----------------------.•-.------..----------------------•-•----------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The under *gned further agrees not to place the system in
operation until a Certificate of Compliance has b iss by the QVof health.
z4i 3
Sid_ . . ------------------_---•-•-•--•-----•......---•- y....- -----1----
Date
I
Application Approved By..
Date
Application Disapproved for the following reasons:.--- ................. •--------•---••------•--.._........---•---•.....---------------------•-••-----------•••--
..••••-•••-••-•---•---•••--•----•-----------•----------------••-•------•---•-•--•-•----•--••--•--••---...:-•-----•-------••--------••---------•--•-•------••--•-----------------------
------------------
Date
PermitNo......................................................... Issued........................................................
Date
No.. ..... Film.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD E HEALTH
_- LTH
pp
a.�sr+,.a'. -............._OF....f.a�. +.�. -` . ...........................
Appliratinu -fur 43itipuottl urko - owitrurtiuu Va ntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage2p4o gl ,>" i
Systery
at
r.M," 5 F>"�"`"" """^""................................
;� ------ --------------- 1� - �:- ._� � =
ocation-Addpr.`ss - or Lot No.
---••-----•-......-----•---.......--•-••---
Owner Address
Installer Address
d Type of Building Size Lot----------------------------Sq. feet
V Dwelling�,.No. of Bedrooms---- --------------------------------Expansion Attic ( ) Garbage Grinder ( )
Cafeteria—
a Other—Type of Building .................•--•-____-- No. of persons.--------------------------- Showers ( ) ( )
PaOther fixtures ------ ----------------------------- ---------------------------------------------------••--------------•----........---..................-•--_------
W Design Flow..................... ............ga1,J,ons er person per day. Total daily flow.__... __ .---
-------- ---------------U Septic Tank—Liquid capacity__r.?_>--/---gallfot�i`sl length________________ Width_--------.._-_ Diameter---------------- Deptll.__._-_-_......
x Disposal Trench—No..................... Width....________;-----
Total Length-------------------- Total leaching area----.--__---_-_---sq. ft.
Seepage Pit Nc...... ............. Diameter_/0104 Depth below inlet____._.________•_--. Total leaching area------------------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by--------------_---- ----------------------------------------------------- Date.................. -------.-_--------
,� Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water__-__._.___-----_.--_--
G% Test Pit No. 2................minutes per inch Depth of Test Pit.--_-_--_.___._.._-- Depth to ground water------------------------
9 ------------------------------------------------------------------•------------•------•--••-•-•-•••.....................................................1-
0 Description of Soil----------------- ..../------------------------------------------------------------------------ ----------- -----------------
V
W -------------------------------------------------------------------------------- ---------------------------------------------------------------- -----------------------------------• ---------------
UNature of Repairs or Alterations—Answer when applicable.........----------------------------------------------------------------------------------------
----------------------------- .............---------------------------------------------------------------------------------------------------------------------------------- ------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual SewageDisposal System in accordance with
the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be i u by thebbbarAf health.
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Sig,I/ ..... ... :�:^"..�---c,�fl r ... .�
d
Application Approved B :! � Date
PP PP y---...... ' - -----t--- . ......... ... --------------
-----------------------
DateApplication Disapproved for the following reasons---------------------- ----r--------- ------------------------------------------....-----------------------------
•----•---•-••-•--••-••--•--------------------------------------•-----------•------•-•-•-••-•-----•--••--•-----•-----•--•--•-------••-------------•------•--•--------- ----------------------------------
Date
34
Permit No......................................................... Issued( �..------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
• '` _
� ......................OF........ . _414. el........................
%wrtif iratr of T110mVliaurr
THIS IS 70 CERTI Y, That the Individual Sewage Disposal System constructed ( F`) or Repaired ( )
by ------i-C----------- -L_ ;..L� .- :.---•-------- -------- ----------------------------------------------•----------------------------------------------------
Installer
J
at ------ ---- -------- - ..--- ------- --•- ------- -------------------:�: --------•---------------------
has een installed in accordance w the pr fisiot 'Ft le XIh to e anitary Code as described in the
application for Disposal Works Constr ction Permit No----- f.f__________________• dated...-,,,}.__.__ ------------------------------
go
THE ISSUANCE OF THIS CERTIFICATE SHALL. T BE"CONSTRUED AS A G4 � i+f rrE1 t T THE
SYSTEM W FUNCTION SATISFA ORY.
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DATE------ 7 ;��....-•--•---•--- Inspector ---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT
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No...: _...--.�...-_.. ,, ... FEE �-----..
�i��u�ttl urk,� � u�tr�trtiuit rrotit
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Permission _s hereby granted-------` -r. � --------�=..--�---=�'"---------------------------------------
to Construct J ), or Repair ( ) an IndividuaV Sewage DisposaiX,stem
at y _ , -----41----> --t•;,;--( „ri,.+-''L.y.%,j-----E -._.+ -�' ----- e "''�:fYreet!------.-« -•-.
as shown on the applicati n for Disposal Works Construction Permit No.-................... Dated---------------------_-----____-__--------
r
.......................... Boa d of Health
DATE.......fH ..
•�, ----- ...........
FORM 1255 ARREN.. C.. PUBLISHERS
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AssesWl-
40
sors,. map and lot,'.number ..... .... EPTIC S EM
Y$T MUST BE 3
n�1 �} , 5, , : , ,�, ,'' INSTALLED ON COMPLIANC {
f =.1 ..
Sewage Permit number : .::. . ........
WITH ARTICLE 11 STATE
SANiTAFtY CODE AND TO
r REGIfLAT10NS. s r �'V
E
FTHE T O 11 � O JL �1�l S A LIJLJ I rt,d qq
DJSa9TAHL
4 Jr44�5n. . ft -{- RA y� l, � .8 • t {,, .5 i�S�+�Jkn &'t#.
IT
APPLICATION FOR ',PERMIT TO `
'TYPE OF CONSTRUCTION :`'"
..................�9� yt,
t� :F � tx
' TO THE INSPECTOR OF BUILDINGS.''
The undersigned hereby applies for a,permit according to the following information:
Location �-O.T. 3 SV f o 't,�.� F i
Zoning District l ..... ..........Fire District ................ ........
: ! ',,�'�, ,.. i
Name f of Owner .............{ -/ ':•^ddress "'�'"'
„ Name''of' Builder
1 Address
Name of -Architect ...................Address 't.. ... ....... ...... .. .
" > Number of Rooms ....,`-7 t Foundation '�'�� "
.... ...... . ......
I£
Exterior .
��'.r . c.'°'fc ..........
e ... Roofing ../.T .tjG?.f�/s�•' y
Floors T":.A.� A.. .Q.c� p. .................. ..f.Z fi �,.. "
Heatin yfs �/�'�� IT�F. .... ... .: ..... mbi .` ..............
� :l 9 a
Plu 'ng
At
FFrep{ace !�7 ... . .. Approximate. Cost ..Qj..D!?tG�.. '
t r � t
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,, r "Definitive,•Plan Approved .by Planning Board "� ` ________19 ___ , ........ O�
--" Area
g
a� Idmg with Dimensions
DFa ram of Lot and Bui Fee .
� �� SUBJE
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�t6* i CT TOAPPROVAL OF BOARD OF HEALTH
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Y,W2sF 'jr<.A.' .lC#�l.' � Mid?. X' �•' 6.� .. •�J••S�_a..�..d �-I!, '� 1
'� ��, r3 �a_�,.a t , ,it M; �.. t. �.y �.:�14 �"° f;f �'� �"" "t"«,—.-,.:...... ,' �; � '• � �a�
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hereby agree.to conform to all the Rules and Regulations of the Town of Barnstableregarding the ab ve
construction.
;st Name ., r ...1......
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