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HomeMy WebLinkAbout0011 GEMINI DRIVE �� _ _ / o �--�_ .sue. r? � -��__ _� ,..,�-»�.��, ,� .. . . . - �_ _.�c-�-.."_"-•-.ars* ... r,�r-�^- ^ -�.-: -...._....-�..-!^-�^----..--•--.^ NO. 152 1/3 ORA ESSELTE YOU WISH TO OPEN A BUSINESS? " For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by i M.G.L. - it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl.,367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is required by law. wLI DATE: Fill in please: 3er f } ! 3 t �J 1 e� APPLICANTS YOUR NAME/S:_Michael J ONeil ' �t 91. BUSINESS YOUR HOME ADDRESS:_11 Gemini Drive, West Barnstable, Ma 02668 617-784-7072 TELEPHONE #Home Telephone Number NAME OF CORPORATION:_MJO_Consulting NAME OF NEW BUSINESS MJO—Consulting TYPE OF BUSINESS Consulting IS THIS A HOME OCCUPATION? X YES NO ADDRESS OF BUSINESS 11 Gemini Drive,West Barnstable, Ma 02668 MAP/PARCEL NUMBER 131034 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMIS ONE S OFFICE This individual has n ' f6Ym o y rmi re uirements that pertain to this type of business. �pl- �NITH HOME OCCUF'AT`�-�l`I MUST Cols RULES ANIC REGULATIONS. FAILURE TO Auth dze Signature * ' _ COMPLY tAgy RESULT IN FINES. MEN S: � ` '�� % /) t- 2. BOARD OF HEAL H This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: I uwlu ul DarII,taDle Building Department Services gpTHE Tp�� Brian Florence,CBO a• O„ Building Commissioner t sAMwsr,BU. 200 Main Street,Hyannis,MA 02601 Mass. i639• ��� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: ' HOME OCCUPATION REGISTRATION 11)ate: y G Name: . YVVI aa,, Phone Address: P bA Village: Name of Business: Type of Business: Map/Lot: INTENT: It is the intent of this section to PlAr the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • " Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and afire 'th the s foamy h;me occupation I am resist ring. Applicant: Date. Homeoc.doe Rev.0620116 Consary a'ion,',,, 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for insulation work at 11 Gemini Drive (application#201202661) has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and State requirements. _ Sincerely, -- cn tx► r- Conor McInerney ConserVision Energy 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM ;. Town of Barnstable Regulatory Services Richard V. Scali,Interim Director : BAMSTMM ' Building Division 16g9. � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# <:;�b\ l b FEE: $ 6v SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less i e B&�n!4AL/L A- Location of shed(address) VillageAND,,. L (-\) A ! U -0;5 Property own ' name Telephone number Size of SheT Map/Parcel# Signature Date :Z; 2i Hyannis Main Street Waterfront Historic District? t Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 Town of Barnstable Geographic Information System New search I Home I Help Parcel Viewer Custom Map IF Abutters Map Size ■ Zoom Out In n l —N — P ® =]PG Map: 131 Parcel: 034 Pool e rR ry P rtY Location: 11 GEMINI DRIVE Info ® 131030 ® 846 / Owner: ONEIL,MARY A 1310131® 131035 131052 Location Information 0 10 6 27 .q qq Map&Parcel 131034 Location 11 GEMINI DRIVE Acreage 0.81 acres ® 131014 0272 o27z Current Owner Mailing Address ONEIL,MARY A 131053 11 GEMINI DRIVE 030 WEST BARNSTABLE,MA 02668 131005 1 alii4 E Appraised Value(FY 2014) P310 Extra Features $33,500 Out Buildings $3,300 Land $152,100 Buildings $131,400 c®9 Total Appraised $320,300 9203 q238 9 1310 @�' 1"3 131018 Assessed Value(FY 2014) 0305 Extra Features $33,500 ® 44 Out Buildings $3,300 Land $152,100 A0245 8 Feed 1 I022e Buildings $131,400 q%WTotal Assessed $320,300 ® Construction Detail Set Scale 1" = 108_ Aerial Photos MAP DISCLAIMER C"- Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5122(Production) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel c/ A �catfion #_ Health Division Date Issued �-- Conservation Division Application Fee Planning Dept. - Permit Fee' Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 1 G-o,4 1�i I DQ Village W, GTYT&ThALC Owner ZkJl NC1 L_ Address 11 G-ffT►'1)N l �(2 Telephone Permit Request f-lp0 Q-3 D CB2A45E `T 0 PI•e- FLArs. ,Al jig S124a2 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation UOD Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family- ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing --new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal strove: 0 Yes ❑ No 21 S2 o Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Bares® existing❑ WW size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other Q i co Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ v-� Commercial ❑Yes ❑ No If yes, site plan review# © �- Current Use Proposed Use U' M APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name CongTr . ro o1J� Telephone Number i 9 2 2Zz3 Address 37 b gMi 1_�,V License # 1071,-7J7,& ?A DP A^4r- Home Improvement Contractor# Worker's Compensation # 'W t- 7,6S lo:�,?6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f 3 MAP/PARCEL N0� ,- ADDRESS VILLAGE OWNER DATE OF INSPECTION: z r l FOUNDATION FRAME -INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL } k' PLUMBING: ROUGH FINAL y -GAS.-. , ROUGH s �,•.:•:•: FINAL i _.. — — ­�FINAL BUILDING DATE CLOSED,OUT x ASSOCIATION PLAN NO.' V i The Commonwealth of Massachusetts iPint Form Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite.100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contrac tors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):CONSERVE ENERGY INC. d.b.a CONSERVISION ENERGY Address: 376 ROUTE 130, SUITE C City/State/Zip:SANDWICH, MA 02563 Phone#: 508-833-8384 Are you an employer? Check,the appropriate box: Type of project(required): 1.E I am a employer with 6 4: ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time.).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have.no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance. 9. ❑ Building addition required.) 5. ❑ We are a corporation and its 10.❑ Electrical,repairs or additions 3.0 I am a homeowner doing all work officers have'exercised their 1 1.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no 13.® OcherWEATHERIZAfiION employees. [No workers' comp, insurance required.] *Anyapplicant that checks box*1 must-also'f ll out the section below showing their workers'compensation policy information. 1 Homeowners who submit this affidavit indicating.they'are doing all work and then hire outside contractors must submit anew affidavit indicating such. IlContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or.not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: SELECTIVE INSURANCE COMPANY OF THE SOUTH Policy#or Self-ins.Lic.#:WC7956539 Expiration Date:3/15/13 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MG L c. 152 can lead.to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the atns and enalties 2aerLutj that the in ormation provided above is true and-correct. Si aturc. Ov�-D Date Phone#:508-.833-8384 Official use only.. Da not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk. 4.Electrical Inspector 5. Plumbing;lnspector 6.Other Contact Person: Phone#: Client#:68880 CONSER A!-CORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYYY) 03/15/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,,EXTEND OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR.PRODUCER,AND THE:CERTIFICATE HOLDER. IMPORTANT:,If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and.conditions of the policy,certain policies may require an endorsement;A statement'on this certificate does not confer rights to the certificate hoiderin.lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance.Agency,Inc. PHONE 98-7980 FAX ac No Fart:508 3 A1c,No 434'Route 134 F-MAIL I ADDRESS: South Dennis,MA 02660 !506 396-7980 INSURER(S)AFFORDING COVERAGE NAIc INSURER A:Selective ins.Co.of the South I INSURED Energy, INSURER 8: Con-Serve Inc. INSURER 376 Route 130.STE C Sandwich,MA 02563 INSURER 0: INSURER E: I' _ INSURER f: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBRPOLICY EFF POLICY EXP- - LTR TYPE OF INSURANCE INS D POLICY NUMBER MM/DD MMfOD LIMITS A GENERAL LIABILITY X S2011299 03114I2O12 03114/2013 EACH OCCURRENCE $1 000 000 DpMA T RENTED ---- '. .X COMMERCIAL GENERAL LIABILITY -PREMISES Eaocwrranre .810.0 OOO CLAIMS�MADE x OCCUR MED EXP(An one Perron) 1$10.000 PERSONAL&A.DV INJURY 0,000,000, GENERAL AGGREGATE 0,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOV AGG 0,000,000 . X'POucx. PRO LOC'ECT $ _ AUTOMOBRELABILRY COMBINED SINGLE LIMIT - Ea accident - S I ANY AUTO BODILY INJURY(Per person) S ALLOWNED 'SCHEDULED AUTOS AUTOS BODIL.YINJl1RY(Per acdtlent). $ _ - _ 'NON-OWNED PROPERTY DAMAGE. HIRED AUTOS AUTOS per ecoldem $ $ A UMBRELLALIAe IV I DccuR X S2011299 3J14%2012 03MA/201 :EACH OCCURRENCE 11,000,000 X EXEE53lIA8 CLAIMS-MADE AGGREGATE s3.000.000 DED_ X.RETENTION _ _ g A WORKERS COMPENSATION. WC7956539 WC STATu- 0,T AND EMPLOYERS'LIABILITY Y f N 3(141201.2 03114/201 X_ NIT,s _ ER_. ANY PROPPRIETOR/PARTNERIEXECUTIVE E.L..EACH ACCIDENT $1 OO OOO OFFlCEWMEMBER EXCLlJOEDI NIA (Mandatory In NH) EEL.DISEASE-EA EMPLOYEE $1 OO 000 DESCRI descrbe O OundeIPERATIONS below E.L.DISEASE-POLICY LIMIT-,j$500,000 I DESCRIPTION OF OPERATIONS f LDCATIDNs INEwt:LES'(Atiach ACORD.t01;Additional Remarks Schedule,If more space Is required) Excluded officers under workers'comp-Conor.and Courtney McInerney. Blanket additonal insured coverage applies-under CGL CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thielsch Engineering,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN '195 Franck Ave; ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. :ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S788991M78898 DOR OWNER AUTHORIZATION FORM 1 , (O rs Name) owner of the property located at (2 )A4 \1 YA /e (Property Address) (Property Address) ti hereby authorize v (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Sign re Date i Office(Coumera'iR tBifsines�„ u15`iio License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date, If found return tos Regstration: , 171251 Type: Office of Consumer Affairs and.Business Regulation Expratwn: 3!1/2014 Partnership 10 Park Plaza-Suite 5170 i Boston,;MA 02116 i V)tERVE ENERGY' CONOR MCINERNEY 376 ROUTE 130 SUITE C SANDWICH,MA 02563, Undersecreta ry Not valid without signature Nlassachusetts=Department of Public S40% Board of Building Regulations and Stand.inl ConstfuGtion Supervisor Specialty License License: CS St. 102778" Rest ictedto: IC i, CONOR MCINERNEY 39 SIASCONSET QRIVE SAGAM0RE BEACH; MA 02562 y `T- s-- ,Expirations 8/.19/2012 .? C'oitimitisinncr ' Trot: 102778 �oFn+e rqt� Town of Barnstable *permit# ` P Expires 6 months from issue date STABLE, Regulatory Services Fee • snxx • 9� az Thomas F. Geiler,Director �•PRESs 1639... ♦0 '°rED MA't�' Building Division �� '� Tom Perry, Building Commissioner SEP 2 7 2002 862-4038 200 Main Street, Hyannis,MA 02601 TowN OF BARNS Yv Office: 508 TqBL Fax: 508-790-6230 EXPRESS PERNM APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint Map/parcel Number L 3 / y �' Property Address L Residential Value of Work 2a Q ^ . c Owner's Name&Address Contractor's Name -C �� G o f � Telephone Number�G a J 3 3 G S Home Improvement Contractor License#(if applicable) e"0 a 7f 5r— Construction Supervisor's License#(if applicable) a G ❑Workman's Compensation Insurance I W r' Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ve Worker's Compensation Insurance Insurance Company Name lie �ILI Workman's Comp.Policy# Z v (f/ ( S �( J— S— ✓ Permit Request(check box) old shingles) All construction debris will betaken to Va r�f CIV ❑ Re-roof(stripping o g ) . ❑Re-roof(not stripping. Going over existing layers of r000 &Re-side J o v '74,4 Q q ne' Replacement Windows. U-Value �. d" (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expratrg Rzvised121901 FIKE Town of Barnstable *Permit# y p� Expires 6 months jrom issue date BAMST BM ; Regulatory Services Fee v Mass.1639. Thomas F.Geiler,Director 'ED1iA°`p Building Division _ . Tom Perry, Building Commissioner ����� �� � 200 Main Street, Hyannis,MA 02601 MAY 6 2003 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number-1 3 ( —3 Z �YW�A6 Property Address _J��Residential Value of Work Owner's Name&Address / G `t ! t Contractor's Name c/4 J'G^ Telephone Number I Home Improvement Contractor License#(if applicable) /O I Construction Supervisor's License#(if applicable) GC 3 6 ❑Workman's Compensation Insurance Check one-. ❑ I am a sole proprietor ❑ I am the Homeowner UI have Worker's Compensation Insurances Insurance Company Name ZZ 0--e- r'/Z7 Ttic Workman's Comp.Policy# _� l (9 _3 Permit Request(check box) M/Re-roof(stripping old shingles) ° �!X 'C ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Fonns:expmtrg Revised 121901 y t � Town of Barnstable Regulatory Services ' HaMST'ABLE. ' Thomas F.Geiler,Director v Mass. �* 4A 1639. `0 Building Division TED MA'I a b Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I L, Cil , as Owner of the subject property —X19hereby authorize /,,— 4,o to act on my behalf, in all matters relative to work authorized by this building permit application for (address of job) zw Signature o wner Date dr Print Name Q:FORMS:O WNERPERMISS ION Application to pAE�e`E Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves o1 Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings,or photo- graphs accompanying this application. . TYPE OR PRINT LEGIBLY DATE A `Z C 03 . c- ADDRESS OF PROPOSED WORK f� > �� �� ASSESSORS MAP NO. OWNER -- �/' ,�� O�C! / ASSESSORS LOT NO! HOME ADDRESS —52 0" TEL. NO. AGENT OR CONTRACTOR ADDRESS '�� � Gr /7t� G7vlY TEL. NO. TC 7T3 �0� This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. (2) It is within a category declared entitled to exemption by Old King.'s Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved, show• ing location of existing building. roo �7 �•��� SIGNED Owner• ntractor-Agent Space below line for Committee use. Received by,H.D.C. The Certificate is hereby Date may/& 035 Time By �a/! Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. Assessor's map and lot' number .....�-3��3� ............................... a/c . ice - 7- 2 y rut_. SEA C e%_11 oa/,�c Ste' l��iT�ou- '�I�...sr��v o GL-h. �i f- Sewage Permit number ............... ..... ............ NE.T T ` WN OF BAR.NSTABLE S . i BASBSTODLS, i NAM ��� BUILDING - INSPECT-OR o�,o ynY a' APPLICATION FOR PERMIT TO U dG ...0�'.. Alf TYPE OF CONSTRUCTION ..... .--r-.t.:YY.I.e... c:J:7..U:..n..................................... ......................... .317........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....► ).L°.rnl: ►....I)X..,.......!:....1 .1�?F. cr...5.f..:.................................................................................................. ProposedUse ....6:5.4!rod? ................................................................................................................................................. Zoning District ..........R ! .......................Fire District �� ...17 ...f*&S;-v �..s.... .... .......................... f Name of Owner ........ Ne ....Address E)�. Y.....S... Name of Builder ... t ��l..... �?✓i.r1.5� .............Address .1..1.1tw....�f.... y....l Nameof Architect ...........!:.I9.^:p.......................................... ..Addy s ,....... ....................................;............................... w� S Pa ctt [�� Number of Rooms .......... ......................................................Foundation .:.7.. 'Loc A, ....'�:... ac,l.►.n�...$......!\Q.l.!l�o,q Exterior .... 0(')A-., ..Ji7: 1�.�.J. .. g l 1��� ......................................................... Floors Interior Heating ............Qi'...........................................................Plumbing .........:'..V4h..e_.................................................. Fireplace p .. .. .i!. .....................................................Approximate Cost ..... .5 d...... • Definitive Plan Approved by Planning Board -----------_____----------19--------. p` Area ��.5:. ...:.......... Diagram of Lot and Building with Dimensions Fee ��.....J............... i ... SUBJECT TO APPROVAL OF BOARD OF HEALTH 68 0 LA_5e 6 I r 1y U J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ..... .. .. ... ,... .............. O'Neil, Robert & glary 16938 - add to le No ................. Permit for .................................... family dwelling ............................................................................... Location �� d Drive -2�........................ .......................West...Barnstable....................... Owner Robert & Mary O'Neil ................................................................. Type of Construction .......................................... .................... ................................................................................ Plot ............................ Lot ................................ Permit Granted '....11ar&h..a.....................19 74 Date of 01 Inspection e ce,--k Date Completed- .......... . -PERMIT REFUSED ......................................... ...................... 19 ............................................................................... ................................................................................. ......................................... ....................... ............................................................................... Approved ................................................. 19 ....................................................................... ................ ..........................................................