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INTAKE FORM
Nan3&o -q30 2
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PHONE—
ADDRESS:'
LOCATION OF INCIDENT:'
o�ham-
DESCRIPTION OF INCIDENT:
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The Town of Barnstable -
Department of Health Safety and Environmental Services-
RN• ansr BU& P `J'
� Building Division
s639.
ArED W 367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
March 2, 1999
Susan Danton
Box 892
Barnstable, MA 02630
Re: SPR-014-99 The Studio ,115 Harbor Point Road, Barnstable (352/030)
Proposal: Applicant proposes to start a home occupation for therapeutic
arts (psychotherapy) for up to 15 sessions per week.
Dear Ms. Danton,
The above referenced proposal was reviewed at the Site Plan Review Meeting of January 25, 1999
and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance.
This site is located within the RF-1 Zoning District and permitted as a Home Occupation. An
affidavit was signed which limits the number of clients per week to normal household volumes.
This aflidavit agrees to revisit the issue in the event the intensity becomes detrimental to the
neighborhood.
Respectrully,
Ralph Crossen
Building Commissioner
TO ALL NEW BUSINESS OWNERS
Please Fill in: 'PAN 0n/ - ---,4
APPLICANT'S NAME: Su-s�1 N ._l 15 Havbor P. -
HOME ADDRESS''
TELEPHONE NUMBER: 5 09, - 3io�- l �yy
(Please give us a number where you can be reached)
NAME OF NEW BUSINESS T+�
E S-ri�Dio TYPE OF BUSINESS T+lEP-nPE-uTIG ARTS StRVlL'C
AN ST (3�t.. ..G:
ADDRESS OF BUSINESS.. . ::..,
IS THIS A HOME OCCUPATION?
NUMBER
4
MAPIPARCE(.
es
of
he Town of
When starting a new business there are several things you must do in order to be in compliance with thavelobtained helatequi�edt signatures,
ion you may
Bar
nstable- This form is intended to assist You in obtaining Townf Clerkts Office (Ist loon-Town Hall)
listed below, you may apply for a business certificate at the
J. GO TO BUILDING INSPECTOR'S OFFICE it(eT requirements that erta TOWN in t)this type of business.
This individual�ha�beleln formed of any p q ii
Authorized signature njt-77 w ,� �vOY.0
COMMENTS: VvGC7 p O
\J`I 3 C-,,, , �
2. GO TO BOARD OF HEALTH (3RD FL00V TOWN HALL) in to this type of business.
This individual has been informed of the permit requirements that perta
Authorized Signature
COMMENTS:
AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION-BUILDING)
3. GO TO CONSUMER
This individual has been informed of the licensing requirements that pertain to this type of business.
i nature
Author
ized S ,
COMMENTS: you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 or
After obtaining the required signaturesy
ONLY registers your name in the town of Barnstable - it does not give you permission to operate -you
business certificate O us departments involved.
bu various. A the va p
ears from years). of the processes fr
ion P
tt h comp
letion.r.�,�t ,.At that thro g P
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As!fessor''s=4map•and lot number ....... ....... C�-
ropy
OF
Sewage Permit number //.
A BAHH9TAILE. i
IL
House numbef; ..... . .. . ........ .. . .......... /.../......... 90M6 0�
t O 9• 9
TOWN OF BARNSTAB•LE
BURD,ING INSPECTOR.:.
ro� e
APPLICATION FOR PERMIT TO. ...................................�./�:..�.1.
TYPE OF-CONSTRUCTION` !.. .Q.A....:" (4rLt�1r- ...............::.............. k
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
yt3 PV f A/7_ . ........Location ............... .............................. ..................................... .................................ly rye�C Proposed Use ......... G......f� _ / ........................................................................................... ...........................
Zoning District I.........:................................ Fire District ..... � ....................
Name of Owner .1.r�...(V.........Address .... } .a2.!L (s�t!Y1if2Cz.�: .. .....1.!4A....... �
Name of Builder '' .................�0��...................................Address ....................�4fYl.`�'................................................
Name of Architect ............... �c....:...........................Address .................... r�.................... . ........................
Number of Rooms .................... .......................................Foundation .......... . ..... ..............
Exterior ....4-... �e...h0a..A...... c. L%)..0.f 9.k.v .'.L......Roofng �f.......................t
...........:........:........
Floors .......... ........................................................Interior .......;.......... !�Ll�✓►...,/..) ... ...........................
Heating '...f'h .�C. .!•` ••.4 G; t' ............................Plumbing ...... . .~..1..� ........................................................... 1
Fireplace ...........6. 14.(c r%K�'....................... .....Approximate Cost ........... . . ...... ,
Definitive Plan Approved by Planning Board ________________________________19________ . Area ....� .--..-...................
,.r
Diagram of Lot and Building with Dimensions Fe ........r. `
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all`the'Rules and Regulations of the,Town of Barnstabl regarding th6.above
s construction.
Name ....,;.................
Construction Supervisor's License lot /V '
BIAIR, ALEXAIMER C.
26
Flo ...... .... Permit for A;
................
...Sin le Family Dwelling
Wzation lItt liarhor,Poi -;bad
...... .....w...—...... ......................................
. .............................. ................. .......
OwnerAlexander C. Blair ................
............... ..........................
i4t
Type of Construction ....FRAME
......................................
' f
.................................................. ............................. C 17 Plot ....... ............... Lot ................................
Permit Granted ....S��tenber 19 8 4
....................
Date of Inspection 1�71-77191-5....................19
Date Completed /A:�,l.................... 199
IV
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I CERTIFIED PLOT PLAN
LOCATION
SCALE
PLAN REFERENCE . .4417
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. . . . . . . . . . . . . . . . . . ... . . . . . . . . . .. . .. . . . . .
P� OF
ECAAR �'SG
KELLEY
9� 4.� I CERTIFY THAT THE
GNU
0 s oQ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
SU RI Ey 1'ie AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
5>09 TitG'G�... . . . .WHEN CONSTRUCTED.
DATE
/a LE�.9�/at`x C. BL.�/,2- /��Ti7/O�/E,� . .�,.�v..-YdL. f' •�� «�
REGISTERED LAND SURVE70R
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