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Home My WebLink About0185 SETH GOODSPEED WAY /00 � Application n mber�"./..�.....�...J.......I................. ....... Qtiti Fee ..... .:..Q.�..................... ................. KAM Building Inspectors Initials........ ..................:....... DEC 0 3 2018 TOWN !J� 8NRI� Date Issued.......................45 �L.................... S FABLE a - Map/Parcel.............:................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: f Se l �Ood�S�� G(14 NLRvMER SET VILLAGE Owner's Name: 7 {vi q s �^��101 Phone Number cS ' �� Email Address: Cell Phone Number Project cost$ 00 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby uthorize 2XI—lom—a r G►Al,611 . to make application for a hmRffing pe tin accordance with 780 CMR Owner Signature: Date: /9 TYPE OF WORK Q Siding 0 Windows(no header change)# 0 Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review E R of(not applying more than 1 layer of shingles) Construction Debris will be going to. 4`Si tag S��aH — XOXEAV 41e CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contrac egistr 'onffapcable)# (attach copy) Construction Supervisor's 1 e# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. n rr] APPLICATION NUMBER r'............................................................ .. *For Tents Only* "Y Date Tdnt-(s)will be erected Removed on number of tents total Does the,tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent ' X X 9 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No____,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side i HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: �OG►�as � ' Telephone Number �" �� y Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection proced es,specific inspections and documentation required by 780 CMR and the Tow Barnstab / Signature Date Id 3 /? APPL ANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. i The Commonwealth of Massachusetts Deparbnent of IndustridAccidents Office of Investigations ir 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apifficant Information Please Print Legibly Name (Business/Organization/Individual): Ott f pi't�i Address: /State/Zip: 6r vt Phone#• Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 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 ship and have no employees These sub-contractors have g, ❑Demolition working for mein any capacity. employees and have workers' t 9. ❑Building addition [No wor ' comp.insurance comp.insurance. r e-d.] . 5. ❑ 10. Electrical We are a corporation and its ❑ repairs or additions officers have exercised their am a homeowner doing all work 11.❑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 employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such tContractors 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. lam an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: 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 MGL 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 ffisuranceppverage verification. I do hereby certify u the pains akdyen allies ofperjury that the information provided above is true and correct. Sianature: Date: zd Ile Phone#: /o�" Official use only. Do 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 Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or Local licensing agency shad withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia !l JL��Jy Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 11/24/14 ' Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 A p ,u co RE: Building Permit --e w � TO: Building Inspector(s), rn This affidavit is to certify that all work completed for 185 Seth Goodspeed Way (permit#201407155) has been inspected by a third party Certified Building Performance Institute (BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey i � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l Parcel 6 Application # L( Health Division Date Issued 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (0CC/ Historic - OKH _ Preservation / Hyannis py� Project Street Address 6 0 CCd "S. W p� ►1 Village �&LS+a n Owner omaS La.gJl Address 5aMP Telephone SOR u 91 14- Permit Request FN4 (n +o b (Atl'A 0X0&A - S=8 Square feet: 1st floor: existing proposed 2nd floor: existing proposed' Togne Zoning District Flood Plain Groundwater Overlay Project Valuation 3 8 B Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting doccumer� tion.. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) C�l 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 i 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 stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Inc. m [�` Telephone Number �68 (319 W8 Address - ;n n r License # C 10 J;Vl, yowvu4t66 Home Improvement Contractor# -1 3 a y Email Worker's Compensation # W w c3N 6 6 33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO )� f Mouvib SIGNATURE DATE �� ` � .a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. , F ADDRESS y VILLAGE f OWNER DATE OF INSPECTION: FOUNDATION t FRAME y . INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH ' FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ': r / w kiwi Housing �' Assistance Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE. PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I A- ell),4.3 /AA) hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency" ) on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at, my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of thi agreement as listed and freely give my consent. Home Owner(signature) " Home Owner email: %�. Date: a Agent: (signature) Date:- I v - } RAC approved Weatherization Company: Adam T Inc a e Sa All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction i r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ._•, - :.' I Congress Street, Suite.100 =r Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth. MA 02664 .Phone#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ 1 am a emplover with 4. ❑ I am a general contractor and i 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P �Y• 9. ❑ Building addition [No workers'comp.insurance comp.insurance.• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself.[No workers'comp. right of exemption.per MGL 1:2.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other Insulation comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet shoving 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. 1 ain an emmployer that is providing workers'compensation insurance for sly employees. Below is thepolicy and job site information. Insurance Company Name: Wesco Insurance Company Policy#or Self-ins.Lic.#: WWC3085633 Expiration'Date: 04/09/2015 t 1• 1 M Job Site Address: 60 G S wk City/State/Zip: Attach a copy of the workers'compensation policy laration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. 1 do hereb certi under the pains and penalties of er' that the information provided above is true and correct Signature: Date Phone#: 50$-39$-039$ Official use only. Do not write in this area,to be completed by city or town official. e 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 Inspector 6.Other Contact Person: Phone#: '`' I:>® CERTIFICATE OF LIABILITY INSURANCE 4/14/2014) 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 holder in lieu of such endorsements. PRODUCER - CONTACT NAME: Colleen Crowley - Risk strategies Company PHONE (781)986-4400 FAXNo:(781)963-4420 15 Patella Park Drive LADnRrss.ccrowley@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAICt Randolph MA 02368 INSURERA:Selective Ins. of America INSURED INSURERS.Safety Insurance CcmpanV 33618 Cape save, Inc INSURERC:weSCO Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER CL1441475243 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR 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. TR. TYPEOFINSURANCE .POLICY NUMBER MMIDDYEFF MMIDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMM1IERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE FO OCCUR S1994480 O/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY: X PRO- X I LOC $ AUTOMOBILE LIABILITY Ea aakEM 1NGLIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALLOYYNED X 'SCHEDULED 208200 1/6/2013 1/6/2014 BODILY WJURY(Par accident) $ AUTOS AUTOS X X NON-OMED PROPERTY DAMAGE HIREDAUTOS AUTOS Perecaderd $ I X UMBRELLA LIAB [9 OCCUR EACH OCCURRENCE $ 1,600,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 OW RETENTION GI 1994480 0/16/2013 0/16/2014 $ C I ORKERSCOMPE-NSATION - fficers Included.For X VICSTATU- OTH- AND EMPLOYERS'LIABILITVER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN Overage oFFICER/MEM3ER EXCLUDED? NIA E.L.EACH ACCIDENT $ 500 000 (Mandatory In NH) 085633 /9/2014 /9/2015 E.L.DISEASE-EA EMPLOYEE $ 500,000 II yes,dasaibeunder RIPTION OF OPERATIONS bek E.L.DISEASE-POLICY LIMIT $ 500,000 Dbe[. DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret Song PO Box 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable, MA 02630 V!ichael Christian/CLC -`� �'==^ ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025 amos).oi The ACORD name and-logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation r; Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA 1 0 20M-05111 E] Address Renewal Q Employment Q Lost Card _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - egistration: 1L71380 Type: Office of Consumer Affairs and Business Regulation lExpiration:p--3/14/20161 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. r WILLIAM MCCLUSKEY+ •—_ IN -, 7-D HUNTINGTON AVENUEr` SOUTH YARMOUTH,MA 02664 Undersecretary Not vali itltout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CSSL-102776 = W ILLIAM J MC C-LUSKE: 37 NAUSET ROAD o ~: West Yarmouth A 0 67 ly 3 Expiration Commissioner 06/28/2015 i . Town of Barnstable Regulatory.-Services OFTHE Tp� P. ti Thomas F. Geiler,Director . ]Building Division + BARNSCABLE, " v MASS. Tom Perry, Building Commissioner no 039. �� °tfo 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: P- . — f Permit#: .�2 Dl � HOME OCCUPATION REGISTRATION Date: 5PP Nanle: Ao?as Phone #:�"Q�' 0280-3 9Y5i Address: ,� Se?--A46 Oo `5 �� "If4X Village: Name of Business:_JJ�!_---1_K_�---L�� —P'�— --_ p !//� --------- ---------- "type of business: T7�n'►? .��'1/oeGUPlhore• Map/Lot: v INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation tiitltin single Family dwellings,subject to the provisions of Section i L l of tile Zoning ordillarlce, provided that the activity shall not be cliscenaible.from outside the dwelling: there shall be no increase ill noise or odor; no Visual alteration to the premises tvlllclt would suggest aiaythiug other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration haith(lie Building Inspector,a customary home occupation shall be pernuttecl.as of right subject to the Following conditions: a The actia>ity is carved on by[lie permanent resident of a single fsunily residential dwelling unit, located tvithiia that dwelling unit.. u Such use occupies no more than 400 square feet of space. There are ❑o external alterations to the cltvelling wllicll 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. o The use(toes not.involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance, heat,glare, humidity or other objectionable effects. e "There is no storage or use of toxic or ha7l1-dOtrS lirltelials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by Skit use shall be ulet on the same lot containing tile Customary Honae Occupation,an(l not within the required front yard. • There is no exterior storage oi-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 toll capacity,and one tiailer not to exceed 20 feet ill length and not to exceed 4 tires,parked on the same lot containing the Customary Home Oc:cupatiou. • No sign shall be displayed indicating the.Customary Honae Occupation. • If tile Customary Honae Occupation is listed or advertised as a business,the street address shall nor be included. No person shrill be employed in the Customary Home Occupation u•ho ts'not a penalaucnt resident of,tile dwelling unit. I, the undersigned . e read and agree tll the above restrictions for my house occupation I sun regii/ssttering. Applicant: Date: g aGllO YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to 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 Tovyn Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE yPp7� O, p74/l� APPLICANT'S YOUR NAME/CORPORATE NAME BUSINESS YOUR HOME ADDRESS: SOS -aFG-,39yy �o� a 3 ivy SS �S�r (o� c�P� way TELEPHONE # Home Telephone Number S�tv��lP Oalo.S�.S'-' NAME OF NEW BUSINESS /f f2C) ?v.0 TYPE OF BUSINESS l arh z IS THIS A HOME OCCUPATION? CC YES NO vve g�7` Have you been given approval fCom the building division,?. YES NO ADDRESS OF BUSINESS /d .S-e 45: p ,�, - 49 �,� MAP/PARCEL NUMBER 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 COM ISSIO R'S OFF E MUST COMPLY WITH HOME OCCUPATION This individual h e in a fan er it re uirements tha RULES AND REGULATIONS. FAILURE TO Y q pertain to this type of busineWIVIPLY MAY RESULT IN FINES, 'Aut rt-ted S' a C MMENTS�- (f 2. BOARD OF HEALTH 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 ha en im o of the licensing requirements that pertain to this type of business. t r COMMENTS: Authorized Signature** Assessor's map and lot number .... . ..... �;.. . . f......... Sewage Permit number :......... ..................................... °FtHET°,�� TOWN OF BARNSTABLE y BARNSTABLMABEL E; ° 1639. Ar�0 BUILDING INSPECTOR APPLICATION FOR;PERMIT TO ..( is A r. .. ...... ��, awr�.P. .............................................. TYPE OF CONSTRUCTION ... .).,rt. ;e�"J........ :n......... ................................................... 7/2- ................ .. ..... ........ TO THE INSPECTOR OF BUILDINGS: /,&I01x �fqollowin W ' The undersigned hereby applies for a permit according to g in�fo�rmation: 7 Location ................................- ..... .... ✓ ............�..✓... ..................... ..... ................................... ProposedUse ...... /.< ;..,c.t. ......� ................................................................................................. . ..................... Zoning District ........................... / .............................................Fire District ... �!LGR ...... ...... �.. . Nameof Owner ............Address .................................................................................... Nameof Builder ....................................................................Address ................................................:... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms �?..................................................Foundation 1d...� ............ ............. 4 /!r' �0........................................ ...�..... ........................................ n Exterior ...............�'....�.}..!...:��............................................Roofin ....... Floors 143/. C.f/. C ...............................Interior '�, uiL�-�L .........................../........:....f............�.. .................................................... Heating C.F/, f d� ✓1.. _.......Plumbing .............�:................................................................. ... . ...................................... Fireplace ............. .......................................................Approximate Cost ...! .:.. `'r!~+ .......... .................... Definitive Plan Approved by Planning Board -----------_______-------:---19________ . Area .............................�.......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i I• hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding he�e construction. Name .. ......... rze .......... Capewide Dev. / Z No ... Permit for 4W.a.11in . ............ ............................................... , Location 9...Sexb...Goodapeed.'.s..Way... .................. ......... Owner .....Capewide_.Dev. Type of Construction ......5lQ.9.d.F='.aM0.............. ............................:................................................... Plot ............................ Lot ktAU....L..7.0....... /Permit Granted ........... .........Nov Nov...................19 77 Date of Inspection ...........:........................19 Date Completed ................................19 PERMIT REFU ED .. ........'. -19 .............. .:.............. ....................................... ......................... f 1i .. .l .�. ........................... `a 1 Approved ................................................ 19 ............................................................................... ............................................................................... 11 - 7 �. ". Assessor's' map and lot number .rn.....1..�:.�(�.'.:.....:.:...... I _ ;. ; ` T J Sewage Permit number ...........�.�...................... ..... t SEPTIC SYSTEM; MUST BE Gl •-� ` s - INSTALLED IN COMPLIANCE �fTHEt0� cy TOWY OF BAI IXULN �Qv `0t i REGULATIONS. EARUN TADL • — oYa - 0 BUILDING , INSPECTOR r, a o 0 ^, �ij 4: APPLICATION FORS PERMIT TO .. ...... .............................:.................. TYPE OF CONSTRUCTION ....;...... t,Q.. . ............................................................... w ' ................... .. ...:.........19y. TO THE INSPECTOR OF BUILDINGS: '0 The undersigned h r by applies for a permit acco�toeg in do . Location . .9........ .. .. .... - ................... ......... ........ ........... .... ProposedUse ...... .�J�� ....: . .........................................................................................:..................................... i Zoning District .......�`:�r........ .....................................Fire District ... .......... .� �. .... . . .. .... Name of Owner ....CG` .. ...... ............Address ............. .... .............'eas`r�........................................ Nameof Builder ..............f....................................................Address ......................;..............,............................................ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ............ ..................................................Foundation ......Idl. ......................................... Exterior ............... '.. .!....54............................................Roofing ....... 4:5-7�ta. .............................................................. Floors ......... ...................................................Interior ........r... . . ............................................. Heating ....., .� .f�/r...../G...C/�../........................Plumbing ..............2-................................................................ Fireplace ............. .`j............—...........................................:...........Approximate Cost ... � ................................. .................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area6 ..I ....... . o� Diagram of Lot and Building with Dimensions Fee ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the T. n of Barnstable reg ing the ove construction. Name .............................. . .............. ........ Capevide Dev. No19725 ............. Permit for AMWAF}fig, ..............Ile; ................................................... T 0 ..9.99 Locati .............. ..................... Owner ..............ga .............................. Type'of-Construction P................. ................................................................... ............ Plot ............................. Lot ...7.$.......... Permit Granted .............N o.V......4...........19 77 . .. '7 . .......19 Date of Inspection ...... .... ........ Date Completed ..31WZ4.................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ................................................................. ...................... .................................... ................... Approved ................................................ 19 ............................................................................... ............................................................................ V ' Gb SI1-1Gl_� ��NIL�( - 3 T31=DiZDOM - � ►moo GArcga6-F-- bate t`LOw' _ ►lox CEP(-I C T,c�a�1►C = SSO,e Ir7 G % = 4-9 r? USE l o0o G.4.t_. I�ISPOSAt PIT - USE lQcXo (SAA- � SMPIU ALL AZEA = L5C> S.F. J 8dTT0.t/t Qer--A r rj0 ST-. I V SO •C�.PD. TOT,&L -r->S-Sl6kl = 4SS &.RD. PQF x P• n 11, T p.RSs% t PEf1GDLQT101.1 CZATE l tls 'LAA 1 W' 0r2 IF-SS. N £ '^ 3a'±_ RW"A7 u Susc z . 1 �OL� �o. �l�•�i fro 99.0` Tor ;7%4 =1oo.o 97. VIo 476 filzw Q' P� �Y L.OAM -z' svaso�� 4'Pv� loco 1►N.94.7 'M DKT IW. GoL. fox 9c.4s Sepr►c lo' 1000 99:9a �� 1►1v. 9�ZS c�Faa LeAcH 9S.oB t• RT A M E D;U^R V./I'M4 'f WA5a•IED LOCATIotJ OSTC2v i �L E M A, SC.ALC— I = Go I IJo W4TE'� I C_G IZ T 1 P 1{ T I_•I A-r T 14 L rOV ND AT 1 U t-A S 1-t0'w u R r=-P E R E GF-- r:l�t�a1J fCaVkPLI-(S WATI•A T1-1i=. rj1Drc_LIt-IE= t� LoT G � SC-T1=�AC1< P'�gUlf�'EMc I-1�"�i OF T►1E OST � R�� I Lt_E \HE IGH'TS -TO\AJ J 01= A ►V �TAB1_E. 12EGtS iC_IZL.D w0 SUZv&,-(o � TI-AI{- of-At, A 1 6JOT i?,Q•,C.0 CA-4 4W OSTEiZV%LLL:-- o MAS • Illy'{'? 16✓t(_iJi /�CJi��/l=�' 'Yl1[_ vFt=Si-�i 7lIGEJt� A1�{�LIGA.I-�T_CAPE WIDE �fyEL Ca, h.k.•� l`.,C'_ to;tc> ic., l�r_l i=t ti(tatL LDT l_INL Assessor_'c m10 and lot number, t ..�.. :...... " �A 4- THE tp� Sewage Permit number �.......- Z BA"STADLE, i Housenumber ........................ .............................................. r MU& pp a639. `00 �0 MAI p TOWN OF BARNSTABLE BUILDING INSPECTOR � ��• � a APPLICATION FOR PERMIT TO ..,� I��tbJ''t'I,�� .. �± �I.�'........................................................... TYPE OF CONSTRUCTION ........................./... . ............... I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location I.4'� .......... jai ... � ........... ProposedUse .............. .WtJ.—".�4- !:..le ...... !:Irn................................................................................................. ZoningDistrict .........................................................................Fire District .....,...✓....................................................................... Name of Owner . . , dM ..............Address I r Name of Builder' /1 �►.1.. . .,pyl ! - ... !J. � J�1 4-d � .....�.,,. , � ..� �. .:....Address .....:..........:..,..r.............. Nameof Architect .......... ......................................Address .................................................................................... Number of Rooms ..............�4'J. ..................................Foundation .... Exierior Roofing . . Floors ......................................................................................Interior .................................................................................... Heating ...................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ... ....................... Definitive Plan Approved by Planning Board ----------------------.-------19 Area e Diagram of Lot and Building with Dimensions Fee �r�t U0 SUBJECT TO APPROVAL OF BOARD OF HEALTH VA lieid ' r e ^ Syr I K7�I1V ' I . 1. �� { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform-to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............, ,.... y ................. WOODMAN, CLINT A=122-78 c2- 72 No 24181 Permit for .Build Swimming ............................. ... ,Accessory to Dwelling . ........................................................................ Locution -.18.5 Seth Goodspeed Road . .............................. ....................... ............... ........ 411 if-14. Owner Clint Woodman.................................................................. Type of Construction ...Frame........................................ ................................................................................. Plot ............................ Lot ................................ July 1, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 0/ C)o Poo Assesso� mct� and lot number .� P`.. ./.. :/ :..... o/ A j��' of THE to Sewage Permit number M . .. )�.P t IC SYSTEM MUST House number ` INSTALLED IN DOMPLIA AHBSTADLE. . ........................................................................ ' � � M11Da WITH TITLE 5 °°'�c 39.Ar`� TOWN OF BAR I ` °T 0ES I BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ........ .G�.W?t-M. A:"!........r................................................... TYPE OIF. CONSTRUCTION ................ � ..................... 4 y .....J.0�y..../...................191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........1. ......." ....... OOP.... ..'............L/. �� %d.l�t�r.......................... ProposedUse ...............' .``/.I. .9.h.. .... r '................................................................................................. ZoningDistrict ........................................................................Fire District,./...............................`............................................ Name of Owner ...�i�„1.1.1►d......\Vt7�',j?.(11M. .............Address ..`.4 ....... C�D� �' 7�r��t � �e Name of Builder' "✓Address .. .. Nameof Architect ........... f;? .............:..........................Address .................................................................................... Number of Rooms ..............4.V ..................................Foundation .... .t ✓....................................................... Exterior ............................. —............:............................Roofin Floors ...............Interior ......:............................................................................. Heating ..................................................................................Plumbing .................................................................................. s-- Fireplace ..................................................................................Approximate Cost �az?..�............. ... ......... ...... Definitive Plan Approved by Planning Board --------------__—-----------19_______. Area AF .. ... . Diagram of Lot and Building with Dimensions Fee jait.ep SUBJECT TO APPROVAL OF•BOARD OF HEALTH , to ow- � I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... .. ... !�1i�...✓ ..`................ WOODMAN, CLINT 24181 Build No ................. Permit for .................................... ....k-wimming Pool Lotion . 185 Seth Goodspeed Road ............................................................... ........................ .................... .. Lr....... Owner Clint Woodman .................................................................. Type of Construction ..........................................Vinyl /Steel/ Concrete ................................................................................ Plot ............................ Lot ................................ Permit Granted ......Jq!Y..1 .......... 19 82 Date of Inspection ....................................19 Date Completed .......... 1 Q li�� i 9