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HomeMy WebLinkAbout0028 DERBY DRIVE 0 UPC 12543 No. 53LOR �® c�-05f•CONSV�� HASTINGS, MN r 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 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: �3 /a'i Fill in please: aaif � � j APPLICANT'S YOUR NAME/S: FiV4 M S LL BUSINESS YOUR HOME ADDRESS: a 8 46<6 Y ZKI V p57 �„�r,� ,;� . =�''�'-� $Q 8-'f�0-3/85 !�• 6fIR�1!S Tgl3LE �6 S TELEPHONE # Home Telephone Number `SD i=�I N'�i•"R�71�"gT7sxT•, NAME OF CORPORATION: NAME OF NEW BUSINESS ZVO EAl G�-PeA71QA(S TYPE OF BUSINESS Gz F *A11044 E 44S11een) IS THIS A HOME OCCUPATION? ✓ YES NO ADDRESS OF BUSINESS o2 E dQ A s iRC�LE MAP/PARCEL NUMBER 17S' 0,;Q (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 CO ISSION R'S OF cE n MUST COMPLY WITH HOME OCCUPATION nfo This individu I h b ir f p mit requirem nts that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO Au rize i e** COMPLY MAY RESULT IN FINES. ,rAOMMENT / _V c On 2. BOARD OF HEALTH This individual ha b en inf me of the p rr it re uirements that pertain to this type of business. Authorize ignature* COMMENTS: 3. CONSUMER AFFAIR LENSING)qJTHORITY) This individual h s b n info of the 'censing requirements that pertain to this type of business. Authorized ignature* COMMENTS: i r Town of Barnstable Regulatory Services IKE P Thomas F.Geiler,Director anxxsrnar.E Building Division M Tom Perry,Building Commissioner 039. �0 iOrEa�A. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved, Fee: Permit#: G HOME OCCUPATION REGISTRATION Date: 7/l3/Z/A) Name: AJeA Q y ftRSFf�f�� Phone#: so g' Address: o?9 village: G(/• ��i�/V-�T�,�L,� Name of Business: AWE/U 4�eA 17,0'yS Type of Business: —if Man t: 176'0.20 7D .& 5o<t� ifT G,e�yPlF�rRs INTENT: It is the intent of this section to allow the residents of the Tomi 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 dwellung: 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 die Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by die permanent resident of a single family residential dwelling unit,located witnih that dvvelling 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 un excess of normal residential volumes. • The use does not involve die production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • Thnere 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 sane lot containing die Customary Home Occupation,and not within die 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,aid one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing die Customary Home Occupation. • No sign shall be displayed iidicating tine Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,die street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of tie dwelling unit. I,the undersigned,have read and agree with die above restrictions for my home occupation I am registering. Applicant: Date: 7 ,v-el Honieoc.doc Rev.01/3/08 Town of Barnstable *Permit# & .6F6 Expires 6 months from issue date Regulatory Services Fee 1- C Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner sB � 200 Main Street,Hyannis,MA 02601 X®PRE S ����� Ir www.town.bamstable.ma.us �nnnn r Office: 508-862-4038 AU�ax:� -98 0-6230 EXPRESS PERMIT APPLICATION - RESIDENTWMA MARNSTABLE / h Not Valid without Red X-Press Imprint Map/parcel Number'— Property Address oZ$ � � �r'`�� , �.t) • t-Ks-�L�e gResidential Value of Work 110_��0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address . ctna.�6 lV�prsL1Q�� a g. ;.te Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ER'I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) dRe-side Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Imp ve nt Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ',M ��•'i www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/O pnization/individual): Address: City/State/Zip: .. 0AP Phone#. So8 - ao - (&5 . Are you an employer? Check the-appropriate bog:. Type of project(required): 1.❑ !am,a employer with 4. ❑ I am a general contractor and I 6 * have hired the sub-contractors ❑ New construction employees (full and/or part-time). . 2.0 I 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 any capacity. workers' comp.insurance. P tY• 9. ❑ Building addition [No workers' comp.insurance 5. ❑.W e are a corporation and its officers have exercised their 10.❑ Electrical repairs or.additions 3.Vrequi ] . I am are hod:meowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no. 12.❑ Roof repairs insurance required.]t employees. [No workers' 1 Other camp.insurance required.] *Any applicant that checks box#1 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 must submit a new affidavit indicating such. tContrectors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. - Insurance.Company Name: Policy#or Self-ins.Lic.#: EX iration.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 civilpenalties in t]ie form of a STOP'WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may�lie forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby penalties fperjury that the information provided above is true and correct Sienafore: Date:- /* Phone#: -SD 00- Official use only. Do not write in this area,to be completed by city.or town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 06/14/2004 15:57 5084374786 MARSHALL PAGE 02 ry • �b Faur►o. � r, /? a Joe # 85-215 CEPTI'•FIED PLOT PLAN PPEPAPED FOP.- LOCATION: L-62 DERBY DR. BARN. §GALE: 1=40 DATE: 12/18/86 . REFERENCE: PB 420 PG 96 LEBEL SOLLOWS I HEREBY CERTIFY THAT THE BUILDINGS SHOWN ON THr$ PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON.. tH OF BUILDINGS CONFORM TO SETBACK REQUIREMENTS OF THE TOWN WHEN CONSTRUCTED.. ARNE G 3 OJAu down . cape engineering a g CIVIL ENGINEERS. �� `� . LAND SURVEYORS <--� f • ��,c 1�tlg5C 4 O,p D I I a i Assessor's map and lot riumd, *THE TO of� SEPTIC SYSTEM MUST Sewage Permit number ......... .......... ............................. INSTALLS® 8N COIVdPLI c WITH TITLE 5 2 BA NSTABLE. House number 4.... ...d...... ....id 1-. r �11 a � I-NVIR®NMENTAL CODE 39' �0 TOWN OF, BARNS?A E BUILDING . I SPECTOR APPLICATION FOR PERMIT TO ............................................. .�. ..............:1.. TYPE OF CONSTRUCTION ....................... `': ........ ........i!.....�................... ........ i ......... . .... ......192!7 TO THE INSPECTOR OF BUILDINGS: The undersigned her by applies for a permit according t the following information: Location V- �. ...................... ProposedUse ....pc -:gz1 clrk ........................................................................ ...................................................... ZoningDistrict ...... .... .....................:.......................Fire District ....... ... ....�..................................................... Name of Owner ...... 7....� U.`�./.......................Address ......... .. ... .. Nameof Builder .... ....................... Address .................................................................................... Name of Architect ...1.1. ( Y1. ... ....................Address ....... /........ ............... .................................:.. Number of Rooms .......... ......�..........................................Foundation ... U'../�!..�! . Exterior ..................,,��.�. ... .. < .......................Roofing .......... F:................................................ Floors ................. ..... .......................................................Interior ..........v..y.. ............................................... .. Heating ............( .. .........................................Plumbing ........ . ............../.... a`"' ................ Fireplace ...................Approximate. Cost ..... ............... Definitive Plan Approved by Planning Board - -- --------19 Z�� Area ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I 4 R q o� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnsto a re r i the above construction. Name .................................. Construction Supervisor's License 469(.1a d0l;S L S JRUST No ... Permit for .....Story............. .......... Location ....1.o.t...#.6.2.1......2.8..Derby...D.ri.ve .. .. West Barnstable .............................................................;................. Owner .. S 1i S Trust ..................................................... Type of Construction ......•Fr.ame............................ ....... ................................................................................. Plot ..... ................. Lot ................................... Permit Granted ....................................Uecember 21 ,....19 - 86 Date of Inspection ....................................19 Date Completed 19 r r 1 LoT �03 G �U p� , o Q Q e 9QX GawG. 0 3h� 14425 5Ei" s Z i JOB # 85=215 "'EPTI.FIED PLOT PLAN PPEPAPED FOP. LOCATION. L-62 DERBY DR . BARN . SCALE: 1=4 0 DATE. 12/18/8 6 REFERENCE. PB 420 PG 96 LEBEL SOLLOWS I HEREBY CERTIFY THAT THE BUILDINGS LL=' .•::� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON.. `N OF BUILDINGS CONFORM TO SETBACK REGUIREMENTS ���� OF THE TOWN WHEN CONSTRUCTED.. �o� ARNE yG� H. OJALA H ldown . cape engineering $ 26348 •� CIVIL ENGINEERS _ s! CISTER�� ' L�� LAND SURVEYORS ROUTE 6A_• -YARMOUTH MA DATE REG. LAND-SURVEYOR. TOWN OF BARNSTABLE, MASSACHUSETTS - BUILDIN`VI PERMIT A- 51- UJ4 Ix UI/V DATE 19 PERMIT NIN APPLICANT LI?1)el-SO1..1(T\oF: ADDRESS {! nki z"'ll1:-':• f -'�7 :.I,•ro(sr,�<•� (7,F _ .,., • (NO.) (STREET4 (CONT R'S IICENSE) L'uild dwr".111:1ST LZ ;j . NUMBER OF PERMIT TO (_) STORY .'lc:' (:1'!1�L'7 ATW t ;;t•% DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot fib 18 Dev:)`7 U):l've, itioit ZONING DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION —LOT—BLOCK—SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE .USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: " AREA OR PERMIT U lid VOLUME - 1276 sq. f.C. ESTIMATED COST $ 55000 FEE $ � (CUBIC/SQUARE FEET) OWNER J L S Trust ` •- 4. ADDRESS Hy2Cnis, f'lA 02601 BUILDING OE PT. l�Jt-> T H,IS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR . ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PERMANENTLY PIAOVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED oFROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES.NOT RELEASE THE APPLICANT FROM THE CONDITIONS lIk ANY APPLICABLE SUBDIVISION RESTRICTIONS. I MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INISPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR -•b•LL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND - 1j(. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIbNS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE.• 3. FINAL INSPECTION BEFORE OCCUPANCY. ;ter I POST THIS CARD SO IT IS VISIBLE FROM STREET � I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I 2 2 / `s� 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT v � L 0 2 BOARD OF HEALTH U-16? WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL'BECOME MULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOV. I PERMIT IS ISSUED AS NOTED ABOVE. NQTIFICATION. j. } o'�y�`T 'O•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 ssaasr ! TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ` An=Occupancy Permit has been issued for-.the building .authorized.by.__ BuildingPermit $ ...... ©� Y..._. ...................................................................._...._..................._..................�: . :.:_ _. issuedto ......_ . �4. .......` _............................._.........._.......... .... _ .�__»�..__.. _... _ _ .._.„ r Please release the performance bond. I v o TOWN OF BARNSTABLE Permit No. ..... Q336,,,, BUILDING DEPARTMENT D°a'9f TOWN OFFICE BUILDING Cash .a. oriv HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to S L S TRUST Address lot #62 28 Derby Drive, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. May.13 19.... 8?.........., . ........ Building Inspector TOWN OF BARNSTABLE Permit No 30336 o`TMETo° . ................ D°81M` ° BUILDING DEPARTMENT } TOWN OFFICE BUILDING Cash .a. X HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY SLSTRUST ` Issued to Address lot #62 28 Derby Drive, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. c4_ May 13 87 � ............................ 19................. ...................... Building Inspector Assessor's map and., lot umdr ....ffTNET o o�o Sewage Permit number ........................................ v .:}fir ( ^iJ / Z BABH 9TADLE. i House number .e.......:... ., tJ {�-�. 9 Mnea ' �O 1639• �0 TOWN OF BARNSTABLE BURDIHG_ WSPECTOR ..� ...............!...... :: !... ..............................................APPLICATION FOR PERMIT TO ... r TYPEOF CONSTRUCTION ...................... ... ..... w.......... .............. ......................................................:. ...........�..r`. ......./.... ......19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t the following information: r' L' �_ Location '""'"""'..` ..... .. ...1'...�............................::Y........... �..� ................. ProposedUse ' �� .e: (.�.�.. ................................................................................................................ ZoningDistrict ......:.... ... !.......................................................Fire District .... .... ..................................................... Name of Owner ...... .. .U. ...................Address ........RI7 �P If Name of Builder .... .... Name of Architect ... ...:.. .... i /...P.If......................Address ....... �.../...�. Number of Rooms J,]............................................Foundation /y yy---- '� . . .... ............1..............Y—f..:..................... ; ��: -�Exterior .......................1......, � ...., ........................Roofing .............�'? FloorsT Interior ...................... ...v..... . ...................................... }.................................... j... {. Heating :!...../.��.. ... .........:................................Plumbing ........: ..........................�� ..... < �� ... .............................. Fireplace ............................�7..................................................Approximate. Cost ..... ?.. . 0................................ Definitive Plan Approved by Planning Board _� +` _______-93 _. Area ......!! � .............. ......, Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �i w OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . 1t I hereby agree to conform to all the <Rules and Regulations of the Town of Barnsta le re c6rdi g the above construction. e` Name `. ................... v Construction Supervisor's License /""/ S L S TRUST _1 5_L---&a4— 006 No 30336 Permit for ...U- Story ........................ S.ing.le... Dwelling................ .. . .. .. .... .. .... ...... Location .... ...?rive ... . ....... West Barnstable ............................................................................... Owner ....S L S Trust .................................................. Type of Construction ......... .... ............... .............................. ................................................. Plot ............................ Lot ................................ December 2.9 , 86 Permit Granted ...... 19............................. . Date.of Inspection .....................................19 Date Completed ....................19 /V"