HomeMy WebLinkAbout0006 MORGAN WAY 1
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,pF,HE fps, The Town of Barnstable
BARNSfABLE. • Department of Health Safety and Environmental Services
9 MASS
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Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection 1� 1
Location NA/ Permit Number \ t 3 (9 0
Owner Builder J � j,0
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
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Please call: 508-790-6227 for reeinspection.
Inspected by
Date
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Assessor's Office(1st floor) Map 5 AAParcel 6 33 Permit# �/,3 8 Q
Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00) r�,"��Wov gYDate Issued //
Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:45 % i Fee / ;Ze
Engineering Dept. (3rd floor) House# 62 dry
Planning Dept.(1st floor/School Admin. Bldg.)
Definitive Plan 5prd ,by Planning Board !i' v .19 �. �V 4
G1 t' l`-Q 1"e LS
TOW�OF BARNSTABLE
Building Permit Application y
Project Street,A/
Village
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Owner �idt-f-� �Cj /'K-- Address
-Telephone `7-71 D 40
Permit Request a) t,z �l frl
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First Floor
ILI0 Y square feet '
Second Floor 66 square feet
Estimated Project Cost $ r?67, Qrz)
Zoning District F Flood Plain Water Protection
Lot Size 00 i Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use V CL�- /(, Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family -----
Age of Existing Structure 1VQ0 CQNSWA. Basement Type: Finished
Historic House Unfinished '✓ *aLC Cr
Old King's Highway
Number of Baths No.of Bedrooms 3
n �
Total Room Count(not including baths) / First Floor
Heat Type and Fuel WD-W�M & Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name Aof , Telephone Number -71
Address - Q. License# Q g S 6 ys—
Home Improvement Contractor# '
Worker's Compensation# 10e/ 31ZX2-0 j 78' 00
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE !/G DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
t _
PERMIT NO. N `�bou
_
DATE ISSUED i
MAP/PARCEL NO.
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ADDRESS VILLAGE
OWNER -
DATE OF INSPECTION:' ( -
FOUNDATION
FRAME' G j
INSULATION
c r _
FIREPLACE
ELECTRICAL: ROUGH FINAL _
PLUMBING: ROUGH FINAL
GAS: `'',ROUGH: FINAL
FINAL BUILDINGS
DATE CLOSED OUT ` `` '3'
"
ASSOCIATION PLAN NO.
IMi3y0RTA�NT�IYI�E+S�SA�GE� •
A.M.
FOR DATE. TIM� P.M.
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The Town of Barnstable
' BARN LE' Department of Health Safety and Environmental Services
t639.
Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
Location Permit Number 3
Owner � �(sib Builder Y-� '� St .
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
ALL 1. el
2.
C 4EC-< ANC FRS' ° t Sl - Loo 11'i2�
N&E1 (L�LLB Tk ES
( Co� N C T► ES � �T�c'�S N�Ar1 VA
111A �\ ��\ A f✓2 1'
1% Please call: ,,508-790-6227\ for reeinspection.T s
Inspected by � V C��
Date
` 3
To
70
bete z ��� Time
WHI E YOU WERE OUT
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of
Phone
Area Code Numb Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNW YOUR
CALL
Message
kdr-
Operator
AMPAD 23-021 -200 SETS
EFFICIENCYm 23-421 400 SETS CARBONIESS
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To
�/ So
Date --U Time
WHILE Y U WERE OUT
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of
Phone
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Meese e
Operator
AMPAD. 23-021-200 SETS
�� EFFICIENCY* 23-421 .400 SETS CARBONLESS
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY c rmtOa !
OF I ONE ASHBORTOKPLACE b` = l;
MASSACHUSETTS SOS701;144A'tfc 'T.` -' xX ajfw(Ol �
LICENSE I CAUTION
EXPIRATION DATE CONSTR. SUPERVISOR
04/19/19 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE . r-t:�"r, 06/30/1 993 005645 i PRINT IN APPROPRIATE _
C' BOX ON LICENSE.
BRIAN T DACEY
zo 62 FERBROOK LANE BLASTING OPERATORS
c CENTERVILL MA- 02632
m MUST INCLUDE PHOTO. _
r
PHOTO BLASTING OPR ONLY) F O-O _ I
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY FAID
HEIGHT: STAMPED-OR-SIGNATURE OF TH- MMISSIONER
• THIS DOCUMENT MUST B i « SIGN NAME IN FULL ABOVE SIGNATURE LINE
CARRIEDONTHE PERSONA' - IGNATURE OF UCENiEE
THE HOLDER WHEN EN
OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPATIOlt 0"- •R I 111...���
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COMMO TH of MASSACHUSETTS
DEFAIM%, F.N7 OF INDUSTRIALACCID.V4 S
600 WASHINGTON STREET
BOSTON, MASSACHUSETTS 02111
James.: earnDoel:
Lornrl.-Sslone' WORKERS' COMPENSATION INSURANCE AFFIDAVIT
7.
(licensee/permittec) .
with z principal place of business/rtsidence at:
(Gry/SMICOp)
do hereby certify, under the pains and penalties of perjury,than.
[J 1 am an employer providing the following workers' compensation coverage for my employees working on this
job.
l 7 V D l 3
Insurance Company Policy Number
( j I am a sole proprietor and have no one working for me.
( J 1 am a sole proprietor, Ocrs
contractor r homeowner (circle one) and have hired the contractors Iisted below
who have the following woampensation insu=cc policies:
. .. d -
Name of Contractor Insurance Company/Poliry Number
Name of Contactor Insurance Companv/Policy Number
Name of Conrrzaor Ins=ncc Company/Policy Number
0 I am a homeowner performing all the work myself.
NOTE Ticuc be :ware tsar wbilc bomeowners wbo emnio-e person: to do maintenance. eonstruCtioe or repalr-ork on a
dweiiine of not more 6&L tn' rec units In wblCb the hom w eoner tiso reside or on the pvuoaa appurtzoa-ot tbere are aot rsnenil%
consloerrd to be crt)lovcrs unacf 6c a•orum Corovewiuon Act (GL C 152. sect. i(5)). application by a bomeowner for a license
or txrmtt may mceocc the Ico sum, of an employer under the Workers' Compcoutioa Act
1 unce-stsnd :nit : copyo.tivs statc;cnt will be forwarccd to the I}coarrncnt of IndtasviaJ Aeadena' Ofncc cdInsursrse for mac
ven t::non and : s:; :aiiure to secure rare as rreuircc uncer Seenon Z5A of V1GL 15- can leac to the imoosition of ai.:.�v °�
mnslsone of: flnc of uc to S1 500.00 and/or impruont:cn.t of uC to one ynr and aw pcnaiuu in the corm of a Stop ' o-i Orldcr and a
fine of SIOO.C-u a day a€a:ns: me.
SHEETROCK:
MEL REED: (L) WORCESTER INS - CB817530
(W) COMMERCIAL UNION - CBH557387
INTERIOR TRIM:
DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442
DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150
(W) TRAVELERS - 176K337-8-94
OAK INSTALLER:
ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652
PAINTING:
CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF
(W) AMERICAN POLICY - WCC 186604
ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179
(W) EASTERN CASUALTY - ???
GARAGE DOORS:
ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301
(W) COMMERCIAL UNION - CBH573757
STORMS & GUTTERS:
ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146
(W) AETNA - JC89258880
OAK FINISHER:
AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0
CARPET, VINYL & TILE:
CARPET BARN: (L) VERMONT MUTUAL - SBP6507393
(W) PHOENIX INS. - 6NiJB476J652794
WIRE SHELVING:
CAPE. COD CLOSETS: (L) U S F & G - BSC146983441 .
APPLIANCES:
KITCHEN APP.L MART: (L) FIREMENS FUND - AZC80453098
(W) HARTFORD INS CO - 77WZNB1603
MIRRORS & SHOWER DOORS:
L & M GLASS: (L) COMMERCIAL UNION - CBR409003
(W) U S F & G - 0071439933
LANDSCAPE & SPRINKLER:
COY'S BROOK: (L) COMMERCIAL UNION - ABR345850
(W) CIGNA COMPANIES - C41138178
DRIVEWAYS:
NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945
(W) THE PHOENIX - UB387K530
SUBCONTRACTOR'S INSURANCE
ENGINEEER:
BAXTER & NYE ENG: (L) FIREMENS FUND -.''S30MXX80564866
(W) LIBERTY MUTUAL - WC1312.595563023
EXCAVATION & SEPTIC:
DRISCOLL, JJ: (L) U S F & G - HGL 110093
(W) U S F & G - 7708711936
FOUNDATION:
BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267
(W) LIBERTY MUTUAL - WC1312201785044
WELLS:
DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92
(W) WAUSAU - 151300062926
CELLAR/GARAGE FLOORS:
MICHAEL BROWN: (L) AETNA - MP0023672849
FRAMERS:
ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9
(W) AETNA - 006C002397.2416C
MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356
(W) LIBERTY MUTUAL - WC1312492127024
ROOFER & SIDEWALL:
JOHN MEE: (L) AMERICAN STATES - 01CD1486.783
(W) TRAVELERS - 6NUB448K275894
MASON:
SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689
(W) WAUSAU INS - TO BE ASSIGNED
ELECTRICIAN:
CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649
(W) MISCELLANEOUS INS CO. - 0708878 91 1
PLUMB & HEAT:
WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9
(W) EASTERN CASUALTY - POLICY IN MAIL
ALARM SYSTEM:
BALTIC SECURITY: (L) FIRST FINANCIAL - FF01-31 G400831
(W) COMMERCIAL UNION - CB0743379
CENTRAL VAC:
VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045
INSULATION:
MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3
(W) U S F & G - 7711099932
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 175 033 GEOBASE ID 3889.6
ADDRESS 6 �MORGAN WAY PHONE
W_ Barnstable FLIP -
LOT 167 BLOCK LOT :SIZE . t
� DBA DEVELOPMENT' ' . DISTRICT WB ,
PERMIT - 13678 DESCRIPTION sin 1e Familyy dw®11`ing I
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
t Department of Health Safety
CONTRACTORS: P � Y
ARCHITECTS: and Environmental Services
i •TOTAL FEES: Im
BOND
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY : BARN3TABLE, •'
_. MASS.
1639.
OWNER DACEY, B_RIAN T TRFDMIBA
ADDRESS �P40 BOX 95
r CENTERVILLE MA BUILD G C�DIVISIQ��N
BY �_
DATE ISSUED ' 03/11/1996 EXPIRATION DATE
`..: TOWN OF BARNSTABLE
BUILDING PERMIT
PARCEL ID' 175 033 ,SEUBA�,k' ID "38496
, ADDRESS 6 MORGAN WAY SHONE
W_ Barnstable ZTP
LOT 167 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT WB
PERMIT 113BO DESCRIPTION SINGLE FAMILY ROME (SEW.PMT.#95-G31
PERMIT TYPE i3UIUD TITLE NEW RESIDENTIAL We� aftM- ent of Health, Safety
CONTRACTORS: BAYS I DE BUILDING, INC and.Environmental Services
ARCHITECTS:
TOTAL, FEES:
BOND $_00. � �i►
CONSTRUCT ICE! COSTS $175,000.00
* s
10.1 S I NT LE FAIT HOME DETACHED 1 PRIVATE P r#. STABLE. ;
MAS&
0.19.
OWNER DACEY, BRIAN T TR EE A
ADDR>=8;a P 0 BOX 145
CENTERVILLE HA BUI O�
DATE ISSUED 1.1;02/1995 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH): PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION.' OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALSPLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1. 0 u
2 'i �v 2 2 � 2 910/>7��
sv, �Iwe
3 yv, 1 SATIN�N TION APPROVALS ENGINEERING DEPARTMENT
Ste ti., 2 ic�3 g'�j _ i! _ _ ' BOAR Cy
D OL
"i
OTHER: r snt PLAN REVIEW A OVAL
z 9 sc
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION. 508-790-6227
Assessor's office(1st Flood: ;yI � n / �5-. P 33� `SEPT+ SYSTEM U
/- T
ssessor's map and lot number !/"' INSTALLED IN Co
Board of Heal (3rd,' Sewa a Permit number r). NftMENTAL
�������L `w
Engineering Department(3rd floor): ` 9 TOWw RE
House number U/ _.a �' GUL 1 A 3
Definitive Plan Approved by Planning Board 19 P R p OVA °'
A P tV E
Barns able
APPLICATIONS PROCESSED 8:30 9:30 A.M.'and 1:00-2:00 P.M.only onservation Commission
TOWN OF ' BARNS G
BUILDING IHSPECTORsigne
Date
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
/y 1.9 ' 7z
' T
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permCacnowing information:
Location 16 - il,&• .
Proposed Use
Zoning District ff Fire District —� /wm
Name of Owner /y Address '
Name of Builder Address
Name of Architect wVL-,� Address l�
Number of Rooms Foundation
Exterior Roofing
Floors ��/� G�� Interior
.. / a-r—
Heating Plumbing
7
Fireplace / Approximate Cost �5
Area
Diagra of Lot and Building with Dimensions Fee
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.
7_,". Name
Construction Supervisor's License A4 <��
No Permit For
Location
Owner
Type of/Construction
Plot •s Lot 'a
Permit Granted 19
Date of Inspection 7 19 _
Date Completed 19
law - _
-=ti�,,f :irai .�/1irrA��#;•,•,•�;Tr+vE4�'��' �' y�C.;. u;,�;;w—r ?��< .. ,Wsr�« =xi""�";"R�� 'Y.+�+j-;�;.�v.: mot. �:F.%�`q.��;y:�A�:,�,r.•..-:{�Y,-.
` C������`v _ "t..4 .'�^r�t.rj %�s��- � r4.+'_ "r'*"e + r '�///�•/ ��r" /S� 'xj /`%f/��/1j r,,,[`i
Assessor's office(1st Flo
ssessoeAMap and lot number
Board of Health(3rd,floor): ` �� e
1Sewage Permit number
Engineering Department(3rd floor): / AA '' __ V sus Li J
House number (� .CYi7/I !� °o 67o•
Definitive Plan Approved by.Planning Board r 19 �D Niv a•
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only a,
TOWN . OF BARNST
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
19 _
TO THE INSPECTOR OF BUILDINGS:
v
The undersigned hereby applies for a permCac ,rding-to-the-following information:
Location !� al• /Z /Y�
Proposed Use
Zoning District Fire District .0 f'Ht'�j
Name of Owner Address
Name of Builder Address
+
Name of Architect Address /�
Number of Rooms C 9 Foundation 1qy e ,0
Exterior t A Roofing �iGO% l�c�iG
Floors �G~2 4' Interior
Heating. �G� a O Plumbing
, .
Fireplace // 2 �i2�`% Approximate Cost
. Area
Diagra of Lot and Building with Dimensions Fee
q�
r
JF M'
r
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
" Name
Construction,Supervisor's License
No Permit For
Location
Owner`
Type of,Construction
Plot Lot '
Permit Granted 19 ;
Date of Inspection 19 0
Date Completed 19
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asses-{ed ynn4es,-
� andpeJ ar�P�es � °a ^^y h �" `Q"
i5Ao seEC �fG-use jo�ds
�/ � a �iA+-s -�ar„nus rhark�Fs � CaPe-rz9 .
' 11s will �a- b^� u�� PIaN2 wkt.� l" w; ll be
PCodaGn9 my Illy
on) dell � in a-� �--�L�e� -FwmefSm�rkef-s,
Town of Barnstable
Regulatory Services
ILI
Thomas F. Geiler,Director
""ST"B' Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT
DATE: d
NAME OF FOOD ESTABLISHMENT:
ADDRESS OF FOOD ESTABLISHMENT: m1rqa, W f /W a�n. `"���i rlA
MAP AND PARCEL OF FOOD ESTABLISHMENT: MAP: PARCEL(S)
TELEPHONE NUMBER OF FOOD ESTABLISHMENT: (�p( I)3LI
NUMBER OF SEATS: INSIDE: WA OUTSIDE: TOTAL:
TOTAL NUMBER OF BATHROOMS:
ANNUAL OR SEASONAL OPERATION: 4
TYPICAL HOURS OF OPERATION MON-FRI: TO S
DAYS CLOSED EXCLUDING HOLIDAYS(I.E.MONDAYS) ��
IF SEASONAL: APPROXIMATE DATES OF OPERATION: / / TO
***REMINDER***
SEASONAL ESTABLISHMENTS MUST CALL FOR INSPECTION PRIOR TO OPENING
TYPE OF ESTABLISHMENT: PLEASE CHECK ALL THAT APPLY
FOOD SERVICE.
A,::�IETAIL FOOD
BED &BREAKFAST
CONTINENTAL BREAKFAST
►, E IDENTIAL KITCHEN
MOBILE FOOD
TOBACCO SALES
FROZEN DAIRY DESSERT MACHINES
CATERING
OUTSIDE DINING
Q:U3ealth\Application Formffoodapoi.dc.:
***REMINDER***
IF OUTSIDE DINING.YOU MUST BE APPROVED BY THE BOARD OF HEALTH AND
LICENSING.AND MEET ALL OF THE OUTSIDE DINING CRITERIA
IS WAIT STAFF PROVIDED FOR OUTSIDE DINING?
IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)?
CONTACT INFORMATION:
Gl
FULL NAME OF APPLICANT � �� /� �,_. �n
0
SOLE OWNER: � O SOIL SECURITY NO,. 5 - 41.-9D r�
ADDRESS a
PHONE#001 _-
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERy: /�
A'
,
'W APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO,.g 70
STATE OF INCORPORATION
.FOOD SERVICE ESTABLISHMENTS CONDUCTING. FOOD PREPARATION (EXCLUDES
RETAIL FOOD ESTABLISHMENTS THAT DON'T PREPARE FOOD AND CONTINENTAL
BREAKFAST';.
LIST THE NAMES OF YOUR FOOD .SANITATION CERTIFIED STAFF (I.E. SERV SAFE)
EFFECTIVE JANUARY 1, 2004, EACH FOOD SERVICE ESTABLISHMENT IS REQUIRED
TO HAVE AT LEAST TWO FOOD SANITATION CERTIFIED STAFF. AT LEAST ONE FOOD
SANITATION CERTIFIED STAFF -IS ,REQUIRED ONSITE DURING ALL HOURS OF
OPERATION.***PLEASE PUT THE NAME OF THE ESTABLISHMENT ON THE
CERTIFICATE***
1• EXPIRATION DATE: / /
2. --+ EXPIRATION DA E.
3. EXPIRATION DATE: / !
4.
EXPIRATION DATE: / /
t7
73IGNATURE OF APPLICANT AND DATE
QAHealMAnniication Forms,"rooaaom.a
MAIL-IN REQUEST
Tease mail the completed application form to the address below. Also include conies of your employees
:xxi sanitation training certificates (at least two are required effective January 1, 2004). In addition, please
°=iude the required fee amount (see fees at bottom of this page). Make check payable to: Town of
Barnstable. Allow five to seven(7)working days for in-house processing. Our mailing address is:
Town of Barnstabk
Public Health Division
200 Main Street
Hyannis,MA 02601
FOR FAXED REQUEST
Our fax number is(508)790-6304. Please fax a completed application form. Also,please fax copies of your
empioyees food sanitation training certificates (at least two are required effective January 1, 2004). In
addition. you must mail the required fee amount (see fees at bottom of this page). Please make the check
payable to: Town of Barnstable. The check must be mailed to the address Iisted above. Ahow up to lour
days for in-house processing.
To get a food permit application form,click here. To be able to access this form;your computer must have
Acrobat Reader. Most computers have Acrobat Reader.and it will usually activate itself automatically. If your
computer does not have Acrobat Reader,you can download a copy of it by going to the Adobe website.
For further assistance on any item above.call(508) 862-4644
I FEES: Bed & Breakfast Permit = $45: Food Service Permit 0-49 seats = $200. 50 or more seats
$250: Continental Breakfast = $30: Retail Food Store - Less than 8.000 S.F. = $100. more than 8.000 �. .
S.F.- = $285. less than 1.000 S.F. and Incidental to Business=$20: Frozen Dessert License$30: Tobacco
Sales Permit=$50. Additional non-refundable Fee for New Establishment or New Ownership =$1 OQ Late_
Fee=$10.00
Back to Main Public Health Division Paae
i
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,.1st FI., 367 Main St., Hyannis, MA 02601 (Town'Hall) and get the Business Certificate that is
required by law.
DATE: 3.j 0 " Fi I in lease:
i4AV F v ;6;,,.: �"` } } APPLICANT'S YOUR NAME/S:
�. Vaau BUSINESS YOUR HOME ADDRESS- ljnq A b
__tkh1 TELEPHONE # ome Telephone umber — —
NAME OF CORPORATION
NAME OF:NEW BUSINESS_ �,�� �ee� (tileC��('a [ <w►�' TYPE OF BUSINESS. ) '
��S
IS THIS:A HOME OCCUPA►TION� �� u �
n
ADORESS:OF BUSINESS :.: <�i2 MAP%PARCEL NUMBER [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 ISSIO ER'S FFICE MUST COMPLY WITH HOME OCCUPATION
This individ al h s en4af r o n permit re uirements that pertain to this type of businessRULES AND REGULATIONS. FAILURE TO
COMPLY MAY RESULT IN FINES.
A hori Si re*
COMMENT l
S. e� G4'1
2. BOARD OF EALTH
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:
.µ
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
Building Division
MAM
6639. �0� Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: iAL=
Permit#: o �o.1
HOME OCCUPATION REGISTRATION
Name:
Address: (/O < Village:LtJ'eS4 , a C�ir./��o� t0-2 71a?
Name of Business:
Type of Business: �� (� Map/Lot: -�j;2
INTENT: It is the intent of this section to allow 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.
a If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
C No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the und4Rev. 3113
read and agree th the above restrictions for my home occupation I am registering.
Applicant: Date 0 _
Homeoc.doc
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__ _ Town of Barnstable _ Building
sAxnsrAR i
Post This Card "
it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
v MAE& $ Posted'Until Final Inspection Has Been Made. Pey�mit i639. �° 1 e 11 m 1
�µa+° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-3434 Applicant Name: Ashley Walters Approvals
Date Issued: 10/23/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/23/2020 Foundation:
Location: 6 MORGAN WAY,WEST BARNSTABLE Map/Lot: 175-033 Zoning District: RF Sheathing:
Owner on Record: STEINDEL,ERIC W Contractor Name: Kenneth D Kendall Framing: 1
Address: 6 MORGAN WAY Contractor License: CS-075153 2
WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 1,581.00 Chimney:
Description: remove and replace window. No structural. Permit Fee: $35.00
Insulation:
Fee Paid: $35.00
Project Review Req: i Final:
Date: 10/23/2019
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. ,
t-- -- ---- - of Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.permit.
Minimum of Five Call Inspections Required for All Construction Work:, Service:
1.Foundation or Footing '
Rough:
2.Sheathing Inspection _
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons g with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A).
C.-N Fire Department
Building plans are to be available on site
Final:
z All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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