HomeMy WebLinkAbout0008 ALICIA ROAD �;
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YOU WISH TO OPEN A BUSINESS?
For Your information: . Business certificates (cost$g0.00 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.) Business Certificates are available at the.Town Clerk's Office, 1"FL., 367
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Main Street, Hyannis, MA 02601 (Town Hall) ,
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DATE: 8 /S Fill in please:
I""toi. ,a ,d,33s':a�?i4i.y�t;ir APPLICANT'S YOUR NAME S:
iI9�vi F!V:YI'r'�'ry 1'-11 -
;�� BUSINESS YOUR HOME ADDRESS: A'u3 vtiYd ,i2,.0 j�YA^K;05 1'YA--
[{,act.•
i'�"''`i- '`' `�' ' ' 3 a'' TELEPHONE-# - Home Telephone Number :5� % --a c i65 i
�� �'
NAME OF CORPORATION: �5
NAME OF NEW BUSINESS TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? ✓YES NO ADDRESS OF BUSINESS i J f _5 MAP/PARCEL NUMBER Q27`02 a-26 �jAssessing]
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 in this town.
1. BUILDING COM SID i ER'S OFF.. a
This individu I ha b e in r ed a i "itre u eirements that pertain to'this type of b s
f COMPLY WITH HOME OCCUPATION,
t riz=ig at!:E_�* RULES AND REGULATIONS. FAILURE TO
C MENTC�0 I COMPLY MAY RESULTl
i
2. BOARD OF H ALTH
This individual has r r to<IS�JPe of business. ,
h ri d i t re** 1
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:
Town of Barnstable
oF'KE ram, .
Regulatory Services
o Richard V.Scali,Director
we�ucn►�r. : Building Division
Tom Perry,Building Commissioner
1619.1t 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: _� S
a Permit#: _ �r'�J�
HOME OCCUPATION REGISTRATION
Date: h
Name: NL/[ala ' A. c Aext,4 Phone#:
Address: A�JiCka- O• Village: OYAA)hj1S5
Name of Business:
Type of Business: C -A1*J& Map/L of
IN'I=: 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
pickup track not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation. ,
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant Date:
f
*1'ertuit#
�F1HE Tpk, Town of Barnstable Expires 6 xlonths frou►issue dale
Fee �t
• Re rulatory Services
W RNSCABLE. '
v MASS. Thomas F.Geiler,Director
16f9• �0
OMP�A Building vlvlsloll
X-PRESS P � �.
Torn Perry, Building Conuuissione►' •a a,A�.: a
200 Main Street, Hyannis,MA 02601 AUG 2 rJ ZOOS
Office: 508-862-4039
Fax: 508-790-6230 ' 1 -' i-
�Xp�SS PERMIT APPLICATION
- RLSIDI�✓13' 0�1 ��� �r�,2L�
Not Valid witl►out Red Y-P►•ess luip►•int
Map/parcel Number � -1c •
Property Address G� ,n / l
_ Value of Work `Z SOU
Residential
Owner's Name&Address (]2Cb i
i o 0- S
r (� Telephone Number — C
Contractor's Name
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
Jorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
V
m the Homeownerave Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
2 �o< ,
Z Replacement Windows. U-Value •33� (maxmnun.44)
Other(specify)
• ere re not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc;
*Where required: Issuance of this permit does
Signature -
Q:Fomis:expmtrg a
..l 1 1.1.,. 1. �.' ' 1 1 1
03/19/U3 WED U9!39 FAX 6036279559 t{AFtVEY INDL15'I'RIES »� 11XANN15 ti'HSE I/v Dui
\ P AW
M.A�,tRYA�'1r'' LN -a:-4-r"/E�:
ENERGY STAR /
P� AnTNEt/H/
�1 TEST RESULTS
Harvey Manufactured Windows and Doors
U-Values in accordance witi•I NFRC-100 • 6esed on residential sizes
• U- and R-Values are subject to change without notice •Whole windom, values
• Air infiltration results are subject to change without notice
All vinyl windows with Low-EIArgott quality far the FNFROY STArt"'program throughout the U.S.*
Revleed 1131103
Clear Insulated LuwrL Lvw-F,/A,rgen* ►ir
S
U-Velue R-Milne U-Value it-V*Iue ki-VAte It-V.h,o Inlillr:,lion
]IINYL WINpt3VI� rr,ll�lr•
Classio Double Hung (Mechanicai) 0.50 2.00 0.37 2.70 0.34 . 2.94 05
Classic Double Hung (Welded Sash) 0.50 2.00 0.36 2.78 0.33 3.03 .04
Classic Double Hung(Welded Sash A rarne) 0.49 2.04 0-36 2.78 0.33 3.03 .10
Classic Acoustical Double Hung STC40 0.23 4.35 0.18 5.56 o,17 5.sA .09
O� Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34•1. 2.94 .04"
ignature Double Hung (Welded Sash)- 0.50 2.00 0.37 2.70 0.34.• 2.94 .11L'
)Slinlline Vouble Hung (Welded Sash) 0.51 1.96 IJ,38 2,63' 0.34 2.94 .08
Sllmline Double Hung (Welded Sash & rarne) 0_50 2_0U 0.38 2.63 0.35 2.86 .09
Slimline Single Hung (Welded Sash 8$ rarne) 0.50 2.00 0.38 2.63 0.35 2.86 .08
Vinyl Casertlent/Awning 0.47 2.13 0.34 2.94 0.31 -3.23 .01
Vinyl Casernent/Awning and TherrTial Panel 0.31 - 3.23 0.25 4.00 0.24 4.17 .01
Vinyl Designer Shapes ` 0.49 2.04 0.34 2.94 0.30 3.33 --
Vinyl Hopper 0.47 2.13 0.35 2.86. 0.32' 3.13 .08
Vltlyl Picture window 0.46 2.17 0.31 3.23 0.28 3.57 .01
Vinyl Welded Dendlite 0.50 2.00 0,34 2.94 0.31 3.23 --
Vinyl Raller- 2 Lite end 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03 .09
i•
P7ecl rtsulle,art barive on C-Oilli 1erclal SIN S
Temp.Clear Tenip Low-IT Temp,Argon Air
U- MOC R-Y%lUe U.V„lue R-Yaluc U-Velun R-VAI04 hllihralion
rrnvl,'
PAYIoJ?S7K�J3 .
Harvey Solid Vinyl Patio door 0.49 2.04 0.40 2,50 0.37 2-70 09
Air infiltration is ir1 accordance with ASTM E283(a)25 mph.
"The use of tempered Low-E glass MAY effect ENERGY SInR"qualification in your region.
U-and'R-Values are subject tv change wi[hout notice.
v t p
'_ 5
The Commonwealth of Massachusetts
Department of industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Workers' Compensation Insurance Affidavit
Applicant Inffoor--.nation: PLEASE PRINT
NAME I Q 'S 1 ZZ 1 k ('
LOCATIO'`i CA 01 I II
CITE' S STATE ZIP CODE C) PHONE s 2 3
O I am a homeowner performing all work myself.
Q I am a sole proprietor and have no one working in any capacity.
O I am an employer providing workers' compensation for my employees woddng on this job.
Company Name
—
I& S /Uei t%VJ r7
Address fj n
�� U I State O 1/4 Zip Code 192,&3S Phone� b l
City /'
(�I ' ;n WC-4 U U"1 Expiration Date 1
11
Insurance Co. `-' tJa'r� `�'" `����� —Policy," C� `'i
O I am a sole proprietor,general contractor,or homeowner(circle one)and have hued the contractors lisied below who have the
following workers' compensation policies:
Company Name
Address
City
State Zip Code Phone T
Policy r Expiration Date
Insurance Co.
Company Name
Address
State Zip Code Phone 4
City
Policy 4 Expiration Date
Insurance Co.
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to
$1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a
of this statement may be forwarded to the Office of investigations of the DL-k for coverage
day against me. I understand that a copy
verification.
do hereby certify under the pains and
� �'
enalties of perjury that the information provi ed a ve is true and correct.
� . Date
b1� j
Signature , IZK — q /
name 0 YUA CL� C� 1 ZI S Phone R 'mil
Print n _—=
Official use only—do not write in this area-to be corrtploed by city or town official.
Permidlicense X O Building Department
O Licensing Board
City or town
O Selectmen's Office
O Health Depart=t
O Other ,
O check if immediate response is required .
Phone 4
Contact person
.,•. +►Nib4q�'4?MP*+`,Wria�."g4am4YW1N .'•ti(t1i-^ tr1 AP!'4: e. a;i8::a40.v - .,v/.?P G:.:3�:d.y; ,...n..
• •yra\ ✓/II! (00lfNlrOl1llIC�� O�i,/L�.QAJRdtILQ�(�
iS(1 Board or UuilJing Regulations end Standards .
n. HOME IMPROVEMENT CONTRACTOR
Registration: 100740
Expiration: 6/23/2004
Type: Private Corporation ,
CAPIZZI HOME IMPROVEMENT,
homas Capizzi,Jr.
1645 Newton Rd.
Coluil,MA 02635
Administrator
?�y ✓fie Golrr.lreolaue�rl/� n/'./�t'veeuc�ueelle
i
130ARD OF 13UiLDING REGULATIONS
J License: CONSTRUCTION SUPERVISOR
Number: CS 057032
1311thdato: 09/26/1963
Expires: U9/26/2003 Tr,no: 579U
Restriclod: 00
TI IOMAS X CAPIZZI JR
20U PERCIVAi_DR
W BARNSTABLE, MA 02660
Administrator
AC®RD_ - CERTIFICATE OF LIABILITY INSURANCIArrz l. 7o=12f. 03
__j
PRODUCER TI116 CERTImATB?It ISSUED AS RMATION
Norarown C Leighton Capin Lou. ONLY ANO CONFERS NO RN)►RS UPON THE CERTIFICATE
C.J.mocarthy ins.Agency,Inc. HOLDER.THIS CERTIFICATIE DOES NOT AMEND,EXTEND OR
437 Station Ave ALTER THE COVERAOE AFFORDED BY TILE POLICIES BELOW.
BO,yarmouth KA 02664 INSURERS AFFORDING COVERA09
Phone.soe-394-0946 rAX:508-760-1407
INSURED INSURER A: National Orange Mutual Ins. Co
NSURER B: Nafety Insurance COMany
12221 NO+ho nX" rov went Inc. INrUREnc Guard Insurance Oro
S ppeTl OND 6 �y INSURER D:
Gouit D2 3]5
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW I IAVE SEEN ISSUED TO TIM INSURED NAMED ABOVE ron THE POLK:Y PERIOD INMATED.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 OESCRIDED HFRFIN 15 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITION!OF SUCH
POLICIES.A00REOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE Of INSURANCE POLICY NUMEER 1 .M TY-fu LIMITS
oENERALLIABILITY RACHOCCURRENCE 11000000
A X COMMERCIALG6N6RALLIABLRY UPS02733 04/01/03 04/01/04 FIRS DAMAGE(AnYOMAm) 1300000
CLAIMS MADE a)OCCUR MED UP(AnY Ong P--n) 910000
PERSONAL I ADV IN WARY 11000000
OENERAL AGGREGATE $2000000
GENL AGGREGATE LIMIT APPLIES PEA: - P06DLFM-0owmp Am $2000000
POLICY jp O LOC
AUTOMOBILE LIABILITY ( BEm Pack"SINGLE LIMB
g ANY AUTO 1601064 04/07/03 04/01/04
ALL OWNED AUTOS BODILY;Y / 1000000
X SCHEDULED AUTOS
X HIREDAVTOC BODILY MURY $1000000
X NON OWNED AUTOS �eek�nq
PROPERTYDAMAGE I b00000
1I►«Roold.nq
OARAOD LIABILITY AUTO
�aONLY.GA ACCIDENT I
ANY AUTO AUTO bn MA ACC 11
NLY: AGO S
Excess LIABILITY mmoGCURRENCE i
OCCUR CLAIMS MADE AGGREGATE I
DGDUCTIBLE _
RETENTION I I
woRKeRe COMPENSATION AND X I
C EMPLOYlM'LUBILITY CANC401043 01/01/03 01/01/04 E.LEACNACCIDGHT $ 100000
LL.OMCASS.EAEMPLOY! $100000
E,L.DISEASE•POLICY LIMIT 111500000
OTHER
DERCRwnoN DF oPtAATio?io&ocATioNLYEHt-CLEilUCLUSIONit ADDED BY FNDORSEMENTSPECIAL►ROYISIONS
CANCE ION
V TTER: LLAT
ADDITIONAL INS !D'INSURER LE
R
CERTIFICATE"OLDER 1Q
SHOULD ANY or THE ABOVE DESCRIBED►OLR7IES EE OANCELLED BEFORE THG rNPIRAT
. • , , DATE THEREOF,T146ISSUINO INSURER WILL ENDEAVOR TO MAR. .LQ—DAYS WRITTBI
_ NOTICG TOTNB CERTIFICATE HOLDER NAMED TO THE LVT.BUT FAILURE TO DO SO BHALL
IMPOSE ND OBLIOATION OA UAMILITY Of ANY KIND UPON THE INSURER,ITS AOCNTS OR
REPREBLMTATNER.
AUTHORI2lD SSB.NIATIY
- r
ACORD 29-61(7197) CO TIGN 1N4
f
CAPIZZI HOME IMPROVEMENT INC .
SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6
STATE OF 14ASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
OWN THE PROPERTY LOCATED AT
IN IS MASSACHUSETTS.
II
I HAVE AUTHORIZED
TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,
THE MASSACHUSTTS STATE BUILDING CODE. -
I GIVE MY PREMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
SIGNATURE OF OWNER: -
OWNER'S ADDRESS: 9
OWNER'S TELEPHONE: I`�
LESSEE'S SIGNATURE:
i
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE: A
APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT. MA 02635
APPLICANT'S TELEPHONE: 50IR�42f3-951fi
RESPONSIBLE OFFICER:
I
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
ACCEPTED BY DATE
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL #
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