HomeMy WebLinkAbout0078 ARROWHEAD DRIVE �� �ie�oLvf/�c� ��,
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YOU WISH TO OPEN A BUSINES
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, 15t FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is
required by law. `
DATE: Fill in please:
rs;>,i+it, 4:
awr1a' APPLICANT'S • . YOUR NAME/S: lf-W ti C�
BUSINESS YOUR HOME ADDRESS: 2�e�w1f `6'�
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;. '�,a" iys'�2;:r TELEPHONE #V Home Telephone Number
l i,r !J z!�iJs 5-d
#: �/. E-MAIL:
NAME OF CORPORATION:
NAME.OF NEW BUSINESS Z pF r� S U N la r2ct C f 1 TYPE OF BUSfNES5 a�ST2c�e•T ✓� S
IS THIS A HOME OCCUPATION? . X YES NO I
ADDRESS OF BUSINESS. . rL2o�LC-� ��/l, MAP/PARCEL NUMBER 1 [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 COMMISSIb�ee
N jW.
F ICE MUST COMPLY.`,KITH HOME OCCUPATION '
This individual has ed of any it e u�_g ir�em�erits that pertain to this type of busines RULES AND REGULATIONS. FAILURE TO
G CO PL.Y MA Yl) fi IPJNE ' � C� c
Aut ized S' n e**
COMMENTS /51
:
- t
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 has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature** -
COMMENTS: .
Town of Barnstable
` OFSHE r Regulatory Services
o Richard V. Scali,Director
a�aivsraBM
Building Division
MASS.� Paul Roma,Building Commissioner
s63q.a�0�°Tfo 200 Main Street,Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 508-862-403 8 Fax. 508-790-623 0
Approved:
Fee:
Permit#:HOME OCCUPATION REGISTRA N
Date: 3 c, / 7
Name: I,G L6� �`� Phone#: �� y c> �2— G.�`� —7
Address: �y /\ G� '1_0 Village: ICI ,I
Name of Business: �d TES �G^'S 1�Z`-mac l G�
Type of Business: Co / Map/Lot:
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 carved 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.
• 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.
1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering..
Applicant: Date: 3
Horneoc,doc Rev.06/20/16
w
i
A-rRESSPERMrr Town of Barnstable *Permit# �nt Expires 6 months fromssueue ate
JAN 17 2006 Regulatory Services gee
Thomas F.Geiler,Director
'SOWN OF BARNSTABLE
- Buildvag Dlvis1011
Torn Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.towmbarnstable.ma.us
Ofce: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number oz `7 110 I 1
Address �J ✓ l '� \�2
Property
❑Residential Value of Work �Ft' �6_U U Minimum feg of$25.00 for work der$6000.00
Owner's Name&Address
Contractor's Name
c f,v L� �_ U f` �'P Telephone Number
Home Improvement Contractor License#(if applicable) 3 3
Construction Supervisor's License#(if applicable) _.._... ...... ._.. . .._. _. _.. . . . ... ..
❑Workmen's Compensation Insurance
Check one:
(�] 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)
❑ Re-side
❑ Replacement Windows. U-Value (maw=.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 weer Letter of Permission.
Ho a Improvement Contrac rs a is required.
SIGNATURE`
Q:Fotrns:expmtrg
Revise071405
Department of1radatsMal Accidents '
Office of Investigations'
600 Washington Street
Boston,MA 02111' '
®� wvw.mas&gov/dia
Workers' compensation Insurance Affidavit., Bui-Iders/Contractors/Electricialia/Plummbers
Applicant Inforrnati®n c Please Print Legibl-
Name (Businessiorganization/hdMduan: ��� � � Z_y F�� >
Address• L-4-6-�9ll .
,City/State/Zip: �T7 A S �/� 2 GG l Phone#:
'+City p: ..
Are you an employer? Check the'appropriate box:. Type of project(required):-
1.❑ I am a employer with 4. ❑ I am.a general contractor and I ' 6. ❑New cotstraction
employees(fal and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner-
listed on the attached sheet $ ?• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
. working forme in any'capacity. workers' comp.insurance. g, ❑ Building addition
[No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions
required+] officers have exercised their
3.�I am a homeowner doing all work right of exemption per MGL 11•❑ Phunbing repairs or additions
myself [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof rep
insurance required.]t employees.(I�To workersi' 13.❑ Other .
camp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information '4
t Homeowners who submit this affidavit indicating they at doing all work and then hire outside contractors must submit a new affidavit indicating such
tcontractor's that checkthis box must attached an additional sheet showing the name ofthe subcontractors and their workers'comp.policy information.
'Below is thopolle,Mdjah sue
am an em
information.
Insurance-Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip-
Attach a copy of the workers' compensation policy declaration page(showing the policy number and.expirataon date).
Failure to.secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminalpenalties of a
fine up to$.1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOPVORK 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 D1A for insurance coverage verification.
I do hereby certify under the pains and penalties o' Pe ry that the information provided above is true and correct
Si afore: Date: I a'�
Phone#•
®ff"Icial use only. Do not write in this area,to be completed by city.or town offaeiaL
City or Town: PermitUcense#
Issuln9 Authority(circle.one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspe:etor
6.Other
Contaef Person: Phone#:
Infor Wation Mad , str .ctio s
Massachusetts General Laws chapter 152 requires all employers to provide wcenef'comptnsati underoany for their&vlct ofhire� 44 .
Pursuant to this statute, an employee is defined as ...every person in the seen
li oral or written."
• express or implied, ' ;' •
« association, Forpora#on or other legal ec�mtity,or any two or more
An employer is defined aS.,an idiyi¢ual,;parfnersip,• ,
of the foregoing•engaged in a joint enterprise,and inchiding the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howcyer:*e
owner r r dwelling house having not more than three apartments and who resides therein,or.the occupant of the
construction or repair woikbn such dwelling house
dwelling house of another who employs persons to do maintenance ed to be a
,
or on the grounds or building appurtenant thereto shall not because of such employment be deem
n employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or �-
renewal of a license or permit to operate a business or to construct buildings in the•cornmonwealthfcr 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 untd acceptable.'o r.'evidence of compliance with the insurance
?equirements of this chapter have been presented to the contracting ty
Applicants
Please fill out the workers' condensation affidavit completely,by checking the boxes that apply to your sitnation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certificates)of
anies or Limited Liability Partnerships(L•LP)with no employees other than the
• insurance. Limited Liability Comp (LLC) •
workers' compensation insurance. If an LLC or LLP does have
members orpariners; are not required to carry
employees,a policy is require& 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 Ar that the application for the permit or license is being requested,not the Deparfineat of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
lease call the Department at the number listed below.. S'elf-insured companies should enter their
compensation-ROPY,pjSa _.call the pa -. - • - u ._..__l— -..-• -- -...—_..__...—.....—._..—. _._ei
self-insurance license number on the appropnate hue.
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 save to fillin the permittlicense number which will be used as a reference number. In addition,an applicant
e permit/license applications in any given year,need only submit one affidavit indicating current
that must submit multipl
policy informrm fou(if necessary)and under"Job Site Address"'the applicant should write"all locations in (city or
toyn)"A copy o€the••affidavit that has been officially stamped or maxked by the city or town maybe provided to the
applicant as proof that-a valid affidavit is-en file for.fature pernmitp•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 bum 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 4f vestigations
600-Washingfon,Street .
Boston,MA 02111�
Tel.#617-727-4900 ext 40.6 or'1,877-MASSAFE
Fax#617-7274744
Revised 5-2645 yrRrpgmass.gov/c is
Town of Barnstable *Permit# ?
�•e Expires 6 months from issue date
BARNGrABLE, = Regulatory Services Fee 00 tun
-
nIMS.
9� a639. $ Thomas F.Geiler,Director
plED1A0`� Building Division X-PRE
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 OCT 10 0 2003
Office: 508-862-4038
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 2 r7 J 10 1
Property Address Advtou.4 C-.4 tz.
Residential Value of Work �a
Owner's Name&Address t/l./A-' y" L6`--'rL-S
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
I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box) 1
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows. U-Value 3 1 (maximum,44) S� L% i�S - G 5 �
*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.
Home Improvement o act rs License is required.
Signatur
Q:Forms:expmtrg
Revise053003
oFtHE Ta,, Town of Barnstable *Permit#
Expires 6 months from issue
• Regulatory_ Ser flees Feed?,
BARNSTABLE,
v� HAW' Thomas F. Geiler,Director
prED MA't°i Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-403 8
Fax: 508-790-6230 OF B
EXPRESS PERNUT APPLICATION - RESIDENTIAL
n i Not Valid without Red X-Press Imprint
Map/parcel Number c�? ` ` 0 r
Pro Address �`�, 4*op t rty
Residential Value of Work .����
Owner's Name&Address
Contractor's Name Telephone Number Z h
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workan's Compensation Insurance
Check one:
❑ I am a sole proprietor
2I am the Homeowner
❑ I have Worker's Compensation Insurance +�
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to c
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value (maxirnum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised121901 '
AWE t Town of Barnstable
Regulatory Services
9� $ Thomas F.Geiler,Director
�Eo;o Building Division
Peter F.DiMatteo,Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# 7 0 FEE: $ s
SHED REGISTRATION
120 square feet or less
t/ A 4
Location of shed(address) Village
Property owner's name Telephone number
tox to l �6
Size of Shed Map/Parcel#
ignat a Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? —
Conservation Commission(signature required)
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg .
REV:083001
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Assess is map and lot number ,� � ...
SEPTIC SYSTCAA 116I16-T BE =
/ /7- 7�� I1 STALLED IN Go'Ar PLIANCE
Sewage Permit number � ..- J,e ' r,! i
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,........• ITH AST,..<,_� 11 Sr.TE
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0*TNETOWN - F �1X1 I eiA � E
c Z 33AHB9TAIILE;
oO �YPY �0� R;UI.LD,IHG INSPECTOR
J Y C Y
APPLICATION FOR PERMIT TO ............ ...................... ................................................................
TYPEOF CONSTRUCTION ...........................:................................................................:................:.......................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following info motion: (�
Location ........1`0-......... [........... .C` .' ... . . ...........: ..Ufav `:.?.............................................
1•
ProposedUse .............................................................................................................................................................................
Zoning District
......•........................Fire District .
�. ...........?.....::....
Name of Owner f P .. .Q. �� �......:4� Address .. Z a Z �� � °"l/
............ LN" . ......... ..................
Name of Builder n..I"�.1� ........... .1...........Address ....................................................................................
Nameof Architect ...........................................................:......Address .......................................:............................................
Number of Rooms ..................5 ..........................................Foundation ... ................................................
Exterior ........ /— Roofing ........
................................ Roo. � � ....
Floors .... ............. . . .........................................Interior ...... .. ................ ........................ .
�z
Heating ...... ...... .........................6...................................Plumbing .......,........., .. ....................................
Fireplace .......�% ............................................................Approximate Cost ...... c!'?l7�
...........................................
/
Definitive Plan Approved by Planning Board --------------------------------19.--------. ' Area �...........��
S�
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
t�
1'
e
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
_ Name ........................................ rl. ....... .........
Danielle Construction
18054 1 1/2 story,
41,1J2A. ........ Permit for ..................................
I
�single -family dwelling
..............................:....................
31
Arrowhead Drive........
C6cation .................................................. ............
ya
Hyannis
.......................................................................I..........
V
Danielle Construction
Owner ..................................................................
Type of Construction ...........frame...............................
................................................................................
#9
Plot ............................ Lot ................................
November N 17 75
Permit -Granted .................................... ...19
Date of inspection
Date,Comp et d e
_77
PERMIT REFUSED
................................................................. 19
...........................................?...................................
• ............................................................................... r
..........................:.....................................................
. .......................I........................................................
Approved ................................................ 19
.....................................................
............................................................................
Aaeessort;, map and lot number �.�..........
2/- 75' ..............
Sewage 'Permit' number Az
�S
C<. ...`...................�...........:...
T"E:r°�� =� TOWN OF BARNSTABLE
"b BUILDING INSPECTOR
•APPLICATION FOR'PERMIT TO ........... .................................................. ...........................................................
TYPE 'OF CONSTRUCTION 1' yt'r` �-
......
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
`Location XA.'�......... ....... -0 A 4 f M ik] JV� ,............................................
. ..... .......
ProposedUse .............................................................:................................................................................................................
r
ZoningDistrict ................:...::....:.............................................Fire District .....:............................:.
141
Name of Owner.\ ' ..
Nameof Builder ...................... Address ....................................................................................
Nameof Architect .............:....................................................Address ....................................................................................
Number of Rooms .................. .............................................Foundation ... ......
...........................................................
Exterior ... ...Roofing ram' '
(V Interior ��i --� �T � -L�c'?
Floors >-,.. ..:................ ......;,:::_............ h �..... �::...
..........:A................: ....................
Heating • -' ................................................................Plumbing ................., ....................................
Fireplace ....................................Approximate Cost .....f. a^
.......�cam.-:.......................... i 1................................................/ ...
Definitive Plan Approved b Planning Board _______________________________19-_______. Area .=K....� `�'
PP Y 9 ........
s`�
Diagram of Lot and Building with Dimensions / 7 I Fee . ..'` �...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
y
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name '! ......................................... .....• �.. ...., _
Danielle Construction A=271-101 #
18054 . 1 1 2 story,
No ....... .......,Permit for ......................................
1, yx sfingle family dwelling
- ........ .................................................. R,
C r
° Arrowhead Drive
Location ....................................................
Hyannis
O
Danielle Construction
Owner .................................................................. -
f-fame
Type of Construction ........ ................................. t-
.......................................... ................................
Plot ............................ Lot .......'��9....................
j 75
Permit Granted ........�1 er` 17
......ove... ....................19
Date of Inspection .:........ .........................19
Date Completed ...... ....................:..........19 r�
(PERMIT REFUSED m
..................... 19 r
..................... ......
.................................... . .......................................
...........................:... ........................................
Approved ...........................:......... ......... 19 a:
............................................................................... r
- I
..................... ......................................................... . " i
BY ..._..,DATE.. SUBJECT ..,. ..,, . ...f.,. .. ... .... „ SH£ET NO.. -__.. -.OF-
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CHKCx ........:.... ........................ w . JOB NO.... «..,�- p.
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BY ._........DATE SUBJECT.-........................... ........................ SHEET NO........... OF................
.,I*.CHKO. BY_ ....- ,DATE .. .. ....... ............. ..................................................................... ...... JOB NO....._..........................................
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