HomeMy WebLinkAbout0194 ARROWHEAD DRIVE do �a L3
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Town of Barnstable
Regulatory Services
WE
do Richard V. Scali,Director a
Building Division
MA-Ga B' Paul Roma,Building Commissioner
t639. ♦0
fo ° 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax:.508-790-6230
Approved: R/-7
Fee: J C�
Permit#: ��
HOME OCCUPATION REGISTRATION
i F
Date:
Name: S E1-1 ri A l-D CD Phone#:
Address: A"-0W ZF f0 A 2 Village: Y 44-11 4
Name of Business: Q C K f-GGj Lao-NDs CApc- S�lel/�CC1f
Type of Business: t,4A,1QXC 4,4 6 Map/Lot: 7 G< G�`
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:
a The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
a Such use occupies no more than 400 square feet of space.
a There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
a No traffic will be generated in excess of normal residential volumes.
a 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.
a There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
a 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.
a There is no exterior storage or display of materials or equipment.
a 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.
a 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.
a No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned, ave read and agree withffaverestrictions for my home occupation I am registering. j
Applicant: Date: 2--00/6
Homeoc.doc R .06/20/16
rt
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: -1 Z-ZJ/ Fill in please:
d gk�rw APPLICANT'S YOUR NAME/S: 5 F�M A i2 1-d3 c7
I ' BUSINESS' YOUR HOME ADDRESS: 94 A -0LA,1 jq6.4 14 4Nti�
=` TELEPHONE # Home Telephone Number
NAME'OF CORPORATION:
NAME.OF NEW BUSINESS : i= -c@- 1.. -r�t�n c� TYPE OF BUSINESS V-J✓0 s.cry,P C-
6v2. L r4-n.J r,c c �F �c S
15 THIS A HO.ME,OCCUPATION9. _ YES NO
ADDRESS OF BUSINESS � MAP/PARCEL NUMBER (Assessin
9)'you must do in order to be in compliance with the-rules and regulations of the Town of
When starting anew business there are several thins m p g
Wh g 9 Y
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
I operate our business in this town.
Street) to make sure you have the appropriate ermits and licenses required to legally p y i
Rd. &Main Strp q
1. BUILDING CO MI SIO R'S OF ICE
This individ of h s i a y p mit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
Aut on d igrl ** RULES AND REGULATIONS.` FAILURE TO
MMENT COMPLY MAY RESULT IN FINES.
Alar G
2. BOARD OF HEA TH
This individual has been informed of the permit requirements thatpertain 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:
I
:;.I. .. .. .. .. ..t�T
YOU 1NISH TO OPEN A BUSINESS? "
For'Your Information Business certificates[cost$4Q:OD for>4 yeas] A businass.certrficate.ONLY REGISTERS YOUR:a,IAME fn town:(whiei you .;i
must do by 1VIsG L :it'does nbt gwe you permisston to ops�ate.J You must fist obtain the:necessary signatures.ori this form bt 200 Main St, Hyannis. :
Take the o''feted form'' o the Town':Clerk's Office; 1 st L,<3'67 Main St:, Hyannis;:MA 02601 (Town Ha.I l .a.nd the Business Certificate t,at'.;fs :.
required by law.
.. Al rs:' ...i_ ..: DATE g. .� G?rt� Fllin:pfease: _ N,
:5 sx4= ,': �1a' AP JAM YQUR,:. A E/5:..`: �-:� f�� i'
W ::.:BUSINESS S Pr
�3 Y,DUR HOME ADDRESS
dart TELEPHONE #.. Home Telephone Number
- twr, euxri. i SOC I Ai SECUR 1 TY OR E l N r'
__..
IfAMta C)F }I�PORATIOIU'::: i
NAME 01=NEW BUSINES$ tlZ r�CCTYPE QF BUSINESS. L.. _ i
1S TH1S A HOME OGCLIPATION? YES.. NQ (�
ADDRESS OFBUSINESS.::Z A70 .l rv� MAP/FAACEL'NUAIfBEA .f (Assessing);
_.
When st$r^tfi new bustrtess there ar' severgl.thin s ou.musG do ict:order' o b in: errt glance With fhe iufes:erid re'ukit" s of the Townof.
Y P..:,. 9:.
Barnstbie `firs form is intended to assist you ip:pbtatntngp:mfortme>aon yDu may;rjeei�, 'lYou MUST GI]'TO'200 Man:St:— (corner:of Yarmouth '
Rd &:tSiialn S r`eet� to lmako sure yqu lyaye tha approprtaf:e perrrlltis':�nd licenses"Fequi�ecl to legally o} elate your business in this taiiuri:
E:
MUST COMPLY WITH HOME OCCUPATIO
'I QUMLDING:OOMIVIISS1Cf111ER'S �!
TI'tis in_dfyldu.al hes been l eny ermi :e e t `et erte1nto tY�ia a of Fusin s RULES AND REGULATIONS. FAILURE::
Y P: ... ,. COMPLY MAY RESULT QFINES.
b.CO ENTS uthbrized Slgnatur
2 Ftp BDA O)=HEALTH
Thls..in IVldual;:has:.beenlnformed ofthe;perrnll;>requlremin ents that%pertaln:to l5aype of,b.uSIness
Authorized Signature*
CDIVIMENTS.::-
.. _
x'
3 CONSUfV1Ef 1�FFAIRS[L(GENSING piLJTHOBISYJ w
:
Tfttsndlvldual as been intormed.gf the Ircensing cequfrer7lents<that'pertafn to'ahistype of business
.
Autlgrized.Signature
CONi'IUI NT5 E.. R...: ='''''
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Town of Barnstable
Building Department Services M
C4 THE Tp�
. Brian Florence,CBO
o�
Building Commissioner
BARNSTABLE, 200 Main Street,Hyannis,MA 02601
MASS.
9 039• ��� www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: /
Permit#: . (r21 r
HOME OCCUPATION REGISTRATION
I?ate:
Name: .� S V'`� �r3 r Phone#: S-OX 3 64
Address: 4 /f& 2U)44 (AM Village: ff Q V(VI S
Name of Business: Zc-A FC-c,_rt O 1✓ 'LJ"►J e,IQ--6 e I W 6-
Type of Business: LA-p.i O S.c A-02 C- Map/Lot: 2 O
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.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.,
1,the undersigned,have read and agree wit th above restrictions for my home occupation I am registering.
Applicant: — Date: 2,0 17,
Homeoc.doc Rev.06/20/16
Town of Barnstable .
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.bamstable.ma.us
Pre-application for Business Certificate
Date t 2- �Lw
1 ClMap`' l Parcel
Applicant Information .
Applicants Name —To (L SGR ( i
Applicants Address 101`1 A Q_Q-0 w' I)eA i�> Da.' Email Address :L U y�P_% ZO Z @ t�1�^'�J' coa
Telephone Number s�� �' 3 g Listed ❑ Unlisted C
Business Information
New Business? ---------------------------------------- Y No r
Business is a registered corporation? _______________________ Yes I
If yes Name of Corporation
Does business operate under the registered corporate name? Yes
Is the business a sole proprietorship or home occupation? -_____- 4* No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business A ' 121 u S Cea,s
Business Address q R2 FA p 2, h ua N ry;S
Type of Business ys12U �T i p
Build'ng Commissioner Office UW Only
Conditions
U14Q
Building Commissione - o.K J` f Date
Clerk.Office Use Only
:4
Town of Barnstable
Building Department
°PIKE T°ky Brian Florence,CBO
Building Commissioner
BARNSTABLE, 200 Main Street,Hyannis,MA 02601
mass.
v� 1639. ,0� www.town.barnstable.ma.us
ATED MA'1 A .
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date: Z f Cf
Name:—Ty 2 CA l I Phone#: (�Qpj�-.�
Address: I.G 5f 6-2 V a. Village:
Name of Business: 4 - e(o S CC)/US UG4i'p✓U h
Type of Business: �j�N S 1��G i d✓� Map/Lot V —y� I
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
n0 C C within that dwelling unit.
r j Cn • Such use occupies no more than 400 square feet of space.
Cn 0There are no external alterations to the dwelling which are not customary in residential buildings,and there
ZO , is no outside evidence of such use.
D0 • No traffic will be generated in excess of normal residential volumes.
mr— The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
M C matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
Cn • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
2` of normal household quantities.
O Any need for parking generated by such use shall be met on the same lot containing the Customary Home
z Cn o Occupation,and not within the required front yard.
Z ' m There is no exterior storage or display of materials or equipment.
D.O • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
F n pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to
C exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
y No sign shall be displayed indicating the Customary Home Occupation.
0 1 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 undersi ed,have rea and agree with the above restrictions for my home occupation I am registering.
C,
Applicant: -
Date:
flomeoc.doc Rev.10/17
a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ParcelCJ�_ Application # d r3o �
Health Division Date Issued Z^v� — ;s
Conservation Division Application Fee
Planning Dept. Permit Fee '
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address
(Village `
Owner 711 /Fd s&gc./ loall-etilM Address Alfa f-X/I/O/S
elephone �5-V'F 33a—9-75.3
Permit Request, _ 3 �2C.OrlSfivCf Me r17Py -
. ovp L
{
Square feet: .1 st floor: existing - proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation*—_oo_a Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) --
Age of Existing Structure Historic House: ❑Yes ❑ No On Old KingT,Highway]YeV ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
a
Basement Finished Area(sq.ft.) Basement Unfinished Area (sgft)
Number of Baths: Full: existing new Half: existing nuv
Number of Bedrooms: existing _new "=
j r
Total Room Count (not including baths): existing new First Floor Room County'
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 ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name i 1�i /�PISIr� Telephone Number " off—����
Address �L� �02 AGE License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
I
SIGNATURE DATE
V
i
r
FOR OFFICIAL USE ONLY
APPLICATION#
u
DATE ISSUED _
MAP/PARCEL NO.
r
ADDRESS VILLAGE
ti
OWNER
f
DATE OF INSPECTION:
FRAME
A INSULATION; =-try. a ' A ir
-
FIREPLACE
ELECTRICAL: ROUGH FINAL .
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
t ASSOCIATION PLAN NO.
1
27je Colin/weauk alit f MawffC VSe&
Department qf1ndmsfridAcddmtr
Office!7,f InveSITgadmu
' .ao waskinglon S eet
&ere CampensAbn Insurance Affidavit Bml&r.-JConkmch sfEk cftirLmistPlrrm era
A�pli Ia#'aLA Please Prhd Emgibl�
N f�(Bnsitnn& k�il O, -a
cxwlstatrJ�ip: ph me i
Are you an employer?Cherk the appcopri%te bo=: Type of project r sed):
1-[] I am a employer with ❑I a e a general contcattor and I G. ❑New suction
employees(fall audfarpatt-time).* have hired the sub-cantrscb=s
listed oathe a
2 El I am a sole proprietor orpartner-
ttarbed sheet �- ❑Remodeling
ship and bam m employees ZZ sub-n°nirasrtflts bane 8- 0 Demolition
vmddng forme is any capacity_ employm and have wads Q ❑Buildmi g addition
INo v4Z�rim&Comp_in==e camp.
/• - d_] 5. ❑ We area corporation and its 1{Y 0 Electrical segaiss or adclRiom
! am a homgirw=doing all work officers have used t ek 11-0 Plumbingiepairs or adchtians
e�p P�
myself �o �j t comp �152,§1{4},and we have an �0��
employees [No workm' 13_D Other
camp.insurance refired-}
tt*Any tppHDCOLt that che #1 amstalso MI out&t sectiaabelowshnxi g&&WO&e&aymp•, ti-13okTh1fn d .
A �II JJgQIDeD'WIIfS SfbD SIIb�Y}t75 a�a4$1II�16�1h��lE�'<S IjG111g�HC¢�1�fhPIIhRE CRti7�G GGmT1'a�S�OSt iSl�[ILEA*1�lalVjt ZDd7LP�y SIIC�
`L=t3L n=lhtCCbKlttbhboammtzftscbed IIIadditinnal&had dhnwmgtbemmeof Ee sda-cmdncbtG xnA;txMSfba&wCCIl42T]O5C WfidEs ive -
emplcym. iftlusub-t�lrmemplayee%theyn p¢miaenaeirwark�s'romp.peTicymanbrr
I run an employer thatisprovidimg workers'compe nsadon uts rtatce for erny engzkyem I3eiatr is tliEpaiicl'rend job safe
in f oratmiali
Iasurauce Company Nam:
Policy 4orSelf--ins.Lic.# ExpintianDate:
Job Site Address: C7€ylstat /T.tP:
Attach a copy of the workrrs'compensaBon policy dedaration page(shvwdng the policy number and ezpiratian date).
Failure to secure coverage as required under Section 25A of MGL.c.152.can lead to the imposition of aiminaal penalties of a
fine up to$1,500.00 and/or one-year imprisonzaeut,as wen as civil penalties in tine form of a STOP WORK ORDER-md a E=
of up to S250.00 a.day against the violator- Be=advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA tar in�nrE cov age verr�rafifla.
I do hereby c -ify rider the ptdns andpenaWes of perfnry flretthe irr braiafmi prsavhW rrbova is trse and correct
tere Date_ 2
O f frcid me m1st Do mf wr&in gib urear,tea he campAW by do arrtm offi et
My or Tows: Permifucense-
Bming Aatfior4(dzrte one):
L Board of Health 2.B MFmgDepartment I CAYfrown Qcsk 4.Elechrical Inspector S.Phzmb ng hVector
ti.other
ca tPhOMA.
6
Town of Barnstable
Regulatory Services
pUt► rqy, Richard V.Scali,Interim Director
0
Building Division
RARNATAKA t - Tom Perry,Building Commissioner
KAS&
1639, ��� 200 Main Street, Hyannis,MA 02601
��►�,t i. www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
f Please Print
DATE: �/�/
1B.LOCATION:
number street J �( 2 vill age
"JHOMEOWNER": �U J
name home phone# work phone#
CURRENT MAILING ADDRESS: L E
ci wn state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature oY Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section,109.1.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix,Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\MTRESS.doc
Revised 061313 1
.. Pw.
Town of Barnstable
Regulatory Services
- t=ARNSTA M ----
MASS. Richard V.Scali,Interim Director
0%s6396
-Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
0YORMS:OWNERPERMISSIONPOOLS 10/13
LETTERS OF AUTHORITY FOR Docket No. Commonwealth of Massachusetts
BA13PO954EA The Trial Court
PEkSONAL REPRESENTATIVE Probate and Family Court
Bamstable Probate and Family Court
Estate oV
3195 Main Street
Catherine E Maddox
PO Box 346
Bamstable, MA 02630
Date of Death: 05/07/2013 (50$)375-6710
To:
Keith Rosary
34 Potter Ave
Hyannis, MA 02601
You have been appointed and qualified as Personal Representative in . Q Supervised Q Unsupervised
administration of this estate on July 29,2013
a
These letters are proof of your authority to act pursuant to G.L.c. 19013,except for the following restrictions if any:
F] The Personal Representative was appointed before March 31,2012 as Executor or Administrator of the estate_
(Do Not Write Below This Line-For Court Use Only)
CERTIFICATION
I certify that it appears by the records of this Court that said appointment remains in full force and effect. IN TESTIMONY
WHEREOF I have hereunto set my hand and affixed the seal of said Court.
Date July30, 2013 'N�.tt�- ` J
Anastasia W Perrino, Register of Probate
MPC 751 (3131/12)
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Dear Attorney Haddleton,
I have reviewed your correspondence regardini
It appears that the addressing you have provide
correct as necessary.
Also in order to fully understand this I need a c
Yours truly,
Thomas Perry, CBO
Building Commissioner
i
i
'r
,;fir
sue-
10/21/2013
194 ARROWHEAD DRIVE
HYANNIS, MA
INTERESTED HOMEBUYER CALLED AND STATED THE PREVIOUS
HOMEOWNER WAS TOLD TO REMOVE THE WALLS AND WALLBOARD IN
THE BASEMENT AT THIS PROPERTY.
NO PERMIT WAS PULLED TO DO THE WORK.
BRENDA COYLE
V
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
requi'red_by law.
gypp; gpy DATE: - 3 - / Fill in please:
�w sxr APPLICANT'S YOUR NAME/S:
( ' BUSINESS YOUR HOME ADDRESS: JI EEC)L,U 14C110
its 3iF $ c 36
✓ '�� ' r R TELEPHONE # Home Telephone Number
' �
NAM a u s
E.OF CORPORATION:.
1
NAME OF NEW BUSINESS TYPE OF BUSINESS C n 1 I r,
IS THLS A HOME OCCUPATI N�' YES
A .
ESS OF BUSINESS' MAP/PARCEL NUMBE
DDR R
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 COI�F# ISSIOLER, OFFICE
This individual h s eor daane m't requirements that pertain to this type of businesi/IUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS, FAILURE TO
Au hor' i na ** COMPLY MAY RESULT IN FINES,
MMEN
r n Gl Q� S' -
2. BOARD OF ALTH
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
Regulatory Services
Richard V.Scali,Interim Director
BARN9ML& : Building.Division
MASS
639. 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:
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name: Phone#: ;S O'� 36 3
Address: M lT ueo lo-t {'p d'o
Village:
Name of Business: A I O-CA
Type of Business: C�� I n Map/Lot: C
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..
• 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 '0 p is not a e p mzanent resident of the
dwelling umt.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant:_ KOS) L4712a Date: - 0 S �.
Homeoc.doc Rev.103113
jC Assessor's office(1 i1 ' or):
Assessor's map of nu O t0 y,R THE
t
x Conservation
Board of He d fbo
Sewage Pe i mbar
�' `-f' j� �� ��� ®�"a �o Lary LE .
Engineering Department(3rd floor):
House number / �i,_�� �I �y� ��� a Ito arr r�
Definitive Plan Approved by Planning Board �r 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF'BARNSTABLE
BUILDING DIVISION
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION Q)Liq 1k0(, fj��lNjp cSUN�2C tpCIVQ�cvlb �a� ���p �
19 _ G►�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location k Q CCbW �(>Ao O mC' 1S (A(J�
Proposed User
Zoning District ) Fire District H si
Name of Owner h (.ol*C 1!y- Address X } 1 y 6 V'OC'v Ke V e,
Name of Builder Ul0�0� J �GC(�C���A �� Address 4O 5t A0&,,eW5 'omve
Name of Architect {SON(2- Address
Number of Rooms J bC16�w�) bWOWM Foundation E.jk5)NN1Q
Exterior. Ke CIO S41t")(G �ro:.� .t S�tQP Roofing Re QW
9
Floors Interior
Heating �^ Plumbing /
Fireplace 4v�5� rt`� d1� bOA5 + 5��5 Approximate Cost - 1 �Q� ,00
i-
Np-Q wal tho�,�t� 6v Nd 2C
Area
Diagram of Lot and Building with Dimensions Fee
II� .
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abo co uction. '
Name �
Home Imrpovement Contractor Registration# ' Construction Supervisor's License#'
r� /
ao.5(0
MA DDOX,` CATHERINE
194 ARROWHEAD DRIVE, HYANNIS .t
37 log Remodel & Sun Deck
No Permit For _
F. D. f
194 Arrowhead Drive
Location `j
Hyannis
h
Owner
Type of Construction
Plot Lot F'
G'` -�
J'
Permit Granted � ' � �— �W 19
Date of Inspection 19 4'
Date Completed y Q) 19tll
r- Ja 1 >-
x
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NEP®NSET VALLEY SURVEY -
ASSOCIATES, INC. SHEET NO,
95 White Street CALCULATED BY T� v— 1 G+JA DATE 13/-.4-7
QUINCY, MASSACHUSETTS 02169
(617) 472.4867 CHECKED BY 5' 1" DC ROC He DAtE 9127194
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TOWN OF BAR14STABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
.Please print.
DATE
JOB LOCATION l 9 AV,
-�l?//`I/l.S'
Number Street Address S tion'Of Town
"HOMEOWNER" �tiE AL1D "7e962 —35.5 (c '
Name Home Phone Work_ Phone
PRESENT MAILING ADDRESS (S�rr� — A S
City/Town State
Zip Code
The current exemption for "homeowners" was extended to include_.owner-
occupied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license, provided that
the owner acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends toy`reside, on which there is, or is intended to be, a one to six family '
dwelling, attached or detached structures. accessory to such use and/or farm
structures. A person who constructs more than one home in a two-year
period shall not be considered a homeowner. Such "homeowner" shall submit
to the Building Official on a form acceptable to the Building Official,
that he/she shall be responsible for all such work performed under the
building permit. (Section 109.1.1j ,
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and
requirements
HOMEOW14ER I S S I G14ATUR
APPROVAL OF BUILDIi7G OFFICIAL
Note: Three family dwellings 35, 000 cubic feet; or lancer, will be
required to comply with State Building Code Section 127 .0, Construction
Control.
I
Xzscs
•i• r
i•
HOME OKNER'S EXEMPTION
The code "Any Dome Owner performing work fo
permit is required shall be exempt- from the
(Section 109. 1. 1 provisions ofr which a building
Home - Licensing of Construction Su ervins .this"section
Owner engages a persons) for hire to do such w
Owner shall act as supervisor.« � � act,provided if
work, that such Home-
Many Aome
Owners who use this exemption are.Unaware-' th
the responsibilities of a supervisor (see A
for Licensingat they -are assumin
Construction Supervisors,_Sectiona2 1Q'.-Rules and Regulations
awareness often results »in serious
. -Owner;,hires_=unlicensed .persons. problems •=, This lack of
this case particularly when the Home
a�`ainst the unlicensed person as it would without Board cannot
Home Owner acting,as .supervisor is uloild w 13-cenSed supervi.so Proceed
. The
To,ensure6nTthat the Home �' rsspons1bleo
many communities require r;t Owner is fully aware of 'his/her responsibiliti
Owner certify • as part of the pelt applicationes,
On the last that he/she understands the responsilitiesofthat
- � - the`_ Home
You may page °f this issue is a form currently used by several isor.
y care to amend and adopt such aform/certification for u
community. towns.
- - , use in your
i
i
I
t
r
The Town of Barnstable
BAR\SPARM f -
KAS& Department of Health Safety and Environmental Services
1639• �0
ter+ " Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLWATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement., removal, demolition, or construction of an addition to any pre-existing owner occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent
to such residence or building be done by registered contractors,with certain exceptions, along with other
requirements.
Type of Work: Q l k r l + 5UN&e Est.Cost F
Address of Work: ji / 4n,yLob se-o b!gi t)
Owner Name: EAI AJ� MADD6X
Date of Permit Application: �f��� qY
I hereby certifv that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000 .
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME RAPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor name Registration No.
OR
Date Owner's name
c_ ^
COMMO TH OF MA.SSACHUSETTS
DEI'AR r NiENI' OF INDUSTRIAL ACCIDENTS
- 600 WASHINGTON STREET
BOSTON, MASSACHUSETTS 02111
James camooei
�o'�rssrone WOR.IERS' COMPENSATION INSURANCE AFFIDAVIT
(l ice nscc/perrniacc)
with a principal place of business/residence at:
--� (City/state/Zip)
do hereby certifp, under the pains and penalties of perjury, that:
Insurance Company Policy Number
I am`a sole proprietor and have no one working for me.
ractor rc o own Eirde one) and have hired the contractors listed below
1 am a sole proprietor, general cont
who have the following workers' compensation insurance politics. (� `
Goo�o Dope( �' {a�0ety�e� ® � 16TC�L'S tf r,v�G IC\!
Name of Contractor Insurance Company/Polic),-Number
S e� CAP&Q Ok06LLe aU
?game of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
NOTE: Plcasc be aware that while bomeowncrs who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant tbercto arc not gcneralJ)'
considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a 11CCDSe
or permit rri2y evidence the legal status of an employer under the Workers' Compensation Act.
I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of 6mina] penalties
consisting of a fine of up to 51500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of$100.00 a day against me.
Signed this " x5 1 day of 19
I
I!Icenscel ermirtee Licensor/Permircor
(CIV i
3 aytp - I(0" ®L�
-ro 36 Gowele kavwN — t 1
C � l
I � j
E
I