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HomeMy WebLinkAbout0098 BACON ROAD r I I �h } 1y 1j` �Nimi ili S Town of Barnstable Final Inspection Affidavit Date: C� _ Building Division 200 MairrStreet Hyannis, MA 02601 RE: Insulation Permits Dear This affi vit is to certify that I work completed at: Streetq�IL4�C� L-O Village: -a , has been in pected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applicat' D tuber: Issue date: Sincerely, e Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com O`er` �V . Town of Barnstable ildin , Post This Ca"rd So That rt`Is U�sible FromEthe Street• :.A roved Plans Must be,Retained on Job andrahis Card Must;be Kept ewes e a E null F nal pp y ; * o M" Posted U Inspection Has i3eenMade 163P v ._ m � . .�ki: k '.¢ Permit +� Wh.ere a Cert�ficateof:Occu :anc is Red aired such Bu�ltlm shall Not;be Occu, fed untila�Fnal lns' ection has been made j �i lill l Permit No. B-18-2203 Applicant Name: Francis Sheehan Approvals Date Issued: 08/06/2018 ' Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/06/2019 Foundation: Location: 98 BACON ROAD, HYANNIS Map/Lot 309-041 Zoning District: RB Sheathing: I � Owner on Record: CABRAL,MARK&CHRISTA JContractor in FRANCIS S SHEEHAN Framing: 1 Address: 951 OLD STAGE-ROAD , " Contractor'Lieense CSSL-105941 2 � CENTERVILLE MA 02632 � Est Project Cost: $1,800.00 Chimney: Description: 36 Sq Ft R-49 cellulose to attic,288 Sq ft R-26�Ce4lul6seto'6ttic,Air Permit Fee: $85.00 Sealing,70 Sq ft Cellulose to wall,52 Sq ft R-13 FGB to�wall,81 Sq ft 1 Insulation: • Fee Paid:" $85.00 R-19 FGB to Basement Final: r k f Date 8/6/2018 Project Review Req: Plumbing/Gas Rough Plumbing: " Building Official_ Final Plumbing: i ti Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas All work authorized by this permit shall conform to the approved application and theapproved construction documents for whichthis permit has been granted. All construction,alterations and changes of use of any building and structures shalllbe incompliance with the local zoning by laws and codes. -. Electrical This permit shall be displayed in a location clearly visible from access street or ioad and shall be maintained open for public-inspection for the entire duration of the work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire officials are'lprovidetl on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: "` 1.Foundation or Footing Final' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Town of Barnstable ° ■N7. • g�yRJ � $�r.., .. , -c:z.. , B���K�n` �a PostThis,Card SosThat it is Uis�ble=From the°Street, A roved Plans Must be Retained on J9bantl this Card Mus ,be`Kept „` v uvatrwetc PP 6' P stud Until FinalInspeetionEHas Been�INlade n y �. Permit Whee a�Crt ficate'of Occupaneys Reguired,su h Build ng shallNot,be Occupied unt�la Final Inspe �on hasbeen made Building plans are to be available on site All Permit Cards are the property of the APPLICANT-.ISSUED RECIPIENT Pff 31 l; p � £ C t fi. t y: p Y ' yp F A z err g 1 u` 1 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:03 Z-14113 Fill in please: APPLICANT'S YOUR NAME/S: Z!/4 f ic 0 r t.t c I'✓-Q BUSINESS YOUR HOME ADDRESS: A-e� �4d v'�p /17/- �ryL 5 TELEPHONE # Home Telephone Number © l NAME OF CORPORATION NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATIONS YES NO ADDRESS OF BUSINESS MAP NUMBER/ [Assess!ng) PARCEL 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 M2�R'S OFF E MUST COMPLY WITH HOME OCCUPATION This indivi ual i,a#er--.. d f y r it requirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO Aut " e �i natu *� � COMPLY MAY RESULT IN FINES. n MEN �oro J I U V-- /n ) 2. BOARD OF HEALTH This individual has peen r ofrne,�of the permit requirements that pertain to this type.of business. MUST�-,OMPLYWITH ALL (� T�V Vll/' PA7ARDOUS M;ATERW.S RF-r..! Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICX NSI A THORITY) This individual has bekryinfo gn he licensing requirements that pertain to this type of business. Authorized Signature** * COMMENTS: 7 J1\40F NEW BEDFORD A WEATHERIZATION CO. www.JMofnb.com T: 508.992.5770 info@jmofnb.com 423 Coggeshall Street F: 508.992.5773 New Bedford,MA 02746 March 21, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601. RE: Insulation permits Dear Mr. Perry: This affidavit is to certify that all work completed for insulation work at 98 Bacon Rd,Hyannis has been inspected by a certified Building Performance (BPI)Inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Matthew Perry JM of New Bedford - C7 3 w CS Co >. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel A ica ion�';;���� Health Division Date Issued �2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address a� T� �C.- Village ba'nn, 5 u_ 6�r i Owner ar a_ Address Telephone �� +I Permit Request 1hjVl0.kiOr1 . ( �X:'�iP.�c �s� t7t_+urA c �— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio ®p Construction Type a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp ing docur;Tent ton. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yet ❑ lo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other r Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count 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 1 (BUILDER OR HOMEOWNER) Name o� /V�� Telephone Number 1 �= Address " r Cap e::,—i �� 6� License # OLA OAS C We-kJ Ec'ACC' ' IV 0Z �P Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS R SULTING FROM THIS PROJECT WILL BETAKEN TO c� SIGNATU DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - • R� MAP/PARCEL NO. ti ADDRESS - VILLAGE OWNER DATE OF INSPECTION: - r R FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT.. ASSOCIATION-PLAN NO. t i t ,ee'l.iT:v3'_ �LcT2et(d� Q�1ScSF'-,'•:FrSG'GfS .'ar 1r,7.e.`.'e.L of.E,t'g�f.U.SGS'�>Gr.-'i!'i tom.0 e?I�.�5 600 Y�Su'«invoF2 Boston, MN 02 't'6✓'?._::a�<:` .�., ._..._ . sicer h�lrr.'t4.2e _ � _ - Please i�Ii Lee; -a izatioiilndividua.'): JM of New Bedford Co. , Inc. -�ss: 423 Coggeshall Street w :,any/State 508-992-5770,w o00 ; j Are you an emplotier? Check the appropriate box: -- I Tyne of project(req'aired): 1. 1 am a employer vrzth 4 1. ❑ I am a geperal co;fi actor and 1 G. ❑ IN'ew consusction, employees (full andlor part-tune).= have hired the sub-conactors i 2. 1 arr a sot proprietor or pa rer- '' ' b d sheet. ? ❑ Remodeling x.sted on tae arc <. ship and have no employees These sub:contractors have i S. ❑ Demolition working for M,-m any capacity workers' comp. insurance. ! 9. ❑ Building addition No woikeis' comp. izao-ance 5. ❑ WC are a COTPMr cn and its j I C requited.j officers have exercised their I 10.❑ F.lectricalrepairs or additions am a homeowner doing all work riglit of exemption per NIGL I1.❑ PIumbuig repairs or additions myself 10 workerzs• comp. c. 152, §1(4), and we have no 12.17 Roofrcpairs u suranCe ie lrsed.l 1 employees. _RNO workers' , ] Otlie. 1 Insulation COli.ip.insura:.CC requiredI 'AJ1 "aE.p icc;lt Chat c locks box 1 must eso'11 out ti.e scctic)n bC:low sllow'ina L;hcir w'orkirs':or i�cn sattoil�ol1eV lniom�ailon: ' Homeowners-no suL-nit t:-is af`da:;t ind'=ing they am doing all work and ther.hi;e outside contraetors must sulrrnit a new affidavit indicating such zCon"sacters thet check this box must attached en additional sheet sho%v:ng the na--ne oNie sub-contractors and their wort crs'comp.policy infoirrtatiol:. ovidino}vole;-s'Col"-7t1Lnsarion 1;nsu rant "or my vriployees. Mow 1S the poR y and fob Sits.' 111swra U- ce IN ame: Savers Property & Casualty Policy or Self ins. Lic. =: WC 0 0 0 0 6 5 5 Era z arson Date: 1 0/21 /1 2 Jeb Site Ad.dre�;: �¢�j�� ' y 1 t� CicyiStater'GI,: 1^etach a cop-' of�.Me wor Per`s' CO's fj�uisztton p0'if.N%tdedara6crl page(sho,,�!i g i:hE polky' V.v.nnl ei iEr➢ri ETi ira$Fon date). Failure to secure coverage 2S required under. Section 25 A of MGL c. 152 can icad to the imposition of criminal penalties of a fine up to Si, C0.00 and/or one -ear rfpt;sonlneni as well as civil penalties in the form of a STOP VdORK ORDER and a fine Of lip to S250.J0' a day acainst t levlolator. Be. ad.vascd Uai a copy of fins Si21ement may be iobrwarded to the Office of Investaga ons of the DIA for insurance coy,e,:age vcri Cation. do here It der;*e ',1"- tl 'Cen glfies ct 1pesJkYy fhat the infol'PI(1r10Y1 t1rJ"t%eG%e€!Q' Jae L4 irtde and r�Jt�°E_'�c° S_ nutu (' - Dater Phone : 508-992=5770 I� Official use Jrl}-: D9 not N-rite in this area,to be completed.by city or town officials. IICit): or Town: Permit/ ieense Y Issuing ALthority (dirde one): i 1. Board o£Health 2.Building Department 3. C'ity/Town Clerk 4 Y lectrical ins° ector 5.Plurtbin Inspector. II p. gI . � 6. Other Information and stru t''� Is Massachusetts General Laws chapter 152 requires all employers to pro-,ride workers' compensation for their erriployt.. Pursuant to this statute, an employee is defined as "...every person in the service of anot`acr under any cons act of hire; express or implied,oral or written." An employer is defined as "an individual;partnership, association, cArporation or other Icgal entity, or any two o:%nore of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. Hovievezr the. oV,Mer of a dwelliM house having not more than three apartirents and who resides tlierena, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance €r renewal of a license or permit to operate a business or to construct buildings in the commonwealth for 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 until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely;by checking the boxes that apply to yoar situation and, if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Liability Companies (LLC)or Lirited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If ari LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe subir fitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The af-fidav-it sbou.ld be returned to the city or town that the application for the permit or license is being requested, not the Deparnnerit of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a w-orkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Depar`srimt has provided a space at the bottom of the affidavit for you to fill out' the event`he Office of Investigations has to contact you regarding the applicant. Please be sure to fill.in the permit/license number which will be used as a reference Durriber. in addition; an applicant that must submitririiltiple permit/license applications isr any given year,need only subrrh one affidavit indicating current policy information (if necessary)and under"Job Site Address the applicant should write"all Iocations in (city or tov,m)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof u at a valid affidavit is on file for ffiture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtainimg a license or permit not related to any business or commercial venture (i.e. a dog license or pern,itto burn leaves etc.)said person is NOT required to complete this affdavit 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 fay.number:The Commonwealth of Massachusetts Department of Lndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 617-727-4900 ext 406 or 1-877-MASSAFE FAY Fi 17,_"77 i 7 7A0 JMOFN-1 OP ID: PC DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE DA02/17/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 508-997-3321 CONTACT Humphrey,COvill&Coleman PHONE FAX Insurance Agency,Inc. A/c No Ext: A/C,No): 195 Kempton St. P.O.Box 1901 E-MAIL New Bedford,MA 02741 ADDRESS: Raymond A.Covill INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Savers Property&Casualty INSURED J.M.of New Bedford Co.,Inc. 'INSURERB:Atlantic Casualty Ins.Co 1 423 Coggeshall Street New Bedford, MA 02746 INSURER C:Torus Specialty j INSURER D:Norfolk&Dedham '23965 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS," INSR TYPE OF INSURANCE D U R POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE is 1,000,00 B X I COMMERCIAL GENERAL LIABILITY L081000893 11/15/11 11/15/12 11 pREMISEs Ea occurrence $ 50,00 CLAIMS MADE OCCUR I MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 I I GENERAL AGGREGATE ;$. 2,000,00 GGEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1$ 2,000,000 POLICY I I PRO-JECT LOC $ AUTOMOBILE LIABILITY ± COMBINED SINGLE LIMIT 1,000,00 Ea accident $ D ANY AUTO 91253253A 01/05/12 01/05/13 BODILY INJURY(Per person) $ ALL OWNED (�SCHEDULED BODILY INJURY(Per accident) $ AUTOS I^fI AUTOS X HIRED AUTOS X , NON-OWNED PROPERTY DAMAGE $ �- AUTOS I Per accident A DOC Is X UMBRELLA U B X OCCUR I EACH OCCURRENCE Is 1,000,00 C ! I EXCESS LIAB I CLAIMS-MADE 81775C110AL1 12/27/11 12/27/12 I AGGREGATE '$ DED X RETENTION$ I $ WORKERS COMPENSATH- AND EMPLO ER LIABIILITY Y/N I X TORY IMITTATU S OER A ANY PROPRIETOR/PARTNER/EXECUTIVE WC0000655 10/21/11 10/21/12 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insulation & Roofing Contractor CERTIFICATE HOLDER - CANCELLATION MECHANI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN JM of New Bedford Co Inc ACCORDANCE WITH THE POLICY PROVISIONS. 423 Coggeshall Street New Bedford, MA 02746 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD J e 'C'a�zzorcryyuueczlC� a.',_•<lrca�at�udeGrd Office of Consumer Affairs& 13t(siness Regulation l.,icensc or registration valid for individul use only I C;- -�f;6l HOME IMPROVEMENT CONTRACTOR before the expiration (late. If found return to: r Registration:Irk103195 — Type: Office of Consumer Affairs and Business Expiration: 7/6/2012 Private Corporation 10 Park Plaza-Suite 5170 Regulation • JfVI dF NEW BEDFORD CO. INC. Boston,MA 02116 ELWELL PERRY C' 423 COGGESHALL ST. 2746 NEW BEDFORD, MA 0 Undersecretary Not vali :without sr. gnTiwx - 290b0 l :: .i u„„ Mull„ , 6L2Z0 VA '),3-IA�138 1S SliOI�1l W 9L I00 :01 palolalSaa ee0bOt S) :asua:nI asua�rl AOSIA,Iodn(,� uoijDna;Suo•) '1 .It.rrlrut l` Itut �uutlt In;;i?i tnlrltnll .I'r pAvoq �I•�,Ir..; .'�Itl,'t,l .I" lu,�rut.tetl,�(I - �Il,��ny.�t���nl� - cr • r OWNER AUTHORIZATION t (Owner's Name) owner of the property located at, q3 64�,dt (Property Address) Pro'ert Address � p ) hereby authorize `, L (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date TO ALL NEW BUSINESS OWNERS DATE: ` Fill in please: APPLICANT'S 4im YOUR NAME: i ( "Z) MarT r UA•�t LLM BU I .YOUR HOME ADDRESS: (3gGpnJ �D �lryar�� 5 7� ;:j T - s fled • g67 0 I s TELEPHONE - Te.le hone Number (I !omel NAME OF NEW BUSINESS nr,2�Lb� A`'"J�r^-(o TYPE OF BUSINESS A��iJ r IS THIS A HOME OCCUPATION? YES ( J_NOL _ Have you been given approva from the building division? YESi �1 NO ADDRESS OF BUSINESS WO bA6o-J ?-D _ MAP/PARCEL NUP,�i3E �D3 'i_: _ R When starting a new business there are see:oral things you rIIust de in order to be in coriipliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining'the information you may need. Once you have obtained ?.,e required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (is, floor - Town Hall) or if you get the business certificate first you MUST go to the following office to make sure yo1 have �:: ;fie required permits and licc:-ses.. GO TO 200 Main St. — (corner.of Yarmouth Rd. 3, Main Street) and you wil! find the follovvinu offices: I. BUILDING COMMISSIONER'S OFFICE This individual has been infor any permit requiremenis that pertain to This type of business. Au orize Si tore`" COMMENTS: ' �f 2.' BOARD OF HEA This individual has b e nformed th pe,rmil t that pert�yin to this ty,c of business. = Au o 1z ignature** COMMENTS: _ 3, CONSUMER AFFAIRS (L NSING THORITY) This individual been i -u of t ,lic s! requiremenls that pertain to this t e of business Authorized Signature" COMMENTS: Business certificates (cost $20,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAf•AE in the town which you mus de a M.G.L. - It does not glue you permission to operate - you must get Mat throu:;" completion of tlic processes fromthe various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE:ONLY. Town of Barnstable �� Regulatory Services Approved g y Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 l Home Occupation Registration Date: ��l 42,003 Name: k c'V_ 0 WA1_Vrr Phone#: Address: �� �r��'J � Village:_�I N N 15 Name of Business: Type of Business: qA"1^'i t w Map/Lot: J2 fl 0 y I Zoning District'&—Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. 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 is 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. I,the undersigned,have read and 1_agrr'eee with the above ,restrictions for my home occupation I am registering. Applicant: "`� Date: Oc> l a I�WG Homeoc.doc s TO ALL NEW BUSINESS OWNERS DATE: Fill in please: .- APPLICANT'S or YOUR NAME: Z CAILpo PACU[Fr UAL LUA BU ,'?.. ''• YOUR HOME ADDRESS: &tC= -D TELEPHONE � �' '�'`-- -� Telephone Number !-Lome 190 - �- NAME OF NEW BUSINESS TYPE OF BUSINESS "+IN i IS THIS A HOME OCCUPATION? YES _NO�_ Have you been given approva from the Building division? '(ESI NO ADDRESS OF BUSINESS �� ��1A�1 'D l? Y S. r. __ MAP/PARCEL NUMBER a�- - 0� 1 When starting a new business there are see:-ral things you must do in order to be in compliance wi ll th:, :j!es and regulations.of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need: Once you have obtained ?"e required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (is, floor - To%•,m Hall) or if you get the business certificate first you MUST go to the following office to make sure yo,- have z:: ',he required permits and !icc-:;,es.. GO TO 200 Main St. — (corner.of Yarmouth Rd. & fviain Street) and you Wil! find the follo:•Jing offices: 1. BUILDING COMMISSIONER'S OFFICE This individual.has been infor any permit requirements that pertain to this t•y,pe of business. AuJioriiize Si ture— COMMENTS: 4 `" o�-✓ �.� -'7—ivy/ 2. BOARD OF HEA This individual has b e 'nformed th permit t that pert b(in to this ty;:c of business. Au o iz ignature" COMMENTS:. _ - 3. CONSUMER AFFAIRS (L NSING THORITY) This individual been i -c oft .tic si �, requirements that pertain to this t e of business COMMENTS: Authorized Signature"" C� -" Business certificates (cost $20,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAf•AE in the town you rnust do by M.G.L. - It does not glve you permisslon to operate - you must get that throu�'m Completion of time processes from the various ;w departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.