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Home My WebLink About0021 BISHOPS TERRACE F 1 l ,�� h C>�S 4��-Y; - __ --- __ Town of Barnstable `Building Department i Brian Florence, CBO 'Building Commissioner MUST COMPLY WITH HOME. OCCUPATION 200 Main Street,Hyannis, MA 021nJJLES AND REGULATIONS, FAILURE TO www.town.bamstable.ma.us .-OM LV MAYRESULT !N FINES. Pre-application for Business Certificate . �c�- Map Parcel Date �� M P l �U I i Applicant Information i Applicants Name 1 \ Applicants Addres I p o Email Address Telephone Number O— Listed ❑ Unlisted a/ Business Information i New Business? - --- ----------------------------------• Yes No Business is a registeredcorporation? ________________________ Yes No i If yes Name ofCorporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -----__-_ . Yes No I If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business ! Business Address i 1 02&0 / Type of Business I B din;yCo�mmis ione Offi - e Only ditions I �iC U� U �— fYlc �' Building Commiss'� 'Date 12-1c1 Clerk Office Use Only S SN 1 Town of.Barnstable Building Department OF SHE 1p� Brian Florence,CBO Building Commissioner y HARN5rABLE. "MASS. 200.Main Street,Hyannis,MA 0260.1 9 g �b 1639. www.town.barnstable:ma.us ATfD MA'S A . Office: 508-862-4038 Fax: 508-790-623.0 APProyed: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Address: Village: 11 v Name of Business:` 015 Type of Business: �n'5 _2 Map/Lot: J 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 Z. within that dwelling unit. 0 • Such use occupies no more than 400 square feet of space. Q00 • -There are no external alterations to the dwelling which are not customary in residential buildings, and there a_ W is no outside evidence of such use. U • No traffic will be generated in excess of normal residential volumes. (� J The use does not involve the production of offensive noise,vibration, smoke,dust or other particular 0 LL W matter,odors, electrical disturbance,heat,glare;humidity or other objectionable effects. L J Z . There is no storage or use of toxic or hazardous materials,or flammable or explosive materials;in excess 2 U5 LL 0 Z Z of normal household quantities. = 0 — 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 orequipment, S � � g : P Y �. w cc • There are no commercial vehicles related to the.Customary Home Occupation,other than one van or one cc >- pick-up truck not to exceed`one ton capacity,and one trailer notto exceed 20 feet in length and not to 0 < exceed 4 tires,parked on the same lot containing the Customary Home Occupation. Om 4 _ No sign shall be displayed indicating the Customary Home Occupation. cn •. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be 0 included.05 - 2 Cr C) • 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 a agree ith the a ve restrictions for my home occupation.I am registering. J XApplicant: ndte`- � L Homeoc.doc Rev. 10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma i P fib$ T�', 3 O~ BA NSTABL p Parcel Application # Health Division ? �r, r^ jN& ) Date Issued ��I31I Conservation Division Application Fee Planning Dept. .T` �,..s. '� Permit Fee Date Definitive Plan Approved by Planning Board A Historic - OKH _ Preservation / Hyannis Project Street Address &Y11 yD 1 1 E/4�Ac_e 4 d Z C d 1 Village Owner e Address 42? �� t 112�ce— Telephone 7 WOO — F G A'14•- d i Permit Request /-i— Je-5 r4-L^ Q-) 2 lG ovl---,S -ra S l f Tquare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation i 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 King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 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 (BUILDER..OR HOMEOWNER) Name b Telephone Number�N �'!'�S ' �/� Address ?6 3 cry t oY_ License# Oa Home Improvement Contractor# 1 (�,OY6 / Email ca-.t k -7 G'Y� ( ( - Worker's Compensation # O U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO�'✓�C - �LcC( l��- SIGNATURE DATE T r - FOR OFFICIAL USE ONLY =APPLICATION# f 4DATE ISSUED MAP%PARCEL NO. I ADDRESS VILLAGE ' I . OWNER { DATE OF INSPECTION: FOUNDATION FRAME ; r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH i. FINAL k } GAS: ROUGH FINAL T FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. T a at B&Mubk " l O. , Awm V.,4 d .. T t I The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114--2017 u www mass.gov/dia ,p - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Analicant Information Please Print Legibly Name (Business/OrganizationMdividual):_ C�c7 {n, s'J tY-1) Address: City/State/Zip: S L�1e c � t9 Phone#: �� ' `f — / o Are you an employer?Cbeck the appropriate box: ().17 1 Type of project(required): 1 a employer with employees(full and/or part-time).* 7. ❑New construction 2.Q 1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.)t .10 E]Building addition 4.O I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.[]l am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.R�therw&^eoi" L 6.®We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polity number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site information. Insurance Company Name: ,r,-/?e 2 Z n (' Co Policy#or Self-ins.Lie.#:-- /A,) (f d S�� d D y Expiration Date: Cj 2 l 7 Job Site Address: dvl f Zs22(h City/State/Zip: � "�"�'f k" Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th p an penalties of perjury that the information provided above is true and correct Signature: ate: I l L Phone#: S Z; cf?(� Official use only. Do not w 'e in this area,to be completed by city or town offuxal City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health— .Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector s 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,MassaeWsetts 02116ReoWdon HO=improvement ��' Registration: 160481 . I —AtW•�i.,;1 Type: Private Corvoretlofl r,►— " A• bcplration: 72s 1018 tdi 2W84 'na M- . i N, 1NC. ,1 RETROFIT INSULAT 0 r` ' '� '"=-= JOSEPH REILLY - w,:. :S� Si.J �'�-- .i7 P.O. BOX 105 SEEKONK, MA 02771 Updnft r►adra:m8 r$tmra W&Mark rason for eluun19L . AS&M p BaewgI ❑lmpwyqwdp Lwt csrd 6CA 1 c 7A1A•05�1� -- 4% .wr�xonaa��• ,•rd••s Lioease or regtetra6m valid for%affid ail as oaty oiauo of CMiiair A2117 a 311iiiM RWMM bdont the wq&Ww a.m. s bMd rshn tot rm rr COUTPAc'M valet of canamw Afidn*ad Bohm>Ragaletioa 'type: 18rrt»-sam5170 �y a Priwfa�poro!(on Xwean,MA 02116 JOSEPH REILLY rp� FALLRIVER MA OQ72� ':_ Uadetseefseu7 Not valid wNwat sipdtta" Mas 1111 461-Depo twd of Publk aaftly Board of BWkffrg Regid0ow and Stamjft a CONtruction SLpenjw S- is Lioenso:CSSLr1 , Pogo Ins Shish stb MA ExpirsUm i Cortetdadonor 0WGM 17 RETRINS-01 RBLACK1 '4coR®° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `�' 1 7/27/2016 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 License 1780862 CONTACT f1 NAME: HUB Intemational New England A"cNNe E :(508)676-1971 AA/C No):(508)678-2750 222 Milliken Boulevard E-MAIL Fall River,MA 02722-9946 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 8 INSURER A:Star Insurance Company 18023 INSURED INSURER B: RetroFit Insulation,Inc. INSURER C: PO BOX 105 INSURER D: Seekonk,MA 02771 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 POLICY EFF POLICYEXP LIMITS LTR TYPE OF INSURANCE IµSD WVD POLICY NUMBER MM/D MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE 0 OCCUR X PREMISES Ea o currenee $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JE T LOC PRODUCTS-COMP/OPAGG $ $ OTHER: A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITYaccident) $ Ea aeadent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS N AUTOS Per accident . $ UMBRELLA LWB OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE ER OT AND EMPLOYERS LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA C0846201 08/02/2016 08/02/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 "yes ascribe under E.L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Ramada Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS. 50 Washington Street Westborough,MA 01581 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD � y