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HomeMy WebLinkAbout0011 HIGH SCHOOL ROAD .} Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, kyannis, MA 02601 W ww.towm bamstable.ma ns -Pre-application for Business Cerfificate Date 0 9— O 67- 20/ Map 309 Parcel Applicant Information Ap liumts Name J ec/50n L /1 Q LJ C0+0_ Applicants Address- scy 00 Email Address O z�o Zm (0 e" mar a Gyv✓i ` Telephone Number 509 2 9 2 95 3 0 Listed❑ Unlisted ❑ Business Information New Business? ------------------------------------------ Yes Business is a registered corporation? ------------------------- - Yes If yes Name of Corporation Does business operate under the registered corporate name? No Is the business a sole proprietorship or home occupation? -------- es No If yes then a Home Occupation Registration is requ ed—See Building Division Staff.. Name.of Business d SO v) ✓1't nan Ge Business Address 6.0 h nr S.Lj Type of Business Go N r` Buil ' Commissioner OffimUse Only Conditions 0 V ` o pr2 ,0 I" Building Commissioner -5- Date Clerk Office Use Only 4% Town of Barnstable Building Department �oFtHe rOk Brian Florence,CBQ Building Commissioner seRxsras 200 Main Street,Hyannis,MA.02601 ►Knss. i639, `0� www.town.barnstable.ma.us PIfD MA'1� Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: S.8— 3 2 HOME OCCUPATION REGISTRATION Date:09- 09- Name: p�3ov� / IIQ A, GD Phone#: -�° ZZ 2 9 53 �� Address: // hi 4� a l � Uillzge: yt� s ,11,4 oZda> Name of Business: —J—ec/i 0 /y�ih 7Phah Type of Business: ['04 J t�'u d/0 o'I Map/Lot: l,Q D 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,subj ect to the provisions of Section 4-1 A 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: Z • The activity is carried on by the permanent resident a single family residential dwelling unit,located 0 Q within that dwelling unit. t- 0 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 UCC is no outside evidence of such use;. J No traffic will be generated in excess of normal residential volumes. � Z The use does not involve the production of offensive noise,vibration,smoke,dust or other particular M � T matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. = ZO Z There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess _ g �—, of normal household quantities. H g = • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home W Occupation,and not within the required front yard. a � Lt There is no exterior storage or display of materials or equipment Q There are no commercial vehicles related to the Customary Home Occupation,other than one van or one OZ 2 pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to U Q � exceed 4 tires,parked on the same lot containing the Customary Home Occupation: NC No sign shall be displayed indicating the Customary Home Occupation. J If the Customary Home Occupation is listed or advertised as a business,the street address shall not be � cc r? included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: b CDcr - Zo I Homeoc.doc Rev.10/17 <. Engineering Dept. (3rd floor) Map 3 0 8 Parcel '2-6 0 V--) Permit# Od a)P W SGAc House# I , oq5 Date Issued BuaTd-ofifealth(3rd floor) 0/1:00-4:30) 393, P,)J Fee dlr--� Conservation Office.(4th floor)(8:30-9:3011:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �1HE C*inifiva Approved by Planning Board 19 ; BARNMOLE.TOWN OF BARNSTABLE Building Permit Application ddress Village /A„z,,i.o J Owner Address _13,+m to, Telephone — Permit Request _ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 3� ADO i ,00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 01._�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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) 4 ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use / Builder Information Name Telephone Number 27S- 7 76-3 Address P.Q . 624 i -l/ License# � Ta,&Z; /b4 /J J-6&_ Home Improvement Contractor# g9/9 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE .�� /C. /aGI�C/'�. �' � DATE f-/T >//-f 2 BUILDING PPERMIT OL ING REASONS) FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED = i MAP/PARCEL NO. i t; ADDRESS ' VILLAGE OWNER DATV OF INSPECTION: ` FOUNDATION FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH : FINAL PLUMBING: ROUGH t FINAL GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ' f ASSOCIATION PLAN NO. r The Town. of Barnstable • ."aner� K"S �' Department of Health Safety and Environmental Services ►� Building Division 367 Main Street,Hyannis MA'02601 fi Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 s ` Budding Commission For otlice use only ~ ' Permit no.�_ AFFIDAVIT ' , ,"« N, HOME IMPROVEMENT CONTRACTOR LAW j SUPPLEMENT TO PERMIT APPLICATION t; , < x MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-eztstmg 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. = a ;t e of Work: % Est.Cost S 3�,"4 AA T Type � /lip f r��G ,1� �. Address of Work: Owner's'Name Date of Permit Application: }, e I hereby,certify that .. .. .. ` Registration is not required for the following reason(s). �. 4 g ; Work excluded b , law Job under S1,000. Building not owner-occupied Owner puffing own permit. Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING EAL IMPROVEMENT WORK UNRDO EGISTERED CONTRACTORS FOR APPLICABLE HOME IlViPR ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A "TIES OF PERJURY SIGNED UNDER PEN k I hereby apply for a permit as the agent of the owner. Contractor Name t Registration No, •{ Contra , Date � 2f Y ,The Commonwealth of j -Department of Industrial Accidents :.: ..J oxce#// ,rsoiis 600 Washington Street-Boston,Mass. 02111 _ Workers Compensation Insurance AffidavitApplicant in r, .name: r1jAM-Ma -` locntaom D© e/ ehnne S / ajQ F���O "• am a omeowner performing all work myself. am a sole proprietor 2:•.d ha%e no one working in any capacity 0' I am an employer prop idins workers* compensation for.my employees working on this job company. name Z% ,0d,6 -,V— /L address: P.D. ¢ s_ city �•i- l - nhone u& �s—7S--7 76 �slicy a �D insurance so. - I am a sole proprietor.;en era l contractor. or homeowner(circle one) and have hired the contractors listed below who have the follo%%in_%corker•. compensation polices: company name• " address: phone insurance co polocY N, company name: address: city: phone No insurance co. po�ex# a Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition of criminal penalties of a One up to S1,SMA4 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Once of Investigations of the DIA for coverage verifieatim. t do hereby certify under the pains and��p�/ena��lties of perjury that the information provided above is taste and coned . Signature 4U4m6u le ./L. AGI.C�.l�/°en lL/ bO Ar/,,i If 7 •_,Print name /%Aadlo -e— k , + i Z K— phone to �5d& 7-1 7 77L3 .ofricia!use only do not write in this area to be completed by city or town ofAcial E city or town _ permit/license p nBuildiag DepartmepC ❑Uccosing Board C check if immediate.response is required - �Seleetmen's Otfiec ~.. contact person: -,� ❑Health Department p phone p•_ _ nOther Iresised)AS P1A1 g f. r.:..r '.°,.',. ..:..:xa „?"'.x „L......... , 3.'s: , n, .£,'. . ..r: a.„•`'.+, +Fe r _ l R ,LF a t� .y+l'x 4 4 t,. fi":sr. x,b �'i'W '� S'N.• ,NJ ry a - P -..r ..r=�,a'n+" .y. .. 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