HomeMy WebLinkAbout0082 HIGH SCHOOL ROAD A
Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Pre-application for Business.Certificate-
Date Map 80 Parcel
Applicant Information
1
Applicants Name G
Applicants Address i a4 it Address CA s D
Telephone Number '5o% 7 � jr L Listed ❑ Unlisted
Business Information
New Business? ---------------------- ------=--------- Ye No
Business is a registered corporation?, ----------- ------------. Yes No
If yes Name of Corporation
Does business operate under the registered corporate name? Yes
Is the business a sole proprietorship or home occupation? --------- No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business Nc T 1
Business Address `
Type of Business 4 n 15�)
Buil ing Commissioned Office Use Only
Conditions �a' I U?
U'a4uE
Building Commission . p Date Q
Clerk Office Use Only
S SN
0
' ' ~ Town of Barnstable
Building Department
�oF1He Teti Brian Florence,CBO
Building Commissioner
BARNSTABLE, 200 Main Street,Hyannis,MA 02601
MASS.
Q3 1639• www.town.barnstable.ma.us
AIED�y p
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: Y
HOME OCCUPATION REGISTRATION
Date:
_r
Name: btyk Phone#: T-Gs L
Address: tJ�— S Gb G C . Village: m i
Name of Business: y �C'
` c n
Type of Business: �l tl Map/Lot: ��
INTENT: It is the intent of this section to allow the Tesidents 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 Build ng Iiispector;a customary home occupation shall be permitted as of right subject to the
Z following conditions:
0 • The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
LL X • Such use occupies no more than 400 square feet of space.
U J • There are no external alterations to the dwelling which are not customary in residential buildings,and there
(15 is no outside evidence of such use.
O LU Z No traffic will be generated in excess of normal residential volumes.
2 cn M • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular.
0 0 Z matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
= f= J • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess
H g of normal household quantities.
W • Any need for parking generated by such use shall be met on the same lot containing the Customary Home
J u1 Occupation,and not within the required front yard.
2 q Q • There is no exterior storage or display of materials or equipment.
0 Z • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
0 J pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
U) J exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
D 5 0 • No sign shall be displayed indicating the Customary Home Occupation.
�2 cc 0 • 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 agree with the above restrictions for my home occupation I am registering.
Applicant: Date: C� " �- �- l /
Homeoc.doc Rev. 10/17
kD
uilding trades including,
general contractors,carpenters,roofers, electricians,plumbers, etc.
There are two types of affidavits; one for general businesses and another for builders,
electricians, plumbers etc. The permit/license applicant must fill out the appropriate affidavit
stating either,that they have employees and carry workers' compensation, or that the business
owner is a sole proprietor with no employees and is not required to carry a policy. If the business
states that they have a workers' compensation policy, they .must provide a copy of said policy
along with the completed affidavit. The city or town licensing agency is to keep the affidavit on
file, along with the application for the permit/license. Further, if a city or town agency must issue
more than one license/permit etc. to the same business, one affidavit for that business or
organization will satisfy the statutory requirement. Please note that a new affidavit must be filed
upon the renewal of a yearly license or permit since workers' compensation policies are renewed
annually.
From time to time a representative of the Department of Industrial Accidents (DIA) may
come to your offices in order to review these affidavits as part of our efforts to enforce the
workers' compensation laws. We ask that you please afford our agents every courtesy. If you
have questions in this regard, please contact Bill Taupier at 617-727-4900 ext. 560. We thank
you for your continued cooperation and support in this endeavor.
Sincerely,
Gregory J. White
Deputy Commissioner and General Counsel
P.S. Copies of these affidavits are available on-line at www.mass.eov/dia/.EMPLOYERJAffldavits.htm.
f
ww.mass.gov/dia—617-727-4900
��---�-T- -- �-�
��l�T I
�o �� I
1N �
�1?�u.1��2--
--
i `
TO ALL NEW BUSINESS OWNERS
DATE: � i�'
Fill in please: M==== fir' ��``� / /
APPLICANT'S YOUR NAME: v v y
BUSINESS YOUR HOY
WA SS' 410fl jam
®®�►
TELEPHONE Telephone Number (Wome
NAME OF NEW BUSINESS TYPE OF BUSINESS _
IS THIS A HOME OCCUPATION? YES IZI N.O.
Have you been given approval from the building division? YESD NO
ADDRESS OF BUSINESS MAP/PARCEL.NUMBER
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 peed. Once you have obtained the required signatures,
listed below, you may apply for a business certificate'at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first
you MUST go to the following office to make sure you have all the required permits and licenses..
GO TO 200 Main St.— (corner of Yarmouth Rd. & Main Street) and you will find the following offices:
1. BUILDI G MISSIONER'S OFFICE
This indivi ual 'a eenJgqrrb6d :f a y permit requirements that pertain.to this type of business.
MUST COMPLY WITH HOME OCCUPATIO
Authori ed Signature** RULES AND REGULATIONS. FAILURE TO
CoM NTS t1� COMPLY Y PINFq
B RD OF HEALTH
This individual has been infdrmed 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:
Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must
do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various
departments involved. .
**SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.
Q:\CONSUMER\Lois\CA.Forms\newbusfrm.doc
L
Town of Barnstable
Regulatory Services
Ep*THE>�
Thomas F.Geiler,Director
Building Division
RARNSTABLE.
v 1KASS. �g Tom Perry,Building Commissioner
4'iOrEo ��, 200 Main Street, Hyannis,MA 02601
Office: 508-862-4039 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date: �J /
Name:. Phone
Address
Name of Business: 7
/ r �
Type of Business: Map/Lot:
IN'IT2gT: 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 pot 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-tr.uek not-,to•exceed-one•ton.-capacity,and one trailer not to exceed 20 feet in length and not to. -... . _ .
exc=d 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
d g unit
I,the unde igned, ave agree with the above restrictions for my home occupation I am register'.
Applicant Date:
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 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.) Business Certificates.are available at the Town Clerk's Office, 1"FL., 367
Main Street, Hyannis,.NIA 02601 (Town Hall).
qZ p`,W. DATE: V T in e:.
cNF ,° F APPLICANT'S YOUR NAME/S:
�"' k VIM
BUSINESS YOUR HOME ADDRES
W ' //p��
s k 0
TELEPHONE # Home Telephone Number
NAME OF CORPORATION:
NAME OF NEW BUSINESS
TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? ✓YES N.O
ADORE SS::OF BUSINESS
Q�(
NIAP/PARCEL NUM SER ' [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 COMMISSIO R'S OFFICE.
This individua(hagbWri informs o y er it re uire ents that pertain to this type of.businessMUST COMPLY WITH HOME OCCUPATION' RULES AND REGULATIONS. FAILURE TO
Authoriz. S r-a ure. * __ ._ j COMPLY MAY RESULT IN FINES.
COMMENTS j
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:
N
Town of Barnstable
of zME rqy
Regulatory Services
Thomas F.Geiler,Director
Building Division
IAMSTABM
v KASS. �* Tom Perry,Building Commissioner
�'OTFp 3.9. no Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: 6�
Permit#: U
HOME OCCUPATION REGISTRATION
Date-0
Name:. 6 gpkl (i (I V Phone# / �)O 77F
Address:a- /a 1 TfiTi n Village: �W"� /44
Name of Business:
Type of Business: /ZfD�/ �� `"'�/ t Map/Lot:
INTER': 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;ho 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:
e The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
O Such use occupies no more than 400 square feet of space.
a There are no extemal 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.
9 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.
C There is no commercial vehicles related to the Customary Home Occupation, other than one van or one
pick-up-guck rnot-to•exeeed.one ton:capacity,and one trailer not to exceed 20 feet in length and not to _ --
exc=d 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
o 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:und2r5;, vaca�and agree with the above restrictions for my home occupation I am registerin
Apph Date-
YOU WISH TO OPEN A BUSINESS?
For..Your Information: Business certificates (cost$30.00 for.4 years). A business certificate ONLY REGISTERS YOUR NAME in town (wh.ich
youmust do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1" FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
n ,� - ,f~�. DATE: �lJ ( Fill in please:
'� tix{�. �� � i: , ` APPLICANT'S YOUR.NAME/S: �� .
M. b BUSINESS YDUR HOME ADDRESS:
,;s ,
k.1 ,.�aB�ax l� �«w`
#'�"�/4 ¢u"d•„fi'"e+ ray �'���� '
b TELEPHONE # Home Telephone Number
NAME':OF CORPORATION:
..
.NAME OF NEW.BUSINESS: PE OF BUSINESS
IS:1 A HOME OCCUPATION? YES: NO
ADDRESS.OF'BUSINES9 .`'
MAP/PARCEL NUMBER .�3 (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 ^
Barnstd'ble. 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 COM SI ER'S OFFICE
This individu I h ' n irrf c�oe �ay e mit requir ments that pertain to this type of business.
Authoriz Si nat e** MUST COMPLY WITH HOME OCCUPATION
COMM NT r RULES AND REGULATIONS. FAILURE TO
I ` c — ESULT IN FINES,
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:
r
Town of Barnstable
oFtNe ram,
Regulatory Services
P� o Thomas F.Geiler,Director
Building Division
* BARNSCABLE,
y MASS. g Tom Perry,Building Commissioner
16;q. ♦0
AtFDMA'�1, 200 Main Street, Hyannis; MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: ?C26 —
Permit#:
HOME OCCUPATION REGISTRATION
Date: 7-7
Name: �V Phone
Address: Village:
Name of Business:
-_mac I -- -- _C_ l_ _
Type of Business: Map/Lot �C�
INTENT: It is the intent of this section to allow the residents of the'hoern 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 d«-elling: 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«rith the Building Inspector,a customary home occupation sliall be permitted as of night subject to the
folloaaing conditions: O
• The activityis carried on b the ennauent resident of a single Tamil residential dwelling unit,located within
Y P b Y g
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 volu►nes.
• The use(toes not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare, humidity or other objectionable effects.
0 "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 marking generated by such use shall be met on the sarne lot containing the Customary Home
Occupation,and not«ithin the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to[lie 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 11 tires,parked on the same lot containing the Customary Hone Occupation.
• No sign sliall be displayed indicating the.Customary Home Occupation.
• If the.Customary Home Occupatibia 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
chvellin�•unit.
I,the undersigne , have ead•r «nth the above restrictions for my home occupation I<un registering.
Applicant: Date:
Homeoc.doc Rev.01/3/oR
ofJHE 71 Town of Barnstable *Permit# (f� .l (Z—
Regulatory Services
Expires 6 manths from issue date&A RNSMAJ314 ! Fee
WASHE
Thomas F. Geiler,Director
�'OIFa Mai"
Building Division �--
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
QQ Not Vadd without Red X-Press Imprint
Map/parcel Number
Property Address LIM M
U I &Y )l
-\Y
❑ Residential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
_ 4ftifff
Contractor's Name
Telephone Number
Some Improvement Contractor License#(if applicable)
construction Supervisor's License#(if applicable)
]Workman's Compensation Insurances
Check one; w
❑ Izn a sole proprietor NOV 1 0 201-1
. I am the Homeowner Ti
❑ I have Worker's Compensation 'UV( `O4� Ri" T/A3 Insurance `�
isura ice Company Name
orkman's Comp. Policy#
Spy of Insurance Compliance Certificate must accompany each permit.-
emit R=ing
old shingles) All construction debris will be taken too (�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement W #of doors
Windows/doors/sliders. U-Value (maximum .44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town depamnent regulations,i.e.Historic,Conservation etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A co of t e ome Improvement Contractors License& Construction Supervisors License is
d
NATURE:
'FII.ESIFORNISIbuilding permit formsTY?RESS.doC
3ed 0701
10 0
e
• "�` The Commonwealth of 1llassachusetts
Department of Industfial Accidents
Office of Invesdgadons,
600 Washington Street
Boston,MA 02111'
www.mass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electrici
Applicant Information
Please Print LeLyibl.
N3IIle'(Business/Organization/Individual):
Address:
City/State/Zip: /� Phone#: l' e 71e��, an
Are you an employer? Check the approp ate box:
1.[ .I am a employer with 4. I am a general contractor and I Type of project(required):
employees (full and/or part-time).* have hired the sub-contractors 6• ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have
working for me in any capacity, employees and have workers' g' ❑Demolition
[No rkers' comp..insurance comp.insurance.# 9. ❑Building addition
re ed.] 5, [] We are a corporation and its 10.[]Electrical repairs or additions
am a homeowner doing all work officers have exercised their
myself. 11.[1 Plumbing repairs or additions
y [No workers' comp,. right of exemption per MGL
insurance required.] t C. 152, §1(4), and we have no 12.0 Roof repairs
employees. [No workers 13.❑ Other
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 indicatmg'they are doing all work and then hire outside contractors must submit a new affidavit indicating such,
#Contractors 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,policy 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:
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 expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereb certi and penalties of perjury that the information proW
rrect
�Si a�ture.-`"
Phone#: . �
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one)
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person:
".Phone#:
THE Town of Barnstable
Regulatory Services
• �xrrsrestE, Thomas F.Geiler,Director
Building Di.vision
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
/h ) Please Print •
!DATE: U (/
LOCATION:—
11r number �. s et village ,/
r`HOMEOWNER-%. . _ _
name home phone P
# work hone#
• �
CURRENT MA1LING ADDRESS:_
city/to lwn state zip c Ede The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and 1
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
resiponsrHe 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 Sor
ersigned"homeowner"certifies that he/she understands the Town ofBarnstable Building Department
n p edures and requirements and that he/she will comply with said procedures andre-Sig ,—._ _ ner.
Approval of Building Official
Note: Threc-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 Supervisor,,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 fora✓certification for use in your community.
Q:forms:homeexemot
HE
Town of Barnstable
Re ulato Se
g ry rvices
16ASS
9.. `�8 Thomas F. Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street Hyannis,MA*0260I
www.town.barnstablcma.ns
Office: 508-862-403 8
Fax: 508-790-6230
Property 'Owner Must
' Com lete acid Sign T P lg his,Sectiori� '
If Using A Bi zilde .J
I .. 4'Y
Ow
ner wner of the subject ro
. l P pay
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 before fence is installed and pools are not to
be
utilized until all final Inspections are performed and accepted,
r
Signature of Owner Signature of Applicant
Print Name Print Name
Date i
Q:F0RMS:OWNERPERAMSI0Np00LS
opt r Town of Barnstable
r r
Regulatory Services
r r
• BARNSfABLE, «
r MASS. Thomas F. Geiler, Director
�prF039. Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
June 5, 2008
Mr. Daniel O'Sullivan
82 High School Road
Hyannis, MA 02601
Dear Mr. O'Sullivan:
Enclosed is the $25 application fee you submitted with the building permit application for
the storage container, which you have withdrawn.
Sincerely,
Lois Barry
Division Assistant
Enclosure
t
I
{
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.
Map ^" Parcel d3 7 Application #vZ �
Health.Division Date Issued
Conservation:Division Application Fee
Planning Dept. Permit Fee
Datd Definitive Plan Approved by Planning Board
Histori OKH Preservation / Hyannis
Vv
Project Str t Address A k5 W C- J
Village 6 )VA
,^
Owner Address. /`(1�
Telephone 7
Permit Request v ' LQ aO 6O
im MLAN�k_n 4W CF w(W- 0a, UA(E �Emu% 1-
r
Square feet: 1 st floor: exist i proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation onstruction 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 ew Half: existing new
Number of Bedrooms: existin 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: ❑ e isting ❑ new size _ Barn: ❑ ' isting l new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ ex ting ❑ new size _ Other: `
Zoning Board of Appeals Authorization ❑ Appeal #- Recorded ❑_
Commercial ❑Yes ❑ No If yes, site plan review # `
r
Current Use Propose Use ry
APPLICANT INFORMA ION
(BUILDER OR HOMEO ER) `
Name Sli 1I , Telephone mber / -�W 7kV�-`CJ I
Address 0 fJll License#
Home Improve ent Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR DATE
f�
FOR OFFICIAL USE ONLY
}
APPLICATION#
DATE ISSUED
MAP PARCEL NO. ;
ADDRESS _ VILLAGE
r
OWNER
i
DATE OF INSPECTION;
,r
FOUNDATION
FRAME
INSULATION
FIREPLACE
'a ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL ,
GAS: ROUGH 'FINAL
FINAL BUILDING
r _
DATE CLOSED OUT
ASSOCIATION PLAN NO.
`s.
I;f
i
c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application # G CfC$0
Health Division Date Issued
Conservation Division Application Fee s ��
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
..Historic - OKH Preservation / Hyannis
Project Street;Address (V . i (ft' �5cl uo C
Village \VIYW7Utj
Owner ._ l! C�`SC�CC�U ) Address � V �
Telephone /\4m , 7� (3MI
Permit Request � .�IOU 70 LO C aG 1 6krUM CUL
y%W70 " OF WWOU , (VIVE Oa(& t
Square feet: 1 st floor: existing- proposed ` 2nd floor: existing proposed Total new
Zoning District }\ Flood Plain Groundwater Overlay
a Project ValuationConstruction Typelik-
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 ❑YWalkout ❑ 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_
I �
Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 4
.Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use �v
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
MIS,
fir
Name AN MIS, l`� O Telephone Number
Address License # '
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE PNX
�- 1.
v
FOR OFFICIAL USE ONLY
APPLICATION#
4
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS,,MA 02601
DATE: 05/30/08
TIME: 16:2011
------------------TOTALS------------------
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00 '"
APPLICATION NUMBER: 200802906
PAYMENT METH: CHECK
PAYMENT REF: 2303
Dec 11 07 10:01a Old Harbor Management 1-508-534-9820 p•5
_. JKSMlin PAGE 01/02
Town of Barnstable 200-A)91 7�1
UPIM 6Months fro"!flue
Regulatory Services Tree
Thomas F.Giiter,Director
Building Division 0
Toms Perry,CDO, Building Commbsionelr
200 Main street,Hyauds,MA 02601
www.down.barmtable.m&us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESSEERWT APPLICATION E8MKtgjAL 0NLY
Na Valid without Red X-Press tmprint
z�Iv[ap/parcet Ntaxober
property Address �� 1�i G�v �!� �Ca.�. /•�� �Jh►t f
esidential Value of Work 1 600 lrlitnimum he of S25.00 for work uudeir$6000.00
Ownez's Name&Address )A N i-e
Contactor s Nauzu M Numbery L (s ^ 1
Home Improvcmmt Contractor License#(if applicable), _-- Na
I `x
C ,wtama iofn supervisor's License#(if applicable)
cl ocla=ps Compensation Insurwim
Qkeq one: _ X-PRfSS VEWT
srn a tole proprietor
amthe Honneovncr DEC 2 1 2007
❑ I have Worker's C=pensadou Ttlstitaauce
IMMMce.Company NTWIe TOWN OF BARNS.TABLE
work=,$Comp.Policy
Copy of lnaursame Comp.Unnee Certioeate must bean Ctie.
Permit Rt ducst(cbeck bole) -
❑ Re_roof"(stripping old steles) All construction debris wM be tak=to
[]Re-roof(sot suing. Going over existing layers of toop
❑ Re-side
replacement Wiadows/dooxs/sliderrs. Lt-Vetuc (rmaxinct► .44}
"Where trqu►red: ]asstsnse of this petrnit dm niDt exanpt compliance vrilh other town deportment reguladons,i.e.Historic,C"nYvatim,am.
***Note: Property Qwner qmst sigh Property Owner Lmex of Permission.
i
A copy of the H e Iza/proven;cnt Contractors I,tcea9e s regllzrcd.
SIGNAT'rJPtE: I�`�
Worm9:cxpMug
Rcvip061306 s +.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111'
www.mass.gov/dia '
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leizibly
cr
Name(Business/Organization/Individual): .
Address
L �
City/State/Zip: Phone.#:
Are you an employer?Check the appropriate bog: :Type of project(required):.
1.❑ I am a employer with 4. [] I am a general contractor and I
6. ❑New construction .
employees(full and/or part-time).* • have hired the sttb-contractors
2.❑ I am a'sole proprietor or partner-
listed on the sheet. 7. ❑Remodeling
These sub-contractors have g, Demolition
ship and have no employees
workin f e in an capacity. employee$and have workers'
g y9. ❑Building addition
[No w ers' comp.insurance comp.insurance.$
5. We are a corporation and its 10.❑Electrical repairs or additions
Y3:. H re h meowner•doing.all work officers have exercised their 11.[]Plumbing repairs or additions
---•----,-- right of exemption per MGL
mysalf'[No workers comp. 12.[]Roof repairs
t c. 152, §1(4),and we have no
insurance.-required:]- 13.❑ Other
_—_ 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 mutt submit a new affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site'
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 expiration date).
Faiqure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement maybe forwarded to the.Office of
Investi ations of the IDIA for insurance coverage verification.
I do hereby, ertify der th and penalties of perjury that the information provided abov is tr a and correct.
CSi-
_-atur '"" �^ �—Date -fir _
Phone#:
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: ' Permit/License#
Issuing Authority(circle one):
:1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
.r
�pplHElpk, Town of Barnstable
Regulatory Services
ELkMSTABLE, : Thomas F. Geiler,Director
Muss.
16yq. .�� Building Division
pTEO MA'I A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: .508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE-----, m 13,fo� "
�JQB-L-OCATLON:
mber r street i village
C:;HOMEOWNERr._..
"tieing ome phone# work phone#
CQVRREN"r MAILING ADDRESS: — t�(M tf m,
ci /town y.% 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.
f
um inspe to procedures and requirements and that he/she will comply with said procedures and
ire nts.re o omeo r
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the h
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)forhire'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.
��� `�� a
��
1
Health Department
Tax Collector
Conservation Department
Treasurer
6. Workers Compensation Insurance Affidavit fo
the event the homeowner takes out the permit, sub
7. Energy Compliance Form
8. Home Improvement Contractor Affidavit must
9. Copies of the following licenses are required:
Improvement Contractor's License-if anyone o
permit.
10. Homeowner License Exemption Form must be s
contractor or builder for the project.
11. Fee must be paid upon submittal of application.
NOTE:No wall is to be covered before wiring,plumbin
Q:forms:R_addalt
122001
s
Hyannis Main Street Waterfront
g Historic District Commission
ease 230 South Street
163 �� Hyannis,Massachusetts 02601
TEL: 508-862-4665/FAX: 508-862-4725
Application to
Hyannis Main Street Waterfront Historic District Commission
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS —76
Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness
under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below
and on plans, drawings or photographs accompanying this application for.
1
PLEASE CHECK ALL CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑. New Building ❑ Addition ET"Alteration
Indicate type of buil ' : ❑ House ❑ Garage ❑ Commercial ❑ Other ADS�u►h�aa�
2. Exterior Painting:
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration
for explanation and requirements)
(Please seethe guidelines exp
N '
DATE
TYPE OR PRINT LEGIBLY
1
ASSESSOR'S MAP NO. ASSESSOR'S LOT NO.
l � 1I V(1l r
V% TEL.NO.
APPLICANT 1 �-o
APPLICANT MAILING ADDRESS
ADDRESS OF PROPOSED WORK_ 1� ► `Ct 1 yl s- V
PROPERTY OWNER irC�C m i r � 4� TEL.NO.
OWNER MAILING ADDRESS
FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent Q
property owners across any public street or way. This information is best obtained at the Town
Assessor's Office. (Attach additional sheet if necessary).
0
i
ter. r �
AGENT OR CONTRACTOR - CD'��'� "+ TEL,.NO. ",Ir, ' Q t1
ADDRESS J
r
DETAILED DESCRIPTION OF PROPOSED WORK:
Give all particulars of work to be done, including detailed data on such architectural features as:
- foundation,chimney,siding, roofing,roof pitch, sash and doors,window and door frames,trim, gutters
leaders,roofing and Paint color,including materials to be and
proposed
d0onot Atta
In the case of signs, give locations of existing signs and p Po
additional sheet,if necessary). .f � ' ,
AA- OL50
0:6L �
t s,
wne Contractor Age
Signed s'7, , .
SPA
CE BELOW LINE FOR CO MISSION UE
Received by HMSWHDC
Date RECEIVED
Time F E B 8 is here a 2000 This Certificate by
TOWN OF E?ARNSTABLE Date 3
By HISTOHIG?RESERVATION DM
Signed-- "
IlvIPORTAN'T:If this Certificate is approved,approval is subject to the 20-day appeal period provided in
the Ordinance.
1 ,
CONDITIONS OF APPROVAL:
I� f j f
l� Y
��
HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION
*** SPECIFICATION SHEET***
ADDRESS OF PROPOSED WORK 'b "a i i `
FOUNDATION l y 1
SIDING TYPE COLOR to I t-e,
CBRANEY TYPE_ N COLOR
ROOF MATERIAL VT-— �1�1(�- ���i�'L` COLOR
PITCH
WINDOW ` �1 �j / COLOR CLI[It
TRIM COLOR
DOORS -e- COLOR Li.1
SHUTTERS�_�
GUTTERS /' Ire
DECK t f i'Y�
GARAGE DOORS IN COLOR
NOTES: Fill out completely, including measurements and materials/colors to be used.
17 hree copies of this form are required for submittal of an application,along with three copies
each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need
mot be"Certified",but should show all structures on the lot to scale.
F�nd3Map Farcel� 308111
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MAP 308 PARCEL I I I PAR EXf OOB
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A&UA US+
map/lot name name2 address city stat x zip
e x
308/106 & Daniel F. Old Harbor 1007 Saint Tarbor NC y 27886
308/108 O'Sullivan TR Trust Andrew o
Street
308/104 Allen R. Saag-Hyannis 220 Main Falmou MA y 02540
Katzen TR Realty Trust Street th
c/o Soft As A
Grape Inc.
308/069.0 Nelson Cane Realty P.O. Box 226 Sharon MA y 02067
01 Brenner TRS Trust
308/069.0 Edward C. 46 Bursely West MA y 02668
02 Bogle Path Barnsta
ble
308/113 Cotuit Harbor 577 Main Hyannis MA y 02601
Enterprise Street
308/114 Raghbir & 259 Sea Hyannis MA y 02601
Rita Mehta Street
308/277 Robert E. 140 Tremont Boston MA y 02111
Kennedy, Street
Edward J.
Kennedy, &
Joseph
Kenned
308/285 Laura T. Firth 5 Tsienneto Derry NH y 03038
Road
308/128 John Z. & 41 Pembroke Weston MA y 02193
Deanna Road
Yeransian
308/276 Margaret 188 Ostervil MA y 02655
Sweeney Sturbridge le
Drive
308/074 C. Gerard & Bassett 250 First Needha MA y 02494
Drucker TRS Limited Avenue, In
Partnership Suite 200
308/111 Plantation Hyannis Oaks 1210 Pontiac Cransto RI y 02920
Investments Condominium Avenue n
Inc.
308/111.0 Five Sixty c/o Tease 553 Main Hyannis MA y 02601
OA One Street
Associates
308/111.o Elizabeth M. P.O. Box 15 Hyannis MA y 02647
OB Toscano TR port
308/111.0 Milton Rice c/o Cape Cod 165 Beacon Boston MA y 02116
OC TRS Mortgage Street
Trust
308/111.0 Jerome J. & 31 Captain Ashland MA y 01721
OD Rita A. Eames Circle
Wojcik
308/111.0 Michael Eli c/o Frank Eli 569 Main Hyannis MA y 02601
OE Street - Unit
D2, Building
D
308/111.0 Evelyn Kalmbach 41 Nilsen Quincy MA y 02169
OF, Kalmbach TR Nominee Avenue
308/111.0 Trust
OM,
308/111.0
00
308/111.0 Nam Vets P.O. Box Hyannis MA y 02601
OG, Association/C 2873
308/111.0 ape & Islands
oH,
308/111.0
oI,
3081111.0
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308/111.0
OK,
308/111.0
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308/111.0
1G
3o8/111.o John F. Neary c/o David E. & 7 Bishop Sandwic MA y 02563
ON TR Donna M. Path h
Silva
UNIT C
569 MAIN STREET
BARNSTABLE (HYANNIS), MASS.
"HYANNIS OAKS CONDOMINIUM'
SCALE 1" = 6' OCTOBER 15, 1998
COMMON AREA
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THIS BUILDING IS SHOWN ON PLAN ENTITLED
"SITE PLAN OF LAND, BARNSTABLE (HYANNIS)
MASS." BY BRADFORD SAIVETZ & ASSOC. INC. i
DATED JULY 31, 198 ;
I
off. 508-362-4541
fax 508-362-9880
down cape engineering, inc.
I CERTIFY THAT THIS PLAN FULLY AND �
ACCURATELY DEPICTS THE LAYOUT, ��1N u� ,,4J, CIVIL ENGINEERS
DIMENSIONS, AND APPROXIMATE AREA OF ARNE "�> LAND SURVEYORS
THE UNIT LETTERED C AS BUILT.
W�b
939 main st. yarmouth, ma 02676
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DATE ARNE H. OJALA P.L.S. JOB# 98-•351 j
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The Town of Barnstable
Department of Health, Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph M.Crossen
Fax: 508-790-6230 Building Commissioner
Home Occupation Registration`
Date: 200 O
Name: wrnj (2v,A�Jo r S7u"Whone#: 60&- '77S- 576l5
Address: FJZ 5 u Jr-Kuv� �u Village: 14YA-rQJWX
Name of Business: f'a\j%c 6: I
r
Type of Business: 7T7/uF=e)am 4-it i,) iE-T Map/Lot: 308- Z 3 �
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. I
• 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 undersig a reqq and r e with the above restrictions for my home occupation I am registering.
Applican . Dater Jr �J�s 7-Wo
Homeoc.doc
JUN-07-00 WED 05 :20 PM D. F. O'SULLIVAN&COMPAN`r' 1 P. 01
Daniel F.D'Sullivan
905 N.I We Freeway
Nets Smyma Bedch,FhH 32 t68 1-904-424-000 i
B '1 ' Services
Town�f)a�stalSle to iu�
00
<Mz Bill Kifwin-82-HiO School rdNyaj.ois,..Ma "^
Gloria:
Bi91 Kirwin and.ctand StulsW rent.ratty bume at 82 High Strout Rd in Hyanxnis avid they have my
pernrussion to om.-ate a home business fxom me at the premises
Most Respectfully,
Daniel]F.O'Sallivan