HomeMy WebLinkAbout0100 INDEPENDENCE DRIVE (9) 100tt
�► e�e n oCer�ce r,
- -- - _
Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Pre-application for Business Certificate-
Date Map( � Parcel
Applicant Information
Applicants Name C,7
Applicants Address�� Email Address dCi
`` i-d '6
Telephone Number. 1 Listed Unlisted ❑
Business Information
New Business?- -------------------- - es------------------. , No
-
Business is a registered corporation? __ ______f_
-------------. Yes �No��
If yes Name of Corporation
Does business operate under the registered corporate name? Yes fNo
Is the business a sole proprietorship or home occupation. -------- Ye No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business
Business Address
Type of Business
O
`Building Commissioner Office Use Only
Conditions
Building Commissio 1,� Date
Clerk Office Use.Only
.
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 MaR4 Parcel V
Applicant'Information
Applicants Name
Applicants Address r�ii . Email Address o d'q �'la Gar Cis.
Telephone Number ' fwc? ^ f � Listed ❑ Unlisted
10V
Business Information
New Business? Yes No
Business is a registered corporation? ______________ Yes �.pw
If yes Name of Corporation
Does business operate under the registered corporate name? Yes <fNo
Is the business a sole proprietorship or home occupation? _________ Yes No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business � ,e��iG �•ara
Business Address /DD 1 �cirot �:.. �raw•�.ii�. D?�O / "'��
i
Type of Business i
Building Commiss ner Office Use Only
Conditions 1
BuildingCommissio Date(
e(
Clerk Office Use Only
ti;.'::.7�:wT.�L'^,/'w�:+JC:::J(iR.�:�'*i•De'�.�TC1Ffd 4'i'+T-,-•�.,•F��._� •"ST.d::SLLpJ:�L9rvYYli4-"'a:�.al'S:Ee#sUt'.a�<:wvf�w0. oC`.vl.!}mAwgabAAaWWml.4 xe+su?.-+.�'-W� �suv�emnscnsnac:aecrs,w... a� xv:r�u+waL.l
YOU WISH TO OPEN A BUSINESS? .
For Your Information; Business ce zs rtf0c`d (cost$4D.00 for 4 years]. A business certificate QNI Y REGISTERS YOUR NAME in town [which you
must dr?:by:NL�:L.-it oes.npt..give yoU:permission You must first obtain the 11ece5sa-ry.5igriatu.res on this form at 200 Main St., Hyannis.
Take the completed form to tM Town dark's:Ofrlcz, 1st FI_, 367 Main St., Hyarini5, MA D�6pt {Town Hall) and get the Business Certificate that is
required by law, s
t � DATE: Fill in please:
-t
APPUCANT'S YOUR NAME/S:
' BUSINESS HOME ADDRESS- ?b U G h
r �• S
YOUR /
=� .Ls.��Y�•� TELEPFioNI* it S c a WG� e
Horne Telephone Number
EIN #: �; �j
NAME OF CORPORATION: OGLS . eS
NAME OFNEW BUSINESS ,6 TYPE OFMSENES' .
e
IS THIS A HOME OCCUPATION? 'YES NO "
ADDRESS OF BUSINESS.. 00 v. \ MAP/PARCEL NUMBER ��� I [Assessing]
r
0.(1IR�S M•f� UZtoO i - - "
When starting a.nev�buaitiess1fiere:are sever al'tFiirigs you must do I order to be in caropGi?r�ce wiE} the r uies end regulations of the Town of 2
Barnstable. This fiirm is iiiesOded::t't assiet.' i# P wining the informartion you may need. Y. M115F GD 1`D.2-00 Main St. - (corner of Yarmouth.'
Rd. Main Streets to make sure�a�haue tfte.2rP�'rapriate permits and licenses regtj d to legally a eraf:e your business in this town.
1. BUILDING CC IUI,.15SI1 : ER'S-OPFICE. r
This lndlvrdu.: h s : 1 ;- d ...> 21": re ui erasat p ertain to t hia type Qf.buslriess:
I
size igna.
COMMENTS: L.ordl42
2. BOARD OF HEALTH - ..
This individual has been1bfbrmed ofthe peCmit requirements that pertain to this type of.busineS§s.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS [LICENSING AUTHORITY} s
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS: l
:r