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HomeMy WebLinkAbout0073 MIDWAY DRIVE �J -- - - - - -- a�� - � �s / ALTERNATIVE WEATHERIZATION Date Town of Barnstable 200 Main St. Hyannis, MA 02601 Re: Permit# 9-1 r 7 The insulation work at ' has been completed in accordance wl.th..1 1.: 7, Agency work performed for • • � Timothy Cabral' —� President to m CSL-105454 v 58 DICKINSON STREET I FALL RIVER,MA 02721 1 (508) 567-4240 1 ALTERNATIVEWEATHERIZATIONdGMAIL.COM . Town of Barnstable Building Post Th�sCard So That rt isVrsibleFromthe;Stceet-.'A roved°Plans;Must°be°-Retained"'ono'b?°and this Card Must=.be:Ke t . eAlt9tsRAEl1.B. • . i •b1,04 edUntilFinal I^spectionHas Been Made t � #, a r ° Where a Certificate-of Occupancy is Required,such Buildmgshall Not'be'Occupied'until a Fi^aI Inspection has been�made Permit «,.,,...,..... .._..�,.� ,...n. l .�,�_-,a.:.».xa.«.«.. ....«..w .. �,.; �.��....e ....a'.,....� ._ <.,?..,��.-,..,_ �3',.?'«:..m.s., .? � "i8�:..�.,«A...v,.«:x«..' ,.ak,..a.«fit :': „ ;�;;� .. _ Permit NO. B-18-747 Applicant Name: TIMOTHY CABRAL Approvals Date Issued: 04/06/2018 Current Use: Structure Permit Type: Building-insulation-Residential Expiration Date: 10/06/2018 Foundation: Location: 73 MIDWAY DRIVE, HYANNIS Map/Lot 273 015 Zoning District: RC-1 Sheathing: Owner on Record: O'HEARN DONNA ContractorName `,A LTE RNATIVE WEATHERIZATION, Framing: 1 � FA ZINC. Address: 73 MIDWAY DRIVE A'r 2 CENTERVILLE, MA 02632 3� Co�ntractor_hcense 175683 AV x Chimney: Description: Weatherization Air Sealing Q-Ion Sweep on Exterior t?oors,12Soffit Est Protect Cost: $2,193.00 Vents, Mushroom Vent,66 Propa Vents,2" Rigid for"Overhang R19 Permrt�Pe'e: $85.00 Insulation: FG For Attic Vent, Bath Fan to Roof, Insulate Hatch; Blower Food Final: and Combustion Safety Test. FeePaid: $85.00 Date 4/6/2018 Project Review Req: k w _ Plumbing/Gas 'A _ ffi .x R ..... �,.. i t- ough Plumbing: a — _ Final Plumbing: Building Official E . . - Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorzed 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 which this permit has been granted. All construction,alterations and changes of use of any building and structures shall,be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be:m lntained open for publ m�spee on for the entire duration of the Electrical work until the completion of the same. g Service: The Certificate of Occupancy will not be issued until all applicable signatures by the B Iding andYF re Officials are provid d oA 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 Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: 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: Building plans are to be available on site \�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT l The Commonwealth of Massachusetts Department of Industrial Accidents 1199 I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with 16 emplo}ees(full and/or part-time).* 7. New constl ction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodelina any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 1[]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.❑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 l l.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. am a genera contractor and I h hid the sub-contractors lid thtthdheet have hired su -conracors listed on e attached s . ❑I l 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 14.�✓ Other INSULATiON 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. +Homeowners who submit this affidavit indicating 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:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: .�' 1"tO City/State/Zip: &2d�Xhe Attach a copy of the workers'compensadon 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 unde lh , ins an 'es p rjury that the information provided above is true and correct Signature: Date: Phone#:508-567-42 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#: f DocuSign Envelope ID:A31D844A-3206-4A7A-ABTA-444EF39F741D f Permit Authorization save Farm Site ID: 3362885 Customer: Donna O'Hearn Donna ohearn owner of the property located at: (Owners Blame,printed) 73 Midway Drive Centerville, MA 02632 (Property Street Address) icY) hereby authorize the Mass Save Home Energy Services Program assigned Participating.Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Docuftned by: Ownees Signature: - D*A: 2/27/2018 1 8:14 AM EST FOR OFFICE USE ONLY We have assigned the following.Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Caritractor Date Name: RISE Engineering Phone: 401-784-3700 Email: For OfficeUse-tartly .. .... .. ................. .........._-. ..... _ ...,........, .. ....................... Rev.102015 i DocuSign Envelope ID:A31 D844A-3206-4A7A-AB7A-444EF39F741 D Page 1 of 1 Customer Name:Donna O'Heam CONTRACT _.._....... .................._.. Email:ermine121@ayahoo.com Phone:508-360-0742 Premise Address:73 Midway Drive,Centerville.MA 02632 RISE Dat :Project b.14, 01 8 Date:Feb.14,2018 ENGINEERING Efficiency Energized. ............. _........................ RISE Engineering 5 Dupont Avenue,Suite 2 South Yarmouth,MA,02664 Job Description AIR SEALING 8 hr $640.00 $0.00 WEATHERSTRIP DOOR&ADD SWEEP 2 each $160.00 $0.00 ATTIC HATCH:SEAL&INSULATE 1 each $60.00 $15.00 ATTIC FLAT-R-19 UNFACED FIBERGLASS 80 SF $136.00 $34.00 12"X 12"WOOD GABLE VENT 1 each $114.00 $28.50 VENT BATH FAN THRU ROOF 1 each $118.75 $29.69 4"x 16"SOFFIT VENTS 12 each $346.92 $86.74 VENTILATION CHUTES 66 each $230.34 $57.58 KNEEWALL:2" RIGID BOARD 38 SF $146.30 $36.57 12"MUSHROOM ROOF VENT 2 each $241.50 $60.37 Total: $2,193.81 Program Incentive: -$1,845.36 Customer Total: $348.45 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred And Forty-Eight And 45/100 Dollars $348.45 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF TDHERE ARE ANY BLANK SPACES DocuSigned by: ocuSigned by: 'I� ffi`ffltative PN"ture 2/27/2018 1 8:14 AM EST Sign Date NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT ACCEPTANCE OF CONTRACT-THE ABOVE PRICES, EXECUTED WITHIN 30 DAYS SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE A -'•'�� ALTEWEA-01 SNERONHA CERTIFICATE ?F LIABILITY INSURANCE DATE IMMroD(YYYY)0512612017 I 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(tes)must have ADDITIONAL INSURED provisions or 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 fi hts to the certificate holder in lieu of such endomemen s. PRODUCER TACT Christine Costa Mason&Mason Insurance Agency,Inc. !1A/�N,Ext):(781)623-0067 tarn,No); 468 South Ave. Whitman,MA 02382 ccosta@masoninsure.com INSURERS)AFFORDING COVERAGE NAIC# !HVSURER A:Evanston Insurance Co. 136378 1 INSURED INSURER B:SafetyInsurance Company384t Alternative Weatherization,Inc. INSURER c:Star Insurance Company =.18023 s 2 Lark Street INSURER D: _ Fall River,MA 02721 I Iris RER E: INSURIERF: 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 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM-OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI$ 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 1 TYPE OF INSURANCE 1ADDL SUER INSO WV POLICY NUMBER POLICY EFP POLICY EXP LIMITS LTRA ? X COMMERCIAL GENERAL LIABILITY 1 I EACH OCCURRENCE 1 S 1,000,000 IX 1 DAMAGE TO RENTED 100,000 i- aCLAIMS-MADE I OCCUR 3C42088 06107/2017 06107/2018 MED EXP(AnY one person) is 5,{}00 E ! I 1 PERSONAL&ADV INJURY S 1,000,000 t— i 2,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g PR�- i ; 2,000,000 POLICY_ JECT i LOG PRL3DUCTS-COMPIOPAGG i S OTHER: I COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIAeiL1TY i 1 i S ANY AUTO 3 i6237702 i 0410612017.0410812018 BODILY INJURY(P_er persor) ONNED j-�-;SCHEDULED ED AUTOSON!, X' AUTOS I BODILY INJURY(Per acade I)'S x ':H3,RPD NON-ObVN L� i er tle T)A RAGE g ink OS ONLY AUTOS OtiL, 1 � I � S � A I I i 1,000,000 UMBRELLA LIAR X OCCUR i EACH OCCURRENCE S X - 0,000 CLAIMS-MADE XOBW619 ,ExcEss LIAR AGGREGATE S DED I RETENTIONS y(,�� I S C ANpEAE9P�OCYERS NSATI N ! X 3 PTA ORH ' i ANY PROPRIETORiPRRTNER/E:,(ECUTiVE YIN i N!A' �C 0849257 00 3 04104/2017;0410412018 E.L.EACH ACCIDENT $ ���,� � rfiCERAAEMfl R EXCLUDED? 1 Manda=in N ) r } i E.L.DISEASE-EA fMP DYE 8 �,B B I}Yes,deswbe unaer ' i j i : 500,000 I DESCRIPTION DF OPERATIONS below 1 I E.L.DISEASE-POLICY LIMIT i-S ' i I 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached It more space Is requiredl 1Action Inc.and National Grid USA,its direct and IndirBtt parents,subsidiaries and affiliates shall be named as additional insureds on..Commercial General liability policy per terms and conditions of farms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005,(02 16).Forms Available Upon Request + i CERTIFICATE HOLDER CANCELLATION I 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,National Grid ACCORDANCE WITH THE POLICY PROVISIONS,NOTICE WILL BE DELIVERED IN i 40 Sylvan Road Waltham,MA 02451 + AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) Q 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r k �fli'�tr�idtison Ss V �6. p �r Office of Consumer Affairs and Business Regulation 1.0 Park Plaza - Suite 5170 Boston,-Ma chusetts 02116 Home lmproverneZIoritractor Registration Type: Corporation y w R�istration: 175683 ALTERNATIVE WEATHERIZATION,INC Expiration: 05J2$l2019 2 LARK ST °=p FALL RIVER,MA 02721 fry ... Update Address and return card. Mark reason for change, .. ..._..•...__,.w. ..- ....... ..., .-�,_ _....,_.II..Addres-s..,0 Renew—al I-?Ft".Invm�nt n Leat. a ,sa ��!; r�lii rrt,:.y„�•„l�t�i>!,� :;I(C1�;:��r3tft°Cf;f.: •. Office of Consumer Affairs&Business Rejulation 'xi HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Cormrabon ei before the expiration date. If found return to: - Rjjgb&AI sn ExWra on Office of Consumer Affairs and Business Regulation y %•' 275683 05128/2019 - 10 Park Plaza-suite S170 ALTERNATIVE WEA?kERf2AT1£IN,INC. n,MA 02116 TIMOTHY CASRAI --- 2 LARK ST FALL RIVER,MA 02721 Undersecretary Ot Y D 83 81<illir r 1HE Application N .... .. o...... ... ...... VASELPermit Fee....................... ..........Other Fee............... ...... TotalFee Paid............... ..... ..... .... .. ........ .... li�fL TOWN OF BARNSTABLE Pew .. .........on..e :�,� ApMval by... �. BUILDING PERMIT �—' APPLICATION �'......... m......tee'.......... .. . Section 1 —Owners Information and Project Location Project Address I'�!�� Village_C el7tial—y)Ile-, Owners Name G`. Owners Legal Address �jdreJ lcJ Y, City 1.� l00 l state Zip 40 a�3 Owners Cell#5A © � 7 V,� E-mail Pam/' i-kLe, i u Section Z—Strncta�11ULS81N1G oEpT. Single/Two Family Dwelling ❑ Commercial S"Ter 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet MAR 1 nn13EE Section 3—Type of ff9WiV P ❑ New Construction ❑ . Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ] Insulation Other—Specify Section 4—Detail Cost of Proposed Construction _9/S3 .dD Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) k 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design last updated:11/7/2017 Section 5 -Work Description Au �`, Section 6—Project Specifics ❑ Wiring Oil Tank Storage . ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney ❑Addhelocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No Section 7—Flood.done Flood Zone Designation j Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Last updau*111n/2017 s Section 9—Construction Supervisor Name 6 Telephone Number Address G City �!il �'1/P�— State /S Zip j- �7v� License Number License Type Expiration Date j Contractors Emu G�-e�-nab;v���P�nhe�'; fl Cell# I understand my responsibilities tmtiorth -s4a4ndt galations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts S Buil ' C I d d the construction inspection procedures,specific inspections and docimmentation reQ of Barnstable.Attach a copy of your license. Signattae Date Section 10—Home Improvement Contractor Name tfer►�f,�e �� ,�;r_G fs`uYLTelephone Number jZZ j �'�°,,� Address�Lr,,�L�'-r City State_/) Zip 62 7af Registration Number/7 tg Expiration Date h2 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts. Buil ' . I the construction inspection procediuw,specifi inspe ctions actions and documentation d T of Barnstable.Attach a copy of your KLC... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number 'I I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date "PYCANT SIGNATI;►RE Signature f/ Date �,/ Print Name' ra6rat Telephone Number&fi E-mail permit to: �-Z-&I/ V Last updated: 11/72017 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization i I, , as Owner of the subject property hereby authorize to.act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) i Signature of Owner -date Print Name i Last updated:111/7r2017 F _. . ' C wwft 7-C ,y r.. fu 3. d .tlr' yy .. Q a; 1s ' ' �.y- .�' M i �1�.�In," 1Mt•a w �^� tv'�� �. .4. . - r.^+'nIP!' .�- « v , ,r '. - � •.ram _ - � .S•w"..�._ `bra 'u �'�'' .• ,.w{w Ica e'7�},i,.«�ar{gh: . - F q , x � 4a -C� m 1 n r�r x . W R , m - `�+° '' "� ..�- �'. •ice" " , t; �� H din« v , c ^ 7 d 4 a a M 73 MidwayDr. , Hyannis 5/ 17/06 aVP Town of BarnstablePermit: 0,F7ME Tp Regulatory Services ate: /o/SYo Thomas F.Geiler,Dir ector '" MAM Building Division ee:� dU y Mass. i039. s`�� Tom Perry, Building Commissioner FD MAC 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:. 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: _�1 0nnCG S(YU 0"Herirn Phone 50$-7 78-o)i (no y6ice;y-n)� Installat: �l� SbFs- 77g-��88 7� 1"lidwrav Village: )�irnrl'iS Map/Parcel: 7 ,3 — O/-s Date: 10-+0'-1 St Aew/Used B.1ype: Radiant/ Circulating C. Manufacturer: ",oa i-yo one Lab. No. D. Model No.: Chimney A. New tin (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: Installer Name: b W(Y-,(' Address: Phone: „rnP - Location of Installation: APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the . Building Inspector Q:forms:stove Rev 122801 =a � 7 y � Town of Barnstable eraut: -7 of t Regulatory Services ate: la/s O Thomas F.Geiler,Director '• MAM Building Division ee:� QO ►,,r i639.6 Tom Perry, Building Commissioner FD MAC 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT o h caner: _�o�nna Sc�i 0 HP,(A Phone 50$-7 78-0ji 6a Cno y�;cermr� Install at:. 5b$- 77e-+42 8 7� 1"1 i d wav Village: _ )���,nnyS Map/Parcel: 7 D/-s Date:__ 1 O-I-C) 7lewY Used B. ype: Radiant/Circulating C. Manufacturer: j\�c�A-)one Lab. No. D. Model No.: Chimney A. New tin (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue?_� D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: b��r B. Sub Floor Construction. Installer Name: Address: Phone: ,�P Location of Installation: t-�,� APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove TO A L.,,L/NE.VV BUSINESS OWNERS DATE: S 12- Fill in please: Q17 ". � APPLICANT'S YOUR NAME: BUSINESS � � YOUR HOME ADDRESS: l/1= Z // l, . Citl TELEPHONE Telephone Number Home NAME OF NEW BUSINESS ® TYPE;OF BUSINESS GU IS THIS A HOME'OCCUPATION? YES it: Have you been given approval from the building divisions YESNO ADDRESS OF BUSINESS -'1! /. �' "`�: !' 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 need. 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. BUILDING COMMISSIO ER'S OF E This individual has bwernik ed of ny ermit requirements that pertain to this type of business. Adt nz aSignat a** COMMENTS: W%- csa Z- 2. BOARD OF PEALTH 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: 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. Town of Barnstable �pF THE 1p� Regulatory Services Thomas F.Geiler,Director Building Division BARNSTABLE, MASS. eg Tom Perry,Building Commissioner i6;p ♦0 iOrFv 39. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved:_ { Fee: � . Permit#: HOME OCCUPATION REGISTRATION Date: qZ0 Name:. 1I? 1A ^� 0 f/;/I Y'2 /V Phone#: 5-co 779 Address ? / Q � Village: Name of Business: Type of Business: (.,'U U D W 04 6-rl 1_/1/ Map/Lot: d7l_� 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. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. 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