HomeMy WebLinkAbout0050 MULBERRY STREET VOE
Town of Barnstable
Building Department Services
pTHE Tp�
- •t, . Brian Florence,CBO
o�
Building Commissioner
BAMSrABLE, t 206 Main Street,Hyannis,MA 02601
7� MASS
1639. www.town.barnstable.ma.us
AtE Mp(► ¢.
Office: 508-862-403 8 Fax: 508-790-6230.
Approved:
Fee:
Permit#• - 1
HOME OCCUPATION REGISTRATION'
Date: `.
Name: ��/1� /�iio►7tt4z, Phone#: Sr�$' ��
R�
Address:_;��Z_ t1�hCli�'l/ _ ��►/Cti9/'lf S Village; y�i�iS v�A Ora7(o6
Name of Business:' 'M + T. P(b e ec n� •P i�1�N'f".
Type of Business: Pro Pi t Map/Lot: > .
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 t
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 y the permanent resident tof 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 are 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 bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
1,the undersigned,have read gnd agree with the above restrictions for my home occupation I am registering.
Applicant: Date: Co
t
Homeoc.doc Rev.06/20/16
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do_by M.G.L.-It does.n'ot give you.perI fission to operate.) You mustfirst obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed.form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 026.01 (Town Hall) and get the Business Certificate that is
required by law.
DATE:' Fill in please:
�l ec .� ,i y �rM1JTtl, Lx APPLICANT'S YOUR NAME/S:
BUSINESS - YOUR HOME ADDRESS: v f- ctn r ' U I
JL
TELEPHONE # Home Telephone Number
tur-.tltye��1 L4 d E—MAIL: i
�ir •.:.,r,;.l u ,v�p;'u ,rr.a;,l ' _
NAME OF CORPORATION-
NAME OF NEW BUSINESS ^� ei ►rr TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO
ADDRESS OF BUSINESS. Oa(v'o AP/PARCEL NUMBER ' d A [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 tow 0= �OCUpATION
MUST OOMPLY WI�TIO S• FAILURE TO
1. BUILDING COMMISSION S OFF CE RULES AND REGU
This individual has be inf. of an it r uirements that pertain to this type of business. COMPLY MAY RESULT IN FINES.
ut rized Sign ure* l
COMMENTS:
s. J
.S
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:
rJ.
TOWN OF BA''RNSTABLE BUILDING PERMIT APPLICATION
Map n Parcel Permit#
Date Issued
Conservation Division Fee
Tax Collector •#:+ P .� 7
Treasurer 1
Planninn Dent
Date Definitive Plan Approved by Planning Board
Project Street Address
Village OA4 A i S
Owner tice- Address
Telephone
Permit Request 1%Y�►�)q L 1 A) 1 nJ b 6 W 9 1 o 2A&AEq4
.Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation 6 3 1 .3 84, Zoning District Flood Plain Groundwater Overlay
Construction Type JUb
Lot Size Grandfathered: ❑Yes alTo If yes, attach supporting documentation,
Dwelling Type: Single Family U' TWO Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes Lak"On Old King's Highway: ❑Yes U-W
Basement Type: ull ❑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 UA6 If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name 7`'��le CJ",aX6/P-/9 &&Telephone Number
Address & Vcaj mJoz Rb License#
Home Improvement Contractor# J Od 74�1)
Worker's Compensation# �° (m�0lSr
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO i
SIGNATURE - y,' , 1- DATE �'/�/
f
FOR OFFICIAL USE ONLY
f
R PERMIT NO. `. a
r DATE ISSUED _
MAP/PARCEL NO. )
k ADDRESS VILLAGE
OWNER }
DATE OF INSPECTION.-
FOUNDATION T
i
FRAME
}
1
INSULATION
FIREPLACE x
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL ry
a GAS: ROUGH FINAL "
FINAL BUILDING
' DATE CLOSED OUT
x ASSOCIATION PLAN NO.
r
, r
- o
I JW Window & Door Prime ProductsAN Aff-
Order Form Harvey Industries, Inc. •725 Huse Road • Manchester, NH • (800)Dealer Name ��c p 1' j ���ti'r'k' v 1'l ►rZa^Ci'Yl P r'1� Account # . ship Via Delivery RequesX
❑Warehouse Truck El Standard
Address ❑ Factory Direct ❑Special Cust. P.O: -'
❑ Factory Pickup
❑ Pick up at
Job Name 1 -4e;'"*J ram" 2- I O Ordered by
Window Specifications: (Delivery Area)
For Majesty Windows: Screens:
Type: Size: Color: ❑None Order taken by
❑ Opening For Vinyl Interior S /e:
>*Vinyl p g y ry Aluminum Say/Bow (#of Iltes)
❑Wood 8 Buck 1 White ❑ Pine ❑Half ❑ Full
❑TTT ❑Almond ❑Oak(Casement Only) Fiberglass ❑ DH Angle: Flankers: Wall Depth: ,Veneer
❑ Stock ❑ Med. Bronze Exterior Color. ❑Half ❑ Full ❑ CSMT 0100 ❑ 1,5" ❑4 9/16"(STD) Interior:
Frame: ❑ Standard Size ❑White ❑ Center DH ❑301 0119.. ❑Other O Oak
-XReplacement ❑Almond El Center PW ❑45° ❑2'0" ❑ Birch
❑ 'J" Vinyl Nail Fin Glazing: ❑Tandem lock ❑2'4"
Y ❑ Dark Bronze Ext.Jamb:
❑ "L" Vinyl Nail Fin ❑AdvantEdge ❑Receiver Only (Majesty Only)
-w( Low-E Argon) Grids: p 4 9/16"
Sash Type: -Warm Edge Glazing ❑Colonial Wood ❑6 9/16" Special Remarks:
❑ Mechanical ❑ Clear (Snap-In)
❑Welded Q Low-E ❑ In glass ❑ Factory Applied
3 sides
❑ Low-E Argon Exterior Package: ❑ Factory Applied
Grids: ❑Obscure ❑ In-Glass&Exterior 4 sides
❑ Colonial In-Glass ❑Special Temp. ❑ In-Glass&Snap-In ❑Field Applied
❑ Diamond In-Glass ❑Other & Exterior
Quantity Product Width x Height Grids Comments
Example CVDH 32 x 58 611 Obscure glass-bottom sash
-2-
White Solid Vinyl Patio Doors
Colonial
Qty. Size Set-Up Grids Glazing
❑ Standard
❑ Low-E
❑ AdvantEdge
❑ Beveled
Hardware Prep
t� ❑Wood Handle ❑Deadbolt
O Brass Handle ❑Muld-point Locking System
❑White Powder Handle (includes custom polished brass handle
❑Stainless Steel Wheels ❑Dual Locking System
O White
O Polished brass
Customer Signature:
The Town of Barnstable
• asarrerust,E, •
Department of Health Safety and Environmental Services
��,,, ► Building Division
367 Main Street,Hyannis MA 02601
f
Office: 508-8624038 - Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,.demolition,or construction of an addition to any pre-existing 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.
Type of Work: C`'I ��1 Gi 5 1 n� Estimated Co
Address of Work: 1. C ���'9'3�t •r t wl.l j xt>
Owner's Name:'
Date of Application: q — O
I hereby certify that:
Registration is not required for the following reason(s): .
r-iWork excluded by law
Job Under$1,000
oBuilding not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
7 ®� lOD 7
Dat LL i C� mt r Name MePVF M"_r Registration No.
OR
Date. Owner's Name .
q:forms:Affidav
( _=3 The Commonwealth of Massachusetts
F-= - Department of Industrial Accidents
'� - -- Office 0118yeSUgeU00s
600 Washington Street
s f Boston Mass. 02111
Workers' Compensation Insurance Affidavit
location- C5`�
6 d ? - 3 oi-3
I am a hom&6er performing all work myself.
I am a sole proprietor and have no one working in any capacity
�,Mwm NORM
I am an employer providing workers' compensation for my employees working on this job.
company name: OP Y I Z Z/ )—k)"4e5
city: Ai 6 O to 3 -5' phone gal X
insaranee>co:' +LC��r14& 1016
I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who r:.
the following workers'compensation polices:
c4maanv name• .
address: a
•
. .phone.#{....
Lnsurance coy policy:#
comoanymame
address
city. phone#
�r saranceco: yolicy#
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of s fine up to S1.500.00 and/w
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
do hereby certify under the pains and penalties o perjuty that the information provided above is true and correct.
Signature - Date
LCcontact
f�ICE cle l CAL t . Rdcsl-0,%1 Phone
only do not write in this area to be completed by city or town official .
n: permit/license# 1—IBuilding Department ?
❑Licensing Board
f immediate response is required `
P q ❑selectmen's Office r
❑Health Department
rson• phone# 00therPIA)
15 dlt4/B(L��•.//<NOf "� :. .. •,F:' t .. n bl/'gym.+. 'ek+i `i
f ✓[z4 ./euailll +5 r :aM t ,.. .• r ...•.. - .�
HONE INPROVENENT CO �'T1ze �aa `o��/� +uaPlla
a NTRACTOR a '
Reglstralion: ----f 1P "` f3OARD UI UCTION
OF BLDING LA
REGUTIONS
ExPiration:_ 100140 L F�_6�23�01 - j License CONSTR SUPERVISOR
TYPe: t 5 1i Number CS
Privae-Corpara-tio 05zo32:
M
G��,., CAPIZZI,HONE INPROVENENT,, 1
_ x ,
tai ThOAa�Pi1I1 _ p Ezpirgs q9/26/QP01 tF:no: 5742
A�MINIS7RATOR 1645 ton , Sr, s ,.,. y
New RG. ",Restricted)To:;.00
Cotait ,l
NA 02635 MAS`X CAPI77ZI JTt
. ... . THO , v.
- •'_� 280 PERCIVAL DR
f
W BARNSTABLE, MA 02660 Administrator:'
u i �:,
ri T/ze,:i�omv�naru o� aaoac�iu�etla y ( ✓ BOARD OF BUILD
G REGULATIONS
DEPARTMENT OF PUBLIC SAFETY License: CONSTRUCTION SUPERVISOR
• C
x; Number: CS 007454
SUPERVISOR LICENSE
CONSTRUCTION SUPER:I R , . ;.
i
C Number Expires:
I Expires:02/24/2002 .
�. Restrleted YOs @0." I Restricted To: 00
.�.::. 0 THOMAS CAPIZZI
FRE 1645 NEWTOWN RD
"Pa +.miyyr !I@ BOURNE:`RD COTUIT, MA 02635 Administrator l
PLYNOUTH, NR
•
'THE Town of Barnstable Permit#
F,pires-6 nths from issuedate
Regulatory Services IT
Y &UMSTnet.e.
v� t639. ,0� Richard V.Scali,Interim Director
�°rFnNw+° MAY - L;
Building Division ,
Tom Perry,CBO,Building Commissioner
``200 Main Street,Hyannis,MA 02601 x. TOWN OF BARNSTABLE
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
O
Map/parcel Number I -
Property Address Sn
r
,Residential • Value of Work$�q ` lQ 0 Minimum fee of$35.00 for work under,.$6000.00
Owner's Name&Address 45 T[y wt-k 5AJ
18a sF.P.cj0ks1T 115V\0_\Z-Es BAY o LAST FAL*Aov`', MA
Contractor's Name nQA- {AA Telephone Number 5b a',364 ' 9
Home Improvement Contractor License#(if applicable) 1 V 6 6 a�L Email: J'� _QtvS3
Construction Supervisor's License#(if applicable) C S '0 1101S
❑Workman's Compensation Insurance '
Check one:
� I am a sole proprietor 8"' ' . P �
( I am the Homeowner IT
❑ I have Worker's Compensation Insurance
MAY 6 2014
Insurance Company Name
Workman's Comp.Policy t _
Copy of Insurance Compliance Certificate must accompany each perm' I OF BARNSTABLE
Permit Request(check box) y .-
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to
❑Re-roof(hurricane nailed)(not stripping. Going over A existing layer`s of roof),
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value 0, k.06 (maximum .35)#of windows
' #of doors. _
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire'Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Prope y Owner must sign Property Owner Letter of Permission.
A clit4
py of h H e Improvement Contractors License&Construction Supervisors License is
re
SIGNATURE:
T:\KI-VfN_D\Buildi2
Ch ges\EXPRESS PERMIT\EXPRESS.doc
Revised 061313 = 4
^
Massachusetts -Department of,Public Safety
Board of Building'Regulations and Standards
`. Construction Supery sor. - ~.
License: CS-072579
JONATHAN M
2 LYNXHOLM C
HYANNIS MA 02601
g O,`t Expiration. ,
` Commissioner
0110412016
i
G-
��/,c ,rr�i�,n�7uuc�f� �i���•Il���«3G��j License or registration valid formdividul use only
Office of Consumer Affairs&Busi6ess Regulation F
y y before the expiration date. If found return to:
ME IMPROVEMENT CONTRACTOR T . e: i f..' Office of Consumer Affairs and Business Regulation M1
5 egistratiorr "106627 Type: 10 Park Plaza-Suite 5170 :
7/24l2014 Individual A 02116
xpiration Bost ,
c,
JONNA AN M TYLER 1,
* Jonathan Tyler
-
2 LYNX HOLM CT _ -
HYANNIS,MA 02601 Undersecretary Not valid without signature ,
L
1 .S
May 06� 2014 06:33AM Ace Locksmithing 5085484588 page 1
May.06.2014 02:10 AM PAGE. 4
II ..
"'"M Town of Barnstable
►674 � i
Regulatory Services
Richard V.Scali,Interim Director,, 4
Building Division ,
Thomas Perry}CBO
Buildiq Commissioner
200 Main Street,' Hyannis,MA 02601
www.town.barnstablema.as s
Mice- 508-862-4038 „ . : Fax:,508-790-6230
Property Owner Must ;
Complete and Sign This Section
If Using A Builder
15l" A as Owner of the subject property'
hereby authorize 'TKO!+d A 1�.P t--k" LE r.- . to act on my behalf,
in all rmat:ters relative to work authorized by this building pc='t application for: ,
(Addrem of job)
Signature of Owner Date '
Print Name
If Property Owner is applying for permit,please complete.the Umeowners.License Rzemption Rotor on the
• reverse side. y - ,
as
TW.EVD;�rnsuadhi Ct s"MSS PERIVIlT"PMS.doc
Revised 061313
'
i
4.
T}ae Commonwealth of Massachuseft ,-
Department cifIndusoialAccidents , _ +,•.
OKce of`Investigations
600 lVashnagton Street
3ttst ilrt, -0211�'
�.
MVII°.ntass.govldia,
Workers' Compensation Insurance Affidavit:Builders/Contractors/El tiicians/Plumbers �.
Applicant Information Please Print Legibly
Name(Business/Organ atimUci!vidula : �C.��,y�`T�A M
Address: 2 L•YNX Ko L k you' 'C ► A.Ut, -T mi 1., oz 6
Cr dtaZ D Q�Phone#i: �O — b — 5
p: .5 S 3 4
R i
Are a an em p to �er, Cheek the appropriate box:
5a P
T of project(required).
4. I am a general.contractor and I }
I.❑ I am employer Willa 6_.❑New construction
employees(full andl6r part-time).* haiT hired the sub-contractors '
2 am a sole proprietor or partner- listed on the attached skeet. Rein odel ug
ship and have no employees Thecbonatr have $_'Q Demolition
w for ate in an c ci employees and have vrorkers'• . j`
flrkang Y h' - 0'_:Q Building addition a
(No workers'comp_insurance comp.insurance_-
required.] - 5- Q We are a corporation and its I0.0 Electrical repairs or additions ;
3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions
self o workers' , p p -MGL
mY right of exemption 12.0 Roof repairs
insurance required.]l _ c. 152; 1(4) andueha eno
employees.[No workers' 13:0 Other ;
comp-tnsufance,required.]'
h•
#Any appl caot to:checks$rot#i mast also+fill out the section b. showing their workers'c-ampensation policy informaria¢. {
Homeowners who submit this affidavit indicating they are doing&U work and them Zaire outside contractors.most suit a new affidmdt indicating-such_
:contractors that cheek this box must attached an addiriooal sheet shoring the name of the su-b-conimnors and state.w•hether or narthose eaddis have
employees. If the sutrcoutractosstave employees,they must provide their workers'comp.policy umuber_
I am an employer that is proii ng warirers'r°ompensadon insurance for nky employees. Below is fitepotact nrad job site
information. j
Insurance.Company Nance_
Policy#or Self ins.tic:t1 x piration Date: 'y+
l
Job Site Address: City/State/Zip
Attach a ropv of the workers'cottaperisation pralicti declaration page(showing the policy;number and expiration date).
Failure to secure coverage,as required tinder Section 25A of MGL c_t52 can lead to the imposition ofcrimin l penalties of a
fine up to S 1,500.04 and./or one-year imprisonment,as well as civil penalties in the form of a STOP�tiORK ORDER and a fine
of up to$250.00 a day against the't-iolator.' Be advised that a copy of this statement ma t e•forwaided to the Olhce.of
In es•t gations of she DIA for insurance'coverage verification
I do here ce Lllnln �
nahies crf pet uty that the irn,formation provided abmv is trine€rnd correct } .
i
- e_ r 'Date 0 i
Phone as. J 3b L1
�. 4.
a rzal rase rail'. Do not write in this area to be com teterd to�ci V or totem o coal
P Y - - A.
City.or?own: PermatfLicense#
Issuisig Amthtrrity (circle.one):
1.Board of Health,2.Building.Department 3.Cityaomm:clerk 4.Electrical Wpec-ton• 5.Plumbing Inspector
6.Other.
�.
Contact Person: Phone#.
6