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HomeMy WebLinkAbout0364 OAKLAND ROAD I ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a o C l z Map Parcel :. Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee _ft Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address_3L o W - A Village tv 4=2,!, 4 _ O Address G � � , Telephone� Permit=Request Q C _Z e50P 9 Or- T- t0 P A P Square feet: 1 st roor: exis ' g 6 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 'ProjecfValuation� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# .nits) _ 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) `A'' Number of Baths: Full: existing new Half: existing 4. qew -n Number of Bedrooms: existing _new Total Room Count (not including bath existing new First Floor Rc om Court 174 Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other ca. , 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 ❑ No If yes, site plan review# Current Use Proposed Use _ _APPLICANT_INFORMATION - (BUILDER OR HOMEOWNER) � l Telep_ ��� L�.JD 9S2 �1 w Name r" c e Number c License# LS 05 q f Home Improvement Contractor# 1 1 ` 5 jo� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Of "e "7 �--SIGNATURE ATE ' � �� 1, f ' 'H I ~ „ FOR OFFICIAL USE ONLY ' k•e — t . - 'APPLICATION# DATE ISSUED MAP/PARCEL NO. Y ADDRESS VILLAGE OWNER .F DATE OF INSPECTION: FOUNDATION ' FRAME R, INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL r. ty, ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. - ' -• The Commonwealth of Massadiusetts Department.of Ltdusirial Accidents _ 'f Office of Investigations _ 600 Washington Street. Boston,MA 02111 tmmnittass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information r Pleeaase1 Print Lea Name(Businessforganintiowb&vidusl): Address: q�� Ci /State/Zi . Phone#: Are you an employer?Check the appropriate box& Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fbU and/or part-time).0 have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet~ 7. ❑Remodeling ship and have no employees These sub-contractors have > 8. ❑Demolition working for me in any capacity. employees and have workers' (No workers'comp.insurance comp.insmrance.I 9. ❑Building addition required-) 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[Nor ]workers'comp. right.of exemption per MOL 12.❑Roof repairs insurance T c. 152,§1(4),and we have no employees.(No workers' 13.0 Other comp-insurance required.] *Any applicant that checks box 01 mast also fill out the sattion below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contrtuton most submit a new affidavit indicating such_ +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and crate whether or not those entities have employees. If the subcontractors here employees,they tmtst provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. - Insurance Company Name.- Policy#or Self-ins:Lic.M Expiration Date: /�j%/�L�`�1�� � Job Site Addressr .©�Ct �F1/ City/State/2ip: Attach a copy of the workers'compensation policy declaration page(showing the policy rum er and expiration date). Failure to secure coverage as required under Section 25A of MOL 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do lrereby ee der tl Kai pen es my that the itformation provided above its true end correct i 'Phone#: Official use only: Do not write in this area,to be completed by city or town of ciaL City or?oar: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector, 6.Other Contact Person: Phone#: f BA2NWABM ° ., Town of Barnstable Regulatory Services Thomas F.Geller,Director ry Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 F www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder I, J setD C 16 A& "Tins+ ' ,as Owner of the subject property hereby authorize bkupzc 3 to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 Uu i g- d 1Zot d ` 14yannls ' /1?' (Address of Job) ? /Signa'=6' e of Owner Date Print 14arne t - If Property;Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Usen\decolhk\AppDM\Local\Microsoft\Wmdows\Temporaly Internet Files\Content.oudook\QRE6ZUBN\EXPRESS.doc Revised 053012 f , (508)862-4035 (. FAX(508)790.6230 PATRICK FRANEY BUILDING INSPECTOR TOWN OF BARNSTABLE ' REGULATORY SERVICES BUILDING DIVISION TOWN OFFICE BUILDING , 200 MAIN STREET,HYANNIS,MA 02601 email:patridc.franeyetown.barnstable.ma.us RENQVA©N GAF � o rr� e.a `!s�' ±zip ! f• r � I . . ♦. +. ' � ..t.. 4 i - y � . �4 III � r . , p yr i i NEW P.T-,4 x (o POST _ ON 10" DIA. SONOTUBE FORMED CONCRETE FEIR TIGHT TO EXIST. CONCRETE FOUNDATION NALL, DOWN TO TOP OF EXIST. FOOTING (TYP. OF 4) t, . I ALIGN_ r EXISTING P.T. 4 x 4 ) - POST ON 10" DIA. I I n CONC. PIER. I dp SCAB NEW P.T. 2 x 4 TO EXIST. POST ( I O .FROM TOP OF PIER' I (I I � N zju . . TO UNDERSIDE OF OF EXIST. P.T. 2 x 8 I III 3 f BEAM, 2 SIDES. (TYP. OF, 4) � � A cv — — ', .EXISTING ALIGN HOUSE NALL LINE OF DECK ABOVE113 z O . • ' ' I Ir . NEW . I I. (3) P.T. 2 x 8 III w 3' f I, DECK BEAM I. ABOVE V+ _ALIGN_ CANTILEVER DATE: Deck Foundation Plan 03/04/2013 SCALE:1/4"= 1'-0"` DRAWING#: Remedial Deck Construction 364 Oakland, Rd., Hyannis, MA I of 2 EXISTING) LEDGER a. AND WANDERS'{ TO REMAIN .' t REPLACE EXISTING 2 x 6 MID—RAIL W/ I NEW P.T. 2 x 10 (5 SIDES) `EXIST. v , . -A FLOOR ' � f :' � • J015T5 e EXIST. 2 .x •8 DECK JOISTS NEW (5) P.T. 2 xr8 DECK BEAM EXIST. EXISTING P.T. 4 x 4 LPC4•POST CAP HOUSE POST ON 10" D1A: '' FNALL CONC. PIER. - SCAB NEW P.T. 2 x 4 NEW P.T. 4 x (o. POST TO .EXIST.. POST " DIA. SONOTUB E ON 10 FROM TOP OF I ER . 4 FORMED_ � E CONCRETE PEIR < O U EXIST. T UNDERSIDE' OF OF TIGHT TO EXIST. CONCRETE CONC.i- EXIST. P.T. 2 .x 8 FOUNDATION WALL, DOWN BEAM, 2 SIDES. TO TOP OF EXIST. FOOTING FOUND. . (TYP. OF 4) ,' (TYP. OF 4) APPROX. GRADE ' f ABU46 POST BASE, + „ '.. 11=1 I I— I-1 I I—111=1 I i�I —III-1 11=1 11=1 I i—III—I 11-1 11= I 1-1 11=1 I I i I— e� `•` i 1=f I I-1 =1 11=1 I I-11 I-11 P_I I I I I 1 - - - — — - - - - - - I — I = — — _ _ = _ — — _ _ — . • I I I I-1 I I I I I��1-1�1 � I�I III—I 11=1 I�I It—I-i I i I I I I►�I I—. . -III-_111I I II I�-11 I-1 I I—I I I—I I FEI I 1-111E111=111=1 I— I 1=1 11-1 I ICI i 111 k —I I I—{11=111-1 11-1 I I-1 11=1 I I-11 I—I 1 E�I I—III—I 11=1 I I 11— rt -I I M 11�1 I I—I 11-1�III I f=1 11=1 I M I 1=1 11-1 • _ `- I `1`; a'1=III-111T.iililil��l ICI 1111�it ll�ifl�(IGI�I I� . < - .` ' .:� I 1•: -. � �h%��I I I-1 I�l I Ili I I=11f - I;, i-11 I I IHl L 1 DATE: k ~ 11 q' I I ' . Deck Section /'1 , . s, ,: 03/04/2013 DRAWING#: Remedial Deck Construction 364 Oakland Rd., Hyannis, MA -2 of 2. �lze�parrrinzoazcuecclC�z c�C�/G�ay�aclicc.te� � Office of Consumer Affairs&Busiu ss Regulation I ME IMPROVEMENT CONTRACTOR o gistration: Y19569 Type: !3 xpiration: 8L20;1`3;._, Individual LAUREN F STAPLETON IJ LAUREN STAPLETON 3 1 LAUREL CIRCLE - � I, FORESTDALE, MA 02644 Undersecretary y u Massachusetts Department of Public Safety .Board of Building Regulations and Standards Construction Supen isor License-. CS-059182��, I,AUREN F STAplITO 414 PHINNEYS I�►NI, ; Centerville MA 0632' ti Expiration. _ � 06/03/2014 Commissioner License or registration valid for individul use only io Affairs and Business Regulation' ,before the expiration date. If found return to: Office of Consumer pite 5170 ' 10 B Park MA 02116 Boston, f ' Not valid with ot gnatu s a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map- �� I Parcel Application #c 0 / 1Y� Health Division Date Issued O"Z Conservation Division Application Fee Planning Dept. Permit Fee 3� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village O Owner a .p�l, C'�, � �`rt�v C,l— Address ' �S ® S Telephone':::)_10 V40 — ��� I ����r�' Ne Permit Request Re lor-` To P:;Cm IN Square feet: 1 st floor: existing f Proposed 2nd floor: existing proposed � Total new Zoning District Flood Plain Groundwater Overlay U3 Project Valuation 2W. Construction Type ) rn Lot Size o 33 Ac- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑�o On Old King's Highway: ❑Yes 1kNo Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new ( EEVU TO 3 'F0IIA"L-o Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: J'laaS ❑ Oil ❑ Electric ❑ Other / Central Air: q Yes b No Fireplaces: Existing New Existing wood/coal stove: ❑Yes W No Detached gar&1,6: ❑ 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 0 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION // (BUILDER OR HOMEOWNER) L.c Name t o rGA j- S a �� f()h Telephone Number S d C`0 d Address �"� i A i kih e y S- License # C S— 0 C Z c,,¢c-,,, Il.L ,/yl� 0 Z � Home Improvement Contractor# �(v Q Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tkl- t 2 SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED -� t ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME f INSULATION i FIREPLACE ` ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDINGi DATE CLOSED OUT ASSOCIATION PLAN NO. 3 The Commonwealth of Massachusetts - Department of Industrial Accidents . Office of Invesdgations' 600,Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/PIumbers Applicant Information f Please Print Le ' ly Name(Business/Organizatiow'fndividual): LCAv rc., j— �%ci�7�G / '► Address: H i L 914 I h ys' Lcrv� c . City/State/Zip: Cc.,itclvl r!i-,_. /tl(., •02 03 Z Phone.#: CSo-0. 3 G (5o Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I *. have hired the sub-contractors 6. ❑New construction loyees(full and/or part-time). . .2. 1 am a sole proprietor or'partner- listed on the--attached sheet. T. Ej Remodeling ship and have no employees These sub-contractors have g. -❑Demolition working for me in any capacity. employees and-have workers' 9. Buildinj addition [No workers'•comp.•insurance comp.insurance.# ❑ . g required.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ` I-El Plumbmg repairs or additions myself. [No workers'cow, right of exemption per MGL " 12.❑Roof re airs insurance.required]t C. 152, §1(4), and we have.no. employees. [No workers' 13_�Other �� T6 comp.insurance required] Sl1JCo( �A(t.1LT *Any applicant•that checks box#1 must also fill out the section bellow showing their workers'wrnpensition policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-tontractors and state whether or not those entities have employees. If the sub-contractors have employers,they must provide their workers'comp.policy number. lam an employer that isproviding,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'iniposition 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'Offrce'`of Investigations of the DIA for insurance coverage verification I do hereby certi under t p ' s and eri es of perjury that the information provided above is true and correct Si afore: Date: .0 " G.` ` �• Phone Ffice only. Do.not write in this area, to be completed by city or town offLW, wne Permit/License# hority(circle one):Health '2.Building Departriment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector.son: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant ant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,-oral or written." An employer is defined as"an individual,partnership,association; corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or tiustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the gccupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"ever:y state or local licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings`in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti-actor(s)name(s),addresses)andphone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy-is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to btim leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The eommoawealth of Massachusetts Department of Indust dial Arradmts Office of Investigations 600 Washington Street Rcistan,MA 02111 Tel.#617-7274900 ext 406 or 1-877-MASSAFB :vised 11-22-06 Fax#617-727-774 J. www.mass.gQv/dla �: Town of Barnstable Regulatory ,services MARL Thomas F.Geller,Director Building D"ivisioII Tom Perry,Building Commissioner 200 Main Stcoct,Hya=is,MA 02601 www.town.barnstable rrta.us Office: 508-862-403 S Fax: 508-790-6230 Property 0 er Must ',Complete and Sign This Section If U5{ Builder - . I' v 6"5 , as Owner of tb.e subject property bemby airloHzz L(.�UE��� Q 1� to act on my beh4 in all matters relative to work authorized by tbis building permit application for. C� lzl�4� n (Address of Job SignaL�Sle of Owner _�_' _ f Date `_ print NTame c ti ore��G ��,� f If 'rope�ier;is applying for permit please complete the Home ownen'Liceuse Exemption Foria on the reverse side, Q:Fow�ts:owrtEr��ss�ox - • •. Office of'Consumer Affairs&'Bunn ss Regulation " ME'IMPROVEME'NT.CONTRACTOR e'glstration:.. 1§565 TYPe xpiratiorii -:7..2a120I; Individual LAUREN F STAPLEfON hr z; .r €` LAUREN STAPLETOt�� i C' 1 LAUREL CIRCLE xyp � 2c FF ; FORESTDALE,MA 02644;;,` Undersecretary Massachusetts Department of Public Safety .Board of Building Regulations and Standards Construction Supervisor License: CS-059182 LAUREN F STAPil;)ETO 414 PHINNEYS L ►NEa �, Centerville MA 03632 J..�... ,� W�� Expiration .II 06103/20' Commissioner e . d for indvidul use only License or registrationdate, If found,return to: before the expiration . Affairs and Business Regulation' Office of Consumer ' 10 Park Plaza-Suite 5170 Boston,MA 02116 ! l Not valid witho gnatu I } Massachusetts -Department of Public Safety i Board of Building Regulations and Standards Construction Super-,isor r i License: CS-059182 4 I Is I I,AUREN F STAPI,-)ETON ' 414 PHINNEYS L'ANEa 3 Centerville MA 0632 �,•G..� �y ,r,5��� Expiration 06/03/2014 rcommissioner T I':;L (AJ6 zq� t/p A�`J9 TOWN OF BARNSTABLE 2013 FED - ! F'j 4: 04 � ��• 7 rl-�` ins' �-.y In - ._ , 4. r-✓ V00- �v (;A Vr ..�� � VA; l J4.. Ut OF BARNSTABLE ZC13 FEB -1 l�tl 4• 04 D •z "1`9 °3� 10i YOU WISH TO OPEN A BUSINESS? , For Your Information: Business Certificates COST $3.0.00 for 4 years. A Business Certificate ONLY REGISTERS YOURAi (WHICH YOU MUST DO 'BY M.G.L. - it�does not. give you permission to operate). You NAME In the Town at 200 Main St., Hyannis. Take the completed form to the Town Clerk's must first obtain the necessar $j n the Business Certificate that is required by law. Office, 1'' Fl,, 367 Main St, Y $ atures on this form Hyannis, 0260 H a ) and e{ s� MA i(Now .E-(all r n_ Fill in please: .,_ TE DA : ,. , _-_. .,� F•-. APPLICANT'S { t. YOUR ti NAME:BUSINESS YOUR HOME AD RESS: TELEP ONE # /J>Jl Oa�G j NAME OF NEW BUSINESS C� Horne Tele hone Number: IS THIS A HOME OCCUPATION G4PC" _YES NO TYP OF BUSINESS Have you been given approval from the buildingsion? YES �� �� � ��12X�72.�J1 ADDRESS OF BUSINES NO MAP/PARCEL NUMBER � ' 02•d When starting z new business there are several .things you must do in order • Barnstable. This form is intended to assist you hi obtaining the information er to be in compliance with the rules and regulations Yarmouth Rd. & Main Street) to make sure you have the a ro ria g of the Town of mper you may need. You MUST GO TO 200 Main St. (corner of town. pp p te,permits and licenses required toilegally operate your business in this 7. BUILDING CONIMiSSIONER'S OF This individual has be E ` �-i�ri•fo ed of any p rmit requirements that pertain to this type of business. COMMENTS: Authorized Signature** _. 2. BOARD OF HEALTH This individual has bee vm�,°rme f the permit h requirements that pertain to this type of business. ^ • r lAr1��{� YP A COMMENTS: uthorized Signature** 3• CONSUMER AFFAIRS(LICENSING AUTHORITY) - This individual has bee informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: i'1 II•t1 f SGi 1{'S Oil r ` Town' of Barnstable Regulatorv.Servi`ces ` opsHe rod Thomas F. Gei16r;Director o .]Building Division. G BARNSTABLE, y MASS. x Tom Pcrry, Building.Commissioner. 200 Main Street,4 Hyannis, MA 0260( } avvvw.town.barnstable ma:us Office: 508-862-4038 _ Fax: .50M90-6230 Approved: Fee: rS, Perm it#: 2yl i b2 t 6( HOME OCCUPATION REGISTRATION Naive: i G»��7Z` M +Pliol e #: Address: ���u•/ ^ . :� �i �� 1�� Vr(l ge: 1'7( � '1J ' Naineof 13usitess:L1�—�1�=_ mow - �: Type of Iittsiuess:IA)uLpj ekku4 z ?7��E �4vI tl)/Lot: INTENT If is the intent of this section to allot theare5ideuts of the`home of Barnstable to offer tte a home occupation tNitllui single,family dwellings,-subject to the-provisions of sectiqu+1 A of Ithe%oniirk,ordut;ili e, provided that the activity shall not be discertiibie from outside the tlie'•e sl all be norincre tse Ili noise or odor;iio visual Atei-Rtior t6 the premises tvhicli 4toulclEsuggestaiiything,otliei tliaii a�residcntial use;no increase in traffic above'normal'resideritUdvolunles; and no increase in air orgrouiichi!ater liollutioii. , After registration«^itli;tfie Building Ir spec.tor,`a e.tistonmly ironic,occ•upation`sliall be'[m-mitted as ofyriklit suhjectwto the Followifig coliditrous • _iliev"activity is rimed on by the perm�tuei}t resident of t single faiiirly retiitlential do^e(lutg unit+locates(«ithiii that dwelling un1L.. ,. • Such use occupres;uo'm�re th il,400 squal-C feet of Space.°> • There are no exte'real altei ttioiis to the direlln"tg iiliuh are not customlry. 0 reside�ttual buildings' <ind tlicre is no outside evidelice of such use. Y• No traffic it ill be g'eueiateil'i'excess of rioi ni tl.residelitial volumes �. • $. "Elie use does iiot.involve_the production;of offensive noise,��bratibn, sn okt dust or oflter particular matter, odors,electrical distirrbance,,lieat,,ghue, huniirl ty or of]iet-objectiouitble eflects. • - rf"lien is.uo storage ciruse of toxic`oi liarlrclous riiaten,ds,.or [latirmable or esplosii c.u1, vials;in excess of • ioi o quantities. ide1 Anyieeo parking genemted by'suc(t use s1ia11 lrAtiet oat the saiue lot;t•olttaiuing the CLIS to I'll ary Home .Occupation,w not itI ill the requiredfront.yard, ' There is`rio exienoi stodge or display of materials or ecluipnic nt rl hUe are no c•oniinercial,vehicles related to fire Cusrciniaiy van or one prck=up'truck not to exceetl one toia c tpacify, and oue hailer not to eweed-20 feet ill leiitnh and'iiot to �. IJ exieeil l ti?es,pm ked oil the same lot containing the Custonmiy Home Occup;ihiitt. w ; $ �... ry . • `No sigrt shill be dish(tyed inclicatit>g the Custoni,iry Home'.Occu rttion. • If the Customuy Hinne"Occupation rs`llisted of a hoer lise.d as,t'buginess,the sfreef adch ess Shall [rot be iiic•litded. = No person shall be eniplciyed ui,Glie`.Custoii uy +I-loitte OCcup tlioit tt lie)is not a pcnu uru:rt'iesiilertt of"rite dwelling unit. ` 1, the uncle -ear(• ".,tit the._<be�te reshulioiis lbr riiy lrorrte'occ•upatiori I aill'rcgisterirlg. - Apphcan �OFTHE Tp�� Town of Barnstable Y *Permit# G 3 7 2— Rvpires 6 niontlis from issue date • y Reg ulator Services Fee ® w 6aRNsrnar.E, v� MASS. Thomas F.Geiler,Director 039. o Mpt" Building Division Tom Perry, Building Comnussioner 200 Main Street, Hyamus,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid ivilhout Red X-Press Imprint Map/parcel Number 0 Property Addres� LC ��`® �/S 2 Residential Value of Work 3 Ll( . Owner's Name&Address Gn- q k ` a© 13c>>C. Z Ff 1 1-iz n A t' Contractor's Named /Z�1 I�O yY1t` �!�"t��/� Q I1T Telephone Number yo2 Home Improvement Contractor License#(if applicable) lCO 7.1 0 Construction Supervisor's License#(if applicable) Ct5 orkman's Compensation Insurance Check one: ❑ lam a sole proprietor ❑ I the Homeowner have Worker's Compensation Insurance Insurance Company Name !► �L� '� t'Lt Gro. Workman's Comp.Policy# c� aJ`ya a Permit Request(check box) Melre-roof(stripping old shingles) X-PRESS PERMIT ❑Re-roof(not stripping. Going over existing layers of roof) ' SEP 0 9 2002 ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) TOWN OF BARNSTABLE ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg -x Revised 12 t 901 I