HomeMy WebLinkAbout0080 QUAKER ROAD 0 od-
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
10-29-15 <
Town of Barnstable `1 ,
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601 w
RE: Building Permit#201506633
TO: Building Inspector(s), ;
This affidavit is to certify that all work completed for 80 Quaker Road,Hyannis has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements. ,
Sincerely,
William McCluskey
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
8 TO s ' J " A "IV�Q
Map 3 Parcel a 9 , I STI-BL Application 4t y
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Project Street Address fl ( ink,i e,r
Village ann ,s
�ex,,J&
�Owner Y e rCe 'ir& Address OL-roP
Telephone So B - 3 ��3
Permit Request �- , d [ 4 i ,
e {. - 13 �,� [ 'r kt Inc
l tin 4 ex a A J 11Ar Ad"
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 16000 Construction Type
it
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 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 A thorization ❑ Appeal # Recorded ❑
Commercial ❑Yes No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
_(BUILDER OR HOMEOWNER)
Name Mc,C kr/ C.5 �A C Telephone Number
_� �I
Address License # --�-� I(A r
S, YAEMOIA4 MA Home Improvement Contractor#
Email Worker's Compensation # Ww -Y) �u
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO !`-mil ®vA'Al
SIGNATURE DATE I
r. FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
,4 PLUMBING: ROUGH FINAL
i �
GAS: ROUGH FINAL
FINAL BUILDING
4 DATE CLOSED OUT
ASSOCIATION PLAN NO.
f
LIS
The Commonwealth of Massachusetts
- . Department of Industrial Accidents
1 Congress Street,,Suite 100
Boston,MA 02114-2.017
www mass gov1dia
NN-'orkers'Compensation.Insurance Affidavit:Builders/.ContractorslElectrcianslPlumbers.
TO BE FILED WITH THE.PERMITTING AUTHORITY.
Apoticant Information Please Print Legibly .
Name(Business/organization/individual):Cape Save Inc
Address:7-D Huntington Avenue
City/State/Zip:South Yarmouth,MA 02664 phone#.508-398-0398
Are you an employer?Check the appropriate box: - ,t Type Of project(required):
1. ✓ I am a employer with 20 employees(full andlo;.part-time)," {
0 _ 7. .�New construction,
2.❑I am a sole:proprietor or partnership and have no employees working for me in 8; D Remodeling
any capacity.[No workers'comp.insurance required.) t
3.F1 I am a homeowner doing all work myself.-[No workers`co insurance ] 9. ❑Demolition
mp. required. t--'
10 E Building addition -
4.O I am a homeowner and will be hiring contractors to:conduct all work on my property..I will r '
ensure that all contractors either have workers'compensation insurance or are sole I Lo Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing.repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1.3:o ROOF repairs
These.sub-contractors have employees and have workers'comp.insurance 1
I
6.�We are a corporation its officers have exercised their right of.exemption per MGL c 14. Other, nsulation-. '.
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. -
t Homeowners who submit this aflidavitindicating.they are doing all,work and then hire outside contractors must submit anew affidavit indicating-such.
*Contractors that check this box must'attached'an additional sheet showingthe 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 iob.site,
information.
Insurance Company Name:Wesco Insurance Company
. WWC31Poliicy#or Self-ins.Lic.# ,36274 - Expiration Date-04lQ9/2016 � ='
Job Site Address: 80 Quaker Road - City/State/Zip: Hyannis
Attach a copy of the workers'compensation 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 imp.nsonment,.:as well.as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250:00 a _
day against the violator.A,-copy.of this statement:may be:forwarded to the Office of Investigations of the DIA.for insurance
coverage verification.
I do hereby certify iunder lh pains attd penalties of perjury
that the information provided above is true and correct
Signature. Date: 10/6/2015
Phone#:508.-398-0398
Official use only. Do not write.in this area,to be completed by city or town official,
City or Town PermitlLicense#
Issuing,Authority(circle one):
' 1.Board of Health 2.Building,Department 3.City/Town Clerk 4.Electrical.Inspector S.Plumbing.Inspector
6.Other.
Contact Person:.
Phone:
Aca c� CEI TIFICATE OF, LIA�t 1 DATE(MMiDDrrM
...--- L TY IN$URANCE 13/24/2015
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 'ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES HOT CONSTITUTE A•CONTRACT BETWEEN 11iE ISSUING INSURER(S),.AUTHORIZED
REPRESENTATIVE,'OR PRODUCER;AND THE CERTIFICATEiHOLDER.:'
IMPORTANT." U the cettlticate hal ter(s aro Ap0171, A,L INSURED,the poli+-p(Ies)must be endorsed. ItSUBRGGATION 18 WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A:statement on this certificate does:not confer Tights to the
certificate hoiderin lieu ofsUch 6ido[sement s.
PRODUCER NAME: Colleen CrOWley
Risk strategies Gomo�pany PHONE: (7$3)986-4400 FAX;
C No:t781f963-4420
15 Pacella Park Drive �~ I' '.ccr4.wley@risk-strateg3*.es.COM
Suite 240 - INSURERS AFFORRDINGCOUERAG� NAIL
Randolph- MA 02 ER tN9u rNsuRERA:Selective. Ins..,.. aF America
RED .
INSURERS Alilaaca Financial Alliance 0212
Cape Save,' Inc - INSURERc:1462;co ,=assurance. 8n
7 D Huntington Ave
INSURER E:
SButh lFaeu E fl2G64'
rnsuRERF. .
COVERAGES - CERTIFlCATE NUM13ER-,CLI532g31501 REVISION,NUIV88ER
Ti IS IS TO=Cf#iT7fY TLiAT i#f POLICIES Of iNSUfiANCE`LINED'BELOW-HAVE SEEN:ISSUED.TO THE iNSURED'NAMED Ai3'OVE'FOR TH'E POLI'CY'PEAIOD
MOICATE'a TANOINB ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER.DOCUMENT'WMi RESPECT TO WHICH'THIS
CERTIFICATE MAY BE ISSUED.OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO ALL THE TERMS,.
D(CLUSIONSAND CONDITIONS OF SUCH.POLICIES.Limits sSHOM:MAYH.AVE BEEN`REDUCED BY PAID CLAIMS.
LTR TYPE.OFINSURANCE- fADDL
, %' OLICYEFF .POLLCYEXP
POLICY NUMBER rtm MMf LIMITS
GENERAL-LIABILITY =
EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY D
PREMISE, Ea ocai rence $ 100,066
A GIAIMSMADE a.00CUR 1994480 6/16/2014 0/16/2015 FAEDl7tP(Any oho person) g' 10,000
PERSONAL B,ADV tWLIRY $
GENERAL AGGREGATE $ 2'1.000,000
GEN'LAGGREGATE LIMff APPLIES PER_PRO PRODUCTS-COMP/OPAGG $ 2,00.0,000
POLICY X X LOC $
AUTOMOBILE LIABILITY
Ee10
aocitlT 1 000- 000
.B. ANY AUTO BODILY INJURY(Per peTcon} $
TOSDTOESLED 4b796fi00. 1/6/2014 1/6/2015 ,BODILYfNJURY(Peracatlent) $
+ NON91M lEL3 f2TYDAfviAi,£
X HIRED.AUTOS AUTOS RROPE
X UMBRELLA LIAR" ]�
OCCUR EACH OCCURRENCE $ i,000,000
EXCESSLIAB CAIMS0ADE AGGREGATE $ 1,000,000
DED RETENTION NS 1994484 0/1612014 0/x¢(7035
C` WORKERSCOMF0MTIQN _ $
ANDEMPIOYERS'UAEtLITY fficr� YttcTuded for X vticsraru D H-
ER
ANY PRoPRIETORIPARTt E6iI ECUTWE YrN overage
01`nCERWEMBFR EXCLU O? " Q N JA.: EL:EACH ACCIDENT $ 500 O00
(Mandatory in NH} 13627$ /'9/2D1'5 /9/2016
Ms,desaihe under i.,+I, E.L.DISEASE:- 4 EMPLOYE 4 5'OO 000
CRIRTION OF OPERATIONS be'ow -
EIJASEASE-POLICYLIMIT 14. 5:00 000
SCRIPno;OF OP
DE ERATIONSI LOCATIONS!VEHICLES,(Attnh ACORD 101,Additlopar Remarks Schedule,:it moro space is requrrcd)
Issued as eivideiice of.::+'*+�++•^
Thelsch Eng"neer's ing, IAC., is listed as. addit osxal insured.as,respects>Oeaera7 Liao lzt
cozxtract
y:as .xequa.red.by
Written
CERTIFICATE HOLDER
CANCELLATION
IDaOIIg@crape 7 lgh#c+ act; I H ULD ANY OF THE ABOVE`DES fflaeo Pt}LtC(ES BE CAN! 1 Lt'D BEFORE
THE EXPIRAT(OPI Di9TE THEREOF, NOTICE WILL. BE DELIVERED IN
Cape Iaiciht C=Vaet - ACCORDANCE WITH:THEPOLICY PROM okO .
Atta; t rgaret.sonr..
p.0 :box �a7/SCK - 'AUTHORIzEDREPREsENrn71vE - .. ...
3135 Main Strut
Barnstable
chael Christi an/GLC
RirORi7 (2D10I05j Cott 2010ACORR CMI:11 ATIflAi Ali rig hts reserved..INS025(zoroos};ot The ACORD name and logo are registered marks of ACORD
a
Vil
HOME OWNER WEATHERIZATION WORK PERMIT:
PLEASE COMPLETE AND SIGN THIS FORM AS
THE APPLICANT HOMEOWNER.
I Re-6 r'C'fF c (d hereby consent to and agree that weatherization work
may be done by the Weatherization Program of Housing Assistance Corporation on the property
located at:
The weatherization work done will be based on programmatic priorities and availability of
funding and it may include all or some of the following measures:
Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation
measures In consideration of the weatherization work to be done at my home I agree to the
following:
I
1. I give permisslon'to Hbu'sing Assistance Corporation the property with such equipment i
and materials as may be necessary to perform weatherization.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for,
the weatherized unit on an ongoing basis for no more than five (5) years after the
weatherization work is completed.
I have read the provisions of this agreement and give my consent.
Home Owner(signature) ��,a t4 7M c
Home Owner email: Da$e�-.... 06-,9-3_ 1 JS
Agent:(signature) f4AA Date:
Weatherization Contractors "
Adam T Inc Cape Save
All Cape Energy rontier olutions
Alternative Weatherization Lohr Home Improvement
Building Science Construction Resolution Energy
Cape Cod Insulation Tupper Construction
e k
-
C��f
Fell Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registrati6n
9 Registration: 171380
Type: Corporation
Expiration: 3/14/2016 Tr# 249649
CAPE SAVE INC. � �
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE "
SOUTH YARMOUTH, MA 02664 ----- -- ----
Update Address and return card.Mark reason for change.
r
SCA 1 C4 20M-05n1 E] Address 0 Renewal 12 Employment Lost Card
���r Ur rnmu,�rueul�vf�?l�raiarrirc.,ei/.� _
• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 4171380 Type: Office of Consumer Affairs and Business Regulation
V-E
xpiration 3/74/2016 Corporation10 Park Plaza-Suite 5170
--C-�� F.. Boston,MA 02116 E
CAPE SAVE INC. i -
WILLIAM McCLUSKEYi
asUS
:
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH,MAY02664 Undersecretary Not vali thout signature
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
a�0i5+triifiiirri.oune,.riau, o.�,c¢;n,e,• Rss�ggi��. _ - -
License: CSSL 102776
WILLIAW MC Ct;I
37 NAUSET ROAiD IIF
West Yarmouth MA
Expiration
-Commissioner .0612812017
i
Town of Barnstable
� e tom,
Regulatory Services
1% Richard V.Scali,Director
1STAB Building DivisionBMWM
_
9 MASS. $ Tom Perry,Building Commissioner
i639 �0
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax:50A-790-6230
Approved: 77
Fee: —
Permit#: o?d 1 V(J q S a�—
HOME OCCUPATION REGISTRATION
_-----_..._Date Orl-I
Name: RenoAa LA �errel ro Phone#:
Address: go Qi1Ae- Village:
Name of Business: 2M1 40-
1 5 etoot hQ e ✓l C-e
Type of Business: e 1. n(n Map/Lot:
ell
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 storge 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 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: 4 QMau), 4 119 WLQ Date:
Homeoc.doc Rev.103113
YOU WISH TO OPEN,A BUSINESS?
For Your Information: 'Business certificates (cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which,you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office,.1st FI., 367 Main St., Hyannis MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: n17 -ALA- a�ol� Fill in please:
bF r APPLICANT'S YOUR NAME/S:
BUSINESS YOUR HOME ADDRESS: '
yV �J
TELEPHONE # Home Telephone Number 508'02 q -31 1
NAME OF CORPO{ ATIOIV;. `. .. . S
SS
OF BUSIVES$NAME OF NEW BUSINE TYPE C'TPcz t r)c�
IS THIS A HOME OCCUR ION? YES
X NO.
ADI]RESS OF BUS.INESSL'P : ...R MApPARCEL NUMBER ' Z
(Assessing] .
When starting a new business there are several things you must do in order to he 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. -Y (corner o- _ ( r f 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 COMMISSIONER'S
This individual has been' o d of an ermit requirements that pertain to this type of burin
J5T COMPLY WITH HOME OCCUPATION
Aut r" d Signature** RULES.AND REGULATIONS. FAILURE TO
COMMENTS: nC r,
MAY
IN FINES.
2. BOARD OF HEALTH
This individual h been inf m of per it requirements that pertain to this type of business.,
MUST COMY WITH ALL
Authorize/ ignature** HAYAROOUS MATERIALS MUU4TI0�.
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:
Town of Barnstable
regulatory•Services
oFtt+e ram,
Q. Thomas F. Geiler,'Director
r
Building Division
x BARNSTABLE,
Mass. Tom-Pert Buildin Com
missioner
v Y� g _
�prF0
3ta` _ 200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
' Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: P___Y , —
Permit#: C�_ ()
HOME OCCUPATION REGISTRATION`
Date: nq-
Nanie: Re- Q �•- �� (rb ��� 1'lione 9: �Q '. � � —I '3Ll ,.
Address: �_ i I Dt 1\ i�"��� Village:
Name of Business I\_e__0 4Q a =- -
lype of liusiitess: �. Map/Lot: { fl-. "
INTENT: It is the intent of this section to tiloia the residents of the"hoivu of I3anistal>le.to"operate a home occupation
iirithin single family dwellings,subject to the provisions of Section 4.-1.4 of the Goiung ordinance, pro�Rded that Elie activity
shall not be discernible front outside the,'dwelling: tliere<shall be no increase in noise or odor;no Visual altera.tioti to the
premises Which wouId suggest aitytliing other than a residential use;no increase in traffic-nave nol nal resicletitiat\olutitEs;
and no increase in air or groundwater pollution..
After registration tiritli the Building Inspector,it.customary ltoine occupation shall be permitted as of right subject to the
following c•oriclitions:
• The activity_is camecl on.by lire permanent resident of a single^family residential dia^ellittg unit, located witluii
that chiselling unit.
•, Such use occupies no more than 400 sdu u:e Eeet of space.
• There are no external adte.ratious to the dwelling.ivhich are not customary in residential buildings,and there is
no outside evidence of such use,
•. No traffic"iirillbe generated in excess ofhornaal iesideutial vohuates.
• The-use does not involve the production-of olferisive noise,iribr;dioii,siuokek dust or oilier particular matter,
oelors,'e'lecfricat disturbance, heat,glare, huniidity or other ohjectiouable effects,
There is no storage or use offcixic or hazardous ruaterials,or Ilammable or explosive materials, in excess of
normid liouseliold quantities.
• Any need for parking generated by stick use shall be niet oil the same lot'co ntaiuing the Customary Honie
Occupation,and not within the required front yard.
• There is no exterior storage oi•display of materials or equipment.
• There are no commercial vehicles related-to [lie+Customary Honie`Occu pat loll,other tlian one van or one
pickup truck not to exceed one ton capacity,.and one ti tiler not to exceed 20 feet iu length and not to.
exceed 4 tires,parked on the same lot containing the Cusfomaiy Horne Occul.ritiou.
• No sigh shall be displa}7ed indicating the Customary HoniE:'Occupation.
• .If the.Customary Home Oecup;rfiott is listed or advertised as a.business,the stieef address shall riot be
included:
• No;person shalt be e'niplged in the Customai_Home Occulrrtioii r�lut is twt a perniaucnt:residei�t of the
dwelling unit.
[, the undersigned;have read aiacl.agi ee mth the above restrictions for my home occup itioti I ani re�i5tering.
Date:
Applicant: Q ' fl.. 1111't1 o ilk
YOU WISH TO OPEN A BUSINESS?
For Your nformation: 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 first obtain the necessary signatures on this form
at 2'00 Main St.,,Hyannis. Take the completed form to the Town Clerk's Office, 1'' FI., 367 Main St., Hyannis, MA 02601(fown Hall) and get
the Business Certificate that is required by law. .
DATE: O77— Oct-- I0
Fill in please:
APPLICANT'S YOUR NAME: (Y1
�' t rL BUSINESS' YOUR.HONIE ADDRESS:
�
5b9.0 3y36 H�a�,nis rn 0 6�
.�
TELEPHONE # . .Home Telephone Number:
NAME OF NEW. BUSINESS ` 2n a 5 C'l nn in Cj V� ce TYPE OF BUSINESS eGin, n ca
IS THIS A HOME OCCUPATION? X '. -YES7.
Have you been given.approval from the building division? YES 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
4} Barnstable.. This form is intended to assist you i'n obtaining the in#ormation. 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 COMMISSIONER'S OFFICE
This individual has informed ypermit requirements that pertain to.this type of business..
t rized Signatur ** MUST COMPLY WITH HOME OCCUPATION
COMMENTS: - RULES.AND REGULATIONS. FAILURE TO
Cow
2: BOARD OF HEALTH
This individual a ormed oft `r ements that pertain to this type of business.
Authorized Signature** MUST COMPP.YVMALL
COMMENTS: H'A7ARDOUS MATERIALS REGU m
I_ATV,1c
3. CONSUMER;AFFAIRS (LICENSING UT.HORITY)
This individual has boe infor e o the licensing
requirements that pertain to tFiis type of business
Authorized Signature**
COMMENTS: .
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 the Town
.(WHICH YOU MUST DO BY M.G.L. - it does not give you Aermission to operate). You must first obtain the necessary signatures on this form
.at 200 Main St.,' Hyannis. Take the completed form to the Town Clerk's Office, I" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get
the Business Certificate that is required by law.
DATE: C)r7 O 8- 10
Fill in please::
s i APPLICANT'S YOUR NAME:
�x fYl. r
z µ BUSINESS YOUR HOME ADDRESS:
annI5 rn� Oa6n I
TELEPHONE # Home Telephone Number:
NAME OF NEW BUSINESS n 615 Q .nninQ ut ce TYPE OF BUSINESS. C'le'ar4,-
IS THIS A HOME OCCUPATION?. )C YES . O d
Have you been'given approval from the building division. YES NO
ADDRESS OF BUSINESS: f 'MAP/PARCEL NUMBER I —.26i
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.COMMISSIONER'S OFFICE .
This individual has inforrrmed o y permit requirements that pertain to this.type of business.
t rized Signatur **
COMMENTS: J
2 ,'BOARD OF HEALTH
This individual a informed of t r ements'that pertain to this type of business. r
Authorized Signature** C0WYilMllAM.
COMMENTS: WA7ARDOUS MATERIALS REGUI_A,Tm�ic
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has b e infor e o the licensin requirements that pertain to this type of business: -g
Authorized Signature**
COMMENTS:
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.ALL3 IUNK CARS&-METALS
FERREIRA S .508 771 1129;: `
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WhitePages
2 Results
Tim Ferreira
w 54 Cedar St
Hyannis, MA
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Job: Ferreira Const Ste Clean...
Ferreiras
31 Thornton Dr, Ste B
Hyannis, MA
http://www.whitepages.com/search/ReversePhone?full_phone=508=771-1129 10/19/2009.
IKE Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
+ BAMSTAsc.E.
s6 9.
�• Building Division
�0
Tom Perry Building Commissioner
200 Main Street, Hyannis,MA 02601
office: 508-862-403 8 Fax: 508-790-623 0
COMPLAINVINQUIRY REPORT_
Dater Reeld by:
Complaint Name: �7 p ( ��' C�' S Map/Parcel
Location `
Address: A r �
Originator Name:
Street:
v
Village: a 5 State:j��Q Zip: b 6 0)
Telephone:
Complaint Description: Mf 6LLS �-b W;�rt
1�0. 5
FOR OFFICE USE ONLY
nspector's Action/Comments Date: Inspector:
Aditional Info.Attached
0-forms:conm1aint