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HomeMy WebLinkAbout0107 RIDGEWOOD AVENUE �� � � �� �. �, ��� i l� V _� � /o T ,� .� ,r /- .��� (� r �9 � � �� . �� ��� _ , the (6� CC', oFtHe rqy Town of Barnstable Building Department Services 131jlt /i/G ELA MSMEZ, + Brian Florence,CBO Building Commissioner FEB 200 Main Street,Hyannis,MA 02601 - TO 23 ?018 www.town.barnstable.maxs �NO�Bq���J� I Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, 1267ayt lt4v� A 7)rvo , Construction Supervisor License G 2J'OV,, hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # t -/�— 9l , issued to (property address) 107 21 t>�g v,bD4�2 ' on - 201_. I also certify that on Z- Z-0 6IV , 201_L!�-, I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building.Division. LICENSE HOLDER DATE q/forms/newcontr reference R-5 780 CMR rev:08/23/17 YOU WISW TO OPEN A BUSINESS? R° 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 Off[ce, 1st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by-law.' DATE: � 3 0 f Fill in please: APPLICANT'S. YOUR NAME/S: n /+� BUSINESS YOUR HOME ADDRESS: - Sa I' .:.,:1 TELEPHONE # Home Telephone Number e IQ �YYl rti^� ." / NAME OFF CORPORATION: I NAME OF-NEW BUSINESS TtPE OF BUSINESS IS THIS A HOME OCCUPATION? YES ND (Assessing) ADDRESS OF BUSINESS•. MAP/PARCEL NUMBER_ 9) When starting a. new business there are several things you m.ust 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. MUST COMPLY WITH HOME OCCUPATION 1. BUILDING COM 4han 'S OFFI RULES AND REGULATIONS, FAILURE TO This individ al inf r d f n er requirements that pertain to this type of business. COMPLY MAY RESULT 1N FWES, ed Signature,* 0 MENT . h ` 2. BOARD O EALTH This in ividual 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: I Town of Barnstable Building Department Services Op THE ip� 1,o Brian Florence,CBO Building Commissioner saxxsras[e, ' 200 Main Street,Hyannis,MA 02601 Mass. 1639• `0� www.town.barnstable.ma.us AjE UAA�A Office: 508-862-4038 Fax: 508-790-6230 Approved- Fee: Permit#: HOME OCCUPATION REGISTRATION I?ate: hl X17 Name: f/�� ��9'VCG/I S� � Phone#: Address: L07_�QT,(` ,.P_ [.t/Q2�AVf'i Villag.e• ,. Name of Business:_OT11ct y y'1zLL4f - 'q Q�Q l0G1 Type of Business: 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 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: e 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 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. I,the undersigned, read ' a e he a e restrictions for my home occupation I am regis eri/ng. Applicant: Date: /� lo 17 Homeoc.doc Rev.06/20/16 - .. ..... .......„,.-—......,,,...v:: ..Har.::.. ..,..,_. .m a.w:,.xo'•'..::,,v:cY.".'.3.'-Y L - L x. u .1 .... .s. .... ......« ........ ,i.,.O..-. ''...'::alp 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: AU I�,t ao I, Fill in please: �fr t, APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: O .TELEPHONE # Home Telephone Number p #: E-MAIL: , C NAME OF CORPORATION: NAME OF-NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO (� ADDRESS OF BUSINESS. 0 d MAP/PARCEL NUMBER 3'G y —U� d [Assessing] c4 Y1 r1 i VVAA <na-G G When starting a new business there re several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. Tins form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. S Main Street) to snake sure you have the.appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER' OFF MUST COMPLY WITH HOME OCCUPATION This individual has be fo d f ny perm' iremerits that pertain to-this type��Sllness. RULES AND REGULATIONS, FAILURE TO uthorized Signatu ** COMPLY MAY RESULT IN FINES. COMMENTS.. — 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: Town of Barnstable 1HE Regulatory Services �F Tq�,_ Richard V. Scali,Director snaxsznsi.e, ; Building Division v MAN. $ Paul Roma,Building Commissioner 1639. ♦0 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: ' Fee: b 2 Permit#: HOME OCCUPATION REGISTRATION • Date:_AJ M Name: 42)V— Phone#: �� l Address: � J(r Village: Name of Business:�P� Type of Business: Map/Lot: Z „C 9_, d Q1 INTENT: It is the intent of is 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 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. 1,the undersigned;have read an ith the abov restrictions for my home occupation I am registering. / Applicant: Date: T Homeoc.doc Rev.06/20A6 Giangregorio, Robin From: McKean, Thomas Sent: Wednesday, January 24, 2007 11:08 AM To: Palkoski, Christine Cc: Giangregorio, Robin Subject: 107 Ridgewood Avenue Hi Christine, Recall that a few months ago, you asked us to communicate any concerns or questions about the parking area size limitations in the Rental Property Ordinance. To date,we have been consistently enforcing this Ordinance and we have had several success stories (i.e 127 Bristol Ave.). Without it, we would not have been able to order landlords to reduce pavement and parking on significantly large portions of front yards. However, here is one case that has been a problem for us in regards to enforcement: On November 27, 2006, we sent an order letter to the owner, Richard Valero, to correct a violation of more than 25% parking in the front yard area (along with multiple housing violations observed). The stoned driveway is U-shaped with an additional stone drive through the middle. Also, there is additional parking on the left side beneath some trees. The owner indicated that he does not want to reduce the parking area size because he stated people use it for parking their vehicles while they travel to Nantucket. Late last week, I informed Tom Geiler that the owner failed to comply with the order. Mr. Geiler instructed us to issue a written warning notice to the owner. We want to be able to show the court magistrate that we gave the owner sufficient notice and warning before we start issuing any tickets. On Monday, Tim O'Connell mailed the written warning notice to Mr. Valero. To date, the owner has not complied with the order. Today, Mr. Valero called Health Inspector Timothy O'Connell and claimed he-is protected by zoning and will be hiring lawyers to fight this. I asked Tom Perry about this and was immediately informed that this is residentially zoned. Therefore, there is no exemption here. There are a total of four dwellings there on two parcels. One dwelling (on the far right side)does not have any frontage on the street. The main house has two bedrooms, the left house has one bedroom, the right cottage has one bedroom (NOTE: This structure was a garage in the early 1980's and there are no building permits on file anywhere for the conversion to a cottage)and the far right structure has two bedrooms, totaling six bedrooms on these two parcels sharing the same driveways and parking areas. Thus, ten vehicles would be allowed according to our Comprehensive Occupancy Ordinance. If you get a chance, will you please view an aerial photograph or drive by the property and let me know what your opinion is on this one? The next step will be to issue non-criminal ticket citation(s). 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application 6 II �p1 Health Division NCa Date Issued ' looec Conservation Division 1�16 Application S Planning Dept. M�� �NS�� +�� Permit Fee Date Definitive Plan Approved by Planning Board ,,nA T\ `` Historic - OKH _ Preservation/ Hyannis Project Street Address 10 7 fZ pGE woo v, Avg Village H1 A-AltV/S Owner ?2, A,,-4 VA L 6Ro Address 6o oxa souvµ Ry N, ,V7•rr`rCr_ Telephone .sosr •zZ V- Z3 q 7 Permit Request W ATeP_ N>.Nm AC,-&: 2c-,ova w��-45 CG wed 1 l�►d��'1 ti. -k-- RAP i� R¢t�;v� � Tz�'�►-� esra P�r'p cA g,•v�� -� 'RZ � Square feet: 1 st floor: existing 2cc proposed 2nd floor: existing T-- proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A SO 0 -14-Construction Type. Lot Size Grandfathered: ®'Yes X No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4 o On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full Or Crawl ❑Walkout XOther Sc-Ad c:).v GR.A oc Basement Finished Area(sq.ft.) MA Basement Unfinished Area (sq.ft) A04- Number of Baths: Full: existing 1 new Half: existing new Number of Bedrooms: I existing —new Total Room Count (not including baths): existing I new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil )0 Electric ❑ Other Central Air: ❑Yes WNo 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 WNo If yes, site plan review# Current Use CaT *rGE Kcry r Proposed Use SA*vr- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) MtiaM,qrLr,u� Name 'S k,., 21s 6 Telephone Number 7 97- 9 S 3 - $12 S Address Po Qox 202. License # 7"7 Er)5'r !9A-►UAwic Home Improvement Contractor# /400 37 Email TP N►er_> © <no inn<,+c r , iVsT Worker's Compensation # 6 z ZH$Z.E 96 YVS7 /S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1ao�T��C�� '�K yyl�S7'ZSYtf SIGNATURE ��G DATE 3-2 Z- /� r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I , DATE CLOSED OUT ASSOCIATION PLAN NO. r ne Commorrrveakh of-Maysadtusetts ' . DeparWrerrt ef'lfiukYbid-tccidents Office of'1mws*atie= �r 600 Washbigion Street m Boston,4 02HI wipti.:it asmgorldia r 'Workers' Campensatian Insurance Af12.davit:Bgildex-./Contractars/EIectricians/Plumbers Applicant Infarma{ an Please Print F,egi Name r�;rrP�c anizationllndi dual} Su of(� i'b� �-rZrrtiaT m.,, ' Address: Qo Cox �6Z CityT/Statc/Zig Phone Are you an employer?C;hech,the appropriate bon Type of project(required): �. am a general tt d I conracor an p ]ect egmi�d}: I.KI am a employes with ❑I 6. ❑New construction employees(full and/or part-time)-* have lured the sub-contractors 2.❑ I am a sole proprietor or partner- listed onthe attached sheet 7. Remodeling ship and have no employees' These sub-contractors have g• ❑Demolition w g for roe in an r employees and have Wodlers' , Y c its 9. ❑Building additioa [No workers'comp.amm-a ce comp.insucanml required.] 5. ❑ We are a corporation and its 10:❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work of have exercised their 1L❑Flumbingrepairs or additions my [N8 workers' - right of exemption per MGL 12.❑Roof repairs 152,�14 ' rnc�rras�re retluired.]i C. { k and we have no employees.[No workers' 13.�f?ther i,.�g try t�rva R 6 comp_insurance required-) *Any WHcmt&at cheda box#1 mast also fM out the sectionbeTowshowing their vM&EXe campeoutiaupoTuy iMhMna oat- #Hamemners who submit do of uhnff=&catiag tky are daiag allpro t sad thenbffine outsidecontractorsmust submit a newaffidavit iodicaaoo sack. fCon=ctors ffW rhxk this boa must attached an additional shed shouting the name of the sub-contactors•xad state whether or not-hose entities hxm empim em If the sob-contractoeshwe mnpIcyee%they xmutprovide their workea'tomp.poRU number. I am an employwr that ispr4nidfng nrarkers congwuahori inmirancefor my employees Below is ripe policy anti jab site ircfar�riaffors - -Insurance Company f+YVI�Ct►C+�Ytu Z M Rit N Policy.or Self-ins.Lic•9 6 Z Z.�A 8 2 re 94,HV 37 /S Expiration Date: t//-Z-9 /b i Job Site Addresw 1 dM !Z 1�D/� oos AwC CitylStwwzip: ki ti kwpyI S Attach a copy of the workers'.co®.pensationponey dedaaration page(showing the policy number and respiration date). . Failure to secure coverage as required.under Se-ctioa 25A of MGL G:1572 can lead to the imposition of criminal penalties of a fine up to S1,5OaOD anelar one-year imprisonment,as wen as chil peaahies.ia the form of i STOP WORK ORDERaiad a EM of up to$r250-00 a day against the-uiolatcr. Be adsdsed that a copy of this statement may be Ex yarded to the Office of Investigations of the DIA for insuranm coverage verification. I'dio hereby cetfify render e pauis are eal fes of'petfury that Me informadwspratided abm e is bare and carrect Signature: Date-' 3- 22-/a . Phone ik J$1- !j S 3- 8/2,57- O dal use only.-Do seat write in Refs area,to be completed by city artnwn o,oiciat City or Iowa: PermiitUcense# Issuing Authority(drde one): L Board of wealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Tastrnctions r: hfa& ac;bc=ctfS General Laws chapter 152 regoaes aII eupIoyers'to provide woIkers'compensation for their employes. pmMumattD this sue,an ploy=is defined as."__sveryPerson.m file service of another under any contract of hire, express or implied,oral or wn t-eII." An mTloyer is defined as"an individual,partamsbip,assodadon,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterpa e,,and including the legal representatives of a deceased employer,or the receirver'or trustee of an in.&Mdnal,partnmanhip,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;occupant of the - dwelImg house of m2omer who employs persons tD do maintenance,construr i on or repair work on such dwelling house or on the grounds or bm7d"mg appm-tenaatthereto shallnotbmanse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local)licensing agency shall withhold fhe issuance or renewal of a Iicerise or permit to operate a business or to construct bmldia gs m the comm onwealth for=Y " evidence of coin Rance with the hmmranca.covexage required applicant vPho has notprodnced acceptable evrd p Additionally,MGL chapter152, §25C( stains`Neiher the commgnv.malb nor any ofrts poIificalsubdivisio ns shall e;ntPS into any contact for the p erfonmanm ofpublic woikurtl fable evidence of compliancevrith he insrance. this tPr have been {ented to the confracting ax�hozify." _ requiem � P� Applicants , Please fill oirt tb.e worker's' compensation affidavit completely,by cb ldag the boxes apply to your situation and,if necessary,supply sub-contractors)nam*), addresses)and phone numbers) along with their certificates)of insmance. Limited Liability Companies(LLC)or Limited Liability Partnemhips(LLP)with no employees other than the members or partners,are not required to can:y workers'compensation insurance Nan LLC'or LLP does have empIoyee s, a policy is reputed. Be advised that this aff davit maybe sub���to the Department of Indusft-W Accidents for confamaiion of insurance coverage_ Also Be sure to sign and date the affidavit. The affidavit should be retained to-dje city or town that the application for the permit or license is being requested,not the Department of Lndnstrial A cmdemts. Should you have any gnesti ons regan3ing the law or if you are required to obtain a workers' compensation policy,please-caa&_-Department at the number]isted below. Self-mmurd campanies should enter tbeir self-fismance license amber on the appropriate line. City or Town Officials t Please be smm,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 pemlb'JIicrose number which will be used as a reference number. In addition,an applicant that must submit multiple permif/Hcens5 applicatims in any given year,need only submit one affidavit indiratiag cent p olicy iuf� ation Cif necessary)and under"Job Site Address"the applicant sho-1Id write"aII locations a (may or town)_"A copy of the•affidavit that has been officially stamped or nmked bythe city or town may be provided to the applicant as proof that a valid affidavit is on file for fu tine permits or licenses- A new affidavit must be,filled ovt eia.ch year.Where a home owner or citizen is obtaining a license or peffiit not related to any business or commm-ial vemse (Le. a dog license or permit to bum leaves etc.)said person is NOT reqaj�ed to complete this affidavit The Office of Investigations would hke 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: T7he CG.zEaQaWattlr of Masschnattfg ' Degait nent of Itidustdd Aocidenta 600 wasbh$GI, t ��au�IYfA E ],11 - Tf,-L 4#617 727-49W rxt 4.06 or 1-977-MASSAFE Fax 617 727 774 WW revised 4-24-07 MR S5 gQgfd f Mee of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR e istration: 9 � 1600 7 -1, Type. Ezptration:.76f19/2016 a Supple nt SUNRISE RESTORATION COMPANY ` t :PETER MEOMARTINO; .; P.O.BOX 802 y't.SANDWICH,MA 02537 ftn`dersecretary T7,' T , PAassachusetts -Department of Public Safet�t ''Board of Building Regulations and Standards't , Construction Supervisor • License: CS-025077 t PETER C MEOMATINO 29 BOARDLEY RD g w Sandwich MA 02363 r - r- r 554,. "tor- Expitation Commissioner 04/12/2016' ACORD® r ATE(MM/DD/YYYY) CERTIFI CATE OF LIABILITY INSURANCE 12/28/2015 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 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(ies)must 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: EIIysia Morels THE INSURANCE AGENCY OF CAPE CODE INC. PHONrr o Eat: (508)888-2766 FAx ac No E-MAIL - ADDRESS: ellysia@insuranceofcapecod.com P.O.BOX 960 INSURERS AFFORDING COVERAGE NAIC# EAST SANDWICH MA 02537 INSURERA: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED - INSURER B: SUNRISE RESTORATION COMPANY INC INSURERC: INSURER D: P 0 BOX 802 INSURER E: EAST SANDWICH MA 02537 INSURERF: COVERAGES CERTIFICATE NUMBER: 20428 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR POLICY EFF POLICY EXP- LTR TYPE OF INSURANCE D. POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIALGENERALLIABILITY" EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ _ - MED EXP(Any one person) $ N/A - PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: A $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A .BODILY INJURY(Per accident) $ ' NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ RED RETENTION$ - $ WORKERS COMPENSATION - - - /� SPER TATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? I NIA1 NIA N/A 6ZZUB2E96443715 11/29/2015 11/29/2016 - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under - - DESCRIPTION OF OPERATIONS below - - E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,.Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Dan1el M Crow�ey,CPCU,Vice President—Residual Market—WCRIBMA ©.1988-2014 ACORD CORPORATION. All rights reserved. ` ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD W -_ LU W �_ SO N i"" LL � Q I i. I-+ "i W -. E ------------ uj owl' - p - _... LL O i f i 1 t� � I .---------............ .. _�.._....io m 0. i F e i f 20'2" .. LOFF ABOVE - i j ,;_j ADD FIRE RATED;NEXT TO*TOVE i. so 1 i t p R�p�Ey� pD s lBARNSTABL�E MAVE i i Sunrise Restoration Company" 490 Rte 6A,PO Box 802,East Sandwich,MA 02537 ,Home Imp*vcmm CounactipT#: 160037 AUT$ORIZAnON To PE"ORM SERVICES AND . DIRECTION TO PAV Richard Valero or his assigns,herein referred to as"GUstMer,"authorizes Sawke Restoration Company,herein referred to as"Sunrfrse,"to perform all aecessavy board-up,cleaning,and demolition sorvices. on Customees property at: 107A Ridgewood Avemvm,Hyaill is,MA 02601 Tel: 5WZM7397. Regarding a water damage toes on Mxmb 8,2016 Customer*QtboriM bis hnsaranee CorapaMy,herein Klnsuranre Company,"to direetlj►and sorely pay Sunrise for work it performs. Should for any reason the cheel4s)fi vin the insurance Company arrive at and or be made payable to the Customer,Customer them agrM to pay Sunrise hamediately upon receipt of said chee1c(% In order to expedite payment to Su raise,Customer hereby appoints Suiarise as attorney-iwfmc4 author king Sunrise to ejador se Customer's nstge,and to deposit Insurance Company cheeks or drafts for Sundae services, Customer agrees to pay to SuvAse Customer's inaaramee claim Deductible,the amount of wbieb is stated in Customer's insurance policy. If the loss is not covered by insurance,Customer agrees to the pay total amount to sunrise upon receipt of the invoice for work performed. Sunrise agrees not to commence the work unless there is a remnable expectation of coverage from the iunsuraa©e company. Customer understinds that the services to be performed by Sunrise will be limited to those which are authorized by the Insurance Company unless otherwise agreed to in writing by the Customer sad Suar'im r•1 t b: -t (:, -i2 i Insurance Company.- D Fx' Policy Number.__ X__S � �'a ✓f The-Cw%towee agrees that Sunrbc is werWmx for tbic Customer and not the Insurance Company or its agent or adjuster. I have,rid this docuMftt and completely accept the terms wntained within. or Sianaturc lirutt Customer Name Data ure . SmAY Sigr bate Castazrt f �oFTKE, Town of.Barnstalble Regulatory Services 9� $ Thomas F. Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLEASE FORWARD THE ATTACHED PAGES) TO: TO: ATTN FAX N O: FROM: DATE: INCLUDING COVER SHEET) l t 2ZMzZS ZPZatsCt. SLR= r h 1 4—L LL, I I AL A , a 3 - a9 � � � s✓ . z1� c)0G' ---------------- � Q e9 f F1HE r Town of Barnstable Regulatory Services + BARNSfABLE, MASS. g Thomas F. Geiler,Director �A i6g9. ♦0 rFo 39. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790=6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: (2- C®I' Date N After reviewing the street file of the above named property, I verify, to the best of my knowledge, that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program. Tom Perry Building Commissioner :ray- • 1 � / ' ♦ `_� � �` /ems 1533 Falmouth Road•Rte.28 Centerville,MA 02632 Bus.(508)790-2303 Ext 52 3 Fax(508)790-1,388 Res.(508)775-0644 z REAL ESTATE - TOM GREENS REALTOR® P r „c' a � M� fatal t A i .f 70- �,. � . 'ut�' E 'sir i \'_. >;� E � � •� t- t, ' i � E MIAMI- 7 r i a AM A, ! dFd ✓ � � s rr boom u:• Ft • a • � -`{ =� _ ;. .:�. a;.. �' ^,^,- � a r� '�. a^c''� ,� :x• - , � c A „ x �,s Q, � car• � r E � r ,;;fir 4vt1*, FF#: a �'r�� r '" 'ate \ ;f a r>r 4h El��_ `•,`fir .ate, - r d lzykbs'y.'gkg�y� ��uS�F j �',S a'�', d �� � 33+Saz3 4 its•"' � ,�n 7• \ rKk� , y :p 'IDg-'` t� F S,e, ,feT �<St •. ,� •L,� � T 4 \ � � �^., � try •� / ;: ��.;= y. y�� �;: .Y �. 1 Rid .ewood-, y - � ire - y �_ .,�• L 9 Awl y " will W a z• Z. ,. R. Y u., �,. . : z. a a �3 OR eill $,,..v .::,sr mow' ,. , OM �. -- .�. ,a ., ,;„ :gig <-.„� , , ,,- ,...,, ,,.: _. , ..:,, �• �,�. �� ,� s� > .� l l - 500, .t fm- • *Air a d r =fir _ ? - L �� ,a• �.,«<. , :ate €£�# ys 4d i f g�� AUN TO 6 L I;�� S i t f J3 t E €'AM tft } FZ4 ?k�Yf� ':. 'AL �� •�n'. f r) svMl` ` 9,. _��dy e $Vi a 3 � y # �3✓ �I �� '' 'w✓sr�-._ ,.,�„ S�-":v •�w a a �''. 9 a x ��r A�k....�',: �` ,,:�""'«r. " ?a g -Mp# ff ",, > m :�x F `'tS yes � �ro j � i it,�` icy�,�'• �'�'�e e"".. M r w, ' a xb / gilt, e ! f i,kT <�� a ^at Lam', Ml URN MA 3 ' wo ^ s e � � ` e tq Elf WN lot s t � W,NPR 44 � 'F#1 A'���F gMOM ..�°`�^ a�t�axE { tr#'. i.bLs3aF .� ftx. •' E ",��. a• `�>vy.?^ T�"`R � E13� v � •, � �,,a ,�" + t � �� .r a ����� �a ;: 'a, •-. _ � uk 9 •\� E � �'#~ n# �; T i u �?�'' 1�EhhEE�i ti b �• }�S4","`^. ���'a i p r ^ ,, w,*mY 1 ys?tl, ... YFfi ,_ gR E� Ei � •�.E6 �„ :, t. a�aw,u(u d�r;',� '��}n, �` ��✓,�` E. i �� F F -. � � F ���✓s. q } F i { , E 4.. S if f" P ss v 9 �N r ' i ;€Asa I MR \!3 � J v= e !s r x vt 1 1 nTom � 3 y hEr � tt'�7� Y�" a PE ?—„ti,"':•�m3v �� �``�' , � '°T ta.. G e. ifr r •�x }� f4 mom- PAN u � `� ^` ��y�� k 1 �"'� � i�h d fig• y � ��' 6�� 4. �`�E.' ��;����� �/�€�� ��•�, a. zrf 3 � n� y'�va2�„' �"P � g '.a{ � s� � rya N n \ sonF 2� � �7 � a E eA oFTME . The Town of Barnstable EARNMASM Department of Health, Safety and Environmental Services '�EOMa�°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 28 1998 Re: 107 Ridgewood Avenue, Hyannis (328 098) To Whom It May Concern Our records indicate that 107 Ridgewood Avenue in Hyannis (Map 328 Parcel 098) is a pre-existing non-conforming structure and its lawful use is a single-family home. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn g981228a Engineering Dept.(3rd floor) Map Parcel ® Sb� Permit# a . House# Date Issued , — /3 — 9 7 4. 13oard of Health(3rd floor)(8:15 - 9:30/ 1:00-4:30) I%W —/ 7 Fee �7: 026 Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Z Planni ept.(1st floor/School Admin. Bldg.) finitiv an Approved by Planning Board 19 , i4 BARNSfABLE. ' QED s9. TOWN Off' BARNSTABLE APPLICANT MUST ORTAIN A SEWER Building Permit Application CONNECTION PI—R':�Ia-PI I—ROM THE ENGINEERING D1VI:SIoli PRIOR TO oject treet dress ' D Q .1 CONSTRUCTION. Village Owner Address Telephone — '-Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Fam;;�7n )- Age of Existing Structure Historic House ❑Yes Old King's Highway ❑Yes Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) B sement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing ` New No. of Bedrooms: Existing New Total Room Count(not inc ding baths): Existing New First Floor Room Cou61—, Heat Type and Fuel: 201/ ❑`Oil ❑Electric ❑Other Central Air ❑Yes Fireplaces: Existing New Existing wood/coal stove Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) one ❑Shed(size) ❑Other(size) Zoni oard of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑No If yes, site plan review# Current Use, Proposed Use �_ ae Builder Information Name )a-7clu, Telephone Number Address oZ_ License# a� Home Improvement Contractor# /O Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE ZZ BUILDING PERM DENIED FOR THE L LAMING WING REASON(S) > FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/.PARCEL NO.. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: 1 FOUNDATION - i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH "' FINAL I FINAL BUILDING -: l DATE CLOSED OUT ASSOCIATION PLAN NO. The Town of Barnstable antuvsrnat.E, 059. Department of Health Safety and Environmental Services ArEDMA'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. �ype of Work: Est.Cost 1 a�zJ 'Address of Work: Ze ,Owner's Name C,�g Date of Permit Application: 0� — / 3 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building 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/2--ftowner: (19 I Z L Date Co tractor Name Registration No. OR Date Owner's Name 401- - The Contntonit•ealth of Atassuchuscitt Depurtntent of Industrial Accidents if 1FF office ollnvestigal/ons \ r 600 Washington Street Buvton. A1uss. 02111 Workers' Compensation Insurance Affidavit i li <in int rrn�i n: name. I/ cat• 7/ ^ 1 m tah2omeowner peitorming all work myself. I am a sole proprietor and have no one working in any capacity _ FI I am an employer providing workers' compensation for my employees working on this job. contnanv name: address: city: phnne#• . insurance co. nnlicv# I am a sole proprietor. beneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers compensation polices: company name: address• city- nhonc#- insurance ro. nnlicv# -_..__._.... _._ ._.�_.—....._. _1_ar,+i..i�._ •rL.r:�w',.rr.Jr __ _ .�.V.iY�YV:' .a.--� cmmonn nninv: address- rite: Phone#: insurance co. nolicv to Attach additional sheet if necessary •..� ,1. -- --_.. ..:;��..��+...�..:� :i:• - - [nu.-y=_-� :a[ie�.t��ie•.iws..�:+x: Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andiur one%cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cop} of this staicnt• t mac be forwarded to the Office of Investigations of the DIA for coverage verification. !do l�erchr cc ij rurdrr rl z pain mrd p• ties jperj •that lire information pro►ided nbo is true and correct. �inature ' Date Print name Phone# ' official use unll do not write in this area to be completed by cityor town oftcial Y� cin•or tnvvn: permit/license# rlBuilding Department OLicensing Board tt I]check if immediate response is required OSelectmen's office f k' 011calth Department contact person: P hone#; nUtltcr r Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' cCinipensation for the employees. As quoted from the "la\\- an emplitme is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An etnpl( rer is defined as an individual, partnership, association. corporation or other legal entity. or any two or rnor the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However th owncr of a dwellina, house haying not more than three apartments and who resides therein, or the occupant of the dwcllim, house of another who employs persons to do maintenance , construction or repair work on such dwelling he or oil the `;rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section '_5 also states that every state or local licensing agency shall -withhold the issuance of- 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. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public Nvork until acceptable evidence of compliance with the insurance requirements of this chapter i- been presented to the contracting authority. 17-77 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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 requires to obtain a workers' compensation policy, please call the Department at the number listed below. . Citv or,towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investiaations has to contact you regarding the applicant. Ple. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question, please do not hesitate to give us a call. ►-..y....r.-.._. _.._ .— --�...ww. -; .. ...—..n+.r*w.w..w_.er.w.�wrra. _.. w—.+•.�wn-.w..r�ve.rvr.r.-•.r. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 f e- pp 6 _ � ✓1,e 7Doa�vmaruuP,a�� o�✓1�aaaac�ivaetGi & DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE !' Nuaber:; Expires: Restricted Tot 00 DONALD C •TAYLOR x ('i' 832 MAIN ST$EET YARMOUTHPT, MA 02675 r �✓•«1 � r�tr „`. - °�•',�'s F�kv •�•k .��tl�yY{Zr"$�:1n wf' _ r N9 PROVEN C T CTO t 4 +Type�c i INDIVID�Al. AG 'F a>. t 5*' fxper"anon 7/01/98 � R 14 'T Yam' 4-�'#t .'kt.* •{Y Y�4 ry_ ` ^,�, 5� r YarNouthport MA 02675 . - /�-D1 �r ?.�3 � t ,.'r�'4���uT,yy� �� "�2� �2''I•`�+.^ E��f+�`''Z`ry t TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) DIVISION/Dal7�( a2 a ���CCJJ '`� NOTE DETAILS i OBS RVATIONS-ITEMIZE EVIDENCE, SERIAL /S ETC. k Al Pc-ti 04,A) 1— O N N t }�� N c T dZ-Q l J A a c iv j l t SUBMITTED BY s PAGE t TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST FIRST, MIDDLE)' DIVISION /DHP7 `DIY NOTE DETAILS 6 O SERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. d u—q 3 21 q'7 Q rue © A urip C 4 0eL- i�Ov ` It� PO l r 01 N .> C A-� _2.- O rd J v LQ Q 2 V o f cJ-2tAu rV r ✓ r V TO/ i h- n70 C A-r- 0J VIOL -e— C e,J P O ,A J Se.J P I. i 1 IC SUBMITTED BY PAGE TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) DIVISION /DBP7 NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 1S ETC. SUBMITTED BY PAGE I Town of Barnstable Approved j , Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: �' � G Name: CLl I I S Phone#: 579 7 7 S Z 3 Address: 7 )�C- Oc) (Y Village: 0`) Name of Business: �/�' ( 112 Type of Business: Map/Lot:�o Zoning District &) Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. 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. I,the undersigned,have read and agree with above restrictions for my home occupation I am registering.c— Applicant: �� Date: Y J Homeoc.doc TO ALL NEW B�SINESS OWNERS DATE: 6 I S- © Fill in ple se: "� APPLICANT'S YOUR NAME: BUSINESS YOUR HOME ADDRESS:_J07 1,jaf I/V OD S4 W5 q37 tlWanr� iS' t� - Uzrg al TELEPHONE `t Telephone Number Home 5 0 ?itl -7 1 PI;Oi✓BUSINESS : BIJs �vESs ill : : :HO.1M .�C, 11P ►"CI;C7N.:,:::..:........: .............'YJS.. .:...:N:.. . [ave ou been gven a prorrat ftQlrr the bt4ld� g dIrrrsion YES' IQ :.:,,_::,...... :._ g,...:.... P ..,.,.. dD�R�SS 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 COMMISSIONER'S PFFICE This individual has anfflormeddf a y-permit requirements that pertain to this type of business. ut or'zed Signature'`` COMMENTS: ell 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: Business certificates (cost$20.00 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.