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�tMME„ Town of Barnstable *Permit#
Fxpir o f e date
Regulatory Services FeeJT
• BARNSTABLE, • .
Thomas F.Geiler,Director
i639 ♦0
ER
MI Building Division
�iAYO1Q Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
A, 8 '7 AAYlcTABLE www.town.barnstable.ma.us
IiC Faz: 508-790-6230 .
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number '+
Property Address ® ��° \ . r� w1
Residential ValueofWork `'800 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address )A",.
Contractor's Name����� tAul KI Telephone Number SOB-6 I,5---,2
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) C,O(
❑Workman's Compensation Insurance . r'
k one:
"
Vam a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accomp any`each permit. .
Permit Request(check box)
®Re-roof(stripping old shingles)'All construction debris will be taken to 0LX-t..k.-j D�S u!5AL.,
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.4419 of windows .
.*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required. -
SIGNATURE:
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\E)CPRESS.doc
Revised 090809
.. - � ✓iLC -V09Y(/IYLOijZG�LiL �✓IiLC7.Qd .1711.oe��.
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
- _ Registration 151016
E Type: Of ice of Consumer Affairs and Business Regulation
xpiration 5/11/2012 Individual ark Plaza-Suite 5170
BARNSTABLE BUILDERS
Boston,MA 02116
PETER MUNRO J
97 HARBOR.BLUFFS RDA'
0
,
HYANNIS MA 2601
• I
Undersecretary Not valid without signature
r-
✓1zePonvrrahtioivaelta
G-
Board of Bwld�ng Rlaid ards
egu tiohs M '
r'
C ristruction''$upervisor License
f,
o
R License CS 96369
Birthdate 0129/1965 ,
x Expiration 10/29/2010 Tr1f. 96399
,Restriction
_ PETER MUNRO
a: 97 HARBOR BI- FFS ROA
"HYANNIS;MA 02601�� .1 Commisswner
E. l
n+e '
BAMSTA M
, 639. 6 Town of Barnstable
Regulatory Services
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
Property Owner Must -
Complete and Sign This Section
If Using A Builder
I - as Owner of the P ,Pro subject property
1
hereby authorize ��� ' y '� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
® � v PIS
(Address of Job)
Sgn of O ner bate
—JA'J
Print N e
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side. '
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5Q0\EXPRESS.doc
Revised 090809
' The Coinniofnrealth of Mrassachusetts
qJ-
Department o,f Indust alAcri�!'ems
Offla a ofInwestigadons
600 Washington Street
Boston,.�A 02111
flrF` v l'j'Aas&gvv1dia
Workers' Compensation Insurance Affidavit:Buil'dersl ntractursJElk-trnciansfflumbers.
AppUrant Information Please Print I&zilbl
Na (Bussinsv gMizsfidnlndividnly
Address:
City/state z pc Pho=
Are you an employer?Check the appropriate bans:
'hype of project(required),:
1..❑ I am.a employer urith 4. ❑ I am a general contractor and I
_ oloyees(fall and/or part-time)-* have hired the sub-contractors:
6- ❑New construction2.I of I afn.a sole proprietor og pmrter listed on.the afltached sheet 7. ❑Remodeling
ship and have no employees Them sub-cowactors have g_ ❑Demolition
w for me in capacity. employew and.have vzod Hers'
orb �r � i�''= 9. E]Budding addition,
(No.wodoers'comp.insurance camp.insuran i
reguired] 5. ❑ We are a corporation,and its. 100.❑Elect dcal repairs or additions
3.❑ I am a,hommeourner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself.[,No workers'cramp. right of exemption.per MGL 12.❑Roofrepaim
insurance regmired.]1 c. 152,§1(4•k andwe have no.
employees.(No worims' 13.❑Other
comp:insurance requ ired.]l
;Any applixaum that checks box#1 atst also fill out the section below showing their wotite&compensation policy;mfi,rl4a+tPML
'�Homeotauen who submit this affidnit indmadug they are daing all'wrry.o and thm hire oumd'u contactors n=subma a near afdaelt indicating suh.
-..'antrKlors thole'rbprk this box,must attedied an add]tirtmal sheet shazIng the n8mae of die sub-o n raMrs and state whether or not those enfiti*s have
en*loyees. If the svEr-cantactors base employees,fty roust provide their workers'comp.policy number_
F ate an employer that ispmviAg w orkers'evagrsrrsctdon insumuce for tray ainPloyaes Below is diepolicy ata ob ske
infortuati n.
Insurance Company Name:
Policy#of W-ins.I.ac.fk F.xpinhan IJate:
Job Site Address: cityf5tatet7sp-
Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to securee coverage as requuira under Section.25A of 1'u OL c:. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00'andlor one-year'imprisonmenk as well as rival penalties in the fbrm of'a STOP WQpRKORDDERand'a fine:
of up to$250.00 a.day against the violator. Be advised that a copy of this statement may be Em-warded to the Office:of
Investigations of the DIAi fox insurance:coverage veriif'xcation_
fI do hereby recur Fereai�ses m t ofert r treat tree irr btrrraatronp rotna aboue is 6rars and correct
Si tire: Date: a t3
Phone#: �� '—a 3� '
dffleial use only. lea root write in this area,ta be causpletead by cioJ or town o ciaL
City or Fawn: P'ermitUcense 9
Fbsuing Authority(drrl'e one):
v 1.Board of Health 2.Building llepartmeaut 3.Cityt'Iown Clerk 4w Electrical hispector 5.Plumbing Lupector
6.Other
Contact Person: Phone:air
Subcontractors
STACY&SONS Brian Stacy 41 WESTBURY WAY COTUIT, MA 02635
774-255-0291
Workers comp policy : #6011916012009
Effective date : 5/30/09----5/30/10
NO EMPLOYEES
i
t
F
f
�--' Town of Barnstable
OFTNE T
Regulatory Services
Thomas F.Geller,Director
BuildingDivision
• UhNSTeaX,
MASS. �$' Tom Perry,Building Commissioner,,
i63g. �
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
ice: 508-8624038 Fax: 508-790-6230
Approved:
Fee: 0
Permit#:
HOME OCCUPATION REGISTRATION
ste: I
r—
me: cL I�l�L�C `�. Phone#: T 3
idress:
Village: Ua
une of Business: •a 1(V,+ r
,ape of Business: i Map/Lot
DENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
ithin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
tivity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
teration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
sidential volumes; and no increase in air or groundwater pollution.
fter registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
[lowing 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.
he undersigned,have read and agree with the above restrictions for my home occupation I am registering.
plicant• h� l�-� S—Date:
nwc.doc Rev.5/30/03
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 town (which.you
must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office,1st FL.,.367 Main
Street, Hyannis, MA 02601 (Town Hall) p
DATE: O or 05
Fill in please:
APPLICANT'S YOUR NAME: 1 I HQ Af- SA
BUSINESS YOUR HOME ADDRESS: nle- 2sP
z° TELEPHONE # Home elephone Number -3(��
NAME OF NEW BUSINESS 122 hcc awl-t-lnA � ?shsSi/tQss r�tC�p TYPE OF BUSINESS '
IS THIS A HOME OCCUPATION? YES TNO_._
Have you been given approval from the building diviston? YES NO
ADDRESS OF BUSINESS - ��r / MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.
This form is intended to assist you in obtaining the information you may need. 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 b informed of ny Sermit requirements that pertain to this type of business.
Authorized ignature**
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
CF ENE taY
Regulatory Services
c Thomas F.Geiler,Director
Building Division
* BARNSTA13M
s MA S $ Tom Perry,Building Commissioner
1639.� �0'°ren Me't s 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 5 -790-6230
Approved:
Fee: C7�
Permit#: g,0$'7 g
HOME OCCUPATION REGISTRATION
Date: IItobC4
Name: 61
ff Phone#: 9 6 �V
Address: P ��� Kam' Village: 1111 14/1/1 S
Name of Business:--- 1,i) J� 12 //4tJ
4 ------------------------------
Type of Business: &J4 Map/Lot: Oas!!�
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 the above restrictions for my home occupation I am registering.
Applicant i Date:
Homeoc.doc Rev.5/30/03
Page 1 of 1
Perry, Tom
From: Tawnya Isakson [tawnyakristin@hotmail.com]
Sent: Monday, November 22, 2004 1:26 PM
To: Perry,Tom
Subject: Cape Cod House Rental
RE: Application for Home Business
Tom:
As per our conversation earlier today, this note is to explain what I do with my home
business. I have a web site, and am registered with several vacation rental websites
around the nation, where I help connect vacationers looking for homes to rent with
homeowners who would like to rent their homes on Cape for a week.
I do not meet people in person (no people traffic where I live), however I email, talk with
people over the phone, and send various Cape Cod brochures in the mail. I often refer
people to rental agents, and to a few small bed & breakfasts in Hyannis, depending on
what interested renters are looking for. The business to very slow and small!
Please do not hesitate to contact me for further information!
Tawnya K. Isakson
508-364-4394 cell
508-790-1979 work
11/23/2004 .
TO ALL NEW 01 ISINESS OWNERS
DATE:
Fill in please:
APPLICANT'S YOUR NAME: G W S-,
BUSINESS YOUR HOME DDRESS: D ��
o
TELEPHONE ° Tele hone Number Home q
NAMS OF IUEW BUSINESS a�t5t vtdt Y"YPE dp BUSINESS lc t Ylc-�
IS THIS A_HOME OCCUPATION?
.YES " NO
Have you,been given approval fr m builcJmg div adn�: YE
ADDRESS OE BUSINESS IVIAP�PARCEL NUMBER Z...
_.
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 ` � (
.91
below,you may apply for a business certificate at the Town Clerk's Office(Ist floor-Town Hall). 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 COMMI ONER'S FICE
This individual has i formed-of y permit requirements that pertain to this type of business. /�0 �' �. C05
t or zed Signature**
COMMENTS: c o C� �� C--- VcPS� P �
2. BOARD OF HEALTH
This individual has been informed'bf the permit requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIR!(LICENSING AUTHORITY).
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L.
-it does not give you permission to operate--you must get that through completion of the processes from the various departments involved.
**SIGNIFIES APPRO VAL FORA BUSINESS CERT/F/CATECA&Y.