HomeMy WebLinkAbout0185 STEVENS STREET (23) /��' .� _:� � ,sue
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YOU'WISH TO OPEN A BUSINESS?
cate ONLY REGISTERS YOUR NAME in town [which you
For Your Information: Business certificates[cost$40.00 for 4 years). A busines
s certificate
You must first obtain the necessary signatures on this form at 200'Main St., Hyannis.
must do by M.G.L.-it does not give you permission to operate:)
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and-get the Business Certificate that is
required by law.
DATED — Fill in please:
r> 'uls 4 APPLICANT'S .YOUR NAME/S: *� Itc% ht%.ILI AA -
's° BUSINESS YOUR HOME ADDRESS: 11 h 5 L9✓rfs
-
' TELEPHONE # Home Telephone Number O 1
NAME OF CORPORATION:114 '`'it CA A; ^'/^G
NAME OF NEW BUSINESS L r L h' A TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? �'I`•,-v YES NO
ADDRESS OF BUSINES �/ MAP/PARCEL NUMBER v2 Rs . sing)
S 1 '� C f S
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 OFFIC
This individual has b e i rme any permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS: FAILURE TO.
thorized Signat ** COMPLY MAY RESULT IN FINES.
COMMENTS:
a 2. BOARD OF HE LTH
R _s
This individual has been informed the permit requirements that pertain to this type of business.' M
Author
ized,S i nature
COMMENTS:
3. CONSUMER AFFAIRS[LICENSING AUTHORITY] -
ents that pertain to this e of business.
licensing requirements. type has been informed of the I P
This individual � � r
Authorized Signature** _
6;
COMMENTS:
r
- Town of Barnstable
EVE r Regulatory Services
o Richard V. Scali,Director
,MMSTAB Building Division
MASS.. �' Tom Perry,Building Commissioner
i639• ♦0
iOrEo neat°i 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATIO
Date•D,� _ l
Name:/1/1 A Phone#:
Address' V f5- 5 f/1,' G S 9 T. A/ /A 7 /G Village:
Name of Business: IVI rr ry•a
Type of Business: G>L /�/1 f �+ Map/Lot: DV
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 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. I'
Applicant: .Date: 024 J? -
IZ
Homeoc.doc Rev.103113
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
w
Map Parcel—
Health cation P
Health Division Date Issued Z•-Z�/Y �
Conservation Division Application Fee
Planning Dept. - Permit Fee I .
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village: —�
Owner Address C /�, I �3",d_ or,
Telephone
Permit.Request -ti.'lw-w"70001
'Square feet: 1 st floor: existing proposed 2nd floor: existing proposed : Total new
Zoning District bmp--dJ Flood Plain Groundwater Overlay
Project Valuation*51 Construction Type
Lot Size Grandfathered: kYes ❑ 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 V 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 �5 new First Floor Roo Count
Heat Type and Fuel: At Gas ❑ Oil ❑ Electric ❑ Other M 41�
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-Uses
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name � Z � "� Telephone Number �`ZI ill„
Address N � OF
,S License
uy\ ( aim �,1 � Home Improvement Contractor#
r
Email ® � . Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE C2,fCA4
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL -
i
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATA&CLOSED OUT
ASS-4OKTION PLAN NO.
The Commonwealth of Massachusetts' -
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/EIectiicians/Plumbers
Applicant Information Please Print Legibly
Name(Businesslorganization/Individual):
Address: . �1 aZi -
City/State/Zip. Lb Phone#:
Are you an employer? eck the appropriate boar T�ype of project general contractor and I f P )ectrui(`
1.El I am a employer with 4. I am.a g 6. ❑New.construction
employees(full and/or part.time).* have hired the sub-contractors
2.0 I am a sole proprietor or partrter- listed on the attached sheet. 7. ❑Remodeling '
ship and have no employees These suh-contractors have g,' 0 Demolition
working for me Mi any capacity. employees and have workers'
9: ❑Bui Ming addition
[No workers'comp.insurance . comp.insurance.
#
1equired.] 5._0 We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself.[No workers'.comp. right of exemption per MGL 12.E]Roof repairs
insurance. ]1 c. 1,52,§1(4),and we have no
employees.[No.workers' 13:❑Other .
comp.insurance required.]
*Any applicant that checks box#l.must also fill out.the section below showing their workers'compensation policy information
t Homeowners who.submit this affidavit indicating they are doing.all work and then hire outside contractors must submit a new affdavrt indicating such.
Contractors that check this box must attehed as additional sheet showing the 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 job site
information. rr
Insurance Company.Name:
Policy#or Self-ins:.Lic #. Expiration Date I C2L14
Job Site Address: 1�_1 y' + _ City/StatefZip: 1 �.
Attach a copy of the.workers';compensation policy de.lr ratiou page(showing the poliry;nnm er and expiration date).
Failure to secure coverage as required under..Section25A:6f MGL c.152 can lead.to.the imposition nfadminal penalties.of a
fine up to$1,500.00 and/or one-year-imprisonment,as well as.civil penalties in the,form ofa 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 hereby certify under thepains andpenalties ofpm*q that the information provided above is true and correct
Si afore Date:
Phone IV.
Official use only. Do not write in this area,to be.completed by city or town ofJicia[
City or Town:. Permit/License# .
Issuing Authority(circle one): f
1:Board.of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#: .
Massachusetts -Department.of public Board of Buildin Safety
g Regulations and Standards
Construction Superti-isor,
License: CS-018226
F
STUART A BORNE
297 NORTH STREET1
HYANNIS MA 0 601" -
a
Commissioner Expiration
10/31/2015
a
i
�iHE T Town of Barnstable
Regulatory Services
Richard V.Scali,Interim Director
Ear.`e Building Division
Tom Perry,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
I, S71 ' �IyLS �y ,as Owner of the subject.property
ZA7hereby authorize 57�qr � Aw57IC4 to act on my behalf,
in all matters relative to work authorized by this building permit
(Address of Job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or.utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
S� z - R-',74"r��4V15 -11�- Y
Print Name. Print Name
Date
Town of Barnstable -.
Regulatory Services
�tr r Richard V.Scafi,Interim Director
Building Division
mBNSUBra• Tom Perry,Building Commissioner
mass.
9 165 ��� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6250
HOMEOWNER LICENSE EXEMPTION ;
Please Print
DATE:
JOB.LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Appi-oval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109A.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities'of a superMor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness.often
results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit fbn=\ XPRESS.doc
� bTA
rn -
r NOTICE
NOTICE
T
TO
O
EMPLOYEES
EMPLOYEES ..
The Commonwealth of
Massachusetts
DEPARTMENT
OF .INDUSTRIAL ACCIDENTS
wo Washington Street,,Boston, Massachusetts 02111
'617-727.4900 - http:/twww.mass.gov/dia
,s required by Massachusetts General Law, Chapter 152,Sections 21, 22&30,this will give you nbtice that I (we)have provided
fnr payrrientto our injured employees under the above-mentioned chapter by insuring with:
Zurich Insurance
NAME OF INSURANCE COMPANY
2420 Lakemont Ave,Ste 1o0, Orlando,FL 32814.
ADDRESS OF INSURANCE COMPANY 12/0712013 to 12107/2014
JZUS4971PS0-0-13
EFFECTIVE DATES
)OLICY NUMBER
yowling and O'Neil Insurance Agy.,Inc.` 973 Iyannough Road Hyannis,MA 02601 508-775-1620
SAME OF INSURANCE AGENT ADDRESS- PHONE#g08-77rr9316
3ufneld Management Corp. 297.North Street Hyannis,MA 02601
EMPLOYER ADDRESS
EMPLOYER'S WORKERS'COMPENSATION OFFICER OF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required,in cases of personal injuries arising out
u ofand in the c6urse provisions of the Workers of em Compensation Act A
to furnish
adequate and reasonable hospital and medical services in accordance with
copy of the First Report of Injury must'be given to the injured employee. The employee may select his or her own physician. The
reasonable cost of the services tment is necessary and
provided by the treating physician will
hos 'rtal attention,
the
nemploydes aresurer, if the ahe hereby notified that the
reasonably connected to the work related injury. In cases requiring p
insurer has arranged for such attention at,the
NAME OF HOSPITAL ADDRESS
TO BE POSTED BY EMPLOYER
°Ft T Town of Barnstable
Building Department - 200 Main Streets
* BARNSTABLE, * a H ya n n i s, MA 02601 r
MASS. , -
9�A 1639. � �r (508) 862-4038
.-
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f u nC���I�ICat� 0 OCC a
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9 Application Number: 90871- CO Number:. ;
s - .20080404'
,
+ f
08120109 �Y
ParcellD: 4 308025 C0Issue'Date.
Location: .- 185 STEVENS ST, '` r Zoning Classification: OFFICEIMULTI-FAMILY-RESIDENTIA
. r
E PARKING LOT
Proposed Use:
HYANNIS
�.
.Village:
Gen Contractor ROBERTS„MICHAEC ` , Permit Type: 0000
CE
RTIFICATE F O NC Comments`: ,., UNIT 3f •
_
R_J_
s
e
Ate.e
Building Department Signature Date Signed -
TOWN OF BARNSTABLE
BUILDING PERMIT - `
PAIRCE L ,ID 308 025 G"EOBASE ID 2199 /
ADDRESS 1-85 STELES S'i _ PHONE
HYANNIS ZIP _
LOT N LC136 BLOCK . LOT SIZE _
DBA DEVELOPMENT DI STRI 'T Hy
PE#MIT. 90871 DESCRIPTION FITOUT FOR UNITS &
Er ..
PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CO
CONTRACTORS: ROBERTS, -MICHAEL Department Of
ARCHITECTS: Regulatory;Services
TOTAL FEES: $1,215-00
BAND $.00 p1F
CONSTRUCTION .COSTS $150,000.00
437 NONRES_-/NONHSKP ADD/CONJ snaxsTasr ,
Mass.
1639. A,
BUILD DIVISION ,
` DATE T�s�;��D"•� 03/17`'2006 EXPIRATION DATE,-
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY_OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS..THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MEC(READY TO LATH). FANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
,!v /
SW & sE r oK F-)F-06�'d'� ��- � e/�
3 1 ATING INSPECTION APPROVALS ENGINEERING DEPARTMENT.:.
2'�-�.,��1 (''4 S 3' �. Zs-Zy -Q 9, C B TH
-� �73
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL N PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR RASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY-
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.