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HomeMy WebLinkAbout0041 SUOMI ROAD �/ C�Uarrii �d-• -- . _ - - - - - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 5 1 Map 2(0�1 Parcel Application# c22006S ca? Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee �� r Planning Dept. Permit Fee i to Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis f Project Street Address )n Village Owner •�Address I — 16V'✓l,, _ Telephone Permit Request ` is Square feet: l st floor:Iting proposed C� / 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati 000 CXD Construction Type e 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 dD,� On Old King's Highway: Cl Yes 3-No Basement Type: ull ❑Crawl 4'6alkout ❑Other Basement Finished Area(sq.ft.) I Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new_ Ivimber of Bedrooms: existing_ new _n Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other F L,.. Central Air: ❑Yes �Ao Fireplaces: Existing New Existing wood/coal strive: ❑Y.s O.No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑exis',tiiIg ❑news sizC CD Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: cn i ,r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r, Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use t BUILDER INFORMATION NameJL^t Telephone Number C' Address License# i g ( ?n. 4 P,.\ e Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS ULTING FROM THIS PROJECT WILL BE TAKEN TO 46A '� SIGNATURE DATE 1 0 4•► FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED `' 4 MAP/PARCEL NO. i ADDRESS' VILLAGE Rr . OWNER DATE OF INSPECTION: ` FOUNDATION cp FRAME o f ^0 ! J INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �— � � '-� PP-- s DATE CLOSED OUT ASSOCIATION PLAN NO. ' r A Department oflndustrialAccidents' 1 Office of Investigations ' p 600 Washington Street Boston,M4 02111 }� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor•s/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone# " kre you n employer? Check the appropriate boa: Type of project(required):. Liam a employer witfi- �� � 4: ❑ I am-a general contractor and I employees(full and/or part-time).*' have hired the'sub-contractors 6• New construction ❑ I am a sole proprietor or partner- listed on the attached sheet.t- [Ud6modeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any•capacity workers' comp;insurance, o workers' comp, 9. Building addition [N p, insurance 5. ❑ We are a corporation and its ' requiied•] officers have exercised their ' 10•❑Electrical repairs or additions ❑ I am a homeowner doing all work right of exemptiou'p ' MGL. 11.❑Plumbing repairs or additions myself, [No workers' Comp. ' c. 152, §l(4),and we have no 12❑Roof repairs insurance required.]t employees,.[No workers' comp.insurance required,] 13••❑Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, iomeowneis who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a he' affidavit indicating such, ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy information. tm an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site ' formation. surance Company Name: _)/l k licy#or Self-ins,Lic.#; Expiration Date, b Site Address: L— City/State/Zip; r - tach a copy of the workers' compensation policy declaration page(showing the-policy number d expiration date). ilure to secure coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a .;e up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator, Be advised that a copy of this statement maybe forwarded to the Office-of vestigations of the DIA for insuran verage ve cation. !o hereby certify unde ai ¢ 'e ies o e'information provided above is true and correct ature: Date: `' p— � .• one#: Official use only, Do.not write in this area,•to be completed by,city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to.this statute,an employee is deiimed as"...every person in the service of another under any contract of hire, express or implied,oral or written." An emyloyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual.,partnership,association or other legal entity,employing employees.-However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such imp.loyment be deemed to be an employer." • 1 _ .MGL chapter 152; §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence,of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any pf its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)andphone number(s)along with their certaficate(s).of ' insurance, Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to.the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents, Should you have any questions regarding the law or if you-are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. _. City or Town.Officials ti Please be sure that the affidavit is.complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple pemnitllicense applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"lob Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining.a.license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to-thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address,telephone and fax number; , The Commonwealth of Manachusetts Departmgnt of lndustrial Accidents Mee of InTewptions 600'washhoton Street B ostoh,MA 0.2111 9�� x 7SA �Tel, 617-27-4 �MF Fax.#617-727-7749 Revised 5-26-05 �.�ass a din RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot x .0041— p us from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft. = x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x.$96/sq.foot= x.0041= STAND ALONE PERMITS Open torch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground.Swimming Pool $25.00 4 . Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee Rev:063004 a Table JS:ZID(eoa?fuoed t pmcriptive Packages far Oar,and Two-F=Hy Realdential Baildlnp Heated with Fv 'Ftte� mAXfmilM MMIMUM Glaring Glazing Ceiling Wall Floor Bp=mt Slab HeatinglCooling Area'('/o) U-value= R-value] ' R-value R value Wall pe:imcla Equipment Effie=cy' F=Imge R-value R-valuer . 3701 to 6500 Heating Degrn Dayi ' 12% 1 0.40 38 13 19 10 6 Norcasi R 12•/4 0.52 30 I9 Ap 10 6 Normal g 12% 0.50 38 13 19 10 .6 115-AFUE Z' I5% 036 33 13 25 NIA NlA Normal 17 I5% 0.46 38 19 19 10 6 Normal V 15% 0.44 31 13 25 NIA NIA► 85 AFUE W 15% om 30 19 19 10 6 115 AFUE .x IS% 032 38 I3 23 NIA NIA Normal y 13%. 0.42 38 19 23 NIA NIA Now Z 18% 6.42 31 13 19 10 6 90 AFUE AA I M 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: " 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: a, %GLAZING AREA(#3 DIVIDED BY 42): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DE•TERN M ING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-�S0303a • I 91te Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home ImprovementC.ontractor Registration Registration: 137943 Type: Supplement Card r ,t Expiration: 1/29/2007 i. OWENS CORNING BASEMENT FINISHING' STEVE SWEENEY 60 SHAWMUT PARK CANTON, MA 02021 Update Address and return card.Mark reason for change. IFS-CA1 Cs 50M-05/06-PC8490 Address ❑ Renewal ❑ Employment Lost Card � ✓lze -P�w�� ��n.�e� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 137943 Board of Building Regulations and Standards Expiration 1729/2007 One Ashburton Place Rm 1301 Boston,Ma.02108 //' Type: Supplement Card OWENS CORNING'BASEMENT-FI 60 SHAWMUT PARK CANTON,MA 02021 Administrator ot.va id without signature 71. �ornmwnurecz�/i o��acteuaelJa BOARD OF BUILDING REGULATIONS 'r License: CONSTRUCTION SUPERVISOR Number": CS 094632 Bi rthdatel'~10/04/1970 l'7) Expires'10/04/2009 Tr.no: 94632 t Restricted 1G ;?, STEVE A SWEENEY `` 108 RALPH TALBOT ST C WEYMOUTH, MA 021:9`0< Commissioner 1 SEP 12.200& 06:A7A JOHN 1 ,IIS OC':'IOSTON page 3 OU064008 15:05 FAX 1 Mt:'- 6*9 472B AridrOW C Gordon Lac td1001 V AR WCIP Liberty ISSUING O ICg 354 Mutui.L Wasl<w Compensation and WORMA'7ni N PA , Employers Liability 1'blicy ACCOUNT NO. SUFt A Y 3. �� Liberty Mutunt Inswanoe Group/Besioa 13443S9 `.ABA MUTt1AL FIM tNURAN=co. POLICY NO. WVC ALES 1 ICE LADE SALES CODE N/R 1ST WC231S•3443s9.O16 XX JC "I'®N 102 REPRESENTATIVE 3000 2 YEAR ASSIGNED 12003 Item 1.Name of BAY SrA 13 tsEMILDM�'i LLC Insured DBA OW s'°C #t 1FIMSHEU BASEMENTSYST FEIN 14-198SS27 Address 960 TURI 1.I'ST'RSE7' CANTON,NIA ti'�1.021 RISK 1D 000192837 Status 46 LIhiI :I ,13[Lltciif L;0 Other workplam above SEE ITEM 4 Year Item I Policy Period:From -06 to OS•24.07 2.11 AM sXaldard time at the address of the iayurod as stated hcrcln_ Item 3.Coverage A. Workers Goltipe 10 ;i'Asuranct,:Part 0910 o[the policy applies to the Workers ConlPen$8tion law of the gates listed Gera: 1VIA B. Employers Liabi AMWA000"P4-A Two of the policy appilos to work in each state aIiUod in item 3.A.The limits of our liability uad , `wo ark B y by Acd knt 500j= each a¢ddent I P :y by Der- seo o00 policy limit I fyU y by ure S00,000 each employee C. Other States Just racb*.Alart Tlwt.-*of the policy, applies to the states,if any,listed here: S>ER>E"WC O .;1, D. This policy i4dw e:t IW6 endo,s;monts and schedules SEE EXTENSION OF INFORMATION PAGE Item 4.Preatium - a peo sn1�- t� �y mat be determined by our Manuals of Roles Plan. All informadon roc u1 0 fo r is nett of to yerifieadon and Chan a b audit. � eatioas Rates and Rating van LINE 110 BeHawee ftr;iao tussificadons Cady TadA•auai „ran BstlamNad SEE P.�CTENSION OF Ix 2 'Tt6R—F"X 3 nnv�l ht_inimam Premium 0 b: C 1I1A Total � Est4mated AnnuB Pramitum S 1050 Inteden edj�utdtttaat�o�luua mada ANNUAL cyi Thin 1 including all and a issu tk�c,rewiW,is hereby countermpta by {v�.V 4ec?'±fir'' '0 tee cave Tenn. open.JAW 05 ZE t', e Ierav nt iwtlag umtn wl.tiQ, Nava suuo arrweeu [1>~NI?WAL QF: NR MA NtC2.32S-344359-015 t»'d o0jp al yPl$ht ffii8'i'kiaelonal Counell an Cmlponaalion Insurance WC000001A ElR0�03R GdM/ Jt7M 08,20(M (11a91P i 1 7e; ti9b 4'!Z5 SEP 12,2006 06:58A SUNTECH .E1-••'t ;:CIE pace z page 3 CONTRACT Customer Name—. Customer Signature SKETC! Hl!? Contract Date Sales Representative Sig ature ATTACHMENT Customer Phone 71 Contract Price 10 12 13 1. is is 11 19 Is 20 21 22 23 24 25 26 21 20 29 X 31 32 11 N 35 38 37 M 39 42 43 14 .15 40 a9 SP 51 62 53 Sa 55 so .7 so q w C j\Je-e4 L3 4i NO C�r) CIYA) 11C Z) L .................................. ............................... .... ..... .......... '0 ".0 4 ;it _0k X tLa III :f .................. NOTES: r Each box eq�jitls one foot unless othw e, i;e noted ThiS Sketch is goo d faith oPteSI-n1Ali0!I Of the Work 1, ,stood that all dinensions donvocl horn this sketch are awoxinwe.and that all locations of Lr-t,,light plugs.tacks and/or Switches are Subject to change if necessary, U0 MI `& CONTRACT Customer Name 1- C`uS �. Customer Signature --- • SKETCH Contract Date �.\�1�l r<iC Sales Representative Sigt4ature \ - ATTACHMENT Customer Phone �� ,?3"7 ,k�Zy Contract Price ��1? 1 2 3 4 5 6 7 8 9 111 11 12 13 14 15 16 17 IB 19 N 21 22 23 24 25 26 27 28 29 38 31 32 33 34 35 36 37- 38 39 4p 41 42 43 as 45 46 47 48 49 59 51 52 53 54 55 56 57 58 59 W 1 A i.. i. s 1 I i fAC 2 - E j 1 � 1 r : ! = t i i !"^{ .._.S'_ .e„�.,t�,aq t ,-�.:e, .F,f' f I F j 1 } J Up 1 t 1 .,.t T._� ..�f -"€"�' .. i-- %i Jp , - to 1 1 � � r `i t ` \ t ' i , D—G JG�1;- t ` 20 «+ 5l. i. A. 21 1 I , . D L 22� +. tiJ.froa`T7vN oV LE.d-�G'I..CC,fCf� I .I i k I 23 IL 1 11 f Cd' ' { . . __44 1' : t 1 L 28 29 Ir 33 26 _. �a' � � 35 NOTES: Each box equals one foot unless otherwise noted.This sketch is a good faith representation of the.work to be clone,it is-understood-that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. Of'THE py 1 V YY 11 V 1 11 Al J Lw7 LLi'IJ1G Regulatory Services ,$ Thomas T.Geller,Director SaN fD 9. ��• Building]Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 08-862-4038 Fax 508-790-6230 flce. 5 . Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction, alterations,renovations,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition•to any pre-existing owneroccupied 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 exceptionis,along R ath o' er requirements. Type of Work: T` �� C Estimated Cost a b Address ofWork: inn owner's Name: Date of Application I hereby.cer*that: Registration is not retluir d for the following reason(s): 7Work excluded by law ❑I7ob Under$1,000 []Building not owner-occupied []owner pulling own permit Notice is hereby given that: OWNERS pULLING TEEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION P OR GUARANTY FUND UNDER MGL c.142A. UNDERP Y I hereby apply for a perms a nt of 22 Date Contractor Sigaat3K Registration No. ,p ` —ro I, Date Owner's Signature Q;yipfiles.fornss:homeaffidav Rev: 060606 t r Town of Barnstable Regulatory Services U& ' Thomas F.Geiler,Director 26 'QED $ 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 O'vcmer Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize S SZQW-e- CEMZ, . to act on my behalf in all matters relative to work authorized by this building permit application for: (Address ofjob) -4sign LdLo 6 a of Owner Date Print Name Q:FORMS:OWNERPERMISSION Town of Barnstable �oFt►,E ram, Regulatory Services '6o Thomas F.Geiler,Director Building Division * BARNSTABLE, v� 63S. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: dv Permit#: HOME OCCUPATION REGISTRATION Date: Name: i C NA cic-kiNA j Phone#: y'14 9 iO 6521 4 A ` / Address: S3 +�`/ i:y'R-O`��(Village: Name of Business: �'��c �vim Z-S Type of Business: ?`""�ll "" Map/Lot: 115 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. 1,the undersigned,have read and agree with the above res 'ctions for my home occupation I am registering. Applicant: '�/ � Date: Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in please: APPLICANT'S YOUR' NAME: ;.GSA S J>0,a ( _ANAS BUSINESS YOUR HOME ADDRESS: 41 3LtOmt 4 - $►©-PSzz �' I-�`fa-�'►Y��S K A 021oO .TELEPHONE Telel5hone Number Home NAME OF EW BUSINESS; � � ;TYPE N QF BUSINESS 51yt �-�-f ac0�► r IS THMS AHOME OCCUPATMON7 YI;S NO Have you print approval from the building dtv�s�on� YES NO AdbRESS Op BUSINESStl �csoo�i My,4rttycS a�A �z� 2�� III MAP/PARCSL,NUMSR 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 COMMISS NER'S OFFICE This individual been 'nf rmed of any permit requirements that pertain to this type of business. ut rized Sig a** COMMENTS: 2. BOMU OF HEALTH This individual has b en informed the p it requirements that pertain to this type of business. .,,-<d'1forized Signa ure** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual heen i med of� li�g requirements that pertain to this type of business. P-1u Signat a** COMMENTS: �I ceAse w Q QYT/'!'/eid 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 APPROVAL FOR A BUSINESS CERTIFICATE ONLY. , tM Town of Barnstable oFt►+e,ar- Regulatory Services Thomas F.Geiler,Director B„RNSTM AB Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 08-790-6230 Approved: Fee: Permit#: 3 HOME OCCUPATION REGISTRATION Date: Name:f f=AJ&11Z �j�}l SG/� Phone#: SQg � -3,'�, Address:_f? Village: /TZ11,-j,�5 Name of Business: Type of Business:/V,4;/- Map/Lot: 10,19 'r INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single farri ly 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 ter 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 CustomaryHome Occupation is list d a or advertised sed as a business, smess,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 rea and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.5/30/03 TO ALL NEW USINESS OWNERS 4 DATE: Fill in please: aW YOUR NAME: O� APPLICANT'S U YOUR HOME ADORE NESS SS• �UDM � Telephone Number Home TELEPHONE TYPE OF BUSINESS NAME OF NEW BUSINESS IS THIS A HOME OCCUPATION?„ YES N Have you been given approval from the building division? YES NO,�` MAP. PARCEL NUMBER g / ADDRESS OF BUSINESS iance with the rules nd regulations of the Town of When starting a new business there are several things you must do in order to e i need. ll you have obtabusiness certificate first you M gined the required signat res, listed o to Barnstable.-This form is intended to assist you in obtaining the informationyo Y apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if,you get the below,you may the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (cor of Yarmouth R . & Main Street) and you will find the following offices: 1. BUILDING CO MI SI NER rmi requirements that pertaih to this type of business. This individual s e i rme o t ized ignatur COM NTS 2. RD OF HEALTH T 's 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: ISTERS YOUR NAME in the town (which you mus Business ce rtificates cost$30.00 for 4 years). A business certificate ONLY.REG rocesse5 from the various departments invooly d.G.L. -it does not give you permission to operate-you must get that through completion of the p �IGNIFlES,4PPROVAL FORA BUSINESS GERANArf X Y i