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Town of Barnstable
f. Regulator Semees
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Richard V. Scali,I3irector d\
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Building PiVIS1011
r BARNSrAELL, ° ..
M - Toni Perry,Building Commissioner
Y F� 1-639
200 Main Street,Hyannis,MA 02601
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' town.barnstable mans
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Office: 508-862-403 8 Fax::.50 8-790-6230
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- HOME OCCUPATION UGIS'T`U
Date:
s ,
Name ] ��iN�t 1Jc> Cfi,Srj[ tJ / CZ Phone#: ` '.
Address. l 1✓Cl n/ �`�)sJ Village L alti ✓ al 1^..r
,
Name of Business: `� N /.) <,
Type.of Business i N c : j 1 i Map/Lot• O 1 ,
-
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INTENT:' It is the inteat:of this.section to allow the resid is of the Town o arnstable to opeiate:a home occupation
Within single family dwellings,subject to the provisions of Se lion,1 1.4 of Zoniag,ordinance,provided that the activity
shall not discernible from outside the dwelling. there shall e no incr e m noise or odor;no visual alteratibn.to the
premises which would suggest anything other than a residential e;no crease in traffic above normal residential volumes;
and no increase in air or groundwater pollution:
After registration with the.Building Inspector, a customary homeb pa-ion shall be permitted as of right subject to the
following conditions:,.
a The activity' named on by the permanent resid t of a s- e'family residential dwelling unit,located within
that dwelling unit
o Such use occupies no:,more fhan'400 square et of space
o .`There are no external alterations to the dw which are not cus wary m residential buildings;and there is
no outside.evidence of such use.
No traffic will be generated in excess of ormal residential volumes.
The use does•not involve the produc n of offensive noise,vibration,sm e,:dust or other particular matter,
odors,electrical disturbance,heat, e,humidity or other objectionable e cts.
There is no storage or use of toxi or Hazardous materials,or flammable or e losive`materials,in excess.of
j , normal household quantities.
Any need for parking generat by such use shall be met on the same lot con the Customary Home
Occupation,and.not within e required front yard.
o `There is no exterior stora or display of materials or equipment
There are no`commerc- vehicles related to the.Customary Home Occupation,other an.one van or one
pick-up truck not.to e ceed one ton capacity,and:one trailer not to exceed 20 feet in le and not to
exceed 4 tires,park on the same lot containing the.Customary Home Occupation.
No sign shall be played indicating the Customary Home.Occupation:
If the Custom Home.Occupation is listed or advertised as a business'.the street address sh 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.
Lpplican .�� -� Date
Hnmenr--dnc Rev_101T 1,I
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Town of Barnstable
p Regulat®ry Services
Richard V.Scali,Director„
s
>3nxxsrastt, « ' Building Division
nmss. Tom Perry,Building Commissioner
1639- .� .
'DrEn t,tip�l a 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: c l) / -10
HOME OCCUPATION REGISTPADON :
•
Date: , J Gi --
Name: (= �� NAI CJ U —PJ9—Sr. m Z:w Phone#:YZ,y—
Address: - 11nl�, r�o�l I Village: 4i61
Name of Business: D .
Type.of Business: 1 4 N rg 1314 /l7 �' Map/I ot: 20,
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:
a 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.
a There is no storage or use of toxic or hazardous materials, or,flammable or explosive materials,in excess of
normal household quantities.
G 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 storageor 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:
a If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
® No person:shali 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.
Applican Date:
Hnmenr_dnc Rev.10.111.E
YOU WISH TO OPEN A, BUSIIlIESS?
For Your Information: Business certificates (cost$HO.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, 1."FL., 367
Main Street; Hyannis, MA 02601 (Town Hall)
x nK; DATE: .Jc,�� //� Fill in please:
'APPLICANT'S YOUR NAME S: ���i��vnG,6r 7 i� sci irac r c
r,ICIMJT�r� rr46iz1 ` rl' 4`'r` /
i" ��iltu�,lt ii lr �fk3lp BUSINESS YOUR HOME'ADDRESS: o�.,�'
L—
ldJl' I , l�l.`�, � Il ,EiC•m ITN`1rlae,e - -
t��''' TELEPHONE # Home Telephone Number - -
ilu6n?h7vJi''s�+` 1'11a"
'11''7c�tY�2T r t7F�Z
NAME OF CORPORATION: 11.
• NAME OF NEW BUSINESS ry ;GAy d-s d',4 iw TYPE OF BUSINESS �1���iU; T,n l�,l.�' /�2j
IS THIS A HOME OCCUPATION? YES NO.
ADDRESS OF BUSINESS w rr sv MAP/PARCEL NUMBER 303 S60_ (Assessing)
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
RBI. & I9l'tlain Street) to make sure you have the appropriate permits and licenses required to legally operate your business in,this town.
f,_
1. BUILDING CONiAlSsid ER'S OFF. E
This individual) hc_ e ir�far e en er it squire ents that pertain to;this type of bu i ! T COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS: FAILURE TO
Aut on ,e Sig. atur_.e* COMPI:Y MAY RESULT IN FINES.'
OMMENT ) ► � C ,G'..
ras J
2. BOAR OF ALTH LJ .
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:
i, s
® I;t 02 09 08:28a p.1
Barnstable TOWN OF B STAB[E Leased Housing Dept: 508.771.7292
• �N���. • Telephone 508.771.7222
PAX: 508.778.3312
gEDNIA�`e Housing AutOrit (?; OCT —2t $` 2 146 South street•Hyannis,MA 02601
ZONING V , , 3�I ON
TO: 'Linda/Robin
FROM: Kim Gomez, Leased Housing Coordinator
PHONE NO#: 508-771-7292 FAX 508-778-93.12
RE: LEGAL RENTAL UNTIT VERIFICATION
DATE:
ADDRESS: S tet,
VILLAGE:
l
UNIT TYPE BEDROOM SIZE
MAP & PARCEL NO: �( fie- C 0 c 4l C r ��CD� n-e
The owner of the above listed property is entering into a contract with us for rental of the
property listed above. Please verify by signing below that the unit is legal and meets all zoning
re uirements for a rental in the town of Barnstable. If it does not, please list the reason below:
6cA
bt4_+7
was
yo for your assistance in this.matter. no_t- ins ' 6CS a� 7-44-)is -
O� 44e4:t�
SignkUre Print name
Date: 6
VIA FAX: 508-790-6230
Equal Housing Opportunity Agency
nw P. 1
Communication Result Report ( Oct, 2. 2009 9: 15AM )
2)
Date/Time : Oct. 2, 2009 9 : 14AM
File Page
No, Mode Destination Pg (s) Result Not Sent
----------------------------------------------------------------------------------------------------
5757 Memory TX 95087789312 P. 1 OK
----------------------------------------------------------------------------------------------------
Reason for error
E. 1) ,Hang up or line fail E. 2) Busy
E. 3) No answer E. 4) No facsimile connection
E. 5) Exceeded max. E—mail size
.02 09 08:28e p.1
Barnstable TOWN Of BAR115TA6LE ���dxwT q&--s0s nia
f Housing Authorit r 2 AN �29 sax:s,W'A 2601
g �'O.,T- 146 so„cn sera•aya�m;e,r�tA ozant
ZONING VFqTON.
TO: Linda/Robin
FROM:Kim Gomez,Leased Housing Coordinator
PHONE NO#:508-771-7292 FAX 508-778-93.12
RE: LEGAL RENTAL UNIT VERIFICATION
DATE:
ADDRESS:r�Z,,/���Gf/ tot,
VILLAGE: fvv>u�
UNIT TXPE� BEDROOM SIZE,
MAP&PARCEL NO:S_I- IQ't �i dn�C1 Oa`F+e_ (LCdr4-ae 1�
The owner of the above listed property is entering into a Contract with us for rental of the
property listed above. Please verify by signing below that the unit is legal and meets all zoning
ements for i a rental in the town of Barnstable. If it does not,please list the reason below:�bLr oa�rLS— p,--se_
=47
Q P/1 leliy fL� `-�tiiS �K� WDIS
y for your assistance in flue matter.Y1p ins S o��N^1 is
ow-4kA14L&j&;C
Si lure Print name
Date:
VIA FAX:508-790-62330
r
D l020�0
�IKKE , Town of Barnstable *Permit# ?,P-A
Expires 6 months from issue date
BARMABM Regulatory Services Fee
163MAW , Thomas F.Geiler,Director
0
Building Division
Tom Perry, Building Commissioner AUG �T
200.Main Street, Hyannis,MA 02601 192004
Office: 508-8624038 70WAI®Fe
Fax: 508-790-6230 gRNS
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
9 Map/parcel Number i�
Property Address 0?-
(Residential Value of Work 15)-2170 _ Minimum fee of$25.00 for)work under$6000.00
Owner's Name&Address
Contractor's Name W" NKafCZ5 Telephone Number S?S'-96-
Home Improvement Contractor License#(if applicable) Zi46'9 3'
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name Alrz—f
Workman's Comp.Policy# A 44WC;2-9,9K,92?,
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
a
side �lpl� ;2-9
❑ Replacement Windows. U.-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
e rovement Contractors License is required.
Signature
Q:Forms:expmtr
Revise063004
Town of Barnstable ,
Reguxatory Services
3 ILWVesr ,$ Thomas F.Geller,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 .
www.tofn,b arnstable,mams
offic
e: 508.862-4038 Fax: 508-790-6230
Propetty Owner-Must _
- - ..Complete and Sign.This Section
If Us ing A Builder
as Owner of the subject property
�,� to act on my behalf;
herebyautllor�ze 1 1
in all matters relative to workauthorized bytliis building permit application for.
-(Ad&ess of job)
a e of owner Date
Pant Name
A
..�.►-r..�..�-.w...rww•w�r�.awsrvsra�.war-_:��,wa.�.:.-.:.s.�r.�+•.�w� •..• TL-000910307-0)
PRODUCER THIS CER TFNaTE N ISSUED AS A NAITEN OF INFORMATION OILY AND CONFERS
MARSH USA INC. NO RIONTS UPON THE CERTIFICATE HOLDER OTHER THAN THOMPROVNIED IN THE
ATTN-BRENDA BOOKER POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND ON ALTII THE COVERAGE
3475 PIEDMONT ROAD,N E., AFFORDED SIT THE POLICES DESCRIBED HEREIN.
(404)995.2594 OFFICE COMPANIES AFFORDING COVERAOE
(aa 760.5768 FAX
ATL TA30305 COMPANY
100492-MASTR-RMA- RMA A STEADFAST INSURANCE COMPANY
INSUREDCOMPANY
THD AT410ME SERVICES INC. B N/A
DBA THE HOME DEPOT A�-HOME SERVICES
2455 PACES FERRY ROAD NW COMPANY .
BUILDING C- C AMERICAN HOME ASSURANCE COMPANY
ATLANTA,GA 30339
COMPANY
0
w Lt99§iP..9 9 1 W R.1 •�� `J�w•�TS•1S.T�fLMJY �'�K4YE1��'��::1....�......
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HALE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOTVVTMSTANONG ANY RFOJIREMENT.TERM on oONdTON IF ANY CONTRACT Ot OTHER DOCLJMENT WT4 REJECT TOVIHION THE CERTIFICATE MAY Bi ISSIEOOR MAY
PERTAIN,THE INSJRANCE AFFORDED BY THE POUOES DESCRIBED HEREIN IS SUBJECT TO A L THE TERMS CONDITIONS AND EXCLUSONS OF SUCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAD CLAMS
OD NUMBER ►OLHYEFFECTWE /OLICf EX/IRATIOM
TYPE OF INSURANCE /OUGY
LTR DATE(III 11100/YY) DATE(MMIGO/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE S 4,000,000
A X COMMERCIAL.GENERAL LIAeLITY IPR 3757 606.00 02/01/04 02/01►OS PRODUCTS•COMPK)P AGG s 4,000,000
CLAIMS MADE a owl. LIMITS OF POLICY ARE EXCESS' PERSONAL A ADVINJURY s 4.000.000
OIMHER'SACONTRACTORSPROT OF SIR. $1,000,000 PER OCC' I EACHOCCJRRENOE $ 4,000,D00
FIRE DAMAGE(Any(RRSFR) s 4,000,000
MEDEW mR ROIL s EXCLUDED
AUIOMOBLE LIABILITY
COMBINED SNGLE LIMIT S
ANY AUTO
ILL OMANED ALTOS SOOILYIN.URY
804EDULED AUTOS (Per per—) s
HIRED ALTOS 800ILYINAJRY s
NOV-OMMED AUTOS (Pa SOcdov)
PROPERTY DAMAGE S
CARACELWILITY AUTO ONLY-EA ACCIDENT $
ANY
AUTO OTHER THAN AUTOONLY
EACH ACCIDENT s
r
AGGREGATE s
ES C'ESSLIABMITY EA010CQJRRENCE {
UMBRELLAFCRM - AGGREGATE 5
OTHER THAN UMBRELL A FORM f
D ~
OI►IOYERlIMSlIT/ X 9-111MITS ER .- i--sL`-� • Tom':
-
EL EACH ACODENT S 1,000,000
C THE PROPRIETOR/ INCL RMV C2981992 ADS 02/01/04 02101105 EL IXgASEPOLICY LIMIT s 1.000,000
PARINERSEJE CLTTIVE
D CFFICERSAlE EXCI. ! ELDISEASEEAd1EMPLOYEE $ 1,000.000
OTHER
C WORKERS COMPENSATION
DESCRIPTION OF OPERATIDNLLOCAnCIA&-ENICLES/SIECAX ITEMS
RE:LOCATION NO.RMA.
,
94OUD AW OF TIE PQIOF.SOESIXGEO HEREIN IE CAWRLEO BEFORE THE IFPIAATION DATE THEREOF.
• TIE INSMER AROROING COVERAGE WLL EMMOINOR 10 MNL_M DAIS WRIREN NOTICE TO THE
QRTIFIryItE I/aDER INIRD 1EROK SIR AARIAE TO MNL MADTNOTICE lNlt,MPG=NO OSLIG%VC H'A
UASAITYOF AW N110%PON TIE INSAFR AFFOROING CO/FRAOE.ITSAGFWS OR REMFSFWATIW OR TIF -
I SMER OF TM R OFRTIFICAIP
MARSH USA MC.
r eY: Frank Knnett ` , iwlcstsu
VAUD AS OF:1202/
atelsaIN 4001M ►PUVA ON ___..._.__........_
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617
Board of Bul_hbz Regolations and Stasda*
IMrDTHE Horne De
M)kRK AUDETTE
3200 COMB GAL LERIA PKWY#20
ALTANTA,GA 30339 Administrator
The Town of Barnstable
Department of Health, Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph M.Crossen
Fax: 508-790-6230. Building Commissioner
Home Occupation Registration
Date:
Name: Phone#: g-C� — q t (
Address: C.t�G�l 1,r,-����Y1 � Village:� n r
Name of Business:.
Type of Business: - _ Map/trot: I ^a
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 materiars 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 restrictions for my home occupation I am registering.
Applicant: Date: C�
Homeoc.doc
p.
TO ALL NEW BUSINESS OWNERS
1f}
Fill in please:
APPLICANT'S ® ® ® ®® YOUR NAME:
BUSINESS YO R HOME ADDRESS:
l •
TELEPHONE ; t Telep ne Num er (Home)
Ci
NAME OV NEW BUSINESS ^�,cc� -_C' 1-ean TYPE OF BUSINESS I_�PGLn t n G
IS THIS A HOME OCCUPATION?
ADDRESS OF BUSINESS MAP/PARCEL NUMBER J..
When starting a new business there are several thi gs you must do in o er 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).
1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL)
This individual ha'veKeen in' formed of any ermit requir ments that pertain to this type of business.
Authorized Sig ture
COMMENTS:
2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL)
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR.SCHOOL ADMINISTRATION BUILDING)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
.After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (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.