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HomeMy WebLinkAbout0031 WHITEHALL WAY �/ � a ,FTMEr,. TOWN OF BARNSTABLE . Permit No. 29945 BUILDING DEPARTMENT Cash ':". TOWN OFFICE BUILDING °hDiuV HYANNIS,MASS.02601 Bond J x,601 (/ CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #4, 31 Whitehall Way Hyannis, Iv+dssLxhusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 13......, 19....... 7..... �!l ..... Building Inspector `' �'�y��•: TOWN OF BARNSTABLE BUILDING DEPARTMENT = r�1 ' TOWN OFFICE BUILDING rut HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: 1113/trl' An Occupancy Permit has been issued for the building authorized by BuildingPermit $k........ .. t�� ...........................................................................:..................................._.............................. . . issued to C7CerJJr�pr..... ! ........ .... .`3 �. ......... ..... j Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PORMIT DATE 19 PERMIT APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF U PERMIT TO 14 DWELLING UNITS 1 - ( C�) STORY_: __ -j, ,, - (TYPE OF IM-ROVEMENT) NO. (PROPOSED USE) AT (LOCATION) or_ i/4, ZONING (NO.) (STREET) DISTRICT BETWEEN AND ( (CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN'CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR VOLUME $ 4 000 FEE PERMIT s ESTIMATED.COST (CUBIC/SQUARE FEET) OWNERliit: r ADDRESS BUILDING'DEPT. h, BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TFMPORARI LY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF 0 A FROM THE DEPARTMENT . PUBLIC SEWERS MAY BE OBTAINED OF PUBLIC. WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS o NDtT I ONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED INSPECTIONS REQUIRED FOR ON JOB AND THIS WHERE L'CABLE SFPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS A ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE 'A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED MEMBERS(REAOY TO LATH). UNTIL Ip 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE., OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSfPEC�APP OVALS PLUMBING INSPECTION,�PPROVALS _ I I F 1 11,11 1, ELECT PILAL INSPECTION APPROVALS lvt1 11 , z Wd jel 04 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT cck_ltc� .2 3 L5 L�-6 A�f �,fAd At OTHER 2 BOARD OF HEAL H e� T41 K6 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT ',Y!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. L PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION, Assessor's offioe (1st floor): f / �'m x E Assessor's map and lot number .cam . �.... ! .........�.. TH . Board of Health (3rd floor): Sewage Permit number " .....•...........•.•....'.•.,. Z 33AHd9TABLE,MAS i Engineering Department Ord floor): :{ d ( moos, 39. eye House number. ...........................�.,!../............................ �E0MAI APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. ...�) ..S..ri����r/,1 V� �` ,�// ............. ...........j.................... TYPE OF CONSTRUCTION ...................................w. ...C�1.1/..(............�� �.:-�..................................... ........................ g ........,9..- -C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �.O� �......�/ �../-! �� Lr / Y�rVv� 5............................. G Proposed Use ............................ 5 f�2 ( -f ........................................ ................................................................ .................. Zoning District ......................(..`.............................................Fire District ...................... ........Glkh�.5.................... ... �� n Name of Owner �fI/t sz i'Ll.� C0 �l!�...Address ............................ �.X...S..�.�.....`...........1,6�........ Nameof Builder ..........................5 ....�.....................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ... 6.....................................Foundation ...............,�� Exterior ..........!'. .�/ .. f rt....... ...`.A !' lA....Roofing f / ( ! 5— ` ..........�� ...................Z.?............. Floors vt'"J ( 'F ^ -'I..........Interior jam .../,< < Heating ........................... ../.,.�./.. .......+......G....A...5............Plumbing ��-.... .G..... ................................. Fireplace ........................................Approximate Cost � J U .... ........................... Definitive Plan Approved by Planning Board __--__I? _�------------19__ ___ Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name .. /.,. cr` 1 -- ... ..`v. Construction Supervisor's License O G GREENBRIER CORP. A=250-163 y No ..�994...... Permit for ..........tor.................. Single„Family,,.dwelling.................... Location .1Q.t...A.,.....3.1J ?itehall.,Way,,...... .................Hyaula i s............................................... Owner ....Gx. . ??kner..QorP.�........................... Type of Construction ..FxaMP.............................. ............................................................................... Plot ............................ Lot ................................ Permit Granted .,, September 22, 19 8 Q Date of Inspection ....................................19 Date Completed ......................................19 �'" ,r.•�-i - Gam— /// �(f�Q Assessor's offioe,-Ost floor):- FTNEto // o Assessors map and lot number .c :fQ...`.....!�trt. ...':.:.. Board of Health (3rd floor):`" SEPTIC SYSTEM ���� ICE �,- COMPLIANCE Sewage"Permit number .... ........................... ..................... r INSTALLED IN CLE 5 t BAUSTADLE, Engineering- Department (3rd'floor): 1' WITH �:.1 �i'1 O CODE AND �•0� H TITLE a rss House number • ENTAL °i°�Fa Mp a APPLICATIONS PROCESSED 8:30-4 9:30 A.M, and 1:00.2:00 P.M. only T®VVN REGULATI®NS TORN 'OF -BARNSTABLE BU11D] NOINSPECTOR :G % .APPLICATION FOR PERMIT TO ........................... -. .7 : . TYPE OF.' CONSTRUCTION ............................:...... ... (L�...........F�:.of K .................................... . ...................... �F..........,9....� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . . ....�! &ff 1...eK `!. '��✓.. .!. �......: ProposedUse ..............................�I ..��............... ....'�f.• ......G�...........................................:. . ................................. j�f / - Zoning District ....................../1....C...._........................................Fire District ......................ffcll_-Ife��J........... j Name of Owner (� � ��= CUB 0}� O ,. Name of Builder ........................... 7......................................Address ..................................................................................... Nameof Architect ........................ ........................................Address ......................:........:.. ... ......... ........................ Number of Rooms ........................ .........:................`..........Foundation ............... or Exley for r... . r, ''.. .. ::.5� '! .(t.f.....: ....C "�'f!!r.. Roofing �,� C.�... .....�. ..5-... `'�^ �( .......Interior •............................. (./...� C �< Floors ................vi ..... p�.... .. .......:............. Heating ��/�` V�S Plumbing ...!..`.: . .. .... ............. ........;........................................... ...................................... Fireplace :............................ .D.......................A.......... ....Approximate Cost ..............::..........` UJU Definitive Plan Approved. by Planning Board ------ 1 -----------19 Ar'ea KDiagram of Lot and Building with. Dimensions Fee X... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS [.hereby agree to.conform to all the Rules and. Regulations of the Town of Barnst I regarding the above construction. Name .. L:Cl Construction•Supervisor's 'License ................`�.(3. .� 'y_ iGREENBRIER CORP. No;..29945:. ;.Permit for .....hi..S.t oxy. .............. a binp_le...family...Dwelling.................. e' _ LocationWhitehall,•Way..... _s ....................Hyannis............................................. Owner Greenbrier Corp. ....._ .. ... Type of Coristruction '-'Frame........................... ..............:...............;t. Plot'.......... Lot . .............................. ''� ter." �� t '/ ,. ' r Permi•' s t Granted .......Septemb............,.....19 86 Date of InspectionZT..^.......19�� ... -Date Completed .. ......� %3`�... t 1 1.` ,l 7 ' ter• w. S ii1 41 l' ✓" �'/ i _ fit �,q� 11 y+� J" rJ. /'. 7 1 r _ •,.,; / • ro " "' 4 i - ,/fir/• .'�•. L'J + � • 3Af '� /� yr � � r` �� yam" v - � _ � _ �JR /4- '.� a 14 s '�« / � M- ✓� mow.^ �"' �1 s� `, �. •t: try ' .I .. � K ! w r ZONE RG-1 3,560 s.F, ,. Ass.��►',�a(. �-Yl P.kec +m h 125, FR.oNTf}GE . 30' �kaNT SErCAck 'f I5' S r D E. WHIM 44Ai.c. MANoR Nast"�-oN► I,V G, A/ 42° y8 °.�5•:�' 2.01 WIPE DR�irl LOT �{ �i}S�fy FA1T 141 C) LoT 3 I 3 oLOT h i i I ln��-1�TrN-ALt_ Wpry (50' WIDE PF2ivt,,-rF WA_q) � f CERTIFY THAT THE }�'nD�ri./DIQ — o`�N OF SHOWN ON THIS PLAN IS PAUL A. f LOCATED ON THE GROUND LEVY AS INDICATED AND CONFORMS No. 10617 TO THE ZONING LAWS.OF ��f�. T���°o�� I , MASS. °sa"iIPAJ '�~ I ZZ DATE GIS RED, D SURVEYOR LEVY & ELDREDGE ASSOCIATES,INC. CLIEN CERTIFIED LOT PLAN � g ENGINEERS - LANDSCAPE ARCHITECTS JOB NO 16 _ 01 T N�4L L WAN PLANNERS— LAND SURVEYORS DR. BY: /4AM r I N ' NC KD BY: BAQ4STi� r'�- I4NNts MA� 88.. WEST MAIN STREET 8 V I . CENTERVILLE. MA. 02632 SHEET OF L SCALE=, 1 �=��� DATE= 21I's(d 43s�a �J l 1 ,4 1 / 1��' >��� fir'' r• /• 6 19, 1 ` -�3 VNLc� TOW hi kA N �4.5dj N Zs_ "R, yy*- I Ion ' T" N o I I a LI I i � 3 ggqLLL ICL�% N I Eks �-.,.J- { gPx a L I 1z5,oC 1 - o DAVID P PAUL A. . �i /� g MARIANO m o LEVY a f .• p � �- y p CIVIL " No. IOGI7 y No.31115�� LEGEND ��• �' EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR --- 0 --� CERTIFIED PLOT PLAN FINISHED SPOT ELEVATION FINISHED CONTOUR 0 7- N tV.A:,lTS,u1iG� NOTE: The location of any existing underground sewerage, IN wells, or other utilities shown on t)- is plan is approx- imate only as determined from records and/or verbal a it \ information. The contractor is responsible for the �"� � "� � � ��j verification of tiie existing l.ocat ions in the field. SCALE, "�= �> � DATE 1 9�10 _ G I LEVY & ELDREDGE ASSOCIATES, INC. CLIENT2221L'J 2 I CERTIFY THAT THE PROPOSED i ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. 102-5S BUILDING SHOWN ON THIS PLAN PLANNERS-LAND SURVEYORS DR.BY 12TI ) CONFORMS TO THE ZONING LAWS OF BARNSTABLE , MA. f38g w, ripiAl SVZ:G i' CH. BY c=t-rur�2V; wEr MASS• SHEET I OF Z DA E E . LAN SURV YOR G /VOTE /F E/'TNE,4 7".�/E SEPTIC TANK OR 20 FT. M//V. /EAcCyllYG PIT ARE MORE T/ MAI /2"BELOJ'V /O �/y �RAOE� fa 24"O/AM ETER CONCR•ET,r- COVER K--- SNALL BE BROUGHT 'TD 4,T,4OE.6. /✓ EXTRA GONGRETE h'EAVy CAST IRON CO{/ER S//ALL !3E 41SE.0 CORERS M/N. PITC T. /F/N ZYUVEN/A Y 2 is p CCN4C e'- E 4 CO VE/z CLEAN ,SANG Z SLAYER CAS e I d •,I O CrA4. ' 0 •e o • • • • • I 1 '• OF /8 �6 :.4 M/IV.P/TCN � 1 • o %4'PEI�P7: S�PT/C TAN/C o/sT. b 1 , • • • • • I , YYASNFo s7rJNE .`S BOX n. • 1 B • • • • • .•• •. 34 • ° / e DEPTH • • 1 • • v WA31/ED STONE ISIX� �� = ;'1`/,�j • • ' I • • • • • • • 1 p .o PREC.ASTSEEOAGE S '!NI/CRT &LL�f/AT/Oh3 � l/3X/�O � /l3, O `s i.e I • • s . . 1 I ea o P T OR EOU/1/. . .s7. r' I C' c�j =9�0.S c�'P,D• 6 FT: D/AM. � 46 IAIY.ERT AT QZ1/LD/NG <c FT P � l 7 !HEFT SEP7/C TANK FT . /L FT O/i41►9• C SEE TA8UL4TJON, auri-ET'SE'PT/C 'TANpt AFT. /lVL,ET DI5MI40I17/0N BOX Q, FT. SECT/ON OF GROUND H�1TE/�' Ti4®LE 0C/TLETD/5TR/0IIT10N BOX FT. /NLET LEACHING I"/T lol.S /cT S'EyV.�iGE O/ '�05A L S3�.ST�J'? TAQ,ULAT/DH L,6ACf///Va .4 '/7' z o F.T. / ., DIMEn/s/o a A . a D/ DE$'/6M CRITERIA S t ALE D//►f.CN3/ON $�FT. IVVAf8ER OF BEDROONS D/MENS/4N 7' ori�' O/L LOG - /00 GA/?C3AGE,f)/.SPD.S�4L UNIT _ S P �g- D/L TEST TOTAL FLON/ SOIL TEST Al SOIL 7EST#2 s NUMBER OF 40ACHING P/rS I d^FL�K �� 5 -�L�Y• PATE OF SOIL TEST S/DEL�°ACH//VG PER PIT SQ, FT. O_ rcp5oit. RESULTS kVIr/VESSED BY��`S Z 13 �� BOTTOM LE,4CN/NG PER P/T_.L-SQ. f'T. � --`-�'!l.. P�,fiCQLAT/ON RATE At/ Az, M!/V•I/NCH TOTAL LEACH//YG AREA 0�2: VV. FT. = Ae=1eC0L477/0NRA7-,=j(k2 M1N.1INGH RESERVE LEACHING ARE/aSQ. FT. �PPc� nrr �sa� s rcro sd�L T��c ?'-�014 4�v DAVID P. ��c%, �pN� GUT Lvt!lT .cl L(� Gvf4�f MARIANO NVI s� c� CIVIL /U �ri4� L-k Olk? SS o .o ,Q No.31115�,0 a 90 �C,S.f Q� LEVY & ELDREDGE ASSOCIATES, INC. Foss/OVA /0 C-L. ., Ft�,� W.INld//J sT, C.'e7�/1f72 ii1[lt�MASS. 3.. 1CD, NO 0ROUN0 yYAPBR EJVCOUNTEREp C.L./ENT:ct� vi PA SHEET�`�is M _ (� G/?OUN� Y�/ATER AT ELEL! - JQ� /VO,• 1045— OF � Regulatory Services Thomas F.Gefier,Director Building Division r 1 ` Tom Perry,Building Commissioner Lt 200 Main Street, Hyannis,MA 02601 www.towiLbarnstable.m&us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: r -O Permit#: 3 HOME OCCUPATION REGISTRATION Date. 0,/l 30 12013 Name: 6,11 Y7C)nJ J Phone#: y,f 34 5Yj Address: ?J� 1/(�ly�rEt�A�G w/q`� ViIlage: J y19 Ail I/l S Name of Business: 7-/DE '� Al /N6 PA T7A/�-v /gJWCQ t vP5Z11M'-M r Type of Business: � � D T ENT: It is the intent of this section to alloy 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 vzth 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 tragic wi l 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.rehated 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 Hoene 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 die Customary Home Occupation who is not a permanent resident of the dwelling unit I, the undersigned,have and agree with the above restrictions for my home occupation I am registering. Applicant: l� Date: / �2Q/3. Honieoc.doc Ret•.OV3/OS i . 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, 1 st FI., 3.67 Main St., Hyannis, MA 02601 (To,;vn Hall) and get the Business Certificate that is required by law. Q//30/2o,3 It DATE: Fill in please: > � APPLICAN T"S YOUR NAME/S: r[,09`f'ronJ LbF)T e— BUSINESS YOUR HOME ADDRESS: --31 WHI ' t)ALL Wh' HvflNAJIS M51 QZ6p/ ` w TELEPHONE # Home Telephone Number -771-/ F 36 5'-797 NAME OF;CORPORATION ;• NAME OF NEW BUSINESS 1/�i�y1 Ti9 . %�R/ni r/niGAa.O Povukz WREN/i✓G TYPEOF.BUSINESS -Tf!.�IJTNG /f)X -7pIu Tf/�iti( AO� IS THIS A HOME OCC.UPATION� YES ` NO ADDRESS OF BUSINESS".3/ tf//-li ]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 CO MISSIO ER'S O CE aany MUST COMPLY WITH HOME OCCUPATION This indivi 'ual h s e n info..me f r r quireme is th t pertain to this type of business-RULES AND REGULATI®(� FAILURE TO on S'gnater COMPLY MAY RESULT IN FINES. MMEN742k�/Ink l ! (A f 2. BOARD O LTH 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: * mit#db �`'�� Town of Barnstable Per E ��6 issue date Regulatory Services Fee .:, • �; SPERMI Thomas F.Geiler,Director i6 9. '°'FD►�+ 2 2011 Building Division TOWN OF BARNS ..ABL�Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 wvwv.town.barnstable.ma.us Fes; 508-790-6230 Office: 508-862-403 8 EXPRESS pER.VUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number L -4 Qo1).6 0/ Property Address 1 Residential Value Minimum fee of$35.00 for work under$6000.00 of Work Owner's Name&Address SEE O c�j/ �! pL Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) S�5 Construction Supervisor's License#(if applicable) yWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �$ LEG EL WorkmanIs Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑ Re-roof(not stripping..Going.over existing layers of roof) ❑ Re-side #of doors ,2,00� maximum .44)#of windows--�� Replacement Windows/doors/sliders.U-Value ( * uieed: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Where re 9 ***Note: Property Owner m t s' Property Owner Letter of Permission. A c of the mprovement Contractors License &Construction Supervisors License is fired. SIGNATURE: Q:\WPFTLES\FO \building perm' orms\EXPRESS.doq r,, 4e 4 n7n110 - viassacnusetts- oepaiinient ur ruone :)wm ? Board of Buildin�- Rc�uufutions anti Standard_. Construction Supervisor Specialty License. License: CS SL 99907 Restricted.to: RF,WS,DM ADILSON SEGOLINI 117 MINTON LANE WEST BARNSTABLE, MA 02668 ' Expiration: 10/14/2013 ('urnmissiunrr TT#: 5207 = earl/ % adaac�uaelta ' isf3tti'V fn1 tifvrduA'tise only ✓fie &B sluess Re'wahon Office of GonWilikAAff rs e t ���pa $t tb�tncl rE turd io i HOME IMPROVEMENT CONTRACTOR $ffiee of'CoYAsu .er Affairs auil=$usrgess.Regulat on Registration 159597 Typetl ' f0 `;Expiration h512012 DBA x 5� 6 E � y � S` Lim CONST.,R- IQI !` r ` AD[L50N: SE000NI F c h17 MINTON LAhA- �IVE$T BARNSTAbL MA .: jlndersecretar� N acid Without stgnhtWe i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers, Applicant Information Please Print Legibly Name (Business/Organization/Individual): -eaQ 1ivj COA/S 7X I/c t7�✓ ~ Address: l(7Z /yl iNr�w .G.4N� City/State/Zip: ,S N/am .2Z 6$ Phone #: 12 y 839 4 S Y S Are you an employer? Check the appropriate box: r2. I am a employer with of 4. ❑ I am a general contractor and I _ Type of project(required): employees(full and/o art-time , have hired the sub-contractors6• ❑New construction ❑ I am a sole proprietor or pa listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have' g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp• insurance comp,insurance.t 9• ❑Building addition. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions . myself. [No workers' comp, right of exemption per MGL insurance required.] t c. 152, §1(4),and we have no 12.❑Roof repairs employees. [No workers' 13.❑ Other r comp.insurance required.]- *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who subout this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. lContractors that check this box must attached an 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. Insurance Company Name: G C L Policy#or Self-ins.Lic.#: /Yfr$ / 86 Expiration Date: Job Site Address: /' /�!�/ City/State/Zip: / Q2 g17'0% Attach a copy of the workers'.compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi up er the pa' and penalties of perjury that the information provided abo is tru and correct Signature: Date: /2 Phone#: 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#: Saeed A. Chaudhry 31, Whitehall Way Hyannis,MA,02601 10112111 To Whom May I Concern 1 Saeed A.Chaudhry owner of 31 Whitehall Way Hyannis.Authorize Segolini Construction to proceed with the replacement of all windows. Thanking You Yours Faithfully Saeed A. h hr C and Y • CERTIFICATE OF LIABILITY INSURANCE I 'A'(MM/DD/YYYY) 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 Schlegel 6 Schlegel Insurance Brokers Inc NAME: PHONE (508) 771 - 8381 34 MAIN STREET (AIc,No,Ext): (ac,No):(508) 771 - 0663 E AIL ADDRESS: --- — '—'— ._—_..—._..—.PRODUCER - CUSTOMER ID#: West Yarmouth, MA 02673 INSURED INSURER(S)AFFORDING COVERAGE NAIC# Adilson Segolini Dba Segolin.i Construction INSURERANGM INSURANCE 117 14inton Lane INSURERBGRANITE STATE INSURER C: INSURER D: West Barnstable, MA 02668 INSURER E COVERAGES CERTIFICATE NUMBER: INSURER F HI T REVISION NUMBER:S 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 LTR TYPE OF INSURANCE INS R WVD POLICY NUMBEROLICY EFF POLICY E P (M GENERAL LIABILITY M/DDIYYYY) (MM/DDM/YY) LIMITS A -][ COMMERCIAL GENERAL LIABILITY MPT8486II CH O5/07/201105/07/2012_EA OCCURRENCE _ $1,000,000 CLAIMS-MADE EXI OCCUR PREMISEs(Eaoccurrence) $500,000 j MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ,1 POLICY PRO- PRODUCTS-COMP/OP AGG $2,OOO,OOO pr JECT LOC Z' AUTOMOBILE LIABILITY $ COMBINEDSINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS , PROPERTY DAMAGE NON-OWNED AUTOS (Per accident) $ � $ UMBRELLA LIAR $ OCCUR ' EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE V DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC-007-648-436B $ AND EMPLOYERS'LIABILITY 05/23/201105/23/2012 X WC STATU- OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N TORYLIMITS ER OFFIC(Mandatory in NH) EXCLUDED? �I� N/A • E.L.EACH ACCIDENT $ 10O 000 (Mantlatory in NH) r If Yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-EA EMPLOYEE $ 100,000 D E.L.DISEASE POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach 11 ACORD 701,Additional Remarks Schedule,it more space is required) ADILSON SEGOLINI HAS ELECTED COVERAGE FOR HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1CORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered ar of!;CO v 51, 1 SHE.root Town of Barnstable *Permit��t' ps of y� Expires 6 months from issue date Y -o Regulatory Services Fee ool IAxNSTnsi,E, Thomas P. Geiler, Director 7 MASS. 1659. ,�� Building Division- Tom D rEo MAl a 7 _ Tom Perry, CBO, Building Commissioner i 200 Main Street, Hyannis, MA 02601 . www.town.banistable.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (r Not Valid tviMorzt Red\-Press Imprint Map/parcel Number ( �V Property Address /p/�"f�l��� ti/Ay f��1/,�1//f �.� 0P2o�0/ All Residential Value of Work Minimum fee of$25.00 for work under$60.00.00 Owner's Name &Addresss✓�Al 114,,0✓ 11 Contractor's Name `!V Telephone Number Home Improvement Contractor License# (if applicable) 69 55 j �Workman's Compensation Insurance ';. Check one: ❑ I am a sole proprietor SEP 12 2008 ❑ I am the Homeowner I have Worker's Compensation Insurance J TOWN OF BARNSTABLE Insurance Company Name—���� �U�/ SL'f/JF�� Workman's Comp. Policy# Copy of Insurance Compliance Certificate must've on file. Permit Request (check.box) Re-roof(stripping old shingles) All construction debris will be taken to I ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value —(maximum .44.) *Where required: Issuance of this permit does not exempt compliance with other town department regulation E1{.e. Historic,Conservation,etc. ROTS ***Note: Property Owner must sign Property Owner Lett rho 'permission. A copy of the Home Improvement Contractors License is required. L1 -01 a Zl 8 'Scg'C: SIGNATURE: 7Z Q:\WPF[LES\FORMS\bui]ding permit forms EXPRESS.doC - Revise020108 The Oomtnonwecdth of Massachusetts Department of Ittdustridl Accidents Office of In-vestigations 600 Washington Street Boston, ALL 02111 www.tnass.gov/dia Workers' Compensation Ingitrance Affidavit: Builders/Contractors/Electrician.s/Plumbers Applicant Information Please Print Leffitbly Name (Bus in css/Organization/Individuan: • Address: 1� /� �/r/ /Ze9/Y� - ' City/9tate/Zip:k,4F5r ,0/f v ,#f&/E ItIl jM&I618 Phone.9: 7 Are you an employer? Check the appropriate bwc Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and 1 6. ❑Ncw construction employces(hill anrilo art-time).* have hired the shb-contractors I❑ m I a a sole proprietor or partner- lister on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g; Demolition worl`i g for me in any capacity. employees and have workers' 9.; ❑•$uildmg addition [No workers' COIIq.-insurrnc_e �� 1nSilra-nGC, tquirtxt] � S. We arc a corporation:and its 10.0 Electrical repairs or additions r 3.❑ I am a homeowner doing all work officers have exercised their J 11.0 Plumbing repairs or additions myself; [No workers' comp. right bf exemption per MGL ,12.D Roof repairs ine c.,-required.]t c. 152, §1(4), a id we have no j _. employees. [No,workccs" t;13.❑ Other comp.insurancc'required_] »:ri `Any applicant that chcekc box#1 mast also fill out thc,scction below sbowing their V ar 'coropairafioir PoficY infrn matio L t Hrnrrbwncrn who submit this affidavit indicating they u-c doing aM work and thrn hire outsidc,contx—tors must_subrmt;s,pc_w affidavit indicating such tContMctors f;sit cheek this box nnrst attaehcd an additicn-cal cbcct showing the name of the sub-cmtra and start whether'ar not those cntibrs have anployees. If the sub-eontraetrns have erployecs,.they mus4 pravidt tticu- wort crs'comp.policy ncunbet. ' lam an employer Lkai is providing workers' compensation ixsurance far my emproyees 3eraw;is the policy and job site infarmaYzntt. � - - , Tnnirancr.Company Name= - -- Policy#or ScLf--ins,Lie_#: Expiration Date: rob Site Address: - - city/statc/Zip: Attach a copy of thcwarkers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required unrirr Section 25A of MGL c. 152 can-lead to the imposition of r-rin-ri,;al pcnaltics of a firm UP to S 1,500.00 and/or one-year impri.soarornt, as well as civil pcnalti'cs in the form of a STOP WORK ORDER and a fir of up to $250.00 a day against the violator. Br,advised that a copy of this statrmcrit may be forwarded to thu Office of Investigations of the DIA for incrir;ince coverage ycrificat im r do hereby certify nder nand penarti.er�ofparj�arryfhatformafi�pn.,,�,Lad-md, b ve is e and correct / — Phonc# O ftcial use only. Do not write in this area, to be completed by city or town officIaL City or Towa: PermitJLicense#,. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Tawn Clerk 4.Electrical Inspector S.Plambiug Inspector 6. Other Phone#: �Op-THE r, Town of Balrnstable x a Regulatory Services x x awxxear E,RAsa x Thomas F. Geiler,Director n;9. Al � 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, gOOI'Allf ZIWI� 1,01"t R , as Owner of the subject property hereby authorize F .�1,1�C50iy 5 80�/y� to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Addtess of Jo ) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th'e reverse side. Town. of Barnstable ��of YHe ram,o T Regulatory Services " Thomas F. Geiler, Director BARNSPABLE, p M Building Division t6�9• �� prFD �a Tom Perry,.Building Commissioner . 200 Main Street, Hyannis, Na 02601 m ww,town.barnstable.ma.us Office: S08-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print , DATE; JOB LOCATION: number street village "HONfBOWNER": 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. DEMITION 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 untended 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 perrnit. (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 Approval 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 perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section lo9.1.,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 supervisor(sec 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 Hrith a licensed Supervisor. The homeowner acting as Supervisor is ultimatcly responsible. To ensure that the homeowner is fully aware of his/her responsibilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilitics 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 forrr/certification for use in your community. I ✓fie -�om�mio�.zcuea�i a�..�aaaac�ZuaeG�'a i ------ _ .: •.. i 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:. ram. Board of Building Regulations and Standards Registration\159597. j One Ashburton`Place Rm 1301. l ((ssExpration 5%152010 Tr# 268223 Boston,Ma.02108 SEGOLINI CONSTRUCTION , ADILSON SEGOLICII 117 MINTON LANE YJ ^ '� Not valid without signature WEST BARNSTABLE, MA:02668 Administrator "74y -11,2008 11:30A FROM:SCHLEGEL SCHLEGEL IN 15087710663 TO:15087906230 P.1 ACORD . CERTIFICATE OF LIABILITY INSURANCE 9/11/2008 0 8 ►ROCUCER THIS CERTIFICAT MD AS A MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFE NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE FICATE DOES NOT AMEND, EXTEND OR MIN IN ST ALTER THE COVE DE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING VERAGE NAIC0 °=Rw INSURER N FIRST FINAN IAL Adilson Segolini D.H.A. Segolini Construction INsuRERD: GRANITE STA 117 Minton Lane ' INSURER C: .INSURER D: —A West Barnstable, MA 02668 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE Fa THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RW GEF tDATE 6 LT1 NAM T1Te OF INM1ANCe POLICY rAs® T MX " 1E= uNTs A GgNM LUANUTY 491FOO4606 05/24/2008 05/24/2 09 EACHOCCURRENCE s 1,000,000 X COWERCIAL GENERAL LIABILITY PREMISES(Ee aerJrence) - f 50,OOO CLAIMS MADE a OCCUR - i MED EXP(Arty one parem) $5,000 III PERSONAL A AOV INJURY f 1,000,000 II GENERAL AGGREGATE f 2,000,000 GFNL AGGREGATE LIMITAPPLIES PER: _ I PROD ICTS-COMPIOP AGO s2,000,000 , I POLICY JECaT LOC AUTOiAOtlLY UAIUTY COMBINED SINGLE LIMIT f ANY AUTO (Ea aeddelt) ALL OWNED AUTOS BODILY INJURY f SCHEDULED ALTOS (P-pe—) . HIRED AUTOS I BODILY INJURY f - NONAANNED AUTOS - - i (Per acddent) I PROPERTY DAMAGE - f (Per eccldwt) - GARAGEUANUTY - j AUTO ONLY-EA ACCIDENT 3 , ANYOTHEfl THAN EA ACC f AUTO ONLY: ' AGO f O0MIIIA tMELLALIANUTY EACHOCCURRENCE f OCCUR ❑CLAIMS MADE AGGREGATE f i DEDUCTIBLE I f RETENTION H YmRKERs compam-nam AND WC 874-48-3.3 05/05/2008 05/05/2iQ09 X I rORYLMLITS ER 01011DYEAS'WIEUn f'.L.CACH ACCIOENI' s 100,000 ANY PROPRIETOWAR1TIEtUEXECUfIVE OFFICERIMEM13ER EXCLUDED? - i E.L.DISEASE-EA EMPLOYEE f 100,000 If yea,dsa fte u+dar " - - . SPECIAL PROVISIONS bebw�9 I EL DISEASE-POLcYLIMIT s f,0,O99 OTHER �sy DEKNIPTION OF OPMAYM31 LOCATIONS/VaSC1F8/EXCLUXON t ADDED SY MOORS®i®R I W83AL PUMMONB ..•-?: ""� ADILSON SEGOLINI IS EXCLUDED FROM HIS WORKERS COMPENSATION POLICY PROPERTY LOCATION 31 WHITEHALL WAY HYANNIS, MA 0260100 i { is N CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD AM OF me DElC an ea0lte THs e1tILRALON 200 MAIN ST MM ntE WF,.. TIIB IqA i mm H3D@A TO MAIL 21 DAYS WI rm HAYNNIS,MA 02601 ILORCE TO THE CEBTIRCATE � NAtI TO THE BUT FAIWRE TO DO 90 IIHALL = IMFMS NO OBUONION WWUTY OF ANY D u THO INSIJM ITS AG(WTD Olt R61'REBMATYEA FAX# .508-79D-6230 mnWORM RURTJELTA ACORD 25(2001M) ®AG Mi I I of THE rO� Tie Town of Barnstable ti Department of Health , Safety and Environmental Se BAR,,s-rABLE• : Services MASS. g Building Division �Ar 1639 1% M 367 Main Street, Hyannis A 02601 f0 MA'S Office: 508-790-6227 4 :3 / - Fax: 508-790-6230 �j�02� ( Ralph M.Crossen Building Commissioner Home Occupation.Registration Name:�n' /�Y!Q 1,4- L / "l V Ile 7 Phone !�: / 7,f —^ Ad oZ Address: .� t yh T2 Q�� �_cc��/ Village:_ A( V q /L/L/ s Type of Business: al //C Map/Lot: 2 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 dwellin; there shall be no increase in noise or odor;no visual alteration to the premise:which would suggest anything traffic other than a residential use;no increase in trac 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, hurnidity 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: � Date: Homcoc.doc