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Town of Barnstable . ��sl�
Approved Regulatory Services
Fee Thomas F.Geiler,Director
Building Division
Peter F.DiMatteo,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Home Occupation Registration
Date: 4
Name: q'0 ��'�'G' Phone
Address: Village: 'O'er
-
Name of Business: cSe
Type of Business: Aell� �W_ /e f-�/1'�fi'c�f Map/Lot: D 001 00
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation.
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
_..After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed.indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant:
Homeoc.doc
Engineering Dept.(3rd floor) Map l 7d Parcel 00/—oD y Permit# ���
House# 12 Date Issued
Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30)
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) rA- 09"
Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC Sg
E'iST 6�;
LE
Definitive Plan Approved by Planning Board 19 z (o IANCE
Wi
NO E AND ,
TOWN OF/BARNSTABLE TOWN y IONS
(A2. Building Permit Application
Project Street Address _/® S rn,
Villa e
g ( 0
Owner .)M,r. br- fir& � gt,� 110t Address J
Telephone Sib
Permit Request
0 � �
First Floor square4t� econ
d Floor 7 0 0 square feet
Construction Type W r)
Estimated Project Cost $ ��� ', �Q-2,'00�
Zoning,District Flood Plain Water Protection
Lot Size F�C�k,,V_ Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes 2-&0
Basement Type: [Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) N!b av?. Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New r�
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: 'ErGas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ®'No Fireplaces: Existing New � Existing wood/coal stove ❑Yes OFNo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
U'Attached(size) /G SGo. ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Toning Board of Appeals Authorization ❑ Appeal# Recorded❑
;Commercial ❑Yes Mlgo If yes, site plan review# _
•1
Current Use Proposed Use
Builder Information
Name �6 Telephone Number ®�� 6�, 17�1
Address _ e , ��x ��� ��'Gl ,�� f _( icense#-- DL{9 S`72
W..2 V_5 ��&&k b21Q , Home Improvement Contractor#
Worker's Compensation# V FS-3 K.UIr3S05 K�j I-I- I
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE '
BUILDING PERMIT DENIED FOR THE FOLLOWING REASONS)
0
b - FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. f _
t _
ADDRESS ? VILLAGE,
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME S ' t w
INSULATION q /S q7 5f�
FIREPLACE —5 L '
ELECTRICAL: ROUGH FINAL ' Y
PLUMBING-. IOUGI FINAL
GAS: 'R 'FINAL ,
FINAL BUILDINGS .f . .x_ r.. :,• _
DATE CLOSED OUT :
ASSOCIATION PLAN�NO.`�4
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The Conrtttonll'ealth of Afassachusetts
Department of Industrial.4ccidents
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Btivi)m Maxx o2111
Workers' Compensation Insurance Affidavit
i li :iritinftirmatitin': - Plcise PRINT Z-
name:
location:
phone#
I am a homeowner performing all work myself.
CD I am a sole proprietor and have no one working in any capacity
.. _. w��..:'llrar+..s'.�4r1'7��+)7f"�+"�"'�-•---•+.w.+.�� ._ -.�•it�!.•.....«�� ►rw.a..�.. .� .......
. / .— -..ter i.•v�.. ..___ l" ...`.aa�... .. ...,...Y.... ._ ,._. __ .�.�..__
I am an employer providing workers' compensation for my employees working on this job.
r
corn many name:
U address• U o 0 �0 13 y 1 OQ (�tl 2C CCU CA
city* I..,- mop Z6 6 e�honc
insurance co. f i' V3 Ln'-r3 ,
['1 I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
comnanv name:
address-
city: phone#•
insurance rn. noliev a
...•1.::•+... Vw.,,,•. .�.:Y^._:._ .. _� ��r•�`,::��•ZL iT"I!1wwSi♦ �T�..•-.:-..-.�_�...
com_nanv name:
address-
City nhnne i#•
insurance co, Solid•#
Attach additional sheet if neccssa'ry� �_ + --+�_ 1� _ _"":�.'% `* y-.•-y '���-"''
Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties 01'2 line up to SI.500.00 andior
one�cars'imprisonment as well as civil penalties in the form of a STOP«'ORK ORDER and a fine of 5100.00 a day against me. I understand that a
copy of this statement mac be forwarded to the Once of Investigations of the DIA for coverage verification.
1 do hereby cerrift•under the pit is and penalties of pee jun•Ilia,the information provided above is true and correct.
Si=nature Date
Print name �J-V-V Q ��„ 1 I �, (jam Phone# 'SO �"�b� t� •�
' offcial use only do not write in this area to be completed by city or town official Y�_
city or tna•n: permit/license# r'ttluilding Department
Licensing hoard
0 check if immediate response is required C3Scicetmcn's Office t
C3Ilc2ith Department
contact person: phone#: r10ther P-
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Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the.
employees. As quoted from the "law". an emploree is defined as every person in the service of another under any
contract of hire. express or implied. oral or written.
An einplorer is defined as an individual. partnership, association. corporation or other legal entity. or any two or mor
the foregoing enga�_ed in a.joint enterprise, and including:the legal representatives of a deceased emplover. or the
receiver or trustee of an individual , partnership. association or other legal entity, employing* employees. However th(
owner of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the
d%vclling house of another who employs persons to do maintenance , construction or repair work on such d%vellin�., hot
or oul.the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employe;
MGL chapter 152 section =5 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. neither the commonwealth nor any of 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 11
been presented to the contracting authority.
ti.. • :a• u . .
Applicants
Please fill in the workers' compensation affidavit completely, by checking,the box that applies to your situation and
supplying company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coyera-e. Also be sure to sign and date the affidavit. The
affidavit should be returned to the cite 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.. ,
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o;
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plez
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t
the Department by mail or FAX unless other arrangements have been made.
Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any question
please do not hesitate to give us a call.
_
The Department's address. telephone and fax number:
The Commonwealth Of Massachusetts d,. .
' r
Department of Industrial Accidents
Office of Investigations _ a
600 «'ashinaton Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
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=1 DEPARTMENT OF PUBLIC SUETY,
CONSTRUCTION SUPERVISOR HCENS";
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MASS partmenttof Health Safety and Environmental Services
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�acn„o•° Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Corre
ction Notice
Type of Inspection
2�Z"-
Location �-�_ � l�� Permit Number
Owner Builder
One notice to remain on jobsite, one notice on file in Building Department.
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Please call: 508-790-6227 for re-,inspection. 0
Inspected by
Date
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APPLICA N7-; ALAN � �Ma1-L-
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;.- TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 1V 001 004 GEOBASE ID 37016
ADDRESS -405 AMES WAY PHONE
CENTERVTLLE ZIP
LOT 12 BLOCK LOT SIZE III
DBA DEVELOPMENT D.jk,STRICT CO I
i
PERMIT 27573 DESCRIPTION SINGLE FAMILY DWELLING (PMT.##22526
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY j
CONTRACTORS:
ARCHITECTS: Department of Health, Safety
and Environmental Services
TOTAL FEES:
BOND $.00 Ok THE
CONSTRUCTION COSTS $.00
I
756 CERTIFICATE OF OCCUPANCY
+ HARNSTABM
" MASS.
i639 �� I
I ED MIS I
BUILD� 'DIVIS110,N-
BY
DATE ISSUED 12/05/1997 EXPIRATION DATE I
I
4e Y -
g `.T` OWNS O "•'B�iTABLF
3UILDING' PERMIT
'^ •,' -'-`�-.+.......rri +Y'e-.' F. • \.' -M�M.�+�¢ -� ... ; '.-^.�.'�r.. USIA "
PARCEL J0 170 00.1 004 t OBASR, :IP 37-01
ADDRESS 40 AMES WAY -- - 7 7'
Centex'vil.le ZIP -
Lot 12, :` �', BLOCK LOT SIZE
DBA 1: ,DEVELOPMENT DISTRICT CO
PERMIT' -225A DESCRIPTION � INGLE FAMILY
PERMIT-TYPEp BdILD TITLE ... NEW RESIDENTIAL BLDG PMT ;
... � l 1 ,
I CONTRACTORS: MELLOR, STEVE - � � r Department of Health, Safety
-ARCHITECTS',,. and Environmental Services
TOTAL FEE
So $334. 18'
BOND µ $:00. -
CONSTRUCTION COSTS $107,800.00
10', SINGLE' FAM HOME DETACHED 1 PRIVATE PABLE; '•*"
I
�Y MASS..
OWNER" S I bA, DONALD EC39.
ADDRESS DONALD . SILVA L "' a
1
405 AMES WAY ? BUIL IN DI
CENTERV€I;LE MA R By21
DATE ISSUED 04/22/1997 . E:XP I RAC'ION DATE
*y 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 r e
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RE WHERE P ?PL'ICABLE, SEPARATEM RETAINED ON JOB AND
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION , -., r I
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PER ,,,r; .4,RF REQUIRED FOR
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,-PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. -
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECT IC L-INSPECTIO PR ALS
1 to-�0�,-97 1 �'Y�� 1 �j
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2 2 2
Ir►}�� e�<<` 42
3 - 1 ING INSPECTION APPROVALS ENGINEERING DEPARTMENT
1,00
2 Z —S .c� -� BOARD OF HEALTH
OTHER: 112 6L SITE.PLAN REVIEW APPROVAL
E
K SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS IC'',_`ATED ON THIS
NSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ANGED FOR BY
OUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OH WRITTEN NOTIFICA-
. NOTED ABOVE. TION.
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