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Here Stars
/" Fallen Soldiers
/O First Responders
Heroes
PO Box 242
Marston Mills MA 02648
Cindy&sill Witkowski
Facebook-Hero Stars Cape Cod
herostarsusa()gmail.com
herostars.org
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YOU WISH TO OPEN A BUSINESS?
For Your Information: 'Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367
Main Street, Hyannis, MA 02601 (Town Hall) ,
DATE: ` J Fill irk please:
1WRms""ih6Ta.I..priar •'Ab931IM /
n3iFr,�i �L'� Gsi1g APPLICANT'S YOUR NAME/S: l t ���" Gt
�"-r°� "��'�' BUSINESS YO HOM ADDRESS: C
�'Pfi171 16:�r?9�
TELEPHONE # Hohne,Telephone.Number
NAME OF CORPORATION: 079,�5�—
NAME OF NEW BUSINESS 7 v TYPE OF BUSINESS rJ K d 2 Q�7 )d
IS THIS A HOME OCCUPATION? YES NO GJ 4/
ADDRESS OF BUSINESS L - 1n MAP/PARCEL NUMBER �/` [Assessing]
When starting a new business there are several things you must do in order to'be in compliance-with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 200 Main St. = (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COIN,IVIISSIO ER-6 OFFICE
This individual his b n irifor eal of ny perm'$requirem nts that pertain to this type of busirl� ST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO.
�_ * v Y RESULT IN FINES.
Au sized i tore �' GOMC'L. MAY 1 g _ .
r (�0 MN
2. BOARD OF HALTH �S
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;
Town of Barnstable
r Regulatory Services
o Richard V. Scali,Director
s
i Building Division
MASS. g Tom Perry,Building Commissioner
1639. ♦0
'OrFp µp'i a 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRAU N
5
Date: / _.
Name; W 1 I l ✓1'I W/-`ICtl11 lC t Phone#: ��`�c���r 007�
Address: 140 �(����//�/ Village: cedlf -wlee
Name of Business:
Type of Business: l7 rU / — cJ
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pickup trick 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 restrxtions for my home occupation I am registering.
Applicant: J� Date: q1dZ
467
Homeoc.doc Rev.103113
�
oFtHE r� Town of Barnstable *Permit# 3 I
Expires 6 months from issue date
/D
,,A,,grABr,E, + Regulatory Services Fee U
MASS.1 .39 �� Thomas F.Geiler,Director
39 s�
Building Division
Tom Perry, Building Commissioner -PRM
200 Main Street, Hyannis,MA 02601.
Office: 508-862-4038 hiAY .13 2 0 05
Fax: 508-790-6230 TOW[� p ARNSTAELE
EXPRESS PERMIT APPLICATION RESIDENTIAL ON
(� Not Valid witl:out Red X-Press Imprint
Map/parcel Number 2 ��
Property Address 8U. 4 _SkIA.) PATh CL-A)Te2JiLLai , Ali
U34esidential Value of Work �'y°139d Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address K_ A77'AW 16-82! f
Contractor's Name 4-01C J St .0MA(A Telephone Number �yt�'-d7 75-SJ
Home Improvement Contractor License#(if applicable) 136, (e IS-
Construction Supervisor's License#(if applicable) D S-�7/m2 7
❑Workman's Compensation Insurance. R
Che,9k one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name 519 Cy 1N 4*16y— lnj+SL A))(C
Workman's Comp.Policy#
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 NV6 COO_j- 1lJr-V_-
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side. .
❑ Replacement Wiridows. U-Value (maximum,44) ,
*Where required: Issuance of this permit does not exempt compliance with other town d
' ***Note: Property Owner m sign Property Owner Letter 6'
�\ Board of Building I egulgtions and Standards
Hom rove Contractors License is required. j
HOME IM OVEMENT CONTRACTOR
Rgist 136635
Signature Oos
Q:Forms:expmtrg
Revise063004 SUAMALA Ht7
JOHN ,SUOMA
4 WOLF HILL, °+� 5 ry G -�
G QanlnWlrH_MA 02537 Aa..i.kiratnr
I
44"
The Commonwealth of Massachusetts
Op Department of Industrial Accidents
' Office of Investigations
`- 600 Washington Street, fh Floor
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors
name: 1-0 11:J S L)o A:58 LA
address: 4 L"204 Y y(1 V—
city E f SA hl> UX C Wte• P-V- - ziR•' 02 2-7 Rhone# -'06 74
work site location(full address) a .
❑ I am a homeowner performing all work myself. • Project Type: ❑New Construction Okernodel
1-W-yA1•am a sole iroprietor and have no one working in any capacity. - ❑Building Addition
�'ar��a� .�',.q''. .�'?"F,�'TA'a d`...,�sa�.x �� Ka� s1asL•'xcw� a^z.yi.r-2y�':k.:�'}� .X._. _.ti�''�:s;".��_��.�° •'.t-..� K ..."�r5tC7 '•��Y:'<` � ;
❑ I am an employer providing workers`compensation for my employees working on this job. ~'1
companvname• ���(a•1r��2cb I�l�hr .Sol.tJ�]a,�S"-`- - ;
address: tL AU1
city Rhone#:
Insurance co. 201111
❑ 1 am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name' --
address:
city phone#:
}
insurance co: Dolig#
company name:
address:
city: phone#• -
insurance co. 01 `
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties.of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
•
f do hereby certify under the ins aZpalties'ofperjury that the information provided above is true and correct.a Date _��/J-s fi
Signature -
�.
' Print name ,V Phone# SDI'-2�le �.s ,i
official use only do not write in this area to be completed by city or town official ` t µ
city or town: permittlicense# . r ❑Building Department
❑Licensing Board t
❑check if immediate response is required ❑Selectmen's Office r
❑Health Department
contact person: phone#; ❑Other
(r sedSept.2003)
a
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee is defined as every person in the service of another under any
contract of hire,express or implied,oral or written.
An employer 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 employment be deemed to be an employer.
MGL chapter 152 section 25 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 have
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be
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.
III la 1
City or Towns
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. The affidavits maybe returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation"and should you have any questions,
please do not hesitate to give us a call.
NMI
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street,7`s Floor
Boston,Ma. 02111
fax#: (617)727-7749
phone #: (617)7274900 ext.406 .
Town.-Of.Barnstable
o Relatory Services
Tpomas V.-p le epirector
' �``� Building Division
Tom Perry; 51illding Commissioner ,
- 200 Main Street, $y=ais,.MA 02601
�wwaawn.barnstable;mama
Fax; 508-790-6230
Office: 508-862-4038
Property Owner Must
Complete and Sign This Section
If Using ABuilder
t ,as Owner of the subject property
hereby o=horite',',
to act on mybehalf,
in all rrinstteIs relative to work authorized by this binding permit application for,
(Address of rob)
Date
Signature of Owner
I V_ / , 41 to I E IUD' --
Priat
i
Town of Barnstable
FTHE tpy_
Regulatory Services
• •
Thomas F.Geller,Director
BA>;MABU%
. �m
Building Division
sa»
�Ea 3 Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038. Fax: 508-790-6230
o4 �-
PERAHT# ISBa FEE: $
SHED REGISTRATION
120 square feet or less
Location of shed(address) Village
4 Hiq e4l R 7- 0 6
Property owner's name Telephone number
11rQ
Size of Shed Map/Parcel
Signature Date
Hyannis Main Street Wateriiont Historic District?
Old King's Highway Historic District-Commission jurisdiction?
Conservation Commission(signature is required)
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION F`ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN .
Q-foram-Ardreg
REV 121901
o .
API ,
M 192 .
# 79
-------------------------------
1 ..--- .,
s
OkonservationAgn 12/7/2004 11:06:17 AM
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Assessor's map and lot number .....<... r�...`... ✓�'
TH E TO�y
Sewage Permit number
R SEFnC SYSTEM �i U = s $ASBSTABLE,
INSTALLED IN COMP ti �, , "A°9'
k.louse number .........,.......................................................:...... 9-�
VUITI'1 TITLE 5o MAY a�
TOWN 4F BARNRMVE�Qa` `yi
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. pS � /t.4K.........�v &i! � ..........................
TYPE OF CONSTRUCTION ...... .l j.:� e...... .//L.l...../....................................................................
................... .. ....2...........19=�1..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies
for a permit according to the following information:
Location ..... ?... . . 1. .rl c �S l.!�/.... '¢. 1�....... ................................................
Proposed Use ..... 4AU"'Y's.. ...L1.l.Y......Ve.Gle�......L.1.yA...U.u,CX7:...T),OQ....i? ... d s7�........
ZoningDistrict .... . ,. .. .... .............................................Fire District ..... ...................................................
Name of Owner ..e,,). . ....S .......Address ...........o�a...,JS lIC'/\�. lS/../ ��.... ... .. .... . . .........
Name of Builder .1� .... Dlo.1/�... G^. S.S.......Address .....
'13b.....,/��.5. .f..................
Name of Architect .........Address ......yr�4?...��?. .e��� './�..1. Y... ./..�1�. .....
/ t
Number of Rooms ................l............. .........................Foundation ..........
...... 1.�.45. .
Exterior .......`�/.m..le! ....../.e ................................Roofing ......... �. ?. ... .5..... x.... ..................................
Floors ................ :
.................. :................................................Interior ..............................................
Heating .............&esl(.->.........................`.......................Plumbing ................AI. ...............................................
Fireplace ............&.!fl... ...................................................Approximate Cost .........../�.�e9®.:. ........
r
Definitive Plan Approved by Planning Board ________________________________19________. Area .... .......�...�....................
Diagram of Lot and Building with Dimensions Fee �'`�s---
......... ...................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�S.
� fio/or
I hereby agree to conform to all the Rules and Regulations of the Town of Ba stable regarding the above
construction.
Name . .. .. �........... .. .....
SMITH, SHEIR-MAN
N 23346-; CLOSE IN
No ..............I... Permit for ....................................
A. ............ .....S.......un...Deck
...................................................
L tio ;tq:� jt��4.1...4.�j�...Buckskin Pat'
oca n ........................
Centerville
...............................................................................
Owner ....!?,,Sherman. Smith.... ...................
... .. ....... .....
L
i T e 8f Construction..' Frame
yo . ................................. .........
. ..............................I......
Plot ............................ Lot".................... .........
August " 7 ,- . " 811
Permit Granted ...............................
Date of Inspection .....................................19
Date tompleted ................. ................
PEB_MIT REFUSED
tv
C,.............. .......w.,�4.......................... 19
.........................................
.............. ............................................... ..
7,� 7
. ................ ......................................................
. ..................... ..........................................................
•
Apprbv.ecl .... ..................................... 19
.................................................................................
. ............... ....... ...................................................
�. ._..a. ♦.-��f"""V.: ...":c.,� _. fta• —. ,. . .,. � , ..� "� .., r !mil
Assessor's map and lot number ... `?'F ... ......� ��
Sewage Permit number ....,Q..!�K... �. s� r.,..,!i
Joy
` \ Z BJHBSTADLE. i
Huse number ............. MAM
��.................................. O� 2
9 MP
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...�... s. ............ .......... .�1........�� ..�. '...........................
n.
TYPE OF CONSTRUCTION ......`'../tY1! l........�r!!1 iw.'../t�'&.....................................................................
i- ................... .....2...........192�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby appliess/for.a permit accord4ing to the following information:
Location .......................`.� l.Jy„c f'S, E'•nl....4.,,'L ��.......(. o✓Y. �°r...l .� �................................................
Proposed Use .....-� A//� Si ���.�' .....U-1y....���.c.r ...... �r�/v,.../�.7``i Y.....`Y k....�?r... 1i y........
Zoning District .... .,!�.. ..... . .. ... .................................. ..Fire District ....�.. ...... 6................................................... ~�
l
Name of Owner .....l .l � .......Address ........................
Name of Builder ..N„". .. f!//�Ik,,!/ ,.�.,�../�,! .......Address .;�.... ... .J: ... ., � .C. .��JP.✓....................
Name of Architect .........Address ...... rw... v,�'!�"�4'.7 �t�/... ��%�G�" .....
Number of Rooms .Foundation............. .�........ ?'�C.... ....................... X „l,/IC ............-.
Exlerior ...... 1 .. .....�.S..... . ................................Roofing ............ �?. ? .... .S.. ...'� ............................
Floors ......................................................................................Interior ................................................
Heating /„0<t/.:^ ..................................................Plumbing ............... ,/11,i!/-f........... ................................
j Fireplace -�/ i!/ pp. .....................................................Approximate Cost ..................................................v ..
Definitive Plan Approved by Planning Board ________________________________19________. Area ....c".'.`. .....................
Diagram of Lot and Building with Dimensions Fee
..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
I hereby agree to conform to all the Rules and Regulations of the Town of Barn"stable regarding the above
construction,
Name ............. l�F.. .......G'!.-�..� �.......... ...
c��� '
�~m�4�� `
No ................. Permit for ....................................
� Sun Deck
---'-----------------------
Lot #54 420 Buckskin Path'
Location -----------------...---.
� .
' Centerville
----.----.--------.—,------- -
' 8hezou�o Smith
Owner ---------------------^
� Frame
� Type of Construction. -------.`------.
'
� ---------''.—'.-----------'r--'
Plot ............................. Lot -----------
�
.
�
� August 7 , 81 '
PermitGranted -------------]g
�
Date of Inspection lg |
Date Completed / -
`^
�
PERMIT/REFUSED
.......... ............................. lA
'
---------..�.--'------------.. '
'.
—.------.-----------,----.--.. .
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~^---~—'---'' ' —^---~~'~-----
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Ar,—'-- ................................................ l9
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-------'-------------~—'---''
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----------'-------~—..—.--.—
������
°`T"Er°�°� TOWN OF BARNSTABLE
i BABB9TABL
"6
O19-
M �•� BUILDING INSPECTOR
AY�'
APPLICATION FOR,PERMIT TO ...:..........
TYPE OF CONSTRUCTION ......:.. : °e''°m''............................. ........:.....................................
... ........... ..............19 1.. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned jbereby applies for permit according to the following information:
?�
Location .... 1777
................... ..................._.... ..................................................
ProposedUse .... ...... "".:.........................................................................................................................
ZoningDistrict ....................................... ............................Fire District ....... .... ............... - ..................,...•...................
Name of Owner ... .......................Address ......... ...................:............
le
Nameof Builder ...............Pee.................................................Address ....................................................................................
e op
Nameof Architect ..................................................................Address ........................................�...........................................
Number of Rooms ��� �' �!......................................................Foundation ... ...............................
Exterior ...:.. ... a+........................................Roofing ... ............................:...
Floors1.. ................................................Interior ........................
�
Heating ......... ...........r... ...........................................Plumbing ....... .... ................!.....................................
Fireplace '" .A! s ::!...............................Approximate Cost ....... .��r.. ..................
7G�
Difinitive Plan Approved by Planning Board ----------__------_-----------19________.
Diagram of Lot and Building with Dimensions
6fo
7 �
S ANI�A 1NAGf- ��ST AB
AN® ®RA Go BNEAL�H
'BoAR�
'A LICE"SEB INSTALLER
Mt5ST. OBTA1N SEWAGE
pE�gr31�, AND E1STAL1 SYSTtM..
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..................................................................................
Small, Alan
OEC 31 1974
No ...��5��r.. Permit for ......one story ........
:....... ? e family dwelling ..................
Locatio.% &49kskin Path
...............................................
Centerville
...............................................................................
Owner Alan Sgnall i
............. ......................... a
Type of Construction frame
i
................................................................................
r
Plot ............. . ......... .. Lot ..........#ary'...............
Noember 8 71
Permit Granted ........................................19
i
Date of Inspection .....................:..............19
Date Completed 19
PERMIT REFUSED
..................................... ....................... 19
...............................................................................
................................................... .............I..........
...............................................................................
{
.................... .......................................................
i
Approved .,............................................... 19
...............................................................................
...............................................................................