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0039 MARIE-ANN TERR
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L �i:. ._ *G .�7rd`.�1'y�'....1:,.-�. ,... !i�r;A., :�1`�r ..�.,r..Nl�.. � t�t, r4,x....��ap�r rd yyb.. •�!$' rr.. .;t''�rr. .§1P-:tii...r� #Y C� + r!. :.r,. .��.=,Hic,..* v„�l Pw�<. .,s,.r. 2 A ,:r! fr,r A.. t .. ..Y .�d' nV, A:':`,— _ _, _ - _:.�. .. ..- _�.L -. 3 f:.:. .,r `.ems:: - .. ...:tr•. ,:.: .. .. ...- 'r..i..,.. _ r� N ^ .,.. e.: -.. =, Yt:. _ � ...!' �r. .r ., n t.. r,�' - Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Map Parcel t Applicant Information Applicants Name Applicants Address 91� Aaj n) Sj.-0C46Yl4U-�. Email Address fen lGDfe-- .ccfw> U Telephone Number �D�-�2 D� `j Listed [d Unlisted El Business Information New Business? --------------`------------------------- Yes No Business is a registered corporation? ------------------------- Yes No t - If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? __--_---- Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business6,1 l 1SS=-TVA�� -c�% -� Business Address 3- Typ e of Business Bu' in pmmissi Office�ly Condition Building Commission r` — Date Clerk Office Use Only Town of Barnstable, Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Map L Parcel() G Applicant Information Applicants Name �rt-P.n n l q-P— - I /eL-f�S IC/ La . Applicants Address�11 ��I d1cS�� l �_Ue-, Email Address Telephone Number fR- N - � � Listed Q� Unlisted ❑ Business Information New Business? ---------------------------------------- Yes No Business is a registered corporation? ----------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? --_-_--- Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business (, _�u Business Address 3 rn aV7-e- A-no Type of Business pYDDPA'4 ✓nD1.8'1 BuildingCo 'ssio�per f e Use 1 Co ditions rvC f/ Building Commissioner Date. /b jx� Clerk Office Use Only Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date n o oA I V d`LP o� (� Map l Parcel Applicant Information Applicants Name ��n i Applicants Address 6) 1 rn U.l V1� ®S Email Address ()-M rP @ ho(L)Iqre./1 kDre i Z, Czr} Telephone Number _sot?- V M 4 9 9 Listed LJ Unlisted ❑ Business information New Business? ---------------------------------------- Yes No Business is a registered corporation? :----_ - --. Yes If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ------ Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business 1.1 CSC T i4 S - ft-q 0 3 Business Address�19 6L l e- An r) TP-n-r,c e C2ryi—P r ui 11 P. V),y) Type of Business E; Buildnig Co nussioner Offi else Only ditions Building Commiss' �K— ��Date Clerk Office Use Only Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner snnivsTnn E 200 Main Street,Hyannis,MA 02601. , nines 1639- www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#• HOME OCCUPATION REGISTRATION ,Date:,/Y Name: l&�l2EGO. W. + Qb-t--, k&LUR-L' t. Phone#: SQE-7-7(7-] 7&? Address: 39 n-AG-r l-P_-Ptn n T-r-ry—a Ce_ Village: Ce-n`er U r Name of Business: P��` yu&+--W 3 E L4 l0 Type of Business: fjj"(J1 Map/Lot: I g9 b 9 e 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 natter,odors,electrical disturbance,heat,glare,bumidity 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. r • 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 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: Le c ' Dater Homeoc.doc Rev.06/20/16 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner '* anxivsTne 200 Main Street,Hyannis,MA 02601 Mass. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: _ Fee: Permit#: HOME OCCUPATION REGISTRATION Date:- Name: ��Or'(A kA 1 k--Li nde- 11U e i T Phone#: Address: 39 rn a r(-e-Pm n Te(''ro u . Village: 0 i'1 R?L r'U 1 L 1`C'-, Name of Business: NJ Li SS TIrLt� ?j Type of Business: PrWe,--(n V1(X.n L` Map/Lot: I g ( d 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,odor,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 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 form home occupation I am registering. Applicant;. - - Date: -Z/ Homeoc.doc Rev.06/20/16 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner sARNSTnare 200 Main Street,Hyannis,MA 02601 9 DiA88. 165 &�� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION :Date: "-IQ - 0 4fa 0 Name: &t l Y-a f LU Ntl l.. K&Wle -� Phone#: J�0 J�--7 2 s,T Address: 3 1 �aam-c— ft n Tz r rz (' Village:CM .r J o0 Name of Business: f)lU� TvA�t #'-7 07) Type of Business: P (--"U TnC_t,ir1r_t Q: e,M C�f�� Map/Lot: g�� 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 rratter,-odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic oihazardous 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 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 hom ocFup tion I am registering. Applicant_ 1 , -Date: Z©116 7� — Homeoc.doc Rev.06/20/16 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M 1q 2q F r'Parc L6-F Application#6 " 6 O 7 Health Division Conservation Division Permit# Tax Collector Date Issued, lU �✓� �1 Treasurer Application Fe J O Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project St r et Address Village Owner(GG /r� l y1 6!7! I, Address I-A e Telephone Permit Request Anne&_ � ���,�� � � — LI�D� �' �r c.1� r-AAIX i _ 0 9, f %S 3 cu N' Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio, -� Construction Type Kf 1ZWW CAi31AJ9S Lot Size AC2r- Grandfathered: ❑Yes V o If yes, attach supporting documentation. Dwelling Type: Single Family U' Two Family ❑ Multi-Family(#units) Age of Existing Structure ; Historic House: ❑Yes l4d'No On Old King's Highway: ❑Yes &' o +.i.; ,may // ►Ta Basement;Type:,d Full ❑Crawl ❑Walkout ❑Other Basement Finis-:hed Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Bathos: Full--existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count F Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: .__Zoning_Boar_d.of_Appeals Authorization:❑_Appeal -Recorded-El- Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name- ?12G tat. �I L Gc� T Telf�epho a Number': r y Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .R� ID �/� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �� INSULATION FIREPLACE EL ECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r s' • � m a 4 l The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street _ Boston,MA 02111 www.mass.gov/dia- Workers' Compensation Insurance Affidavit; Builders/Contractors/Eleetricians/Plumbers Applicant Informaition Please Print Le2lbIy Name (Business/Organization/li&yidual):_ _00MO- io, kA L• 0EJ 7- Address: ' /Y/f121g- A Aj 72-qZ2, City/State/Zip: r. Vj—RA iU_6- #M Phone M 608 y �� Are you an employer? Check the-approprlatebox-, Type of project'(required): i I❑ I amn a employer with 4. ❑ I am a general contractor and I employees (fall and/or part-time).* have hired the sub-contractors 6. ❑New construction ng 2.❑ I am a sole proprietor or partner-' listed on the attached sheet$ 9. ❑Demolieion ship and have no employees These sub-contractors have 8. ❑ Deolition working for me in my capacity, workers' comp,insurance, 9. ❑ Bum&g addition [No workers' Qamp.insurance S. ❑We are a corporation and its officers have exercised then 10,❑ Electrical repay or additions 3. am a ho � 'I �, meowner doing all work right of exemption p er MGL 11.[] Pbmmbing repairs or additions myself.[No workers' comp, c. 152,§1(4),and we have no 12 []Roof repairs insurance required.]t , employees,[No workers' 13.❑ Other camp,fio=ce required.] ' *Any applicant that checks box#,l must also M out the section below showing their workers'compensation policy infbnn&*m •. t cTneownan who submitthis affidavit kdicating they ere doing an work andi'heuhire outside contractors must submit anew aMdavit}ndieating' mb. tcontractors 1hat check this box must attached an additional aheet showing the name of the subcontractors sad their workers'comp.policy fifformad=. I am an employer that is providing workers'compensation insurance for.my employees. Below is the porky and job siti tnformadom 'r. Insuuance CompaayName olicy n or ems.Lac. . D36: Job Site Address: City/sWe/4i., Attach a copy of the workers' compensation policy declaratfon page(showing the policy number and expiration date). Failure to secore-coverage as repaired undei Section 25A of MGL c. 152 can lead to.the imposition of criminal penalties of a fine up to$1,50090 and/or one-year imprisonment,as well as civ-npenalties 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 certify under the pains an penalties of perjury that the information provided above Is true and correct; Si tore; i< Date: C) Phone#; �3D orris. Do °M*k fr,its ma,to U ma imed-b'c ,qF t ' I � id City or Town, permit/License# Issuing Authority (4drcle one); 11.Bo2rd of Health 2.Building Department 3.City�liow•a Clerk 4.Electrical inspector 5.Plumbing Iaspertor 6. Other I I Contact Persou: Phone#: °Frey Town of Barnstable Regulatory Services ' BAR'STABLE, ' Thomas F.GeHer,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: Owner's Name* Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 . "a +___ -a 'ed wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS To THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. • OR _5-A _(, '4�f� Date Owner's Name Q:f0=:homeaffidav Town of Barnstable P�OFTHE tp�� Regulatory Services Thomas F.Geiler,Director + BABNSTABLE, 9 MASS, 059• Building Division �'0rsv"A0�s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ® JOB LOCATION: 3 9 m A rej E A Aw Tz:V PA c C E_A / RR y L L number street village "HOMEOWNER":G'E a 2CE !U. kA L Qr T 9Y 7`2.S Y3 7 4 NOAJ--- name home phone# work phone# CURRENT MAILING ADDRESS: 39 M�Q E A) 2QACzE C�7tJi72 ir/Lt F 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. DEFINITION 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 intended 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_permit. (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 re q ' ments. Signature cVHomeowner 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 performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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(see 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 with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities 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 form/certification for use in your community. Q:forms:homeexempt I r Rl a +N w w' 30 3 'N LX • A''� T s r1-� I I :c 4.0 �N OuJ ' � 'r►�15 MOP M, oo•R � A a $, No s bo Hj � � �w 2 a x Qo ► � I ( I 'I I --_---- -- --- ---- -- - --- a -oa wqY Ta _ N �2 y "� AN 5 A!��' ar LA) C w Iv °T�L / �/UC 8A I _ ter- is t Ir �� ItJt +, I F �# + s s -3 ....� 77 e..,-.--a��� { �-..n.E.-._ � is 4. 1 ��� ..i�..z�.e. j� _� ._.1,-_._- •#4}_. .�. .I ,.a..+..�--•.-,��.._,.�. us ._Av{r--ryvsy ...,.i.ems_.-» 6.w:;rr.m ..n F.- .-.6a_..�n.e�,,. .mr}-'..�.».,w.-A: ...._,.;.. 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'` q^YZ •r�'�iM'-..� S'�.++^.p.F+.��.•a- -.�-- r_;......-`sm _ €„n«--+2n-ms um OEM jffnol 4Ilya KiReo717 .,...-" NO i l z. ��r, �. a+- a _,w,xw.* rxx .,z� �F ara s it a -..§- ...m...•.. ...<3 ..�.i s r - .�.,,:-.w,. n...;i,ul• .•Wat �.; �.• F _, ." ._.. 3 - ,,.o-E,aka: - q ` k Town of BarnstablePermit:7/d'2 SHe Regulatory Services ate: ' F r Z v Thomas F.Geiler,Director saaxsenai,e. ' Building Division 039. Tom Perry, Building Commissioner a 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: l�A L bj Phone: �D �7,� ���6 Install at: 9 1I71�2/ _NA ',Be& _Village: , V/L/ Map/Parcel: pfF F'iWLe—r2 rT"D Date: Stove A. New Used B. Type: Radiant/ Circulating C. Manufacturer: 011.,AJ)t�A Lab.No. D. Model No.: Chimney A. New Existin (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? /U(7 D. Pre-fab Type and Nanufacturer G " s'� .)L&75S ST Z E. Masonry: QLneq,unlined Hearth A. Materials: 3 ?) C 1< B. Sub Floor Construction: PLYGc1�D11 Installer Name: G 1�f9 L I,U EI 1 Address:` % �If�R>E �AZA IZER— Phone: .��`� 77 y 7l - Location of Installation: L% UI Nr RDO/n APPROVED BY; Please make checks payable to the Town of Barnstable b the * constitutes an official stove permit after inspection,photographed, and approvedy *This constatu ff Building Inspector Q:forms:stove Rev122801 S g �i5.. <a - p r. 1 : r_ r r r a •' hPF. .