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0253 HUCKINS NECK ROAD
t VY' ',Zip +7 W. /nr, � r+�,n�• j" ,� i;�. i�' �. :.�eal`"�''rd+� tv+�.'�� e> ',?� .,,• '+f�. r.§j:�;' �^ .�. ��.�a ,E�r '.'r�. . .. ..,'" a r,� °� 4r.1�.. t ' y�r� ��4��n+'+•r'�'�.$AJJ}Jtr,�' :m iU�},�t�J,t�i��y� � 't,�F h ry ��,�i. +cr' _ .rr rY�`:,i!{_ l § it ,.. .. :. • y w (t bu F w VIP Ito ` ♦ .. ... , t If 1 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel )2' Application # " Health Division Date Issued 3 Conservation Division Application Fee 6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 2 IAI lei►L S WAX-V Village Oj:�FtJTI:!e y III Owner L!100 Address Telephones Permit Request 1 t1 uic-, -P�oQ 1+4 *-Abb m�41KL Square feet: 1 st floor: existing j22proposed 2nd floor: existing proposed 0 . Total new CO Zoning District eb- t Flood Plain Groundwater Overlay da Project ValuatiorP Construction Type oo� Lot Size . Z$ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure ?f Historic House: ❑Yes UH165 On Old King's Highway: ❑Yes O-we, Basement Type: '.;ErFull ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new 0 Half: existing new Number of Bedrooms: Z- existing O new 2 CD O a C Total Room Count (not including baths): existing new First Floor F&m49ounti 4 Heat Type and Fuel: N'Gas ❑ Oil ❑ Electric ❑ Other 't�,. o Central Air: ❑Yes U<oo Fireplaces:Existing_LNew -0 Existing wed/ctVI stg ❑Yes o Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barry❑existing•-❑ new size_ Attached garage:,Ia'ex-isting q new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded'U Commercial ❑Yes Q9 o If yes, site plan review# Current Use 8 � Proposed Use b1tR*Q-e0M APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SQ ' li NA"` . Telephone Number EDS --7-;;- - 010?a Address,3©`- G ;s,( h' u- License # Ltlk� ®Z�3Z Home Improvement Contractor# Email k 1''1/►cLL "+orker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��il-Q.ttiacA�l Dcd MP . X SIGNATURE DATE L�I FOR OFFICIAL USE ONLY APPLICATION # < c DATE ISSUED MAP/ PARCEL NO. h+' ADDRESS VILLAGE OWNER � t DATE OF INSPECTION: FOUNDATION r` FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Ca myRo rrpea€h of sa dr=dfs AqA r emit r � cfrid Acd d- 3!&- 600 Was2�irW=9freet Bastva,HA t2�l� . . . ". . A*if �v�vturtt�gsp�r� ' Warke& Cmnp gn�lu=mce AfdzvR- derslt' rsJ cfJa_ ** hers ApulicaiEd 1nft>mf-nTT Please P'rfid Are you an empLger?QMeckthe apprarpriafeba= 'Type of Project{regircdk_ L❑ I am a.employesvri#fi 4. ❑I am a gex6 di coufmd==1I (fall and�r gar�i * ITave Imedffim mbb-cmm 6� El Ides oo�sbra�fi 2. am a so-Ie grDju*� argue f, ifte at#ac5�d sheet ode strip and have no empl5ees These soli-conftad=ham g- Q Demmoliion w -iz6- :ffirme inaag comfy em3FIayaw andbare wo6mre 9. ❑L.n't�addifiau [MQ WOdOng`CCMP-itf cicr 0 comp-k e2rauml d 1 5. �cTe are a tozporafi�aud ifs 16-❑Ekd6cal repaim or ad inns 3.❑I am.a bammmiEr&ing aH wort: ofRce s lmvr.exMised ffmsr 11-[]Plumfngrepaim or adcliiinns _ cif per h�GL Myself[LJo�eTs � �� v�elza�veazt L�`••�R°°rfiegais• - im-ucar oe feT3imd!j E M g M emplagem[Nowodo=e 1�_0'Offter _ reTired.] ��ay rgp6oBsat chedsboz 11 Est also fiIlu Hip sedaubria �auia�daeir wo3ce=s'�peraupaFecgi � am�szeha mbu&sins xffidfis i Spey zuwa k mmaPQml im amt;i&C miz➢ xxnst S�Fnnit2ltsW�d iadir�in�MCBL rCa�*Zl,ima shis bme xsm� sa[sdr i�at shQet sfioa tLen of the Sabra dna smri st errhelfsa ornatf6ase a shs�e emlQ}Ls.Tfthemffi-a�kxm t=7ToFe.—,t&egamstP=Mi&&er WJMW a2.POH4 � I curt rua etiigFaPsr ffiatispraFirr7it;wQrEPxs'eau�etzsrt fart iruziraz a yr t03 ee ff&nv is$zaPrr&7.arrrd}a5-1 to sc�rrrns�orL ' Ia€ a Companyy'Khma "Policy�or Self-ssrs_Ii�.� - �aDab:= - Job%fe Axldre= CsfglStafe� g- Attach a copy of the war]ere cbmP®.sa$QrtgQIicy dedasatiaa pogo-(shOWirrg the poTep aMber and CXph-off on date. Fad to secare coverage as mgniredunder Se cEm 25A of MCIL c.I5�7 can lead to Ifm imposifica of caul gees of a free ng $L ai CttI afar aria-gearim}nisMnMFnf ss w l as cigrl penslfigs is ff a fb=of a STOP WORK€}RDERand a Hme o€up to S MFkQ a day aft the violator. $e ad-dsed ffiat a copy of tkis sta{z�=aybm fzxwwded fzf the Office of Isvest� fiarrs aft e D-TA k rh=mmaw covemp v ed ffc afiaL Ida&er-aby tke pd Pam' paouy thafflrts u f ar wmY=prvsttTa abor(e is fte and correct Dee, -03 t c 1( Phone ik 3 - O a) QoEdd uw only. 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A ■ u ••o- t•! • 1.►w _. _n t u■\r •• tilt ■u a.••I. i .n r ■rnl ■. ■ •'•n .1 •r■ n ..` • n Jo\.• 1 u J ■. ..r1 ■ill...1• r_mu.■ u n.n..►l ■• n MI ■1 u•n n. . • ■• • 1 n i■ .�! �. t G.t.•1 nIt 1 7 .■ r 1 � ar• r_n. _• n •• .t J ■ i•■_•1 •l 7 ■• uun ■.+m ■. • anum ■. !t - ■•'t r • M•t/rt .■Y.lntl. ..1■� •1 ■.It.t t ■. -t■�■ t. .■t• ..Ylt rt. • .■f■nr.r •qr 1. ■rl.t ✓_• A V:t■ r:+R.11 A � ►■•tl �/ t■ .•loll �■- ■■■ ■... ■ ■ � .■I • ■ •.�i■ :It\It •'.■ • ■.\ t■ Il.■■ •■t t■ • Jt. 1.7 •.■1 r■.■r .t■■It _■■■ ■■■ ■ ••! ..• .n •■i�■.1. . r - 1•- �r.-1 .n�\t _•n ., t r.■\n e■■ r.■ non.r 'sill.■ ■.■G6■ a ■■13:.`i■� ' ► ■i;■ �1 i ��...ti■m• toil l - , � •Ilaa ' 9. s � � � ' AWC Guide to Wood Construcdan in High Wind,lreas:110 mph.Wind Zone Musachnsetts Checklist for Compliance(780 CIMR 5301.2.1.1)1 Check np 1.1 SCOPE CmIfimcc Wind Speed(3 sec,gust).._...... ......................_............. .............._.........................._.. . ..:_....110 mph Wind Exposure Category..._.._........... ...__......................... ..-............_.-_...........:........ - B 1.2 APPLICABILITY Number of Stories .........................................................(Fig 2)............................ stories 5 2 stories Roof Pitch ...._................. ..........................................Fig 2)........................................... 512:12 MeanRcofHeight _-..........................:_........_......._......(Fig 2)_............._.. .. ft 5 33' BuildingWidth,W...-.........._._........................-...__.......(Fig 3)..........._...........................�....._ft 5 80' BuildingLength,L ...................... ..........._..............._...(Fig 3).....................__.... _._ ft 5 80, Building Aspect Ratio(LAW) (Fig 4)._........................ <-3.1 Nominal Height of Tallest Openine ................._....... _._,(Fig 4).........................................._.. 5 6 8' 1.3 FRAMING CONNECTIONS General comptlance with framing connections.........._........(Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry..........................................._........_......................................_.............6....... .._...... 2.2 ANCHORAGETO FOUNDATiON" 5/8"Anchor Botts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only BoltSpacing-general....................................._..(Table 4).................................. in. J P ••• (Fig in.5 6"-12" Bolt Spacing from endfolnt of fate .................. ....... Fl 5).._......_.._.�...........». Bolt Embedment-concrete.._...................................(Fig 5).............._...._.__._.......-........._in.z 7• Bolt Embedment-masonry........................................(Fig 5)...................................... in.z 15' Plate Washer..................... (Fig 5).............................. ..>3'x 3"x'/4" 3.1 FLOORS Floor framing member spans checked ........ (per 7BO CMR Chapter 55 _... _..... P ) .._ ............................. �bL Maximum Floor Opening Dimension_....._........ ..........(Fig 6)........................_.._ft s 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than Z from Exterior Wall(Fig 6).................I................ _.:.. Maximum Floor Joist Setbacks , Supporting Loadbearing Walls or Shearwall................(Fig 7)......_......._:.-.............................—ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwali................(Fig 8)...:...........................................:.... ft s d Floor Bracing at Endwalls........................._....................:..(Fig 9)..........................._............................. _. ... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)......_............... _._:__._. Pl� Floor Sheathing Thickness.................._..........._....._.........(per 780 CMR Chapter 55)..................... in. Floor Sheathing Fastening....-.._.........-......»-..................(fable 2)..—d nails at in edge/ in field +sit S S 4.1 WALLS Wall Height ._..(Fig 10 and Table ft s i 0' Loadbearing Walls----__._.._.._.._............................. 5)........_......._.._...._ Non-Loadbearing walls..........,........_......................__.(Fig 10 and Table 5)..................-.......—ft s 20' Wail Stud Spacing ......................:-.__....... .....................(Fig 10 and Table 5)...................—in.5 24"o.c. Wall Story Offsets ....1_.....: ...........................,_. Fl s 7&8 42 EXTERIOR WALLS3 Wood Studs Loadbearing walls......................:........................_:..(Table 5)..............................2.% -_f1ft rn. .. Non-Loadbeadng walls..... .............. (Table 5).............................2xrd Gable End Wall Bracing i Full Height Endwall Studs........................................(Fig 10).............................................. �..:.. .......... WSP Attic Floor Length.............................................(Fig 11)............................................. _ft>W/3 Gypsum Ceiling Length(d WSP not used)....... (Fig 11)....._....................._ _...__..—ft>0,9W 2 x4 Continuous Lateral Brace @ 6 It o.e__.(Fig 11)......................:........................_...._:_.. Double Top Plate Splice Length ......................................................(Fig 13 and Table 6) ........._..__....... .. ft _ Splice Connection(no.of 16d common nags)..........__.(Table 6)._.................._.......___........_.... AWC Guide to Wood Construe on in Higf# Mind Areas:110 mph Wind Zone Massachasetts Checklist for Compliance(7so omR 53oi.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnalled 16d common nails)..._....._..jTable 7).._.....__............. .: ..._....._---.---_,. . Non-Loadbearing Wall Connections Lateral(no.ofendnaffed 16d common nails).._.__.....(Table 8)..............._............._..._......._. ._. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9). Header Spans --•---. ..___..................._ ;._._ (Table 9)......._....................._ft_in.s 11' Sill Plate Spans _..._._._._.._..._.._....... ._..____.,....(Table 9)._-_,......._................_ft_in.511' _— Full Height Studs (no.of studs)__.....---_--.._.__._..(Table 9)._.__......._..._...._._...... . ..._....._..... Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans-_:...._...._.................................._..__..:.(Table 9).._....._........_......... ft_in.s12' SillPlate Spans. ................................................(Table 9)................................—ft_in.s 12' — Full Height Studs(no.of studs)._......_._ .._.__..._.__...(Table 9)...._.............................................. _ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W • Nominal Height of Tallest Openingz ......... ..... _.._ ._...._. ..........._.............._....... s 6'8' — Sheathing Type........._.....-.... _.....................(note 4).......................I........................... . - Edge Nag Spacing_......_......_.._......_._.____..(fable 10 or note 4 if less)...._................__in. Feld Nall Spacing.........._..........................._..(Table 10)............._............................... in. Shear Connection(no.-of 16d common nails)(Table 10}_..___._._..._._........_......................._ _ Percent Fug-Heigh Sheathing.._....._:... _...(Table 10)__...:..........__...._.........................—% _ 5%Additional Sheathing for Wag with Opening>6'8'(Design Concepts)....___.._..._. _ Maximum Building,Dimension,L Nominal Height of Tallest Openine.........__..........................:............................... SheathingType..._............._............_...... .(note 4)............................................._._ _ Edge Nag Spacing......... ........(Table 11 or note 4 If less) _ Feld Nail Spacing...._.:._.w:....__ ... . (Table 11)............................................ in. Shear Connection(no.of 16d common nails)(Table 11)..__........... ..__.._.._.... .._._....._._....p _ Percent Full-Height Sheathing.......................(Table 11)........__..'... .......... 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)......... ..... Wall Cladding Ratedfor Wind Speed?.............__............._ ..--.........................__......._.. — 5.1 ROOFS Roof framing member spans checked?......_......._......(For Rafters use AWC Span Tool,sea BBRS Website) _ Roof Overhang ...................................................(Figure 19)........... —ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift....................................._.......(Table 12)........................._...._._._.. U= ptf _ Lateral .. able 12 .....................L= if Shear-..........................................(Table 12)......................................S= Pif Ridge Strap Connections,If collar ties not used per page 21.....(fable 13).............................T= plf _ Gable.Rake Outiooker.........................................(Fgure 20).......... —ft s smaller of 2'or L12 ° Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift...................._......................(Table 14)............_........._............._._.U= lb. Lateral(no.of 16d common nails)-.(Table 14)............................... Roof Sheathing Type._...._..................._............._.....(per 780 CMR Chapters 58 and 59).................. _ Roof Sheathing Thickhess......................._........................:_.......:....................... in.a 7/16'WSP Roof Sheathing Fastening.........._.............._............(Table.2)..._... ......_._._.. ........._.._. _ _— Notes: , 1. This checklist must be met in ifs entirety,excluding the specific exception noted in 2,to comply-with the requirements of 780 CMR 53012-1.1 Item 1.If the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gaga Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a.. 2. Exception:Opening heights of up to 8 ft shall be permitted when 5%is added to.the percent fug-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shag be a minimum 2•in.nominal thickness.pressure treated#2-grade. ' •f ' AJVC Guide fa fYbod Gomiy"f addir h7 J��Ti HIukdAreas�IID rifurF prnsdzarze ' I agsachusetts Check for Cam Hence psu cE-iRs3Di.2Lis)r - a. From Tables i Il and 11 and for affm of waft sheaff-fbg and Ruilffibg Asper PGBCI[debit a Pa r&ut Fr1lI Hebhf Shea$rurg and]tall Spadng ragsmWrris - b. Wnod Shucfural Park sfrall be nhiriunrun t hIcbess of 711 s`and be hmf.-&d as fntiow.s: - L . Panels shhall be irtedt sngHh azzs pat-aIIed fa cirri . I All ha imntal joint z shaft o=r over and bah marled is fr ring_ RL Dn single sirafy mnsf uc5on,panehs shall ba alaac had In bDtbm plaks and fap.inember oFft double ----n�Dn [r5ar trp _ �PkRed fo Sie#np inernberrsFff�e upper double#pp-- - plala and b band joW at batbm of panel.Upper ant of lDwer pane!shall be made b band joust Mild.lowers rerst ma&to lowest plafa at first Soorfi rn g. v_ Horimnfal rrar7 sparing at dotMa fop Plate, band lo'csts,and girders shalE ba a doable taro cif 6d - st ggered it inches on carf•pesftp=below:Valcal_and Hcdmrhfal NarTing ibrPmel:4iiac meat S. Gfazng pmbc5 t a)revi house orborhmnWaddr5an-required ffprojecfis 1 nine orcia-mrb shore(genet*,souffh of Rfe_2B or north of Rff-- 6) b)ver6ral addIDon-not rmpYBd milers them k eve m7r vAon b$he fM.ffoor c)replaczmerrfviHdows-needs energy mnmrrafiDn mmpffatic�only(chap 93) 6:Wc>c d Frame Canstrilc9m Manual OWCM)f❑r 1 id MPH,ly poste B may be obf 3T hedfiarn the Arneiic n Wood cotmm1 (AWb)wabsM , " - tr>sasai, ATE-b= - - LL 11 I 4 2 Q cz L • � i7 It ' �. � C{ Y . ..K N'q •r t c 1 rx a t i- [ •_�� �I L L [ I��fy7mt - it E IL 1. Lf 1E • p I[ n 1- 2 Lf '� - - [ I c [ [ rt . .11 - - , - 1 •-— ,r� , � rnrt�z s=c[s n r3res�,gcs�L'�L - . r Sea Dsl err Np:d Page -lrerfical and Hor=t W Har`ling _ - for Parma Aft cl � �dliiraI and ff I hiai�hg - . fc*Panel meant - - Town of Barnstable Regulatory Services ` RAMIGMABM ' Richard V.Scan,Director 63¢16 Building Division Paul Roma,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 ,as Owner of the subject property hereby authorize LOIAG to act on my behalf in all matters relative to work authorized by this building permit application for: / (Address of Job) **Pool fences and alarms are the responsibility'of the applicant Pools are not to be filled or utilized before fence is installed :md all final. . pections are performed and accepted Signature of er.. tore of pplicant Print Nam Print Name Date Q:FORNIS:OWNERPMUMSIONPOOLS Town of Barnstable Regulatory Services eIF Richard V.Sca% Director Building Division Pans Roma,Building Commissioner `�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 : . Fax: 509-790-6230 HOMEOWNER LICENSE E ENIPTION Please Print DATE: JOB LOCATION: number streot village "H01YMWNER7: - - name home phone# work pbone# CURRENT MAILINGADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic 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 Persons)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 Rerfoimed under the buildins permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,isles and regulations. 3 T 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 wide 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 person(s)for hire to-do such worlr,'that such• .Homeowner shall act . r 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 Supervisor,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 helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. I n .- � �/f� `Y'r,v/f..lilNtl�/� ,/�!lrl,..r�Pfl q.•rJL;- - e Office of Consumer Affairs&Business Regulation 'F= HOME IMPROVEMENT CONTRACTOR •Type: Individual ' Registration Expiration. 168054 12/08/2018 'Stephen Mathias • Stephen Mathias 304 Strawberry Hill Road Centerville,MA 02632 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-035267 Construction Supervisor z' STEPHEN F MATHIAS 304 STRAWBERRY HILLROAD �r CENTERVILLE MA 0263'2, Y r �^^� Expiration: Commissioner 08/26/2017 .3 nA t TV r . y' O C O r rr, 4j r c • • •�y q tl W Y .a 1. 5 _ _ Wj f YOU WISH TO OPENA 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 format 200 Main St., Hyannis. Take the completed form to,the Town Clerk's Office, "I st FI., 367 Main St., Hyannis, MA'02601 (Town Hall) and get the Business Certificate that is 4 required by law., DATE: '� Fill in please: APPLICANT'S YOUR NAME/S BUSINESS YOUR HOM ADDR SS: t TELEPHONE # Home Tele)31ione Number. 0 , NAME:OF_CORPORATION: NAME OF NEW BUSINESS PE.OF BUGIJVESS IS THIS A HOME OGCUPATIO ? YES NO c�z ////�� / ADDRESS OF:BUSINESS MAP/PARCEL NUMBER S ( 2 (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 COM ISSION R'S OFFICE MUST COMPLY WITH HOME OCCUPATION p.ULES AND REGULATIONS. FAILURE TO This individu l h b o=er uirements that pertainto this type of busines . C OM uton d igrree* PLY MAY RESULT IWFINES. OMMENT e nNJ J E n of 2. BOARD OF HEALTH c�cO8 ! 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: . n r - - Town of Barnstable Regulatory Services �TMe $ Richard V.Scali,Interim Director Building Division MMAM Tom Perry,Budding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#• HOME OCCUPATION REGISTRATION Date: Name: Phone#: Address• lhs Village: ( �Pl /l b 6� Name of Business: 1�� ���� _ Type of Business: Map/Lot CZ 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,looted 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 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, a read an ee 'th the above restrictions for my home occupation I tun registeripg. Y 1A ] Appli Date: / Hoffieoe.doc Rev.103118 https://www.raileurope.trom/11s/shopping/lnvolce.htm 1/24/2016 �.�,�,�,s cal rYl . OIC) f About Terry Page 1 of 1 t . Falmouth Enterprise Newspaper Article Testimonials FAQ's About Us/Contact Prices What We Convert Home Who are we? The Studio was built by a certified broadcast engineer who also built WQRC-FM and WOCN-FM and Channel 58 TV. �r Donald Moore has owned those three broadcast properties on Cape Cod and built all of these properties from scratch. He worked in Boston predious,to coming here at WORL radio and r WHDH Channel 5 during the 60s.The job he couldn't believe that he was actually getting paid for was when he worked the dugout camera at Fenway Park! t Terry Moore attained her Masters Degree in Communications from Boston University. Before coming to'the Cape,Terry ` � worked on the Julia Child show,The French Chef at WGBH- TV. After marrying Donald she worked at all three of their stations here on Cape Cod. Terry Moore 253 Huckins Neck Road . Centerville, MA 02632 Office: 508-771-0457 Cell: 508-274-7667 mydvd()mooredvd.com v + MOORE DVD aFILMS-SLIDES-PHOTOGRAPHS CONVERSION_ TO DVD 'ON CAPE COD copyright 2016 moose dvd site developed by afPwebs1tes.com LOG http://mooredvd.com/about ',terry.php - a 9/29/201.6 newspaper Page 1 of 1 Falmouth Enterprise Newspaper Article Testimonials FAQ's About Us/Contact Prices What We Convert Home f Ev 1Cw el Te lls-la' St o BY AL1SON-COMEY want to give a trtaly prieeless gift mrnrrneoaFa liFc ofppWie These'creative professionals speciahIze �Sewioc Arlicdt whew rmdiW Ind AlAcimces dt pse had 2 ' --- 'ITx•xnal6ng eheri'S1YYC(1"�ilotos rcaaily accessible• - ;,bg,t�;of l�l,giirsof iacJ qne,' r - r end newly Vint as well as iriawtaarung �. mxlcrosparkmcn. .- ..-. ANE\vwmulsohimltb MOORE DVD FILMS-SLIDES-PHOTOGRAPHS CONVERSION TO DVD ON CAPE COD copyright 2016 moore dvd site developed by gfpwebsites.com LOG http://mooredvd.com/newspaper.php 9/29/2016 Town of Barnstable , Regulatory W ,,"STABLE, °fYNE to P� y Thomas F. Geiler,Director fi °,. 71.6i 1 1 { 6 ]Building Drv7'sr n * BARNSPABLE, *' - y MASS. Tom ferry, Building Commissioner m �ptE039. a` 200 Main Street, Hyannis, MA 02601 www.town.barnsthe ma6,usi= Office: 508-862-4038' Fax: 508-790-6230 _... Approved: -- Fee: Per HOME OCCUPATION REGISZ RATION Dale: C9 -�� Name: 6: Phone. #:� q Address: o?S`� HQC_J! ,U` W' LIC ( Village: r:1-Tek2dC LLt- Name of Business:__ (!—f> F C_--- -l-Q ---------------------- Type of Business: j F D;�S'(,,W INTENT: It is the intent of this section to allow the residents of the`rmo,n cif Barnstable to;operate a home 000'nl)ati011 , evitllI single flniily dwellings,subject to the provislolls of Section 11-1.4 of the Zorling�ordinance,provicled that the actkrity shall not be discernible front outside the clivelling: the're.shall be no increase in"noise or odor;no visLial alteration to the premises Which W0uld suggest ulythiclg othel-thail`a resiclelltial use;no increase; ii traffic above Iiornlal resideirtial volul>ies; and no increase in air or groundwater pollution. After registration willi(lie Building Inspector,I custoniary Brune occupation:Shrill be pernli(ted as of right subject(o the following conditions: ` •. The activity is carried on by the permanent'residentofa single family residential dlsellillg unit; loc•atecl wi(lliil that dwelling unit..: • Such use occupies no more thair 400 squau-e feet of space: • There are uo external altel-atiolis to the duelling wllieli arC not Uistoniary III residential bniklilIg:S,rind there is no outside evidence of such use. • No traffic e{rill be generated ill excess of nornial residential volumes. • The use does not-involve the fif ductiou of offensive noise, Vibration,silioke, (Mist or other particulal•matter', odors,.ele.chical disturbance, heat,glare, humidity or ether objectionable efl'ects. e These is uo storage or use of toxic,or hazardous materials, or flammable or explosive materials; in excess of nomiaf household quantities. • Any need for,parking generated by such use sliall be rlietoil the same lot containing tile_Custolllaiy Hone Occupation; uul riot lclthiri the required f-ont yard. • "!'here is no exterior storage oi•display of nratei-ials or equipnient. .There are no commercial vellicles related to the Customary Home OCCLIJ)Rion, other than one van or one pick-up truck not to exceed one ton capacity,.and one trailer not to exc•ecd 20 feet IIIlegjli and not to exceed,t tires,parked`on th1.e same lot containing•the Customary Honle OGt upatiou. • No sigh shall be displayed indicating the Cus(orllaly Houle Occupation. • If the. Custonl,uy Home Occupation is listed or adv6rfised as i business,the sheep address shall llol he inc•ludecl. • • No person shall be enlployedIII the Custoniauy Houle Oc•cupatioli;n'lio is not a pennallent resident of file dwelling unit. I, the undersigned, have rear a ee ai(Il xl�e restrictions for my lulule oc'cupatiou I run registcrillg. Applicant: Date:_6 _70 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., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: G ��� �� Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: • S r� t ,' � �_rz.).��1�•P u r c C,i2' c�/lA e:.'C,��� . a TELEPHONE # Home Telephone Number ;> -1 Z `( NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS (TP IS THIS A HOME OCCUPATION? '� YES NO h _ zS 3 .r s u c;�r•�1 .0 ���c �,� cc;,414,1 rL_i� MAP PARCEL NUMBER ��J Assessin ADDRESS,OF BUSINESS / . ( . _.. g) .' 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 COMMISSIONER'S OFFIC�j This individual has rmec f any permit requirements that pertain to this type.of busineUST COMPLY WITH HOME OCCUPATION /✓' RULES AND REGULATIONS. FAILURE-TO u orized Sign ture�- COMPLY MAY RESULT IN FINES. COMMENTS: o"/ 71 2. BOARD OF HEALTH This individual h s�been inform d f the permi, re uir ments that pertain to this type of business. Authorized Sig ature** 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: Yo U For Yourinformation: �` ® u7PE1�1�ABLJSI'NESS? Business certificates � � �, ` you must do b M.G.L.- ' (cost 0 . a r.H Main Street, H annis �t does not give you permission too for4Year*). Axbusiness.certiticate,ONLY REGISTERS YOUR NAME in town [which Y MA 02GO1 [Town Hall) Aerate) ;gusne"ss`Certifi.cates are availabte.at the Town Clerk's Office, 1°` FL., 367` :, 0 t Y d mm-qnulc ' khv�fiw say 5 RNA D E Jam'"J plea wg r APPLICANT'S YOU AT s 'pl n / Fill in lease; C r 'a" 'sj-V ��� " '' BUSINESS NAME l r'oS/ Y. YOUR H /S ;* 0w;. 3>�,y � .SIX w OME ADDRESS: r:\/i I� �'�l (�3 r+ L; as � TELEPHONE #. Hornf , D�. ,; + y, .. r�...,.. e Telephone�Number 'Zj l -- NAME OF CORPORATION: .NAME OF.NEW'BUSINESS My Gl �' C—. lS THIS A HOME'OCCU PATIO N? TYPE OF BUSINESS ADDRESS OF BUSINESS . . 3 1. i.rrO _' x,v S rV)Cc5 er' C v'� /.AX/ �C��r</2 l C �PSS a . a3 . MAP PARCEL NUMBE ., 2 ) r C�r �InC I tO 6 `- Gt 11')e7Lt 1 O , � (Assessing When starting a new business there are several thins ��/Tf2�Vrl yrA �-to3 _ g you Barnstable. This form.is intended to assist you in obtainin must do n' order to be in,complian'ce with.the vrules and regulations of the Town of, Rd. & Main Street] to make sure you have'the a` ro g the°Inforrhation you may need'. You MUST GO TO 200 Main St: (corner of Yarmouth 'PP Priate'permit`s and licenses required to legally operate your business in this town. 1. BUILDING CO al SS NER'S OFFIC This individ h s er4. of r d.o arypermit re ` q n to this type of business' uiremen s: hat pertain A or' d ure*.* COMPLY W ST TH HOME OCCUPATION coMMEIv s: ROLES AND FAILURE C S. 2. BOARD OF H ALTH This individual has ZO informed of th� rmit re this ui ments that, ertain.to .. ' �� P type ofbusiness. Authorized Signature J M ALL ' MUST COMPLY WITI-I COMMENTS. FWARDOUS MATERIALS REGULATIONS 3. CONSUMER-AFFAIRS (LICENSING AUTHORITY) This individual has n i f a d of the lic ing requirements that pertain to this type of,business. W A hor.ized Signature** ��� - •, COMMENTS _. y� 1 ' • "1 ,f .,f:.S [ F$ .,t �A .tv a,y � �i�" (y4.�y ., y`. 7•3 $"l srr'.,a^,�ratc•y-,.g.�.,� w,..�.�. r ,.�,�.� iaz.,�'�t.xld',W�•..��..:V. '""�;� �e ;�� •,� r, - ,.,,o "*^fu"' g` �+nr x�PJ��.t�r r x, ar' �' n s�rtN '"� a , '�"• "r y , Town -of Barnstable °fJHE r°� Regulatory. Services w` ti Thomas F. Geiler, Director, Building Division BARNSTABLE, �. MASS. Tom Perry, Building Commissioner t619. �'pt�oh�pta 200 Main.Street, Hyannis, MA 02601 Wwvv.town.b, stable.ma:u5 Office: 508-862-4038 08-790-6230 Approved: Fee: r$ — Permit# b HOME OCCUPATION REGISTRATION Date: Maine: ���►v�'Le` � � r d S land Pholle #: M-M-3��� Address: eR J 3 7 utc I h AV Pck Village: L1 e_r VVle 1q- Name of 13usines.• _-- . ``` — —Z 1,1 �,r��c 'type of Business: Ckuffer Rehr a:2 °Gc use °a ;n INTENT: It is the latent of this section to allow[lie resider, of•the"L'olwn of Barnstable to operate a bottle occupation liatlrin single tinily dciiellings,si.rbject to the provisions of Sec•tiou ll-1,,1 of the Zo.iiing ordivarice, provicled tlrat the actii�ty shall not be discernible front outside the dwelling:.there shall be no increase iu noise or odor; no visual alteration to the -premises would suggest-llytlllllg other III,-ul a residential use;no increase in traffic above Normal residential volumes; and no increase in air or bnounthiatcr lzollution. After registration with (lie Building Inspector, a custon ary Home occupation sliall be'pernii(ted as of right subject to the following colulitioils: • The activity is carried on by(he pernialien(resident of a single family residential dwelling unit, located withiir that-livening unit.. • Such use occupies llo niore Ithan 400 square feet of'space. 4' • There are no external�dterations to the dwelling which are not cusioniaiy ill residential bUddillgS,dill there is uo outsicle evidence of such use. • No traffic will.be generated in excess of nornial residential volunies. The use does not.involve the production of offensive noise, iribration, spoke, dust or other partic•ufar ruatter, odors,electrical tli5tiirbance,Beat,glare, hilniidity or other objectiogable effects. There is no storage or use of toxic or:liazardous iaterials,or flammable or explosive materials, ill excess of uomlal household quantities., • Any need for parking generated,by such use shall be niet on the sanie lot containing the Custonlaly Honie Occ•upatiou,and not the required Front yard. • v There'is iio exterior storage'oi•display of materials or eglripnient. • There aie no conunercial vehicles related to'die CUstoiilary Honie Occupation, other thiinone vali or one pick-up truck ilot to.exceed one ton capacity;gild one batter not to eccecd 20 feet ill lenlnh alid not to exceed if tires,puked on the same lot courainirig the Customary Honie Occ•upatiou. • No sigii shall be displayed indicating the Custornary Honie Occupation. • If the Custoimlly Honie Occupation.is listed or advertised as a business,the street address shall n()( be MdUcled. • No person shall be eniployed in the Custoilituy Horne Occupation lvho is tint a penliaucnt resident ol"(lic dcvelling unit. 1, the undersigned, ve read and agree Bich the above restric(ions for m} home occupation I Mill re.AititC1-11I.r. APpli(ant; ox pate: 2 ZO O// vv®1® wl tJRIAIYQIMDLC ' TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME Of BUSINESS. BUSINESS.LOCAl10N.• „� f �CJi MAILING ADDRESS. /� 2t �I r) } INVENTORY �1 p �/i TOTAL AMOUNT- F °TELEPHONE NUMBER: L - g 5"C "� a�3�. CONTACT�PERSON s r A F YEMERGENCY,CONTACT TELEPHONE NUMBER: r7 ^2 -315�/�. MSDS ON SITE? TYPEfOF BUSINESS: X INFORMATION/REC MMENDATIONS: Fire D strict: 1 I i n; l,� A S/;r P/ %L� C'G/' r�;/� -�`) '�.r��Jl ;r, ,�s �';,�t� I ,f 1 Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: i Waste Product: Licensed? Yes No j NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, ! storage and disposal of 111 gallons or more a month re u.ires a license from the,Public Health Division. 1 LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or I hazardous characteristics and must be registered regardless of volume. I Observed / Maximum Observed / Maximum i Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners ! Automatic transmission fluid, Disinfectants / FG Ct4.t, j Engine and radiator flushes Road salts (Halite) j Hydraulic fluid (including brake.fluid) Refrigerants i Motor Oils Pesticides ® NEW ❑ USE® (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) j Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, P p Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink j Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers i f Asphalt& roofing tar ' PCB's I Paints, varnishes, stains; dyes Other chlorinated,hydrocarbons,. ! uding _ q _ ,----- — - - - - � Any other c oductsew'thhloo son" labels Lac uer thinners - ❑ NEW ❑.USE® y p P (including chloroform, formaldehyde, ; Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which.you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &"stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT:/CANARY COPY-BUSINESS Applicant's Signature ✓Staff's Initials ,. i r Town of Barnstable Regulatory Services aFtt+e ram, Thomas F.Geiler,Director. Building Division * BARNSCABLE, y MASS. $ Tom Perry, Building Commissioner t639• �� °reoww'ta 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 504-�9 6230 Approved.-�� Fee: r$o�S• - Permit#: a0 l 6 e, 3 Q 6 q HOME OCCUPATION REGISTRATION Date: (0 2? /0 Maine:. �;0 6 t�'L( (I rV _ Plioiie #: C� Z �- 19s 2 3 Address: s Eck �t. Village: ii J�(-1°z d � n _ Name of Business:_Q o _P S� LAB �1'�.Q'i ct;t_ type of Business: S o F T wG)L E Map/Lot: INTENT: It is the intent of this section to allow the residents of the Totivn of Barnstable to operate a Home occul)atiou «2thin single Family dwellings,subject to the provisions of Sec•tiou 4-1A of the Zoning ordiriarice,provided that"the activity sliall not be discernible from outside the dwelling: there shall be no increase in noise or odor;uo Visual alteration to the premises which Would suggest anything other than a residential use;no increase in traElic above normal residential volumes; and.no increase in air or groundwater pollution. After registration kith the Buildiug,haspector,a customary home occupation shall be permitted as of right subject to tlae following conditions: • The actiNrity is carried on by tlie.pertiaauent resident of a single family residential chvelling unit, located withiia that dwelling unit. Such use,occupies no more than 4.00 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,(lust or other-particular matter, odors,electrical disturbance,heat;glare, lauiaaidity or other objectionable eflects. • '['here is uo storage or use of toxic or hazarclqus materials,or flAninaable or explosive materials, in excess of normal household quantities. • Any need f'orparkinggenerated by such use shall be naet on the same lot containing[lie.Customaiy Honie Occupation,and not within the required front yard. • -There is no exterior storage or display of i-iatenals or equipnaeut. - - • There are no commercial vehicles related to (lie Customary Houle Occupation,other than one van or one . pick-up truck not to exceed one ton capacity,and one trailer riot to exceed 20 feet in length and not to exceed d tires,parked on the saiue lot containing the Customary Honie Occupations: No sign shall be displayed indicating the Customary Honie Oc•cupatiori. • If the.Custommay Honie Occupation is listed or advertised as a business,(lie street address shall not be included. e No person shall be employed in the Custoraaay Houle Occupation udu)is'riot a peniaaiicut resident of,(lie dwelling unit. I, the undersigued, have read a Naith e )ove restrictions for nay home occupation I ana registering. Applicant: Dater ro Homcoc.dou 12cc.01/a,OH YOU"WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 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: Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOOR.HOME ADDRESS: �J 3 1 c(ci ,v ./ SV. _ C-�GC-,-Ls7-B>Z3 ��. �lJt-Cc�iz. �� } C� 2- 4 J L TELEPHONE # Home Telephone Number 50 R- 2 7 G r 2- 56 S NAME OF CORPORATION: NAME OF NEW BUSINESS ✓tce S TYPE OF BUSINESS Sot'i 60q-O� Phi IS THIS A HOME OCCUPATION? �,!c YES NO ADDRESS OF.BUSINESS 0i CV wig AP/PARCEL NUMBER o� - l J� (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 COMMISSIONER'S This individual has be or d of any mit requirements that pertain to this type of business. Signature* *.AIJST COMPLY WITH HOME OCCUPATION COMMENTS: AND REGULATIONS. FAILURE TO n Y Y RESULT IN FINES. 2. BOARD OF HEALTH . This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** V" 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: -t 'Town of Barnstable �oet�rq� Regulatory Services o Thomas F. Geiler,Director Building Division MRNSTAUM v Kiss, g Tom Perry,Building Commissioner Fe,S.9;� no Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: ' LDyQ_-0_ Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:. rya(z/11 V-14 (� v Phone#: Address: 20 J f? J C/�//�S /Utz -L �4 J Village: IC z:c>>IL=�C-yITL �'� Name of Business: 5b Type of Business: P14 /Z-N014•/ Map/Lot: INTFNT: 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;ho 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 pbt 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 mcio' n the 'same Iot 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 PA. up-truck not to exceed-one ton:capacity,and one trailer not to exceed 20 feet in length and not to - exc_ed 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 I, the undersigned,have read-and agree with r ictions for my home occupation I am registering. Applican /'^ Date: t �_ • YOU WISH TO OPEN A BUSINESS? L For Your Information: . Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) x l DATE: 1 /7 Fill in please: APPLICANT'S _ YOUR NAME/ : tz P'T- BUSINESS YOUR HOME ADDRESS: i,?J I-1 i du TELEPHONE # Home Telephone Number Q� 8 32-3 X" 4 NAME OF CORPORATION: NAME OF NEW BUSINESS o$ TYPE OF BUSINESS I�H4APraY. IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS ,2,a /L(0C_4//j3 MAP/PARCEL NUMBER o?�; �13 (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.COMMISSIONER'S FICE , This individual has bee med o a y permit requirements that.pertain to this type of business. _ Authorized Signature** COMMENTS: 101—e _ c_r 2. BOARD OF HEALTH This individual has-b!�Wamformed of e pe"r-�t.r6 uirements that pertain to this type of business. Authorized.Signature**,' COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha b in medd of tl p licensing requirements that pertain to this type of business. Authorized Si nat re** _ COMMENTS: ��4�,e ,c ' } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map s Z Parcel t � Z Permit# �7go� Health Division ) 7.7 .qv 3�� i Date Issued Conservation Division Noy8 Fee Tax Collector. SEPTIC SYSTEM JeU�y«r' Treasurer , 1 INSTALLED IN G06 IPLI ile9 Cc WITH TITLE 5 Planning Dept. ENVIRONMENTAL COLoE ANP T'ov i RZqp�� /► , Date Definitive Plan Approved by Plannirig Board �.. Historic-OKH Preservation/Hyannis :?jProject Street Address Z VG k iM - /II�G+L Yu I $� Village ��R 2 0 i e- - - owner, t1 Address Telephone Permit Request- _�t Xz®� Y i tCsvt ( �G�, �� - L �►� y , Square feet: 1 st floor:existing proposed .-CS 2nd floor: existing Zy proposed Total new z® Estimated Project Cos 73y;COO.1 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: O Yes . O'Ro If yes, attach supporting documentation. Dwelling Type: Single Family Q4 Two Family ❑ Multi-Family(#units) Age of Existing Structure Z3 Historic House: ❑Yes Flo- On Old King's Highway: ❑Yes Flo Basement Type: ❑Full LXCrawl f O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3 ZQ Number of Baths: Full:existing new - Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths) existing new�_ First Floor Room Count Heat Type and Fuel: fti(Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 0KNo Detached garage:❑existing ❑new size Pool: O existing ❑new size Barn:❑existing ❑new size Attached garage:W existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Q Yes ❑No' If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �(�L/ W� I�S Telephone Number Address 54�+,,O'y r A-,,-A— License# d 443 4 —7 VL4►�N�taJ-u'1 Home Improvement Contractor# S t 7 Worker's m o ersCo peHsaiton# z7 053 -7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VA S SIGNATURE DATE - . FOR OFFICIAL USE ONLY PBRMIT,NO. DATE ISSUED MAP/PARCEL NO. �. _ + e s ° «�, � '- . • ,, "' .i • _ -_? *a '. . r ADDRESS ' ' -'� VILLAGE OWNER" r {, i DATE OF INSPECTION: - ,-i a FOUNDATION FRAME 141 p , a INSULATION '. _ !- -� • - �. + . _ - �. �_ >� _, FIREPLACE ,` ` 7 ELECTRICAL: ROUGH? w- FINAL 1 F b PLUMBING: ROUGHS FINAL t GAS: ROUGHS �5 FINAL FINAL BUILDING DATE CLOSED OUT - - ASSOCIATION PLAN NO. ' r i W / / N � hh � / IL gglsa 8 w _ _ (SG 7 O s •O O ' f The Town of Barnstable - BAD"" • Department_of Health Safety and Environmental Services yes¢ .• FDMA'�� Building Division , 367 Main street,Hyannis MA 02601 ; Office: 508-862-4038 , Ralph-Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires thai 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: ® Al Estimated Cost Address of Work: 7 T dJ-ex-X- Owner's Name: V,r Mod /Lp_ Date of Application: lu I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner 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 pply for a permit as the agent of the owner: yT- &JAI�S /®S t7 Date Contract r Name Registration No. OR Date Owner's Name q:fomis:Affidav 750 C34R Appendix Table JS=b(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated with Fossil Fuels MAXIMUM MINIMUM (Hazing Glazing Ceiling Wall Floor Basement Slab Heming/Cooling Areal('A) U-value' R-value R value' R value' Wall Perimeter Equipment Efficiency' Package R-value' R-value' $701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 1 19 10 6 Noma R 1211. 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 95 AFUE T 15% 0.36 38 ' 13 25 71 N/A N/A Nomw U 15% 0.46 38 _ 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE w IS.". M52 30 19 19 10 6 83 AWE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: L L,ks Alec L 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: ZZ 4. %GLAZING AREA(#3 DIVIDED BY 92): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVA L: YES: NO: q-forms-i980303a 780 CMR Appendix J Footnotes to Table J5.2.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions, but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages). Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ---:. - - The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnyestigodons 600 Washington Street + Boston,Mass. 02111 %>. Workers' Compensation Insurance Affidavit name: `CXJ'(� location: ec:, city [— �,UQQ.�/�„ phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca acity z%%%%%%%%%%%%%%%%%%/%/%%%/�%%%�%%%/G%/O%/%%/////;,r;:;,; I am an employer providing workers com ensation for my employees working on this job. com nnv name: t' lUl/1 address: city phone#: insurance co. P0IicV# 1 Z 7 0 937 • ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follonzng workers' compensation polices: company name: addrew dtv phone#: insurance co. piney# company name• address: city: phone Insurance co. " olicv# 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 S 1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby eerd p . and penalties of perjury that the information provided above is truo and orrect Signature Date C _ Print a Phone# 13`t T� official use only do not write in this area to be completed by city or town official dty or town: permit/license# ❑Building Department ❑Licensing Board ❑check if Immediate n espouse is required ❑Selectmen's 019ce ❑Health Department contact person: phone#; ❑Other (mvaea 9/95 P1A1 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 co=-- , 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 receive:c: 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 ofthe 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 renew&; 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- 1%/��///%%%/%%%%%////%��//%%%%//%/%%%%%%%%%//%%%%%//%////%/%%%%%%///////%/%%%%%%%%�%/��%///%%%%�/%%%%%%%%�%/� .. 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 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. 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 may be returned io 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. FFIF The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lmlestfeatlons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 • �1k�t'Clz Sr��E /�•• X= iC I S� tL ; I FLOC C), C . • I I I 3 v of i)A--ri Al wi4LL ,- ' of Barnstable, M , .i 14'1 $'1 �7'4115 3'4 1019 2'11"4 3'1"4 3'8 r 3'8"5 existing F ouse Anderson C 15 Footing 8x16 25MPSI Walls 8x48 25MPSI Dow Sill Seal 'ill PT WA%AMh hnitc overy 6 Joists 9.25'I joist 16"oc _ Walls 2x4 15'OC Collar Beams 46 Fir 80"OC Rafters 2x10 15'OC N io `— Built in Book shelves AnderslIon F UI Interior Finish Walls Blueboard and Plaster Fl000rs 2.25"Hardwood Trim Colonial Base and Casings w C 16 C 16 3-4 13'6 3'4 3'8 38"5 20'2 I T4"5 -�I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map` . Parcel I z. Permit# %y Health Division Date Issued Conservation Division Fee -Tax Collector Treasurer. t Planning Dept.- , , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village �1 Owner . L V'e_ Address -Telephone 7 — c—) U Permit Request y 0 �'l - �?T i i1 �:vt ��- ta- '� - 4�� f— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed, Total new Estimated Project Cost 3 a Zoning District Flood Plain Groundwater Overlay, Construction Type Lot Size Grandfathered: 0 Yes ❑No If yes,attach supporting documentation. i it ` • r Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 0 r� Historic House: ❑Yes 10o On Old King's Highway: ❑Yes ANo Basement Type: ®,Full O Crawl , ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 5 Half: existing I new Number of Bedrooms: existing'_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: l&Gas ` ❑Oil ❑Electric ❑Other Central Air: ❑Yes WNo 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: F , 1 Zoning Board of Appeals Authorization ❑ Appeal# .Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name , i �.6 (��/J 1ls Telephone Number " I � Address License# (4 `SX) 11_/4iVMCtJAL Home Improvement Contractor# t U l 79 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOccv ✓i 5t � u��l/,�� L SIGNATUR DATE 10Z , C r 1 -, FOR OFFICIAL USE ONLY r ; a , kRMIT NO. w DATE ISSUED MAP/PARCEL`NO. ' t. �t _ ,, •_ a ., 'X:. _ ' ADDRESS VILLAGE , OWNER' S DATE OF INSPECTIO r FOUNDATION A • FRAME INSULATION FIREPLAC E , 'ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL = a , GAS: ROUGH FINAL - 1 FINAL BUILDING DATE CLOSED OUT ASSOCIATION TLAN NO. ' � 1. `'ff a _. ` — The Commonwealth of Massachusetts Department of Industrial Accidents — = wee offm�estflstfeos 600 Washington Street . Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: :Lk O�-/ t k)A((5 location: �Z S-3 406,,k,til.-S 2`" G K 2 ' .it, v T Ala . hone# `tW)—0,7 f ❑ I am a homeowner performing all work myself. I am an employer p .:dmg workers compensation for my employees working on this job. ....:.:::...::...::::.:.::..:.:.::. . ...:..:....:. .: m an :name... ... > >::::: . _. K. >.. . ::.::::::::::::. (;:; .. _.._................. ._.. hone#....... ........................... .._..:::::::::::.:::::::............... 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J...........}i:v::•:i:J:?:•}::viii::•iYii}}:_::•i::•:i:?•:?-::i:i}'-}'.-..i:?>..:ii}}}iiiiiY:?-}}:•}}}:•isv?•i:Siii:iiiiiri'ririi:??•iii}}:i..::..:..:...::i}}>:>:ii:•::v:w::::}::::•}::::�}}ii}ii}i}}i:.w:i:Ji}}�}v?:. .......�:::v::i:::::::::v:.�i:::::..........n....v...v.....................:.............:....vv................................... i:JJi}}}ii:iY....:'.. a�n=ance:rns ;: Q Fafime to secure coverage as requited under Section 2SA of MGL IS2 can had to the imposition of criminal penalties of a fine up to S1,"Mo0 and/or one years'hnprisonment 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 fi a nd copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. I dla hereby c un a and penalties of perjury that the information provided above is trw• con Signs Date !� 7 / - Print l Phone# -3-4 -i zo i- official use only do not write in this area to be completed by city or town official • city or town: peradt/llcense# ❑Bufiding Department . ❑Licensing Boar mmm ❑checicif inunediste response is required ❑Selechnen's Office ❑Health Depar6nent contact person: phone#; ... ❑Other *vnsad 9/95 PIA) wF , c• , 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 co=ac: 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 c: 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 renewai of a license or permit to operate a business or to construct buildingsin 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 and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe §' ' "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 ti , k being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you ire 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 of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PIease be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of investigauOns 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 The Town of Barnstable mum , Department of Health Safety and &vironmental Services �` Building DIVE* = 367 Main Street,Hyannis MA 0601 RalphM Office: SOS-790-6=7 Fax: SOB-790-6Z3 D Building C��isrc-a For office use only Permit no. Dau ' AFFIDAVIT ROME 3WROVEMENT•CONTRACTOR ZAW SUPPLEMENT TO PERMIT APPLICATION UGL c. t42A requires that the In=nstructfon, afterzdans, renovation, repair, maderaitstioo. conversion. improvement, removal, demolition, or construction of an addition to any pre-ezisting owner occupied building containing at least one but not more than four dwelling units or to structures which are adiacent to such residence or building be done by registered contractors, with certain czccptions.along with other requirements. Vo ,r pp Est.Cost ( D 'Type of Work:_ ; Address of Work: 3 Owner's Name 1 /)00 fe_ Date of Permit Application: l v t / O I hereby certify that: Registration is not required for the following rensontsj: Work ezciuded by law _Job under S1.000. _Building not owner-occupied wner Puffing own permit Notice is buiby b=that: OWNERS pU1.LING THEIR OWN PERMIT OR DEAL IIgG WITH UNREGLMSRED CONTRACTORS NITRATIO APPLICABLE W ORK 00 NOT HAVE TO TSE ROGZAh OR c;UARAr=FUND I UNDER MGL 42A ACCESS BIG= UNDER pWALTIES OF PERJURY i ly r a permit as the agent of the owner. Da a Contra r Name f; ttoa Na OR Date Ower ers Name S ` Assessor's map and lot number ...... oFTNerc Sewage Permit number ...... . .... .� . ... :.C�rG�' d�'� �,► _. Z BABB9TABLE, i House number ......................................................................... SEPTIC SYS INSTALLED IN CE TOWN OF ' BARN,STAQ1 '17 ENT WITH TITLE 5 AL CODE AND TOWN REGULATIONS g BUILDING INSPECTOR APPLICATION FOR PERMIT TO -_. ...... ...... ........................................................ �- TYPE OF CONSTRUCTION ............................ ......,............ .............................................................................. ....,.. `,. .. ..............192 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ....../.I� .''1......... ............................................ ........................... ProposedUse .............. ..................................................................................................:...... ZoningDistrict ....... .......................................................Fire District ....... .. .............................................................. e Name of Owner ..1..)Q.l... ...... .... .............:Address ........................ ' ............................................................ Name of Builder .. ...... ........ ..I:k.I.t ...........,Address .................................................................:.................. Nameof Architect ...............Address .................................................................................... Numberof Rooms ........................ ......I..................................Foundation .............................................................................. Exterior ................. ..................................................................Roofing ........... ......................................... ............U, ...................................... Floors .........................................................Interior Heating ..........................:.......... ...... !...................Plumbing .................�....j Fireplace`.................................................................................Approximate Cost .....P•..4..1... :�1.. ........................................ Definitive Plan Approved by Planning Board _____________________________19________. Area ..740...0...................... Diagram of Lot and Building with Dimensions Fee y . a`' . . SUBJECT TO APPROVAL OF BOARD OF HEALTH e I � , I hereby agree to conform to all the Rules and Regulations of the T40fnstable regarding the above construction. Name .... . �.... ....... ..... r ' ' | Hollylabint Development � � No -2IA.U. Permit for -466..��������'�� den � . . ----t�...d»�eIT��l�..---.--------' . - - 253 Boclxio$ yJecic Road ' ' Location ---.------.-----------' - C' � ---------�o�e�����e .----------------.. / . ' l��1l�� f,miot De\/e1mpnzeot Owner .....---------------.------. frame Type of Construction -------------- -------------------------- Plot ............................ Lot ................................. ' Permith-Gronte6 ..............^T.U1 n.. 23--]9 79 + Date of Inspection ................................. =lV Dote Completed -/�����.l�..��--.*l9 . . . PERMIT REFUSED ^ lA --..--.,------------- .-.. .----..--.-~.---~-'----.,-----... . e~ '' ' ^^---''r----'��'' �nAt M Approved lQ ' - i ------. �0 -.----------- =° �� . - ................. -.. ------------.�"' �» ' | � Assessor's map and lot number � Sewage Permit number ...... fn..t�.:, A�(.�1I!a.�.. �1/f//(°/�(//•(� fo w ........ . o Z BARNSTAXE • House number ....................................................................... roNAM O 39• �0 . _ Aj�.OIIFY a, TOWN - OF BARNSTABLE O.UItDING INSPECTOR APPLICATION FOR PERMIT TO �` Q .....7 ......................................... TYPE OF CONSTRUCTION ................... ........................................:............................................ .............., ct�l.. . ..............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...................:.......,..........,.. .........................,................................................................................................................ ProposedUse ...................�� !! '1¢-.. .......:..,.... ......................................................................................................... ZoningDistrict ..... .............................................................Fire District ....... .. ........................................................ 'T�4(1 �CiY-r�.� C Name of Owner ......................................��..............Address .................................................................................... ................ ...fir ...... ) 1 I �� Name of Builder .............. ....,............................Address .................................................................................... pp � �t( { e Nameof Architect .�..................................U.............................Address .................................................................................... Numberof Rooms ........................L .......................................Foundation ............................................................................... Exterior ............."`.!..................................................................Roofing ............ r. i ............................................... I �� r0 .................................... Interior ...................,....... �"'►/�-- Floors .................. ..................................................... ........................... Heating ...........................Plumbing Firepp ..................................Approximate Cost ...........�.�*. .. ..v........................................ lace ..:............................................. r Definitive Plan Approved by Planning Board ________________________________19________. A`rea ?p...' '...................... Diagram of Lot and Building with Dimensions Fee rr SUBJECT TO APPROVAL OF BOARD OF HEALTH I � i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . �... ...�..c. ....... ��-......... Name ......�...... .....�, ... v ......... -�� ' -"_--- . . . � A=252-132 � No ....2.lAUPermit ff .Ja.d.d..gi4xage... &^.. _.__...�e��..±��..d?��].ling..___—_—''_ 253 Bockiz1g Neck Road Location .................................................................. Centerville -----------------.—~------- ll � ^ — ' - - —. _ ' � f . ' ................. .. .... .. .... - ...........................................................I................... .. R Lot - ' � - [ � . J u 1 v ' 9 ' � ^ / uo,e Completed . ' - ) ' � PERmmv . --......... '' . � ................................... —'7.................. ( ' . / ! ____--_..----. -----,--' . . ~�. ---..—.. � —.---~..—.------.. --��..�.— � -------''-----~----^---^--~—' ' � . - ` � Approved ---------------- l9 � --------'---------^--------' [ . -------------.----.----...—^—. ~ A,esso,r s map and lot` number .... .-. ..... �tPT TEIVI . // lC SYS MUST INSTALL BE �D N COMPLIgNC ` WITH q E Sewage: Permit number ................ .......... . ...... ............ �ANI�'�RY'CL 1► STATE F � ��JLAYI CODE AND `TOWIl� �QyOFJNET��o TOWN` OF BARN STAB " r i 33 STAHLE, BUI,ILD91NG INSPECTOR tj CFO YPY Or 4 i;', , r� APPLICATION FOR PERMIT TO ............................. ' .. .............. /•4 �: TYPE OF CONSTRUCTION .:.............................. ... ....... .......................!......................... ........................................................... _Y C: , Y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .:. .7-nAT.4.:........... ?.....A.&eckG.......IR.................................................................... ProposedUse ...... .................................................................................................................................... Zoning District ..........'ITZ11)....C.............................................Fire District .. Name of Owner .. +�� „r �?.... ..... .Address ....dB`. ........ .e��, 'Q4Ti" 0/1 Name of Builder .. �✓.. s .......�V/. ...Address ..................................:.......................P�..................... Name of Architect ...... .......Address :/�1QrJ�....�/ c $' Number of Rooms .................................. ....Foundation ...... � �.......................... �... .................................... Exterior .............................zX-111lJh"lize..........................Roofing .............. (2�'j 7......................................... FloorsC,./Q.l� i Interior /�!Q........................ ............................ ..................... ................................... Heating ..................... raS�l�.lr.4........................................Plumbing ;:2 � 15f� ... . .. . ..................................... Fireplace ............................. yet.-- .....................................Approximate Cost ................... ........................... Definitive Plan Approved by Planning Board ____________�f! Q3___19 Area ....... .. ............... ../ s�� Diagram of 'Lot and Building with Dimensions Fee `3�' SUBJECT TO APPROVAL OF BOARD OF HEALTH .COuRS' a 3sZ 1� ° I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam . ....................... Allamo� t Corp. ^ ' . - - 19509 ' two story OT ................. Permit for .................................... m' �� femm�n �v�oll^ � �x�� '_��_° ��� ' ��' -------------. ����--.-------. . ` ` MX 8ucklnm Neck Road � Location --.—_.-----.--.--------- ' - Ceo�ezi�'�a i . ~.—.,---.-----..—.--.—..--~----- '^ ' Allm�ud Deve Owner -----------'�w�"�'^^�. —. �razom Type of Construction .......................................... /� '_ ~ . , ^ ' —.—~—.,' ---'°----...'_—' —..—..^._.—.. - ( ^ ��� '/ Plot --.--..�.-..—_. Lo� ----------.. - ' �x Permit Grdnm»6 ig �� —' --' _ 'na+~ of Inspection J. ''l9 ` . Dote Completed --,+—../.�/�--.`—.l� . � PERMIT REFUSED .............. . �� A - ~ '--^~~~ '--''—....................... . �. _ &°��9��� , ' , '~ -,.,^..,,.-_—_---_..,^~~.,,..-���.^..,,.,—.�. .� �' - .______,_^.�...._,_,,,'_.,.,,,.,,��,,--...—.. . ^ Approved _---------_----. 19 ` ^ ' ^ . .'�—.---'.----.---......—..—...-.—. m � / - -----------.--.—..---..—.—....,/^� ` ' | � � I '�?Yv� •.�.�'CL dnre�T76' : 21'3NM0 �d ArdlJsSo� /V,t�l./?1'o/t/ N I-L 6P/CNn0-Y t9IVI4 57 )(9 Oltt o� olvoww Jo IAO • f --T------- - , �I � rr� 0 o-oi p NI Ii 0� i I r TOWN OF BARNSTABLE Permit No. _-----—19509 swrr.n Building Inspector Cash OCCUPANCY PERMIT Bond N/A No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alland Development Corp. Address Box 395, East Falmouth, .MA lot #84 Huckins Neck Road, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department N/A Inspection date _ 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. .............................................�, 19......... .... ............... ........ _....... ... . .._ Building Inspector TOWN OF BARNSTABLE Permit No. Building Inspector s�STAU Cash ♦� •67. OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to r:t; ��''' 0 :', ;y C"t7�?. Address .i.' L f$ Ntc:'i� s',rClc Ycrxa s ;''1M@ri�� it Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ................................................-1 19..._.._... ..................................... ......»........... Building Inspector TOWN OF BARNSTABLE Permit No. _._._._19509 t sAUn.R Building Inspector Cash OCCUPANCY PERMIT Bond N/A No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alland Development Corp_ Address Box 395, East. Falmouth, MA lot #84 Kuckins beck Road, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector ;5 Inspection date Engineering Department WA Inspection date 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. ........................................_..........., 19_ .. ........................... ..... �............_ w_.. . ... .......... Building Inspector TOWN OF BARNSTABLE 19 5 0 9 • e ,. Permit No. _--___--- - 1 »n.� Building Inspector Cash fe,y. 081kV�'� OCCUPANCY PERMIT Bond _ N/A `.No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alland Development Corp .Address Box 395 , E . Falmouth, MA lot #84 Huckins Neck Road , Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date . Engineering Department N/A Inspection date 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. ....................................................», 19...». _ ............................ ..................................... » »Building Inspector „�'"”'• TOWN OF BARNSTABLE 19 5 0 9 . e y Permit No. ______ _ Building InsWtor Cash ...� — — ��'�orar►`� OCCUPANCY PERMIT Bond N/A No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alland Development Corp.Address Box 395, E. Falmouth, MA lot #84 Huckins Beck Road. Cent.ervill.e Wiring Inspector Inspection date Plumbing Inspector` s7� Inspection date Gas Inspector ;� % k Inspection date Engineering Department iI/A Inspection date 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. ...................................................... 19 . . .......................................... ................_....»....... Building Inspector 9 �e TOWN OF BARNSTABLE Permit No. _____19509 I =Building Inspector Cash -- 639 t�I A OCCUPANCY PERMIT Bond - "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alland Development Ce rp�Address Box 3959 E. Falmouth, MA ,�.- :•.rrn ..y...-Rr^�-.°s�"�w�r-�- .�.—<.ehr:�s.�«---.w_.....«�-..vg.,...�pw,..,�-.,... .�,.,,,�k�._._.. •_. -_.. . Sat 484 Plucking heck Road. Cei torall1a Wiring Inspector Inspection date Plumbing Inspector(1 _ Inspection date 4 Gas Inspector Inspection date Engineering Department N J A Inspection date 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. ............................__..................._, 19 ._ .........................................._................_ Building Inspector Assessor's map and lot number -...........��.................... ....... Sewage`Permit number .......................................................... 7HE TOWN OF BARNSTABLE r � 89HH9T11HLS, i • p 9 BUILDING INSPECTOR �'0 YPY Or• APPLICATION FOR PERMIT TO .............................................................c-:2. ................................. TYPEOF CdNSTRUCTION ...................................................................................: E X./ 19..:.:.:. ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .............. 1--.!"'/!./i.lS'......�i�c'r�•.:.........�.:'.................................................................... ProposedUse ......7�t1��' .!.�s�!.. .................................................................................................................................... ZoningDistrict ........................................................................Fire District ........................:,........., .... Name of Owner ... ` s r:/''ta...'3l�'✓�+!:....If%!r'-" '.Address ....,,/-e- d P'. t`'' ....... ["�� s Nameof Builder .........................................Address ................................................................................... r _ Name of Architect .e"':':r.Qti%?,.." /r�1�7.'.al��':.......Address ....::�c...'-' .. ..........� .. ...... ....... .................... Number of Rooms ...........Foundationd- �- c `�� ....................................................... ............ ............ ............................................. Exterior ?.fJ+r1JJ.,1.. ..........................Roofing ...............RG<'.'......J�:.....^......................................... Floors .•-'.... .. �... r ................................interior /.1sQ�' .:.................................... ...................................... ........... ....................... �! ....... Heating ..........................-...rS.c....: .........................................Plumbing ..................... .... 3 J ................................. Fireplace .............................- ..:".!.r:~......................................Approximate Cost .................... 1... ..'r .......................... Definitive Plan Approved by Planning Board ---------------� 19�` ! /7- ' - Area ............................ Diagram of Lot and Building with Dimensions Fee :N r-i SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �i'// Name r ;n.. ....: ''- ..!:'t:1 ......................... Alland Development Corp® )A252-132 19509 a two story No ................. PerS-nib fd .................................... III single family dwelling Locatio�< „Huckins Neck Road Centerville ............................................................................... Owner ...........Alland Development Corp. ...................................................... Type of Construction frame ............................................... ............................... Plot �k84 Permit Granted/... gust 17...........19 77 Date of Inspecti ..........................19 Date Completed' ......................................19 PERMIT FUSED ..... ............................. 19 ......... .. ....�......... ............ . ........ i;..�..... ..... ....... . . i .. .......... Approved ................................................ 19 ............................................................................... ...............................................................................