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'�_ - . 1,. .qq ��K _ •5. kI a .1 .�•. s. :. � t.�' w `a ,rr ° st k u>a.. r a.'� -s 5, a•a �.u �� ...,m '3. :;'., 'h• F a,4.to '.rr,i- r;.. �• .- Y 'y"' ti? ar'r„ .�.ty' '-ri '2'3 ��,. r� P+�- �.,� mu. � .. c+.. : v - r ' : ��': x,' fir.. -�fi'c.� T "� � t;.• £'_ ,� �� R�� ,a ,,� ��_ �� L � ,k'. aI Ar n o e I c • r ` T' ' n r n ' .` _ d +� :a =. r, t; .} y _ .� - y .. .. 4... ,. :"'� p�'yr'• $3 � z`"�°'F* .fir.: '�� Fo e:� � I 4, i a x a � a y i a S u t Al 71, 41 Mr a s 05 - - - - el 1 r n ! v - ,. y�. sc�� - h.�u �. i, ,� �" - - � :: - :A•j a rx. , q - r - y Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma us Pre-application for Business Certificate ' Date ^,�j, Map QC Parcel Applicant Information Applicants Name J d A-^ LA Y✓\-,i !-) Applicants Address ll Y\. S I C.Q n 4erV Email Address (A f Cc)ev, Telephone Number j.L�--j-3 - fib 7 Listed•I Unlisted ❑ Business Information New Business? Yes No Business is a registered corporation? ________________________, Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole,proprietorship or home occupation? ________ Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business l/� n�e/I/I '�Q WYlC1/ Y/� ^7�✓L� Business Address Type of Business h S It/ Buil ssioner ce Use Only C/ Conditions ? ► Ile 044 tta ALA, � w S Building Commissio r 64�— Date i Clerk Office Use Only r Town of Barnstable Building Department CF THE Tp� o Brian Florence,CB0 Building Commissioner Y Y AB 200 Main Street,Hyannis,MA 02601 9 MASS. 1639• www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Dater1,Q T Name: J 0,a n>" 1/C&A WU Phone#: Address: J 5 /1 S�- Village: Name of Business: ��✓ `e— �"�—��y�o`f C/�'/w 5 Type of Business: (ti I 'I),r. R Map/Lot: C=2o—�— /`C 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 'Iksidential volumes;and no increase in air or groundwater pollution. fir registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the 16- loving conditions: D Cr • The activity is carried on by the permanent resident of a single family residential dwelling unit,located . U J within that dwelling unit. p W • Such use occupies no more than 400 square feet of space. w _Z • There are no external alterations to the dwelling which are not customary in residential buildings,and there ® z M is no outside evidence of such use. . = 0 _Z • No traffic will be generated in excess of normal residential volumes. g • 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. } a � • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess LLJ a cc >- of normal household quantities. Q < • Any need for parking generated by such use shall be met on the same lot containing the Customary Home O Z Occupation,and not within the required front yard. ► • There is no exterior storage or display of materials or equipment. J - There are no commercial vehicles related to the Customary Home Occupation,other than one van or one 5 O 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 x included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date oC/ vl l Homeoc.doc Rev. 10/17 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: ��to o2D Fill in please: r"•'.:•':r-:,:,a�l,r' APPLICANT'S YOUR NAME/S• ctf n� 'Cann c� ••�,,;:�,:��;�4�a��.�z�" —� *r. BUSINESS YOUR HOME ADDRESS: SSS Ma--� SE `"-�;11�•il;+t't��.,.��fi;' .tt,a�L?.�"-.'.�•,��!' - Cen.ter�ill-e. , 9` { TELEPHONE # Home Telephone Number 3a7- 6"136 r+ .:' F,•:..:.,•.�,+a-: .:•:? EIN #: E-MAIL: 2 ✓ ^GHIS+- a�'�✓��Sh 5:esY►' NAME OF CORPORATION: NAME OF-NEW BUSINESS an zh�5� ari ners4,�-S TYPE OF BUSINESS P,onSw IS THIS A HOME OCCUPATION? . yels Y NO ADDRESS OF BUSINESS SS O,n St. Ce't+ervl Q-14— MAP/PARCEL NUMBE (Assessing) When starting a new business there are several things you must do in order to be incompliance 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 COMMISSIjbeenf; FICE MUST COMPLY WITH HOME OCCUPATION This individual has of any per e uir�eme_nts that pertain to this type of business. R��ND REGULATIONS. FAILURE TO MAY RESULT IN FINES. A thorized Signa um * ` COM TS: Y�'� I(/ i 0 2. BOARD OF HEALTH 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: . IUWH Ul DaFLLSLaDle THE Regulatory Services p Tp� o Richard V. ScaIi,Director Building Division 1AgljMUF HAss g Paul Roma,Building Commissioner i639 �� '°TED r+►a�16 200 Main Street,Hyannis,MA 02601 - www.town.barnstable.ma us Office: 508-862-403 8 Fax:. 508-790-6230 Approved'.. Fee: i Permit#: �D HOME OCCUPATION REGISTRATION Date: Name: �Q--�' e�r� �n 6��0�✓1� Phone#: Address: 5 5 5 tnQ, A Village: c ew A VL ,Lt, 4 5f Name of Business: E. fP0414-rw.J, Type of Business: S a Map/Lot MJ d �xy EiTENT: 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 as 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 tamed 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 noffial 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 Occupati on,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 tan capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No.person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. �. Applicant: / Date: ill l�In Homcoc,doc RT. .06/20/16 1 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, 1s' FL.,.367 Main Street, Hyannis, MA 02601 (Town Hall) . DATE: /0. 3 .. Fill in please: , APPLICANT'S YOUR NAME: RtC lice b 4- L Q,eAA/11j BUSINESS YQ&JR HOME ADDRESS:.535/ 41 _S'T eE T Ce-ITERV'/w-e- i NIA- 6Q6 3 a TELEPHONE # ome Telephone Number 5a 7 - N p 8' � / 90 Vo NAME OF NEW BUSINESS E TYPE OF BUSINESS ' / L IS THIS A HOME OCCUPATION? YES I N.O: Have you been given approval from the building division? YES NO p I� ADDRESS OF BUSINESS J`- V" NA• ��MAP/RARCEL N.UMI3ER a.0'7`1Y 7 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 SIO R'S OFFICE This individu h Vbor oftaper4nit requirements that pertain to this type of business. u Si re** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type e of business. . q P YP P Authorized Signature*` COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements.that pertain to this.type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map 'ZU2 Parcel Permit# 635 Health Division Date Issued 916L Conservation Division ApplicatiorlSee Tax Collector o ' Permit Feeee9 - 0`�� Treasurer `C�°Z .` �/3A'Z Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village _CT-VL+ -ar VA) ��-- Owner JlZtJ/tAr/,t r C ri�c� Address 5et14-L-- cc6vr_ Telephone Permit Re uest o o4 Caup O ri( 30 v Cc zS Ell Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations GO Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new I Cl Total Room Count(not including baths): existing new First Floor Room�C4unt : y, Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other o - Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal s ove: O�'fes i0 No -• cr Detached garage:O existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑ner� size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name rat Telephone Number Address 90-d- YtV• PG 13W (1- W License# (f-rn r_C V 1, 2 Home Improvement Contractor# 13 clli�6) Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE _ c�/62_ i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED Y- ' MAP/PARCEL NO. ADDRESS .r. ` ^ ' VILLAGE OWNER DATE OF INSPECTION:) -,,-.-FOUNDATION r L FRAME r ' INSULATION x FIREPLACE ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL• ' FINAL BUILDING- - - DATE CLOSED OUT 3 ASSOCIATION PLAN NO. r f Massachusetts The Commonwealth o _ -� —� ,Department of Industrial Accidents Office of/nyestiga�aas . - 600 Washington Street Boston,Mass. 02111 '3r Workers' Compensation Ins/urance Affidavit �P0O�OO�%0��00�/O/////////// location: _ hone# ity c❑ I am a homeowner performing all work myself I am a sole proprietor and have no one workin in ca acz orkers' com ensation for my a loyees.working on this job. ........... ... ........vr. ............w:J.,v....-..r..:::v::v.v.....-. :.::.w:r::h.n::nn...:.}v:::::x::::.v.v::vT:::-:vk::l:::4':• .., ' :::1.:4,,:::::_::;} .t .rn.:t. ...........................:•............................ ........................ n.,{y;;:9:?:•r v$n.;n K �.tix:•: ...... ....:. .......... ......... ........ ............r...:,•::•:.:..nw::.w:::::.{i}.:............•:?vw:::v:n.,..•••::•::.x:•Ti:4'•:\v:.::::.vr.v:`.v:.v.w:�.v: .\.v�-.vT•v.:vy.;•}:;• ....n.• .....r......v.... ....... .............. r•nw::v^w.•:•$.v:::.v..... :•;{•::::...:txnw:::.L....v:::n4:.......};,.: .. ........... ............ ..r.. .....na... r.......... ...r..... .t }.......:.. ...r........ .,•:w:.•:....... ..:,.........r.... ,...t•:::}};t;•::.. ....n...• .....}. .. .... ........ .............. .r........ .......r..............v v. .... v.......... ... }.•n.,.v::;:}:v:::v, :+:i::fff?':...;.:? .4':;•}v:v.v.'l::.v:::.x::w:.v.^?•:•,. ::nfff$fr. :••:�:3:••.•:} ..f.}:::? jt:::}:i?:C}:f$$:vf'ti:f::?:;i:XvCti:???F:???:f:}isC}'} :?!::::??:{tiL:::C}::ti{;:;:::;i:ti::tti?ti:;:;:,>.;f:•v!:fY:i:$:}::+i:{•}:{{:{{{:.::x{x: :. :. . a�:::. .. .:��r.t �•:;.::::n•::• ............:::.�:.�::::::::...;. ::::::!::;::::: ...�w...:.,... .coat sa .naafi .. l' ........... . .:::::...............................::::.;:.;}:;•};}}}:?4:;.;$;:!:,:::.;.:::.}•::::};..;.r..:..::.,.•:.:r.:n:.:........,......#•.i.:.;:::F4x:{-::, .w•.+•.;{::::::::::::.}w.v:::.::.v.:::. ^....... ::?..vv: win•::;+•:•{}::;},.,} +::..J':'• v:}:•}i;:......:.:.; �::j�fii..�:j?i:ti!ii�t:n. {,:i:k•i::::$:}:i:{{iti?::^$i:n. ...�•:v+ ..::::n :.v•:Yi:?+;•:C•}T:•}}}•:x::}:v:;{{...'..':^}:+i4;:::;;......v:::::::i:... n:::::.t ..n.• ........... .......r... ,....n.... ... ........ ,.... ... ...t - n•:::nv::.yv:{v::•:::.!,}':'::wn4.;:. �.:v::n•.•{•; .......... ..... .. ... .... ..}.. .n. r....:::::::........... .....:v..:r::.......v::::::::•::::x:::}:v:.v.v:::::::::},};+':•}:: ::.v::::::::::::::::r...C?:nP 4^K`:::i^;Y::i�l}:i;}: n.Y:•:•::::::.::::::.::•.•...::::::: •:::::::.:v.4:::: :::•:•.::.+.t•: :. •:� .: ::::::. ...L:•rA:•::•:...-::::r:r::::::: .. ...r::..:............:.v::.,'• ...t.:::n•:.:v:•.v. tr t C {rr �1! i -................::::::::::::::::t4}}}}i'•;Y::4}:??•:n••:•.K::•}}}}:v:}::::::::?+4:4'•}}.v::nv::::r:•-............n..x::::::.::v:4}:;ti•}}:Y:-....... --....;.... to . ... ............ ............v......:...n........t r..••....... ....... r...........:::.4:d:::::.v:n•:.:v,::: ..-. .::::...r;{•::•::;bf:t;4:vt i•:...,:'}:.. ::.;:::::.;•..:..:..::...:...:..v n..............v...;...:.. ...t:.:;•}fff:{�ffY.•:�:::::f:.y}• . 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Failure to secure eovera;e as required under Section 25A bf MGL 15Z canlead to the imposition of criminal penalties of a line np to S 1,500.Q0 and/or • one years'imprisonment as weIl as clv�1 penalties in the form of a STOY wORK ORD�R and a fine of S100.00 a dap against me. I m•►a (md that a' copy of this statement maybe forwarded to the Office of Investigatipns of the DIA for coverage verification I do Hereby-cet�i nder-the-pains- d-penallies-of-perjury-thy the-information-pr-oaided abnve�slcu and correct — Date Signature Phone# 7 7 Print name 5� �71'►.� ..:�' • �v►� QMcial use only do not mite in this area to be completed by city or town official permit/license# �OBufldingDepartment city or town: ❑Licensing Board ❑Selectmen's Office ❑ cheekif immediate response is required []Health Department contact person: phone#; ❑Other r..'A-4 9/95 P7N " •. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their an employee is.defined as every person in the service of another under any contract employees. As quoted from the"law", of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the Legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a .... dwelling house having not more than three apartments and who resides therein;.or the occupant of the dwelling house of another who employs persons to.do maintenance, construction or repair work on such dwelling house or on the grounds or t thereto shall not because of such employment be deemed to be an employer. enan a urt , . building Pp • MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renefval of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has . the' Additionally,neither not roduced acceptable evidence of compliance with the insurance coverage required. A y, , p 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' pply�g 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 tlie permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the' of�if yQu .are required,to obtain.a workers compensating policy,please callttie Depaitaierit afthe 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'onthe 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.pe�rtllicense number which will.be used as a reference riuml�er. Tlie:affidavits mayU'r the Department'by+azail:',&FAX unless other atraiigements have been made: y .�. .', c The Office of Investigations would like to thank you in advance for you cooperation and should you have any-guestions, . please do not hesitate to give us a'call. EE/////%%///%%/////// he Department's address,telephone and faxnumber. The Commonwealth Of Massachusetts .Department of Industrial Accidents amce of 1nvesilgatlons 600 Washington Street Boston,Ma. 02111 far 0: (617) 727-7749 ` : phone#: (617) 727-4900 ext. 406, 409 or 375 -