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HomeMy WebLinkAbout0084 OCEAN AVENUE _. c - ,. _ .� _ 1 � �, P ' _ } ,t. o Town of Barnstable F� Regulatory Services do Thomas F.Geiler,Director • - Building Division sexxsreBM MASS. g Tom Perry,Building Commissioner iOTEp ;(&0 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: �► Permit#: r7 LI $50 HOME OCCUPATION REGISTRATION Date: r O U bf EM04 6 WS Name E��`K �U_NlJ_�IlwasLsraa'S.s:�u,lt6E 1�.1c• Phone#: Address: 84 OC'E Ar4 A-4E • Village: af1J_rtU%"9 ,&Name of Business:— E0MoIEr-4s US�t"gyp Type of Business: AlMoi 0+1LZ Map/Lot: �t u�r1RN����•+�N �+� INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . - • There is no storage'or use of-toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by such use shall be met.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not-to-exceed one-ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,'parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,/ a read and agr the above restrictions for my home occupation I am registering. Applicant• 1< Date- 01 Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Oa• 18 O •, nn�l�l�Nti C.}4�t�t��nis Fill in please: YOUR NAME: MV- E'SK�L'�'`'� / •t�Et3'bS 0 V 'S t%X ft( S .� lw, APPLICANT'S YOUR HOME ADDRESS: N ftVS BUSINESS 1JTe�J*wtG MA •.6 a a3P6• Telephone Number Home TELEPHONE TYPE OF BUSINESS NuN`M�►�'��Q`ANM�� NAME OF NEW BUSINESS E Ieno �N IS THIS A HOME OCCUPATION? YES X NO Have you been given approval from the building division? TEp�tiU 0® MAP/PARCEL NUMBER ADDRESS.OF BUSINESS in Ay When starting a new business there are several things you must 00 in order to beou may need;plOnce you have obtained the required signatures;o listed o to Barnstable. This form is intended to assist you in obtaining the k' Y below,you may apply for a business certificate at the Town Clerk's Office�Inselsor-Town Hall] or if you get the business certificate first you MU g Y the following office to make sure you have all the required permits and, GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: . 1. BUILDING COMMISSIONER' OFFICE This individual has form f any permit requirements that pertain to this type of business. Authorized Signature COMMENTS: , 2. BOARD OF HEAL pertain to this type of business. 4 This individual has be informed o the per it r s at_ p orize Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h eeninf rmed of t ice s n requirements that"pertain to this type of business. Authorized Signature* COMMENTS: which you must do by Bus iness certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERSof the processes from the various departments involved. -it does not give you permission to operate-you must get that through comp etlon p �IG1UI�1F5AAAAOVAL FORA BUSINESS ORTIfIGATf X r, .r� pF T Regulatory Services Fe .v;r*,':... Thomas F. Geiler,Director 'ZU�a Building Division zd AR �A3 Eom Perry,CBO, Building Commissioner � `/3� /a,//— OF g�� 200 Main Street,Hyannis,MA 02601 +/ www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PER UT APPLICATION - RESIDENTIAL ONLY r� Not Valid without Red X-Press Imprint Map/parcel Number aoZ�2 �OS� Property Address 2-4 llQosN o2. t rt5i(6—� P., CQ-(.0 5 0 Residential Value of Work `<<(9®o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address A�A L-e�DCZ �t- yG" erl�Q 43- 'T'u�tlr Cc n 2�2� 1A 6(�:Lk q0 Contractor's Name 1111 5 Z V t t j Telephone Number { 50 Home Improvement Contractor License#(if applicable) f 1 Construction Supervisor's License#(if applicable) g U7 I ❑Workman's Compensation Insurance Ch one: Lam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ -roof(not stripping. Going over . existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop Owner must sign Property Owner Letter of Permission. A� y of t.}e Home rovement Contractors License is required. ,1 3IGNATURE: / 2:Fomns:expmtrg Zevise061306 ujjtce of lnvesugauons 600 Washington Street {, Boston,.MA 02111 wtvw.mass.gov/dia ' Workers'*Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information •Please Print Legibly e usiness/O •on&dividual): J 0 C vjw 4f 5 �m G 2n o v y"r/41 S Nam (B r�� . Address: ) .3 F-, 1 City/State/Zip: L t:n i( r I �C 0' (3 aPhone.#: (�y g) T7 r `0 Are you an employer?Check the appropriate boa: :Type of project(required:, 1.❑ I am a employer with 4. I am a general contractor and I 6. R New construction . loyees(full and/or Part-time)-*, have hired the sub-contractors listed on the-attach d sheet. 7. ❑Remodeling 2. I am a'sole proprietor or partner- tractorsb have These su -con ' ' S. ❑Demolition: ship and no employees . *orldng for me in any capac.ity. employees end have workers' g. ❑Biding addition. comp•insurance t [No workers comp.insurance 10.❑-i3lectrical repairs or additions S. We are a corporation and its required] '3.ElI am a homeowner doing all-work . officers have exercised their 11.�Plumbing repairs or additions. myself.[No workers' comp, right of exemption per MGL 12.[]Roof repairs insurance reed. `c, 152, 1(4),and we have no ❑ . ' ]t §employees,[No workers' :' 13. Other- comp,insurance required.] *Any applicant that checks box#1 must also fill out the sectionbelow showing their workers'compensation policy information. t Homeowoers•who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating inch. $Contractors that cbeck this box must attached ffih additional sheet showing the name of the subcontractors and state whether or nut those entities have mVjoyees• Ythe sub-contractors have employees,they must providti their workers'comp,polity number. I am an employer that is provlding workers'compensation insurance for my employees. Below is the pblicy and job site information. Insurance Company Name Policy#or Self-ins.Lie.#: Expiration D`ate: Jab Site Address. City/State/Zip- Attach a copy of the workers,compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A-of MGL c. 152 can lead to the imposition of criminal penalties of a fine lip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-Office of Iuvesti lions of the CIA for a covers a verification. I iio hereby certify der th aws•and nalties of perjury that the information provided above,is true and correct ✓�, L"- Date. 3 d Si store Phone Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: ' ,Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.1lectrical Inspector 5.Plumbing Inspector 6. Other Phone Contact Person: #: Regulatory Services ` y" Thomas F.Geiler,Director KAS g� f16319. A Building Division Tom Perry,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 h BfR n-c �' �►^'+� ►' ,�- ,-as Owner of the subject property hereby authorize� ph �� to act on my behalf, in all matters relative to work authorized by this building permit application for (Address of Job) - na o er Date e`. J-. 5F cer) Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W NERP ERM IS S ION u � 7 t a . �ogReg°lation`iCense Build isot tj `1 .a o1 SupeN t+ � , Co CS a CS 805�9 236 �"t+ rat m i + �a t + s S�5 Gt10 O�IERs " ,�s,• Comm.issior► j DOSE vLLER FtD �02 32 • NT Fz �.- .� z f - _... — ^ paella I.- `T ►stration valid for indivitlul use only 04eUcensc or reg' Board of BuildingRegulation.and Standards before the expiration date. If found return to:. t OR d of Building Regulations and Standards >< : HOME'IMPROk1EMENT CC,'NTRACT Boar One A:bburton Place Rm 130 �' Reg�straUo� 139619 Tr# 131937 Bosto'+,11]a.02108 2009 Expiration :.7128.1 y Type:'DBA 10`POWERS HOPJIE RENOVATIONS — ;. ! ! o nature ithout sigNJOSEPH POWERS�, t valid )I)_ M FULLER RD. — Aiminisirator { P CE=NTERVILLE,MA 02632 Aj F Town of Barnstable *Permit# 11 ©62 j Expires 6 months from issue date tsrAm x Regulatory Services Fee b ��$ Thomas F.Geiler,Director 039. 6` Building Division ' Tom Perry,CBO, Building Commissioner A ~°� 200 Main Street,Hyannis,MA 02601 � RF PERMIT www.town.bamstable.ma.us � 1 $ 2006 Office: 508-862-4038 ax: 508-790-6230 T OF EXPRESS PERMIT APPLICATION RESIDENTIAL � sTABL Not Valid without Red X-Press Imprint Map/parcel Number �' 3 Property Address 94 0 6 JAK A VL(Y U% &,CLJ G V J I L '(0 Residential Value of Work 000.lfl'z� -Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address .At1Phomy _�kI�a- �A/Y1lL� lANL1 %jl ! �-"U_ Po. bry 9z2 OmiuvLjI't, _�'lA o2�3z, Contractor's Name S /y 00as "'U U ION Telephone Number 509 • 11)1 - !ZI I Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) I) i g 3Ca ®Workman's Compensation Insurance Check one: ® I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name Li e yJ g m w u r l 1N L u(AN C m Workman's Comp.Policy# jo n OOG 22 q Copy of Insurance Compliance Certificate must be on file. Permit Request heck box) c Re-roof(stripping old shingles) All construction debris will be taken to Surd W t Lwd 1 d ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner st sign Property Owner Letter of Permission. Ho rov nt Co actors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 OLr. i I. LVUO 0h1V1 �UIUttk WN51XRI1UN N0, 277 P. 2 Town of Barnstable Regulatory Services . Thomas V.Geller,Director Building Dlvimion, Tom Perry,C80 Building C0111M)osioner i 200 Main Street, Hyannis,MA 02601 www,town.barnstable.mfl,us . Office: 508462-4038 Fax; 508-790-6230 Property owner Must Complete and Sign This Section If Using A Builder AT Rs Owner of the subject property hereby authorize S9 UI E/ 00N', 110 U-�orq to act on my behalf, h'all matters relative to Nvorls Wthorized by this building Permit application for: 94 kEAK r�Ua, ��AI�vJIe /11p (Address of job) .r +SignofOwner r Date a AJV y ' 4L Print Name Q:Porme:cxpmtra Rcv1sc07 i 405 L00/L00 xV9 VZ:OL 900VL L/ The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individu nal): S�}U1V �ON.S�(UCJ LC)d Address: s 82 gAy Ia(lE nn City/State/Zip: �i Mk uv d), —AA 0-2 SI Phone #: s�o9 . '1 z) I . �'211 Are you an employer?Check the appropriate box: Type of project(required): 1,M I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for the in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance. 5. ❑ We are a corporation and its required.] . officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I L❑ Plumbing repairs or additions myself. [No workers' comp. , c. 152,§](4),and we have no I I Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such: 1contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance.Company Name: CI e`ujy M Ul Lial G-uu/c'NCL Policy#or Self-ins. Lic.#: Lod-' 0oo 22 t[1 Expiration Date: II 11016G Job Site Address: QCuAir, L"UL . City/State/Zip: 1..l(,VA rn� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for-insurance coverage verification. I do hereby certify under, a pain 'and p alties of perjury that the information provided ab ve is rue and correct. Of Si nature: 1 Date: l Phone#: Official use only. Do not write in this area,to be completed by city'or town official. ; City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: M EP-12-2006 13:42 DGP MILES, INC. 508 880 2734 P.01i01 m-Qc RD U I IFIGATE OF LIABILITY INSURANCE oPion �� ......... �W em �"-' S VIR-I 09 12 06 CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miles Inaurance Agency,Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR chool Street P.O. Sox 1018 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Taunton MA 02780-0957 Phone: 509-824-8961 Faxs508-880-2734 INSURERS AFFORDING COVERAGE NAIC# INSURED _ INSURER A- aawre Property a tanualey Ine - INSURER B, squ ier Construction Inc. INSURERO Michael Sgvier 582 Bay Lane Centerville MA 02632 INSURER 6, COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL YHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - I I �. • " LTRINSRL TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence^ 3 CLAIMS MADE OCCUR MED EXP(Any ono por3on) S PERSONAL S ADV INJURY S GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY JEC LOC a AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO - (Ea accldenl) _ ALL OWNED AUTOS - ' T SCHEDULED AUTOS BODILY INJURY(Por person) S HIRED AUTOS NON-OWNED AUY03 "° BODILY INJURY (Per accident " PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY,EA ACCIDENT S ANY AUTO a OTHER THAN EA ACC 3 AUTO ONLY: .AGG S +- EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE a DEDUCTIBLE. RETENTION S S WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE W00002241 11/10/05 11/10/06 E.L.EAC11ACCIDENT S 100000 OFPICERIMEM13ER EXCLUDED? If Yee,deacrlbe under EL,DISEASE-EA EMPLOYEE S 100000 8 ECIALPROVISIONStalon E.L.DISEASE-POLICY LIMIT S 500000�~u OTHER I E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER . `' CANCELLATION 13ARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATfON DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of adrnatable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL 329 Falmouth Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TNB INSURER,ITS AGENTS OR Hyan1318 MA 02601 REPRESE Ives. AUTOO ED EPRESENT Da ACORD 25(2001108) ®ACORD CORPORATION 1888 TOTAL P.01 f jauolsslwwoo VVI '3111M31N3J ' 4lnOS A 11VHOIIN - 3ti 3 b96L.�Qf�4���8 dl8 oco690 .SR iQegwnN �i 210.SlAU3df1S NOIlOn8l1 NOO.:0$00l1 SNOT V)f1.P321 omallfl9 3Q Q211106 n p�aainrrvrcYrr��o ��Jvannwtu�iuo Li uy/' , • O !L i fps �e"�o�ivnea�eweall� , araac cicaef+Gi of i ul,Lu I Regal,lions wltl Sla�d:u ds I,j.cnsc,�i `Lt,rsii+�tiou�aiiu fur i:r,lividul.ase„u:� HOME 11AN3,OVEMENT CONTRACTOR ( b0"' c the eal,.r:rlIon dalC. If!nund 1.0m. ReOJ-traUon 1,11006 Board a1.Rlrilding .111l Slsnd:u ils x�iralipn L1J18/2006 One Mbbiiri0n Place 1611 i l)1 Rriyafe Corporation a oslpn,.Ala.02101! SQUIER CONSTRU�1`IOr�i INC MICHAEL- SQUIER 582 BAY LN;. Gl `� i r, •' %EN"f -RVI 02632