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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you
must do:by M.G.L:-it does not give you permission to operate.) 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.
1,.• .�... . DATE: / Fill in please:
'r.v1 r1za; l APPLICANT'S YOUR NAME/S: ►G��i�« l- Zzr.�w1C.Y1
`rEk'c51c L;d r?Sy3 W''' BUS NESS YOUR HOME ADDRESS:��.S�eic p,�_ I-
le
PL
TELEPHONE # H 44t Telephone Number 2X-
:.u:^JNitwt. ,r — E-NAIL: O
NAME OF CORPORATION:
NAME OF,NEW BUSINESS TYPE OF BUSINESS %. U wotK.,vt %,"SkrQ\\58 j(6
IS THIS A HOME OCCUPATION? YES NO �pi�j;te .no �� 4�� wank' a Q{ NSeS l { or pldwy;oor
ADDRESS OF BUSINESS- MAP/PARCEL NUMBER /•7� O 7 7 (Assessing) 4
When starting a now 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 priato permits and licenses required to legally aerate our business in this town,
Y PP 1 P q . 9 Y P y
1. BUILDING COMMISSIONER' OFFICE MUST COMPLY WITH HOME OCCUPATION.
This individual has be i or ❑f any p equirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO
uthorized Signet re * ` C MP1 Y M Y ESULT IN FIN,
COM ENTS:
2. BOARD OF HEALTH
This individua has r ed of th quirements that pertain to this type of business.'
Authorized Signa
COMMENTS: A L,42 41a'2
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
FZHe rod,
Regulatory Services
o Richard V. Scab,Director
`+ Building Division
a.,vsz.►stE
MLEC Paul Roma,Building Commissioner -
s63q.
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us'
Office: 508-862-403 8 Fax:. 508-790-6230
Approved:
Fee:
Permit#: c
HOME OCCUPATION REGISTRATION
Date:
Name: 2l eVJG(-V'1 Phone#:56)
Address:A"l �1onii- ?k Village: �PP/1 2��r1 119—
C
Name of Business: 2 e mo,a '�7)9A_Xri C0-S-
Type of Business: Map/Lot
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 carved 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.
• ' The 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,ha d agree with the above restrictions for my home occupation I am registering.
APPlican Date:
Homeoc.doe Rev. 6/20/16.
hjC
Off Town of Barnstable
Expires 6 mouths on issue
' Regulatory Set-vices Fee
MASS
Thomas F. Geiler,Director
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma us
Office: 508-862-403 8 Fax: 508-790-623 0
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X--Press Imprint
Map/parcel Number i :c- Q�
Property Address
0 Residential Value of Work 00 ` Minimum fee of$35.00 for work under$6000.00
Owner's-Name&Address 6e4*�i-0-1— 2 t t o'i
contractor's Name (� ( / ` C Telephone Number so
Some Improvement Contractor License#(if applicable) 1 2G �
construction Supervisor's License#(if applicable) ;, - ES PERMIT
- Workman's Compensation Insurance
23F,one: MAY - 1 2012
M II am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE
isurahce Company Name
'orkman's Camp. Policy#
opy of Insurance Compliance Certificate must accompany each permit.'
:rmit Request(check box)
0 Re-roof(stripping.old shingles) All construction debris will be taken to � Oj e
❑Re-roof(not stripping, Going-over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
4 required \
NA
PFMESIF0RMS\bm7dine ncrmit formslEXPRESS.dnc
OFINEr Town of Barnstable
ti
. °. Regulatory.Services.
anaxs Thomas F.Geiler,Director,
mass.M.
9� 1639. �0�
iOrFo nw'�°i Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA.02601
www.town.barnstable.ma.us
'
Office: 508-862-4038 Fax: 5.08-790-6230
- Prop
erty Owner Must
Complete and Sign This Section '
If UsinLy A Builder
I, �e;�i��� M I MGt UI , as Owner of the subject property
hereby authorize i(�l,1CJ.Q_� to act on my behalf,
in all matters relative to work authorized by this.,building permit application for:.
(Address of Job)
a0l a
Signature o Own9
- TD to
Print Name r
If Property Owner is* applying for permit please complete'the
Homeowners License Exemption Form on the reverse side.
Q TORM&O WNERPERMISSION
c
oFT"E roil,
Town of Barnstable
Regulatory Services
snxxsTAa , : Thomas F.Geiler,Director
MAss
i639• ,�� Building Division
rFD NIA't A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
i
HOMEOWNER LICENSE EXEMPTION
Please Print I
DATE: '
JOB LOCATION: 1
number street village
1
"HOMEOWNER": {
name home phone# / work phone#
f
CURRENT MAILING ADDRESS:
s'
city/town st to zip code
The current exemption for"homeowners"was tended to include own -occu ied dwellings of six units or less and
to allow homeowners to engage an individual fo ' e who djaessory
ess a license,provided that the owner acts as
supervisor.
DEFINITI N OF HOMEDER
Person(s)who owns a parcel of land on which he/she esides to reside,on which there is,or is intended to
be, a one or two-family dwelling, attached or detached ctory to such use and/or farm structures. A
person who constructs more than one home in a two-year eriot be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a fo e to th'e Building Official,that he/she shall be
res onsible for all such work erformed under the buildinction 109.1.1)
The undersigned"homeowner"assumes responsibility for co p ce with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she under ds the wn of Bamstable Building Department
minimum inspection procedures and requirements and t he/she will mply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings conta' g 35,000 cubic feet or larger will'be required to comply with the
State Building Code Section 127.0 Construe on Control. .
OMEOWNER'S EXEMPTION
The Code states that: "Any homeowner rforming work for which a building permit is required'sliall be exempt from the provisions
of this section(Section 109.1.1-Licensing of con ction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervis ." `
Many homeowners who use this ex tion are unaware that they are assuming the responsibilities of a`supervisor(see Appendix Q,
Rules&Regulations for Licensing Construe' n Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed pers s. In this case,our Board cannot proceed against the unlicensed person a, would with a licensed
Supervisor. The homeowner acting as Su rvisor is ultimately responsible.
To ensure that the homeown is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she nderstands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t am and adopt such a form/certification for use in your community.
Q:forms:homeexempt
01/09/1995 00:33 .1508790G23f PAGE 01
,own Of Barnstable "rermit# `
Facplru 6 momthr from Isrwt date
� L
i t:eg>ulatory Services Fee '
KM& T lomaa F.Getter,]Director
�MM" Building Division
To ok Perry, Building Commissioner
20)Main Street, Hyannis,MA 02601
Office: 508-8624038
Fax: 508-790-6230
EMRES PE _ ..T AppLICATION - RE$1DENTL&-L ONLY'
fot Valid w"out RedX Prsss ImPrint
Map/parcel Number__�,��,_ . .w
Property Address
sidential Value of Work G Minimum tee of$25.00 for work under 56000.00 �7
Owner's Nme&Address
Contractor's Nam=
i Telephone Number � �
tC ' . L M. eableHome Improvemen . . . - .,... ..
if ap
CoZt
icm Supervisor's Licemo#(if npplicat le)_ -
,
anan's Cam��odanl=mmmce
Chockon 1 ,
❑ I am•sole proprietor G �
��:Vo
the Hoovowner Worker's Compensation W mmcc "
Insurance Company Name 6 €; _
70.
Woriar='s Comp.Polzcy# `
Copy of Insurance Compliance Certificate'm ast be on file. 1,3
1t
Permit Request(check box) }
❑ R,e-roof(stripping old shingles) A 11 construction debris will be taken to 1
❑Re-roof(not stripping. Going over existing layers of roof)
❑ eider -
ttetihetatyVtntiows, UValua,
(mxiffiuzn s .44)
* pC roquirod:'insY4LG{.. t co 1lanee with,other�pwa dG�4prat►atit r®gulpp4fle,I.e.motwa-
"* ofc:' - operty Owner mu 1 sign Property owner Eerier ofTervuiss on, -
Hoax ImprovemeN Con etors License is required.
5ilmature
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All RESIDENTIAL CONTR.n�T(I $AND B !
3TANDAt�g, UNLEt3S BPFGF •ALLY 15UBCCr TRACTS ARE PE(JUAM TO OF REaISTCRFD WITH 7HE 9Aa6AtJltuaP"foRD'VQyt_N'T CQNTPAC70R I ;r;IgiR OM Re0(SMATION, INGUIhIC_ C6N0 N TTS BOARD or BLte.DlNa r+E6t'?AT a AND
ATIDrv,ONE ASIJBUMOn;hLADE, REnt3TRAT1 R ,eE LUR80TCD iC;DIPFC
CONrnACTOR 7R SUA ONTHA TOA IS OBI-10tO T fir,F4! DORrON M to Ia T)�e,.— hf6ME, '
TWESF PEA,AND YOUEAAF 07-0167,M. ED ;TH r t�,ttlf r
OB 1 IN ES rUt]r1 IF to LIG NOT rn± , — .ANY BFNCFlTC FRO!A THE(yUAI 1htgE rl,}hn r3YABL13HFp Uhl GIST•7{ED HLe 7FIG s6A C DINtl RCDL1,ATlON YOU WILL NOT erlr r'r6 rjO NOT OBTAIN
ANY D:POST REOu1Reo I,FJDF: 71d1a AGREE►d@ T t>t NASaAO}I IeETT3 GENCRAL I•AWR,f,1'IAPTEH tApA 0 EN?ITI_CD Tf)DBTAJN
Or THE TOTAL CON:1 a or PAIL NT-O BE RNC IN ADVANCE or,THE COMMENCEb}Epyy OR WOtttr
3E ORDERED IN ADVANCE OP I' F R AGTl1AL"COST OF ANY rM•eroALOR`OU,PMENT WHICH hV A 70 BE Sr�a�l NOT CY.CFFD TMF GREATER OT DrdF.TWlao
3E DEMANOM UNT C614MENOFMENT OF THE WORK,W ORDER TO A89URP ThIE P ORDERED OR CUMfV MADt.Wt-dCH MUST
R THC A({Rt! 'HENS I.S COMPLETED TO 7hIG eATISFAOTION Or WDI OF U; FiDdEi,7 WILT.AAOCEr�7 ON 3W.=DULF,No FINAL�AYNEN7 MAY
rOU MAY Y 11 CF,I•THISMAIN
Or :EMENT IF IT HAS PEEN 6119NED eY A PARTY.r�THERE C)AT A PLACe OTHER T4AN AN A009C or,THE�.LER,
ARHCH MAY R[HIS AAAIN Oi 'ICE`OR BRANCH THEREOF.RROV r I
)RDINARY MAIL PDSTFD,g' TEI,EGGtAM SENT HE Y DE IDED YOU NOTIFYTF!F SCLLF:A IN WRITING AT NI n�;IGPDNG bP THIS AGR&E: r, b WFRY,NOT LATER THAN MIUNtGHT OF THE TI•I!.gp pS MAIM OFMCP OR J RFl GY
IY SIGNING BELOW, U81NE9g DAY FOLLOWING TWE
YOU A KNOWLEDGE THAT YOU OWN THE ABOVE PROr-GRTY A,VO THAT YOU A,9 EE TO At Cl;THE Tp
CONTRACT,YOU ALSO ACKI DWI,ED(3?1 T YOU HAVE RF.,CEIVeV n FQILLy UCMpLr r�
.OP1ES OF THE NOTICE ofe I ANCpLL ION AND THAT YOU HAVE P1EGN O,aA(•LY IWFORiTto OF PY OP THIS CONTRACT AND T%A10 C 1rwa OFe HIS
O NOT TO CAfVCEI.. •TeD
T�93 CONTRACT(P THERE ARE ANT 9 NK$PACES,
t NA SEW F,the plth}al; w hn to a thOB namnA lhlo �"'•
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Anew ntnnyearaf_ J
MA IRE rC8FJ1TAn --^ BMn,gd
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okfacd:Mo.E
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nl^R7F0 A%nNATlni 9lpnan � L.. �t2q
tN0' CE OF CANCELLATION_ (W
IU MAY CANCEL THIG TTIANI: k0TION,WrTHOtJT ANY PENALTY OR OBI.IGAT!bN,yy,1T}�IA7 THREE t3LISiD E(70OAY'S)YOU CANCEL.ANY PrIQla. by jA O IN,ANY PE AA&N7S ; _ LESS t)AY9 PROAA Tytc ABOVE DATE.
NrrI;TRU I ATI IX'Mro D BY iOU WILL MADE BY YOU UNDER THE CONTRACT CR SALE, AND ANY NEG011ABi_F _
.Nf'.RI!ATfi'yN Alr'TT1r:P aNihn .iv QFI'I 14Fn lAIrRCh aYln gfCl�f 11 R 10 rlk rutr NEZ;S A
B lNES9 Dayg FOLLOWING CEIPT by ?HC 8ELL6R OF r B
tinu Uni l c nnnrr•cr rn
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Assessor's map and lot''number
r.. Z�W_6ge
O�c f�G�-LiC Permit number
y0F TM E p��'• r` a TOWN ' F
u EARNSTA13L
1639-
"A ` BUILDING
iHSPECT'0R
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APPLICATION FOR-P.ERMIT TO �� p p S ....
QTYPE OF CONSTRUCTION ...............................................................................................
4.
.................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies. for a permit according to the following information:
9
Locatione�.:. �3 .1. s�✓t ftl'� .v�. 6. ..IA !...b.?i. J,1z ..
ProposedUse ..................................................................................
Zoning_ District ..... ............:.:............ .........Fire District ..............................................................................
Name of Owner A/sw...C_ . / s `r: ........ .Address .. ...... . .... ... ...
-Ti
b 4-1®gem
Name of Builder: ...® hl.:. . . . .... .........Address�ll . i �C. ,.. l LS ,sus r .s
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ... .....................................................Foundation /1.� T. ��.' /.tS G .. '.........®.a.l�......
Exterior ..... /�Td �f!...<�I�!f �.!�..C/�1.�n..........Roofing . pw*!s,T...../../..46.............................................
FloorsA'P T ............................................Interior ................................................................... ...........
Heatin ......•t/ ,(........................................... ......... .........Plumbin 1`� ..° .....
9 l 14 g
Fireplace .....IVII/T..................................................................Approximate Cost ................ ................... . .......................
Definitive Plan Approved by Planning Board _____________ .............3�
----------------19--------• Area
Diagram of Lot and Building with Dimensions Fee �. �J�......... z✓•"•.... .......
SUBJECT TO APPROVAL OF BOARD OF HEALTH
00
s
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hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ...........
Wadstrom, George R. & Ann C.
No 19747...... Perm. or ...,Addition..............
Location .......
[aa••SRfeg.. d...................:......
Centerville
...............................................................................
Owner George R. Ann C. Wadstrom
Wood ..
Type of Construction ( ~ ?
.................................. .�`
Plot ........ .. Lot M 172 L 74...... r
Nov. 14 77 - .X
Permit Granted ........... .. .....................19 '
a .
Date of Inspection ...... '..:/. ............. .......19
Date Completed ... .......19
PERMIT a REFUSED
................. ............... ................... 19 f el
..................... ......................................................
........................... ..... • +' •.... ........ ' 1,
...............................................................................
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Approved .:.............................................. 19
.._................. .......................................................
TOWN OF BARNSTABLE
1639.
a M BUILDING INSPECTOR
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Floors .......GAJife"41.�)................................................Interior ........blly. ..W.�9.
Diagram of Lot and Bu ding with Dimensions
LL-
'
| hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nam ____________^
Nmzmast Homes, Inc. |
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l44R� ' one
No ..���.���... Permit for ----.�^�,�y----
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Locohon4C- ..I�»ad________._Centerville
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D�ornoaot Homes .Inc....................
Owner ..............................................
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Type of mf Construction ------.�����---- /
-.----.-......-.----------.---..
#148
,.". ............................ "w. ................................
Permit Granted -- ..27-----lV72
Dote of Inspection ------.. l� � _ ' -
�
""'= Completed» oe } '
PERMIT REFUSED
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Approved ................................................. 19 r_ �
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