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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates [cost$40.00 for 4 ears]. A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission o operate.) ou.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: k3 20« Fill in please:
4 tub'�� ! APPLICANT'S YOUR NAME/S: '� a LG 0 -" r^'
fi :,` BUSINESS YOUR HOME ADDRESS: �3R hEAtE t2 _
;,,.
TELEPHONE # Home Telephone Number
iti i �+u' i�►rr xF MAIL: C CnV)I r Q0 ! ,C
1� �L;ad.i:�•:,._,,,,i<<»:•_:. E-
NAME OF CORPORATION:
NAME bF NEW BUSINESS ��� Y1S TYPE OF BUSfNESS o1m izCr�al.. A�1d ESA'-
nfild C�,C,��i
IS THIS A HOME OCCUPATION? . YES NO -
ADDRESS OF BUSINESS- JrQ S FA -C'a laid C��t- tF��V► ;�-C o 63 MAP%PARCEL NUMBER �o d [Assessing] i
~ {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 MU5T GO TO 200 Main St. - [corner of Yarmouth '
Rd. & Main Street) to make sure you have the appropriate Per and licenses required to legally operate your usines in t is town.
1. BUILDING COMMISSIONE S-O
This individual has b eni r r lir m as that pertain to this type of bu COMPLY WITH , ME OCCUPATION
) j RULES AND REGULATIO.14S. FAILURE TO
Authorized Signature** OMPI�Y M RESUL ir�i EWES.
COMMENTS- -I
2. BOARD OF HEALTH
This individual has been informed.of the permit requirements that pertain to this type of business.,�d
Authorized Signature** y m
COMMENTS:
3. CONSUMER AFFAIRS [LICENSING AUTHORITY) t _
This individual,has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS: . .
Town of Barnstable
SHE
Regulatory Services
F Tp�
c , Richard V. Scali,Director ,
Building Division
saaivszast.E, � .
MASS.� Paul Roma,Building Commissioner
16 g6 w 200 Main Street,Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 508-862-403 8 Fax:. 508-790-6230
Approved:
Fee:
Permit#: —�
HOME OCCUPATION REGISTRATION
Date: n
Name: _M�1�11 A S i 1-1//1 C I'1��� Phone of 9 b•3 S g b
J
Address: IQq 5hEAE TIC PL �kL) �-'0�63 `� Village: 06 Itfi5)AIft'Lk � ,�.
Name of Business: �'J
Type of Business:0m X�E 1)'C 1% h A%J 10 14Ni'V 017 r'ti Map/Lot 1 a
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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one t.
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation. ,
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the-
dwelling unit.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant: �Y`(1 bpf / Date:
Romeoc,doc Rev.06/20/16
Town of Barnstable_ able Permit#
CT Regulatory Services Expires 6 mondt rom issue
Fee
s ��� Thomas F.Geiler,Director 1
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.bamstabld.ma.us
Office: 508-862-4038 Fax: 508-790=6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number Ij pa
Property Address /q r—C
Vdsidential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
4
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) k-PRESS PERMIT
❑Workman's Compensation Insurance i I 01 Z101
Check one:
❑ am a sole proprietor TOWN OF BARNSTABLE
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(c ck box)
e-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof]
❑ Re-side
'ElReplacement of doors
Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows
"Where required: Issuance of this permit does not exempt compliance with o er town department regulations,i.e.Historic,Conservation,etc.
***Note: Pro erty Owner must sign Property Own r Letter of Permission.
A cop of the Home Improvement Co rac rs License&Construction Supervisors License is .
req ' ed.-
31GNATURE:
�AWPFILESTORM g permit fo PE SS
devised 070110 �/r i
4
Town bf Barnstable
•rliE Tp�
Regulatory Services
-
J Thomas F. Geller,Director
ui as
gb sb3¢ .b� Bailding Division
Tom Perry,Building Commissioner
200 Maid•Slrcct`17yanni ,MA 02601
` pt�vao�barustable_ma.�us .`
Office: 508-862-403 8 -Fax.= 508-790-6230
HOhfEDWHER"LTCEh'SE EXEMPTION
p Flease Print
�A7E 611, 0111
ek�l
JOB
-- number street village
4-iOMEOWNER=' A,
W2:
name home hone#'
p t work phone#
LCL?KRF?(1_hWL1NG-iADDRFSS: .
cityhown state" rip.code
71tc current exemption for"homeowners"was extended to include owner-occupied dwellings of six lets or less and
to allow homeowners to engage an individual for hir6kho does.not'possess a license,provided that the owner acts as
supervisor. ' w.
DEP•INMC)N OF BOlv1EOWNER
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 A ruetures accessory to such use and/or fa=structtaes, A
person who constrgets more than one home in two-year period shall not be considered a homeowner, Such ;
"homeowner"shall submit to the Budding Official on a form acceptable to the Budding Official, that he/she shall be
resporisJ for all such work performed under the buildingpermit (Section 109:1.1)
r
The undersigned `homeowner"a s=cs responsibility for compliance with the State Budding Code and other
applicable codes, bylaws,rules and re oar. t
The tmdcrsigacd"homeowner"cc ff t belshe understands the Town of Bainstable Building Department"
cclion procedures an cqu r is and that hchhe.will comply.with said procedures and
qurr nts
Si._ __�
;lpprova modal
Note: Thrcc-family dwellings containing 35,000 cubic feet or larger will be required to coaply with the '
State Building Code Section 127.Q Construction Control_
' HOMEOWNER'S FXEMFIZON
.The Code states that Any homeowner partmming wort for which a building part is required shall be cxcurpt from the provisions
of this scction.(Section 1 D9.1.1-Uccasing of construction Superrisors);provided that if the homeowner engages a persons)for hire to do such
work,that such Homeowner shall act as supervisor."
Many horneawncrs who use this==npticn are unzware that they are assuming the responsibilities of it supervisor(see Appendix Q,
Was&R.cgulations for Laccnsinz Construction Supervisors,Section 2.15) This lack of zwaT=css Man results in serious problems,particularly "
when the homwwner hires unlicensed pcsoru. in this case,our Board cannot proceed against the unlica red person as it would with i licensed
Supervisor. The homeowner acting ss Supervisor is ultimately rz:sponsible.
To cnsurc that the homcawncr is&9y awarz of his/heriesponsibilitics,many communities require,as part of the permit application,
that the homeowner certify that bdshe rmd=fz:nda the rrsponsiblitics of a Supervisor. On the last page of this issue is a_form currrntly used by
scvaal towns. You may care t amend and adopt such a form/cati5c on for use in your community.
%
of > y Town of Barnstable
Regulatory Services
r Aag. � Thomas F. Geiler,Director `
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.tow rz.b arnstab ie.ma.us
Office: 508-862-4038 F 508-790-6230
\IfUs
�wtier Mus t
Com ,SignThisSeetro
A Builder JI
r Owner of•the sub ect.ProPerty
hereby authorize to act on my behalf,
in all matters relative to work authorized by building pe application for.
(Ad ss of Job)
s .r
signature of Owner Date Q
Print Name
If Property Owneris applying for permit please complete. the
Homeowners License Exemption .dorm on 'the �vers.e side.
Engine&-ing Dept. (3rd floor) Map (.-7 Parcel 8 lnf Permit#- /6 /
House# 01 ,G'.ff, Date Issued 96
B 0) Fee 7,
=� ��- ': 1, flnnrl( •Z(1 O.-An /�.nn n.n )
CRRATY 4L1 Vll vaivv-jam ��ee fl��0
Plann' g.) OF'K
D 19 '
BARNSTABLE;
TOWN OF BARNSTABLE
Building Permit Application Cc>—,-v Lca b 1S 4-)
Project Street Address Q;q U 1+ Ot J S 109 S iiEA FFFL(Z_ 2D
Village k.,; t -. W A 4"
Owner 1" t �` l �S Address
Telephone
Permit Request
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ I �--
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
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
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number
Address 7 License#
U 4-7 3 Home Improvement Contractor# 1�
Worker's Compensation# &
if � j 3
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7'
GcAn .,
SIGNATURE - DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
tHE rpm
The Town of Barnstable
a s
� HARNSrABLE. •
9e� 16 9. `0�' Department of Health Safety and Environmental Services
ArFDNIO►'�A Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Est.Cost `115
Address of Work: A29
Owner's Name
Date of Permit Application:��
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 apply for a permit as agent o ner
) %.
D to Contractor .ame Registration No.
OR
Date Owner's Name