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0602 SKUNKNET ROAD
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F{"'fIIF - ;i?J .. t'*f,r •.%*�. ,Y, "g.F. `�i J {�', .,a xr::a, ,.y... -:, �' `� rr y, .w• c ,r �$, r,+ .. � -47�° Yf rF� arii'- :R! ;�i�^.,xr' i d '{' gd;;t�C�, :.:i� r��',"'-.�'' � � "vl�r R1�I' �•:'. � r'a�' n a e r-"..? ter. ��±°�:�, '�,k:.,. i{� , .,i .c ' t u '. ;-vr' ,.�' ,.y � h' -.../�,y �y�..-. I <1i•f T��.. n,�. `j r'�:. �+ ,.a N � I, r6A, ,• ::.flr A:. n! �l.3rF�Jf 7r.`�n, i', ':r ,'q .T� n��. �.`G� �'r !j `.�'"td�i -;1' o'J ?, x 9� +,Y y�,Tli"," , i.l4zr ,A` :m ±C•wr,•}i'. a y i li.'' w, 1 x>i.• ";}', a '�,c:..,l� 'v p •"i+J4r. `rr ee `�, Ixe:. er.� �W r'yrt ,.�,,. ,1 ,.� ',.4;..,i y#. _ •,.(. p. - rb' ;':1rF, .�.}r.' ' lF' ,'•. },C' • [ .,. �i ','n'r- fu i'' '-'i Ott:. ��.h!�r,''4fJ +,r� J+r'. ^,�'c y' `V �•{k qT"ur s :a�t.po fct �,,,.. ..i ,�' ;. ., lr xtr, ., � ,.P.fz5'4., , - i Lq �,.,.,f Yri ts.. ",n er*.�. ),, i,• 'b<.' y a. CE. x "B'^ K .r•n, : n-.1b '`." yrr' _, e. ,• !S .r :::, n T q„r.6 hnlR . ,,. .-- .. a .,�!,.c •i+ ��e •,itr 1 � ,(, (8�. th n�dA�. .¢y�y r pl�r. � r� f�'rf h' g�^,t:A r `r'!d : ��' •ir'� �!�; +rl 'r7�,. •�„rw.:Y,.:r!3,:� o n -.A>_ �).a.,. „-o: .",,.._ ,: �':..:. � ..'w: o ... S, Y!. , Ir`' .,lSp„5, -� fil - r',RP" ra•' ;w a+j.�:': "c'pLA'}'r,rl c f0,.. �:'. '�!t^��r7Fan..h;".. �r�.",..n .�:� , c. o' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$4 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.) 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 bylaw. ' 1 - DATE: I Fill in please: •T rr. 1 %;i4 """ '� �d' APPLICANT'S YOU NAM E/S I it i P 1�� �UZA - r ssld _ I::T°r�-.:•;-.;ti":�; :�i•�� :r;',:; BUSINESS YOUR HOME ADDRESS.: -- � 4 1^.i:�'v'i .�(S''' sYtrr:� 5� '.�G>C`C7�1•C�� � , f i.-J,`�1i,.{i,G7 ±i• .l is i.:,..'";;itry - - - �. TELEPHONE # Home Telephone Number �? 3� o<��Cv E—MAIL: NAME OF CORPORATION: - NAME OF-NEW BUSINESS G oVa G- n° 5 iD\ TYPE OF BUSINESS S. 1S THIS A HOME OCCUPATION? _ YE NO ADDRESS OF BUSINESS e =11::LO��(�e �n C�r.l���`11e M oQ&!3Q. MAP/PARCEL NUMBER 110 b IS 01 (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-ya-ur business in'this town. 1. BUILDING COM. ISSION R'S 0 ICE KIN COMPLY WITH HOME OCCUPATION This individuA h n 1 m d f y r it e u' em rits that pertainto this type of busLFS AND REGULATIONS. FAILURE TO. Aut oriz Si n. re** COMPLY MAY RESULT IN FINES. OMMENTC7� 1' 2. BOARD J H A TH - C This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS [QCENSING AUTHORITY) This individual has been informed of the licensing.requirements that pertain to this type of business. Authorized Signature** COMMENTS: . Town of Barnstable THE Regulatory Services. pF Tp� o Richard V. Scall,Director '+ Building Division a4axsresr.E, MAS& Paul Roma,Building Commissioner s63q. �0 �1 DTEp a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us' Office: 508-862-4038 Fax: 508-790-6230 Approved:, Fee:_ S Permit#: HOME OCCUPATION REGISTRATION Dater O 1( A.1 1a.01 Name: soJZan. Phone#: .JrM 3 - Oc14C. Address: (603 5Ukr) _ne4 Mk-Oa(0?iaVillage: , Name of Business: goyg_� MM)-i j n y Type of Business: IZ�n � 5 i pi n Map/Lot: C ] G 7 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 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 unders' ed,have read an agree with the above restrictions for my home occupation I am registering. rI �A licant: l Date: '� a 0'I PP t Homeoc.doc Rev.06/20/16 MN Town of Barnstable TMe rq�, Regulatory Services /lo Richard V.Scali,Director RAMSrwar.E. Building Division _. M" Tom Perry,Building Commissioner j°TEn wtF't& 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved:Y/° Fee: Permit#: HOME OCCUPATION REGISTRATION Date: QL'I-QT1- S Name:�_l 113 e Si S t L ye, Phone#: ().a- I�l I'? Address: (,pa S tc a nr 1c n,c -X 2\1 Village: C F�.T r_R 1i i L>✓ Name of Business: L Ps r-,b S Cnt P 1 ry G Type of Business: LIB n,p` t-Pt-pt —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 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 sto6ge 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 pickup 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: �D , � , w�, Date: Dti- D' 1- `S Homeoc.doc Rev.103113 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.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE:0L'1-on Fill in please: 1fw(,rlk� t H�i'Gfi 9r'; r ° APPLICANT'S YOUR NAME/S: Rv BE b Sl IL n LLtia?ia1l;Jt $ T^ � I BUSINESS YOUR HOME ADDRESS: („r,2) r—P% o ZS,31 +-3�ii'h_'�.�.'f�:Ba'� it•Fibs �4'�`�� ' LEPHONE # Home Telephone Number -,%- L'. ......... � •. hr Kr llt°:'fli 11 . !ram P �'� � � - NAME OF CORPORATION: NAME OF NEW BUSINESS G N C/N-V,i TYPE'OF BUSINESS i >kn,h5 ci�Pt = IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS w0 c MAP/PARCEL NUMBER Q1 L( (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'MRW St. (corner of Yarmouth. To Rd. & Main Street) to malce sure you have the appropriate permits and licenses required to legally operate ustness in this.town. 1. BUILDING COMMISSIONER'S �FfIGE This individual has b r4med of a permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authorized Signature** RULES AND REGULATIONS. FAILURE TO COMMENTS: COMPLY Y MAY RESULT IN FINE , 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; C 0*I►E,, ,Town of Barnstable *permit# Pv Q Erpires 6 months from issue date Regulatory Services Fee BARNSTABLE, ' r "r"SS' Thomas F. Geiler,Director i6gq. AlED MAy Building Division (���// `Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.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 Property hAddress + , f ✓ .!✓ (rt ct Y , _ - [D,Residential Value of Work ,. z�l:� G1 G Minimum fee of S35.00 for work under$6000.00 Owner's Name& Address f ✓r- C (���, J,I _ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation.Insurance a^ Check one: ❑ I am a sole proprietor : R , 1 ,:1 am the Homeowner \ .,PEq 1 B��RN �3 AXOLEZEZ. ❑ I have Worker's Compensation Insurance Insurance Company Name . Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles)-All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof)F� Re-side • _ �: �.'� ._ ''`v . w - #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 6f the I m Improy„gment-Cron#rectors License& Construction Supervisors License is required. ;,-'" SIGNATUREr i Q:\WPFILEST0RMS\building permit formAEXPRESS.doc Revised:070110 z. ` a 4 .. ' The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston, MA 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Legibly Name (Business/Organization/Individual): ✓ �i S J `� r Address: City/State/Zip: t/!Lj -f-5 Phone #: _ b5 7 0 Are you an employer?Check the appropriate`box: Type of project(required): 1. ❑ 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its requi ed.] officers have exercised their I0.❑ Electrical repairs or additions 3.U.i�'am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.❑ Roof repairs. insurance required.] t :employees. [No workers' 13.0 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 submits new affidavit indicating such. #Contractors 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: Policy#or Self-ins. Lic.#: Expiration Date: Job`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 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:certif}'n er the ins and shies f perjury that the information provided aboveis true and orrect. Signature: _ _ �. 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 e5.Plumbing Inspector' 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract 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 building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 1,52, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal 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,MGL chapter 152,'§25C(7)states"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 out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es),and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is-required. Be advised that this affidavit 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 permif 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. Self-insured companies should enter their self-insurance license number on the appropriate line. . City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has.been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Office of Investigations 600 Washington Street Boston,-MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax #.617-727-7749 www.mass.gov/dia f Town of Barnstable of crit rti Regulatory Services STA3 Thomas F. Geiler,Director BARNLF- KA qC Building Division PrED µA't F - Tom.Perry,Building Commissioner 200-Main.Streef,_Hyannis, MA 02601 viWW.tovs,n_b arnstabl e.ma.us Office: 508=862403 8 Fax: 508-790-6230 HOl♦7EOWNER,LI,CEh'SE EXEMPTION Please Print DATE JOB LOCA71ON: number street village_ j ` "HOMEOWNER": name home phone# work phone# ,jZ� , 7 O CURRENT MAILING ADDRESS: 11 C/ city/town state Zip code The current exemption for"homeowners was extended to include owner-occupied dwellings of six 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. DEFINTITON 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 constrilcts more than one home in a.two-year period shall not be considered a bomeowner. 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 performed under the building permit. (Section 109.1.1) The undersigned."homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that;he/she understands the Town of Barnstable Building Department;" ts and that he/she will comply with said procedures and minimpection,procedures and requiremen ,,requirements. Sign c of omeowncr Approval of Building.Official Note: Three-family dwellings containing 35,000 cubic`feet or larger will be required to comply with 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 scc6on.(Scc66n 109.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such-Hamcowncr shall act 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 Supervisors,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 hislhQ responsibilities,many communities require,as part of the permit application, that the homeowner certify that hrlshe understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a fomr/certifreation for use in your community. z To ti Town of Barnstable ` Regulatory Services $• Thomas F. Geiler,Director 16 59.. J6�m Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,Na.02601 www.town.barnstable.ma.us Off-ice: 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 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying forpermit please complete. the Homeowners License Exemption Form on the reverse side. 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 too operate.) h p ) Business Certificates ,es Main are available Street, Hyannis, MA 02601 [Town Hall] � able at the Town Clerk's Office, 1" FL., 367 DATE: APPLICANT'S YOUR NAME/S: (' Fill in lease: BUSINESS zs�Gux YOUR HOME ADDRESS: 60 err G ' KU TELEPHONE # � Home Telephone Number �'*14 V NAME OF NEW BUSINESS IS THISA HOME OCCUPATION?:: YES NO PE O USIIVESS l ADDRESS.OF'BUSINESS.:f�? / MAP/PARCEL:NUMBER ! l A C 71 When starting a new business there are several things you must do in order to be in corn fiance Barnstdble. This form is intended to assist ou in obtai P with the rules and regulations of the Town of y nin the infor 9 motion you may need:. Y Rd: & Main S Y Y You MUST GO TO 200 Mai - treet) to make sure you have the appropriate permits and licenses required to legally operate your business in this town c' orner of Yarmouth 1. BUILDING CO ISSIO ER'S 0 IC This individ al h s en. d o an permit r uire ents-that pertain to this type of business. A oriz Si ure** :. 00 MENT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CON SUMER MER AFFA IRS RS ((LICEN SING G AUT HORITY)0 RITY . This in dividual I a has been in fo d of the lic ensing ensin re quire uire. g ments that pertain q tam t 0 this e P ofbusin e type business- Authorized Signature** COMMENTS: / 6 9 Assessor's office(1st Floor): Assessor's map and umber THE tp Conservation — :.p—iC SYSTEM MUST E� '� �� .. ` Board a Health um floor)* q- INSTALLED IN COMP' �' Sewage Permit number fI VVI.rij TITLE 5 � ;;�� • Engineering Department(3rd floor): r CODE A °� ie�q House number _ � �� E��I�O���E���� �� ate asr Definitive Plan Approved by Planning Board t9 �����`®I�E APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2.-W P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION lo o� 19 90 i TO THE INSPECTOR OF BUILDINGS: � - The undersigned hereby applies for ajp�ermit ac�corrd,�in/g to the following information: �� Location (�- C/'C tIAi A 0 /01l t' YZ //f/t/ `� ���6 C Proposed Use _ A FAJ LW� Zoning District !�- Fire District 0 r Name of Owner F�'�/s ��/�/ �) Address Name of Builder sy Address 7 G �G'S( (e>2,6— //I- Name of Architect Address Number of Rooms �Q Foundation ✓ lr�/Lr,fif/�/ Exterior A;zr 14- `'� ������ Roofing ��-7— Floors aC Y- L'OU CIC//UG- Interior A1fY4J.4CC- Heating✓/ �X �S Z /Q Plumbing 4?- -1�7-7/0 C Fireplace ' 2 z Approximate Cost __ r Area ©� Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th ve const coon. 77 Name Construction Supervisor's. tense Q� 0/ BARRIERO, FELIS ' No 34968- Permit For BUILD DORIAER fa , Single Family Dwelling Location Lot 14 , 602 Skunknet Road - ' CentervilleKI Owner Eels Barrero - l ,:A Type of Construction * Frame Plot t 1 •Lot s j I i•= { i Permit Granted April 23, { 19 92 f In ction - 19 1 ' Date o spe tDate Completed I r; - 19 `.i E r 1 t^. i ' - f • ` :fir t 1 jr 1 ' r a • _ - � 1 I I ' 1 i ■■■■■■■■■■■■C7�■'�■■:ili�IW` ■■■■■■■■O■■■■■■■■■■■■■■■■■■� ■■■■■■■■■■■■■■N■■■■■w■■■MEMO■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■O■■E■■MOMM■E■M■■■ ■■■■■■■■■■■■■■■■M■■■■■■■■■■■MBE■w�■■■=■■■■wIr■■■■■■■ ■■■■M■■■■■■■■■■■N■■■■■�i������■■■■■■■■■■■■■■■■■■■■■ FoRm..-. wr�nw■w�e�rw�r�■■■w.��o�-� MEN NMI■■■■M®®�'■■■M■■■■M■■■■■■I111■■■■lMr �'■ !Z■� ■■■■■I��■■ ■■■IJJ��■■■■■■■■■■■■■■■■111.1■■■■■■I'7■M3■ROIL��3i%��l■■11?■■ ■■►Sri■■■■■■■■■■■■■■■�■■■I��I■■■■■■■■■■■M■■E■■■■■■■i�■■� �s■er�l■■■■■■■■■■■■■■■■■■■I111■■■■■■■■■■■■■■■■■■■■■■i�rAlml e��eM■■■■■■■■■■■■■■■■M■■III I■■■■■■■■■■■■■■■■■■■■■■i�i■ memo i■iiiiiiiiiiiiiiiiiiiiiiiiiii �iiiiiiiiii� iiiiiiii�iiirii�:�f■ ►�!!!!!!■!■llE�7S��!■L- ��M■ !IE�i■■■■■rI�11■1�■■%■■■■■���rJ■ ■■■■E■■■■■■■wO■■EM■M■■MMMEMOEM■■■ 1lilgoY E■EnTONTA■E MMMMMIMMMMMMMMMMM �0 M ME■EM�MESEM!lE�0=�������������Ii������������■ ■■m■■NNE■■■m■■■E■m■■■■■e■■■■■■■■■■�ENE■m■■N■M■ KARTmm a�■ ■■■■ m■■■■■el'/�e■mME■■■eer■■E■■■ii�■■■� ■ ■E■■1■e■mmm■m■m ■■■■Om, Ji; 1rdm 02 :SAC '■ EPK-ANei■i■e■e■1 eME■N■■m■■■■■■■■■MEMEM■NE■■■■■NEMNm■■■■■m■■mmm■■men ■aQ■■■c � ■■■m■■E■N■EN■NE■N■■e■m■m■■■■Mm■m■N■OMEN ,LIv ■oN�■ ■■■■e■■■■■■■■e MEN■■■■e■■■■■■■e■e■■■■e ■raeec�n�r�eeean■■MEN■■■■Nee■■■■e■e■e■■■e■■Nee■■■■■■� ■■■■■■■■■■■NONE Om■m■m■■m■■■■■e■■meeM■NNE■■■e■NONE ■ ■■■NNE■■■ENE s■N■m■■■m■mm■■m■■■N■mee■ME■E■m■■e MEN ■■ ■■■■■■■■■■■■■■■■■■■■■■EEM MEN:■■■■■M io ■m ENO E0m■■ ■■m■mOM■■E■■■■■■■eeNeT! � ■■■■■■■■■■■N■N■M■N■■ M■■e■■me■■mm■■■■NN■±Ee�a■er ■e�■■■■e■■■e■■Ee■N■■■■■e ■■■■■■■■■■■■■■■■■■eeeONNENNERS■■■■■■■■■■■■■■■■■■■■ ■■■emE■■■E■e■■■■■■ ■■���■■■■ie■■NNNe■■■■m■■mmE■■■■l NEON eeeOMEN■■m■■■■■�■■■eaNm■Im■■■■NeeOra■■■■■■■■■■■� NEE■■■■■EWe■■■■■■■s■■■■■ ■■N■�■■■■N■■■I� ■■Nee■■■■■■� NEON■■■vei■Nee■■■■■■�■■N■■■■■■■■e■■■Nei■�■e■■■■■■N■■■■� NONE■■■ammomOM■NE■■m■mmm■■■■p.mm■omma momm■■m■■m■■■I OMEN■■. 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I_:Lirj'._ }IR, S If=ERVI'��CIR II FOR REQUIRED FEE, ; EXPIRATION DATE I� MADE PAYABLE TO R.E$TRICTIONS o EFFECTIVE DATE LIC-NO. _ 06/:0/1•=}.•-,1 C)09Li 1v; "COMMISSIONER OF PLI IC S TY' O NO D SH >. . _.. " i GREGORY 1"I-. A 1=FY-. S'S W YARM !I_ITH NIA i 267:_z: PHOTO(BLASTING OPR ONLY) FEE: I(i(i, {i(T HEIGHT: NOT VALID UNTIL SIGNED BY LI SEE AND FICIALLY 1 'SIGN NA I ULL-A $G LINE 'I STAMPED-OR-SIGNATU OF THE CO ISSIO 0 - 0 . 446y/1 1/1'-14 9 ( THIS DOCUMENT MUST BE slcNAr OF LACENSEE I SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF G THE HOLDER.WHEN ENGAG Jy+' f OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATIOP `f i -} ,j�OMMISSIONER - i , Town of Barnstable Regulatory Services s Thomas F.Geiler,Director • BARNSTABLE, MASS, Building Division 039. ♦0 ATEp MAC°' Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: 7, Rec'd by:_ Complaint Name: -7y xd Map/Parcel /G o /✓�-a /y Location Address: Originator Name: - Street: Village: State: Zip: Telephone: -7 fl4; --f O Complaint Description. 17 FOR OFFICE USE ONLY Inspector's Action/Comments Date: / —/&—o Inspector: 7 I&Ile Additional Info.Attached 9:formsxomplaint Town of Barnstable °ft"�'0"yti°� Regulatory Services hP Thomas F.Geiler,Director • snxrrsrnaM • MAM Building Division 1639. �iOrFp °i�� Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 COMPLAINTANQUIRY REPORT Date: 7' Rec'd by: i Complaint Name: /� Map/Parcel5- Location. Address: r_d R Originator Name: — Street: Village: State: Zip: Telephone* 7 —7��O Complaint Description: iZgV FOR OFFICE USE ONLY Inspector's Action/Comments Date: �—/�—o Inspector:_ ,PfjL_ Additional Info.Attached Q:forms:complaint Assessor's map and lot number E Sewage Permit number ........... ``Q o 4 / Z BARNSTABLE, i House number .....d rad4./1?? ................................................. 9 rasa �p 039. \e0 TOWN OF BA.RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......(.0.n 5.�X.U4. C,.... .e,\).n ✓.................................................... TYPE OF CONSTRUCTION W l�O �t-QM� ............................................ . .................... ................ .......................................... ........�.........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to they following information: l �.._� ......�`� �Kvn(�e� - l� C�c �e�C21\U e� Location ................. . (..............\............................................................................................................................. ProposedUse .......1.. a 7� C.......-'C0-....�V� .................................................................................................................. e� �. C`�n Zoning District .... .... ...........................Fire District ..........................`:'.5.............................................. Name of Owner ...—m..��A..... ....�° �. ...............Address .............,.\-A .,(.1.� G�;,�.4�J--'............................... Name of Builder .U....:.<.a Q�2S.... ......Kyn`.��............Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............. ..............................................Foundation .....:: G^. ' .......r... CA Exterior C�G�I�\000- A � � �� ....................Roofing �� .................... ..................... ........................................................... Floors ....... `3'"'........................Interior. ............. ! !'��. ........................................... Heating ..... � . IA...�.q*. ..Plumbing .......... il......................................... Fireplace rl.r-p ..............................................................Approximate Cost ..........4:.�-�-9.0O..................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ... ............... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... t: r ..... ,J.... �c;.''1................ J SMITH, JAMES K. � 'A 69-15-14 No 23.25`.�.... Permit for ...0 e /2 Story Single...Family..... w ,,,king,,,,,.,,..,. Location .,Lot #14 602 Skunknet Road ............................................ Centerville ! ............................................................................... Owner James K. Smith Type of Construction ....Frame ................................................... ............................ Plot ............................ Lot ............................. f Permit Granted June 3.0.,................19 81 Date of Inspection .......:............................19 Date Completed ......:...............................19 9 P REFUSED .......................iERMIT . ................................. 19 ..................... ... ................................................. ............................................................................... .....0 -IX ...........�Z1,11.14.4 ""' ................ P, Approved ................................................ 19 ............................................................................... ............................................................................... r Assessor's map and lot number .. 1 SEPTIC SYST�I�iMUST t °f r� y Sewage .Permit number ........... .. .. ...3..5.�.................... ' '.• INSTALLED IN' �. Q. THE House number ..... WITH TITLE s Ba$B�a LE, �.. .............. ,,:........:................ EI4VIRONMEI�TAL .�� '°���°,9 �. GYFYa TOWN RED ► . , TOWN ' ,OF BARN STABL BU.ILDIHG IUPECT:O'R APPLICATION FOR PERMIT TO .......COnS.�C C -1�� (� ; g \ 4 } TYPE OF CONSTRUCTION ?a Afal ... S b TO THE INSPECTOR OF� BUILDINGS: � v The undersigned hereby applies for 6 permit according to ,the following information: ` Location ............. � ... '?:<� ct. .................... ............ V� 'J1C�J\u \\�- ................... Proposed Use '..... 1 .... . ...... �sj rn� .... .... .. .. .... ......... ................... Zoning District ...... .n Fire District ��...........................................................vS '.: ................. Name of Owner ............. .Address ......I'Q.f1�.C.t�.� 1. .................................. Nameof Builder ............Address .................................................................................... i Name .of Architect �.. ...................Address ..................... .... ............... C/�0, f q Number of Rooms ..............................................................Foundation ::.. ri1r' !V .......:.... Exterior .................................. \ ...................Roofing ... .. (.1/a `,......................................... 'J ....... '" �` Interior ....... .Floors Floors 4 : :`.... C ............................................................ Heating .....�.1c1 .... ... ..............................Plumbing. ............ .. .. ................................. t Fireplace .......Q '................................................................Approximate Cost ..........�5.P4©...................................... Definitive Plan Approved .by Planning Board ________________________________19________ . Area ... ...... Diagrarri--of Lot and Building with Dimensions Fee ......................... SUBJECT TO APPROVAL. OF,BOARD OF HEALTH71�1-,Ojw-- � 3 , e ' t I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ................... .!.....�' Y��`T".................. SMITH, JAMES K. 23251 One 1/2 Story No .............r... Permit for .................................... Single Fami1X Dwelling Location Lot 14 6 2 Skunknet Road ............................. Centerville ............................................................................... Owner ...James K. Smith ..................................................... Type of Construction ...Frame .......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .... June 3.0, 19 91 Date of Inspection ...............................p...�...19 oe Date Completed ........... ........7, 5�....19 tE' e' ` PERMIT REFUSED ...... .. . ... 19 ............a..... • .............................I................... ..... •i. .y.�. ...�{....................................................... _ b` 4. ............................................................................... Approved ................................................ 19 ............................................................................... ........................................................ , �� OA41xli�, �� 7-)r='E 16u vaYa sluGlr., P-AmiL f 3 8®eooms Av& .I Ly P Low + 3 z It o • 3;o GPa stc Yak = aso x ISO ye • aq5 `pc ' U4C- t000 Gee StDEw&L-L &¢L-A < 'lB SF 4 -Zd'+A -B Xt.08)( -r7) = to4. 6.PD .. g _ ... . 4'7 BT OTOM ALMA = I."rSF , p I \ �l2's?d:)(,t.o� = 2sa8 G•PD i gXP. BFaaN ToT4t_ BSI 6N + d2 6,Pv... i 1 o*r , o Q C&Tr--- ("I l!2 MIU. sk ; . . - { •. C77- No l ? a _ �EZT1F1� PLo F`Y x 1 CGZTI T14 AT �TN 1 4 { SIbEU"F— AWT> SE-t'8ACX tzc�uIf_eMM.rr> _ {� _. ... _ _ tab• LA►Nti `(oK.'. : " . l'� 40 ; wAT�-: ; �/Z�/8l n BA�CTEQ. � uy� It16 OLL(•L E1. 9 p..d23 � � � LOA�t9�, �;� ��'�SKI'•'.-��I '�.�;' i1lV 1000 11Nit {{(1F 0Mif F. S $Spbj_• iPcu.24^dV� r n; 97.a" .5i5•Q 6daL. 9G.G �'►•4 8d,'il 19 Z �° E ��g '� �h,M.,;•-c�`:es��.�� TAW. { 9 5 .. 2. xi Flom/ DI FFt�,`�S44 WMA A'oF 3/4 To 1h'w 'S�ICD W.%-SusD lF"sTow& old Tor .a PeOR L1= o f Pe�opost= _ � t � _ __SEWQGtr- U 1SPoSb.L 5`r�T�1l� ; ; E ; , ��, i,C� •' TOWN OF BARNSTABLE Permit No. -----------_----------___--_-- ' Building Inspector V.un.0 • Cash --------------------Zbe �YL oe�DVAI�` OCCUPANCY PERMIT Bond _-_----�� / No building nor structure shall be erected, and no land, building or structure sha 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 Address ?i?i'C n S i',A Cr?f' 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. ............................................. 19..w. ...................................................................................._............._._....... Building Inspector Town of Barnstable pFIME r, Regulatory Services 4 Thomas F.Geiler,Director STAB Building Division 9 MASS. $ Tom Perry,Building Commissioner i0;q. �0 200 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: O Name: ' ��5 Phone#:_�`�0 a o J 6, jz w �'� Address:d0 a C,�'UA)k'UIL- 67'• e .D Village:. Cc— /L' Name of Business: C/As 1u a© co Type of Business:_ 2 m C f0 • Map/Lot: 1(01 a/ SS0 Iy t 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 quantifies. • 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,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: AOD Fill in please: y� APPLICANT'S i' YOUR NAME: To 'P Gn"A 1 OS Y �USINESS l YOUR HOME DRESS: 2 N�v,5 2. 4 W O 6579 � TELEPHONE Telephone Number Home 3`0 �" A4 NAME OF NEW BUSINESS in. TYPE OF BUSINESS IS THIS A HOME OCCUPAT;ION� YES Have you been given approval from the building divisions YES NO ADDRESS::OF B;U N:ESS&d-5'k-6dt r�e�7= 9. MAP/PARCEL:NUMBER 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSION OFFICE This individual has n infor of any permit requirements that pertain to this type of business. thorized S' natur COMMENTS: CstJ v 2. BOARD OF HEALTH This individual has een informed of the permit requirements that pertain to this type of business. uthorized Si nature** COMMENTS: G�a��+•a�- �.ni." n., 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individua begin ' formed oe Jxce�requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.