HomeMy WebLinkAbout0041 WESTBURY WAY �f � �
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lUWIt Ul DUFUSLaDle
i of-ye roy�
Regulatory Services
o Richard V. Scab,Director
Building Division
g' Paul Roma,Building Commissioner
i639 ��
�'DTfo a 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us'
Office: 508-862-403 8 Fax:. 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name: [�(14PV\ >TA&Y Phone#: OA9 1
Address: -l 05 f +�y �Y Village:
Name of Business: J(AGY ftAr,' 6a S 69A 5r (v fit 1°0 r
Type of Business: ✓��4 D^I �CI -Man/Lot V a 0 4 U
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. i.
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 an 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,have read and agree with the above restrictions for my home occupation I am registering.
Applicant -w✓� = Date:
Homeoc,doe Rev,06/20/16
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 Ia.w.
DATE:r/ I/2 17 r- fill'in please:
APPLICANT'S
YOUR NAME/S: �1�1 14h � -Y h
:;,;:,;,: i�� :;�s.ia•�`3�1'�`?�', -
BUSINESS YOUR HDIVIE ADDRESS:
s37:r_�Y 77A/ads �a�r�.;! 9iu it '{4i :li:n,'/3�"•,''�'�t�' ;� .
TELEPHONE # Home Telephone Number 7
EIN #: r,2 —At 3 `j�J_� E—MAIL: (`, �{r'1 5 � C% �.
Vkl
G Y\ O n 0A Fr C_t 1 O �
- NAME OF CORPORATION: 'C '
NAME OF BUSINESS `� I Iz-e jqr�� 5Q!✓i S 6,,A.�-rYuc bn_TYPE OF BUSINESS 6t7i�1 ;1Q
IS THIS A HOME OCCUPATION? . YES: NO
ADDRESS OF BUSINESS. . ! W v f W � "I v%, I F� ... MAP/PARCEL NUMBER - CYP� [Assessing)
When starting a new business there are several things you must do in order tote 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 oMU8tPVW0&WffAVdR41odtCUPATION
RULES AND'REGULATIONS, FAILURE TO
1. BUILDING COMMISSIONER' OFFICE COMPLY MAY FIESUI*T IN FINES,
This individual has bee i of any p t requirements that pertain to this type of business.
Authorized Signa ure** '
COMMENTS: ,
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:
Ael
Town of Barnstable *Permit#� �
C,p Erpires 6 months front issue date
DAMMA fig, : Regulatory Services Fee 0,2:5 -00
"M Thomas F.Geller,Director
Building Division ;� 77-RMIT
Tom Perry, Building Commissioner X-P Z)
200 Main Street, Hyannis,MA 02601 ,
MAY �. j Cu03
Office: 508-862-4038
Fax: 508-790-6230 .�,��p WN OF E; . 'ASTABLE
EXPRESS PERMIT APPLICATION - RESIDEN�`IAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 0 d- C d Y
Property Address t 1 (39W]I
wlz �:
i-f- c' �0 00
Residential � Value of Work
j
Owner's Name&Address
/.s;Illi! t zAl
Contractor's Name /� i� L�. Va�r"PO.17 Telephone Number SO -33 0;
tome Improvement Contractor License#(if applicable)
c7)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner .
I have Worker's Compensation Insurance
Insurance Company Name <'r 7�
Workman's Comp.Policy# W
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
_Re C4414
(],Replacement Windows. U Value (ma)imum.44) :
❑ Other(specify) T '
g
'Where required: Issu a of-this permit does not exempt compliance with other town department regulations,i.e,I-Gstoric,Conservation,etc.
Signature
n-Forms:exomtre
r
Town of Barnstable
°s Regulatory Services
eanxsr�srs. ' Thomas F.Geiler,Director
MAM
$° c 3 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
n
I JUL 0 MGl a-te_.- , as Owner of the subject property
hereby authorize /'��t'i� �il��D�'I 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
Svc
Print Name
Results Page 1 of 1
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Reg. No. Applicant Street City- State Zip Name Title Expiration
PETER 7 PENELOPE Johnson,
102785 EDWARD LANE COTLJIT MA 02635 peter Owner 7/2/2004
JOHNSON
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BBRS Privacy Statement
http://db.state.ma.us/bbrs/hic.pl 5/21/2003
The Town of Barnstable
Department of Health, Safety and Environmental Services
BARM
ABLE. Building Division
KAM
t639• 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph M.Crossen
Fax: 508-790-6230 Building Commissioner
r •- Home Occupation Registration
Date: L
Name: � )L L• > Phone#• 50% . L4 U. 1 �'5
Address: —` 1 w Sr!7(A Lij YM Village: C-0-T(A-T
Type of Business: C0^U-r> ._.M Ihn Map/Lot: 0 27 Lo G
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 tragic 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
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.
Applies v- Date:
Homeoc.doc
)engineering Dept.(3rd floor)_�ap '07 ! Parcel Permit# 67
House# Date Issued �-
B and of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee
Co ervation Office(4th floor)(8:30-9:30/1:00=2:00)
s
Plann g Dept.(1st floor/School Admin. Bldg.) �1ME,
Definiti'e'P ved by Planning Board 19
BARNSTAB6B.
' TOWN OF•BARNSTABLE ,F° �,,
` Building Permit Application _
'et Address
Village
Owner Address
Telephone
-Permit Request ��—�
f U eL FT
,First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ 7!!� o
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 r O ^�
Name � c�" % Lt> ff G� Telephone Number �/'
r
Address 3 7 4 0 I"tq 7- —, � ' License#
0 STC 1E2 Home Improvement Contractor# m
Worker's Compensation#
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
SIGNATURE DATE -7— I g P
BUILDING PERMIT DENIED FOR THE FOL OWING REASON(S) /
b
�,. FOR OFFICIAL USE ONLY _
PERMIT NO:. . �� r
DATE ISSUED
MAP/PARCEL NO.
ADDRESS
VILLAGE '
_
OWNER
DATE OF INSPECTION: _ r
FOUNDATION
FRAME +
INSULATION
FIREPLACE ,^ —
w r
ELECTRICAL: ROUGH FINAL r _
' 1 • S
PLUMBING: ROUGH FINAL d —e
GAS: d ROUGH FINAL
Y
FINAL BUILDING .
DATE CLOSED OUT 1
ASSOCIATION PLAN NO.
Y
The Commonwealth of Massachusetts
T =` ?� Department of Industrial Accidents
^v� .��
W 011ice ollnJvestigatiolls
600 Washington Street
r Boston,Mass. 02111
Workers' compensation Insurance Affidavit
///%/////%%//OMM////�///////////%�///%/r/%% '
name:
location
city
G 0-r u l `ice H4 1 phone# 4�0• 136
® I am a homeowner performing all work myself.
®dam a sol netor and have no one working in any ca acity
❑ I am an employer providing workers- compensation for my employees working on this job.
company name:
address:
city phone#:
insurance co. onlicv#
ia///ai/aiaiaiaaa
❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
com any name-
address:.
dtv phone
insurnnce cn nUty#
..
com anv name:
address:
di .. phone#•
insurance co.
„ /% ,l/%%%%%/ // %// ��//i.
Failure to secure coverage as required under Section 25A of NIGL 152 can lad to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Olnce of Investigations of the DIA for coverage verification.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
7— �ems. 9
signature Date
IQ 06 G P--r n A7 0 E+LC_ Phone# Y o-.
Print name
(contact
fficial use only do not write in this area to be completed by city or town oflldal
tv or town• permitAicense 0 ❑Building Department
[3Llcensing Board
❑checkif lmmedfate response is required ❑S ealth De a Office
❑Health Department
person: phone# ❑Other
Usw�a 9/95 PJAI
.r
i
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any conuzz
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 .
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 hous o.
an Cher,,ho er.!Oys r—ra,,,S rn fin maintenance , construction or repair work on such dwelling house or on the grounds
r r..'....-- --
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shalt withhold the issuance or renew
a business or to construct buildings in the commonwealth for any applicant who h
of a license or permit to operate a not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract of have the performance
presented to public
contracting
until
acceptable evidence of compliance with the insurance requirements of this chaps
authority.
WIN
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situ,; i bed
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits .
Accidents for confirmation of insurance coverage. Also be sure to sign and
submitted to the Department of Industrial
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
olicy,please call the Department at the number listed below.
are required to obtain a workers' compensation P
/�
City or Towns
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 pennWRcense number which will be used as a reference number. The affidavits may be retuned f4
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you 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
0mce of Invesugadons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
1
t�
The Town of Barnstable
_
"" a $ Department of Health Safety and EnvironmentaI Services
16.`' Building Division
367 Main Slues,Hyannis MA 02601
Office: 309-790.6227 mph crosscn
Building Commission:
Fax: 308-790-6230
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 � -7
Address of Work:
Owner's Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following renson(s):
Work excluded by law
_Job under SI,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�TION PROGRAM OR GiPLICABLE HOME PROVEMENT WORK
JARANTY FUNDUNDER MGLO 142A �
ACCESS TO THE ARB
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
' Contractor Name
Daze Registration No.
OR
Date
Owners iYame
` - HOME„�IMPROVEMENT`'CONTRACTORS REGISTRATION
oard"'of Build ing}Regulatxo,ns and.;°Standards
One'°Ashburtonk::'Place?—`Room 130.1,
<,
01
x .Boston, Massachusetts 02108 k
HOME IMPROVEMENT "CON TRACTOR
Registration ,*1:1606.4 r
„- Expiration 05/15/00
7YPe
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L�..�Zt�Od06d�ItdB� 4 9 b+ '.. 4# y t vYk -f -� 9 a t r�, r _ p} t t:• _I
-4 'vc�-0��'
HOME IMPROVEMENT CONTRACTOR V a
. ..,pzr'•`• t
`.a. �t�tlL a#. xn{ h x. d, raj,.. ,�. s�Y. .r a # ° v ;,k Ysx
Registration, �11606s � rt3 t ? T1'NDALLROOFING ,r .x .�
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£..,: • .. j,•r a 4"'x t. t j�.,t�tyy">'� ,�."c`'4 1, a Y ,� 4_.. 4' { � +e.-' ''�'�
° T 8 r— DBA r 3y'x d y d r , k , iYaS eft F t r 3 F
j ROB,ERT� E z ,TYNDALL
R s$w rn , w Efzplratlo,«n 0s5'/15/;iQ�O ,
, A , r w RIARTCH FR ' ,an
M TERVILLE .,;
K ? j
j
�:.y.e,M�s tv�'s' ,,.���a�,�' :�-� ' w ?.r,5t'' -��X�,."s�G•r*'§`�x-�a-<is.-:�. ��:•fL" �r ..,a .;�4 �r '
> W" TlNDALL .ROOFIN3
a ' $ #:z,w,.,�'�:(•,+l.i s�,y3 r'5r ROBERT F °TYNDALLb , ' _� rw k rr w 4
�co�•oeo�i $ BRIAR'PATCN RD
nonnwist»nroR OSTERVILLE MA 02655. 5
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l
y�F THE T��
e�Q TOWN OF BAR.NSTABLE
HASBSTAHLF4
BUILDING INSPECTOR
0 0M a'
APPLICATION FOR PERMIT TO ... ...................... ................. ,.. ................. ................................
TYPE OF `��, ............................................................CONSTRUCTION ...
7.3`- . ........................19.
TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit accor�din9g to the following information:
Location :C?.. 1.. ......:���.�.th.�.R.1..U;/.�7./..-...4�- .. ..t`.. .... '/. �.�..........................
Proposed Use E..S . . .. ..............
Zoning District
............................................Fire District 5�..�.��.�:. ................................................
Name of Owner�.1... .1... ..vS Address .. �.�? ..T:Q.C.�. �c�s'. ...........
Name of Builder �� . .Q. .Q(�...�::p .IQ,.S✓ .,.....Address `?.4?�: p /I:�.(`.' ,...��.,X ....
It
Name of Architect ....Address
Number of Rooms .... .//. ...1pfn.............................Foundation
..�f.. ........................................
Exterior .... .:f?.. :la. ....Roofing ... .0►..�../......' .. ....................................
Floors ../.... `....(,.�.� �j ...j........................Interior ... .. !.1.:.....
U .....
Heating C .s5... :[.T .. :... /.. . .........................Plumbing .1...` ......... (G.S.. ..C...��h� ( /7
Fireplace .. ....... ......�.�. .................................. .....Approximate Cost ....Q2 X;.?-..
r ......... ....
.sl
Definitive Plan Approved by Planning Board -------- __` _'�`____-19__2�
-7S
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
SEPTIC SYSTEM MUST BE
1 INSTALLED IN COMPLIANCE.
j WITH ARTICLE 11 STATE
SANITARY CODE` AND TOWN
a REGULATIONS. _
l
i
I
l
I
I hereby agree to conform to all the Rules and Regulations of the Town of Barns ble regardin ;the,.6>5ove
construction.
Name ... ... . ..... ... . .. ....
Jo—Su Realty Trust
No ..1�990.... Permit for ....one...stog�.........
. ..... stogy.........
........single..fami.ly..dive,:4 ............. .. ................... family ......
Location H4.V..........................
..........................cotuilt........................e...............
..........
Owner .............jo:n�.k...4.43,teY..TIM.15.t.............
Type of Construction ...............frame................ Z-7
................................................................................
#1
Plot ............................ Lot ............ 6....................
Permit Granted ........April..10...............ig 73
Date of Inspection ........... ....... ..............19
Date Completed . ... ..............19
7S
PERMIT REFUSED
................................................................ 19
...............................................................................
................................................................................
... ... ...... .
. ...............................................................................
...............................................................................
Approved ................................................ 19
...............................................................................
...............................................................................