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3940 MAIN STREET
• h.�, t•d f.1a y3p`f.F'W(t�.,reS(1,-14 kfriYtj'� •�y op,;E 1'�c r gl r' g!' /Tye}i��t r #�/ 5 fF'7/(`�✓{fl1`)1+�V°l��'v�Y�,Y�', }{Ft� �'�+i�t Y g'�r1,.'i� t'��1 j���'���P`,��1 w4 „2.. /6)4 y u is r r ,.4.1/ '> d tti,r f ,tfrrlrlii r`rtr ie-,c t, ,, �',' 5)* gi L .y ti�3l��f ..,'� ,�,}tr,{14'f✓� t trt.) s,�t '"Y��,jar :' )k i'�;� .. .. . � ;. ,.., ..� .� `.f`n�iY1t i�i' :,.�i1Y., :� `.,,t! /f L! ! - , ,r ,r .a r Y :; , 1 4. .,r. , r -%N 1 i.'" wit i^ lYli ih,i h �;I'It .., i: -�pipe,i'E-. .rr�, .�. � 6� }a t d )y � .- � �' `� ,� ,. ;� ,,. r ,�� �. � r S., ,�.,n.,�. L.�11 .a4 'Y�1�r� °r.r`.r.. ."1,. 1 s. - ,.t (�,, � : a 1 iJ��$`'�y' � ., , r, �,� Da�t x • � < ,�;e W�s*[t�'ra:. •fir r1,€�"�' .��, t � +l � ,lr,• ,a, ,�f,,,r' ;;,t .:�, Y. fr` ,l;�� ,.7J��'.�,��`4���4 .;iS�,�j:;�rl �3 :4F fi, ,, tx;i.s'f+:tt:s7kiy, jb roriv !At1 y, (P 4r r.i,,, ' r.._,:„. r �, r,r J`/ F,,.,i,. ,,..,,). , .. . -•• f ' yyy�: s f. y Y F ,, ,yi, �r �r ; ,,,; ',+�.7:' 14 0',H r l t ' 'f+�f .' il �n f 4),4,t 7�,tr, tr�4i/f;''.,Fr fFatfl ik,,. ;'�S$''�',54 ,',,''�;il+ X Y(j11.11 ifi .k,p7�F!f f `�:F'�xr4 e, Iri'� ' j (71 ;7• A a o I' t 5 i i n 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, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. DATE: 7L / Fill in please: �i it IA "� , 'J APPLICANT'S YOUR NAME/S: P1 -a_li h €h`J 0='`fir, 40 BUSINESS YOUR HOME ADDRESS: 31a /gG4_1 y A f 0 .ta -n sA#Z b/ti , pf &,2 60.3o 1 Jo 107 TELEPHONE # Home Telephone Number 5e2 - 3/ 2. - 7gL51. NAME OF CORPORATION: J O o TYPE OF BUSINESS /%fl1 2 1 NAME OF.IUSW BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS 31412 /14.4_/v, f, 13.e y, 3,211,t /,. MAP/PARCEL NUMBER 335o z,3 (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 your business in this town. 1. BUILDING COMMISSIONE-�' OFFICE MUST COMPLY .WITH HO This individual has been ror e� .fan e . , e ents that o this a of bu ss. ULES AI�p REGU ME OCCUPATIO►V y P �p CATIONS. FAILURE Tl /� COMPLY N)AY RIJL IN I=1�1€ �/T/4It ? ,ed Signatur-r�j� / . i I�n $ , CO MENTS: %.L/j%4 . /L _I�' 7 0 I o �'11�� C , 2—C 4 .id U -e ( 0k4 e ta% % 0- � l, ' • - s/ 9� 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: if . o . Town of Barnstable � Regulatory Services , O1SHE Tp1 oy �� do Richard V. Scali,Director a '� -) Building Division * BABAsxABLE, • 163 M' Paul Roma,Building Commissioner 1r•Eo � 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us • Office: 508-862-4038 . Fax 508-790-6230 • Approved: Fee: • Permit#: g4(3(.. HOME OCCUPATION REGIS'1'I ATION Date: 34 ' / Name: f�fi1 , akillk‘eA9 Phone#: Address: 3 //-e Village: S dlv/l/L e Name of Business: Wand,/Yr 4 3 Type of Business: /4/44� yn) P�✓ i�,� 22 7 Map/Lot: �J 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 Are 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 undersigned,have r ad d agree with the above restrictions for my home occupation I am registering. 7 Applicant: /1? DI Date: 3/z 0 Homeoc,doc Rev.06/20/16 n ? 9rni /1 .67 .J . ESS PERMITTown of Barnstable *Permit# it N' 'Expires 6 months from issue date i . ).s Regulatory Services Fee ,t ► V 2 0 2008 g Y ' ' - 9 * anRN.STABLE, * Thomas F. Geiler,Director #//; 140,,TEb 4 BARNSTABLE Building Division • fk.--- 0\mo i�� Tom Perry,CBO, Building Commissioner p 200 Main Street,Hyannis,MA 02601 www:to wn.b arns tab le.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. 33 5O 3 •- Prope Address 3 /O . Vl ') 6 ' cQ , fir 0 G 3.7 . . -Residential Value of Work 4141). O r Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address [`' ..e N t C, kU ' be . 39 40 iq 01-4,-vi, X. _ Ct4,„,, ,c-,,R vtil A. Contractor's Name 9''e ArvaiL Telephone Number g P F ' 3 4.'/ " 3 Ee Home Improvement Contractor License#(if applicable) it I 5015-b " ❑Workman's Compensation Insurance Ch one: lam a sole proprietor _ ❑ I am the Homeowner , ❑ I have Worker's Compensation Insurance . - Insurance Company Name L.\?,e el vil u tvol • Workman's Comp. Policy# uP: 2., — 3 i S" Ix i'2b b 7) Copy of Insurance Compliance Certificate must be on file. • Permit Reques (check box) Re-roof(stripping old.shingles) All construction debris will be taken to I eitalA.C1 r - El Re-roof(not stripping. Going over existing layers of roof) U ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. . ***Note: Property Owner must sign Property Owner Letter of Permission. • A copy of the Home Improvement Contractors License is required: • • SIGNATURE: 0.,..4-6 .., . . . . . Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 ('1 1 The Commonwealth of Massachusetts zrzim= Department of Industrial Accidents _ 1 _!Mi= t Office of Investigations' _iE1�ll= 600 Washington Street =_l l`= Boston, MA 02111 ■'. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ?et-fa, J 5w1 b R. Address: % 'ox alp - • City/State/Zip: Curvlivvirl-); 0 ). WI pab37hone.#: 563 - 'j1.2 - 3S?i Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with . 4. 0 I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.U I am a sole proprietor or partner- listed on the attached sheet. 7. .❑Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in anycapacity. employees and have workers' P tY $ 9. Ell Building addition [No workers'comp.insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑P ing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.VRoof repairs insurance required.] t c. 152, §1(4),and we have no _ employees. [No workers' 13.11 Other comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: h 10' eery V ti&w/ • Policy#or Self-ins.Lic. #: We '1-- 3 i S - '3.Z y(0 20 Expiration Date: it (O 7 Job Site Address: -1 4V ili(}ipJ St, City/State/Zip: C"►'►1t4a fit Ji bi i1i D 2 G 37 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 a under the pains and penalties of perjury that the information provided ab ye is true and correct gn \jt ti /76 F -Siaure: cce. Date: Phone#: g0 7 2 ' J sT - Official use only. Do not write in this area,to be completed by city or town official City or Town: • Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: • Phone#: • 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 • en." An employer is defined as"an dividual,partnership,association,corporation or other legal entity,or any two or more of the-foregoing-engaged m ado t enterprise;and-mel ing the legal-repr-esenitatives-of _deceased=empioryer,--or_-the-:_ receiver or trustee of an individua partnership, association or other legal enti ,employing employees. However the owner of a dwelling house having •of more than three apartments and who -sides therein,or the occupant of the dwelling house of another who emp oys persons to do maintenance,cons kr ction or repair work on such dwelling house or on the grounds or building appurte ant thereto shall not because of su, employment be deemed to be an employer." MGL chapter 152, §25C(6)also states at"every state or local licen ing agency shall withhold the issuance or renewal of a license or permit to opera a business or to constru buildings in the commonwealth for any • applicant who has not produced accepta le evidence of complia a with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)sta*es"Neither the Comm'nwealth nor any of its political subdivisions shall enter into any contract for the performance of,,ubiic work until ac•-ptable evidence of compliance with the insurance requirements of this chapter have been presente to the contractin. authority." Applicants Please fill out the workers'compensation affidavit co letely,,.y checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es) • IclpE one number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited i•.ility Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'corn.. nation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affida • •y be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be •ur to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the p: ..'t o license is being requested,not the Department of Industrial Accidents. Should you have any questions regar u ing the •w or if you are required to obtain a workers' . compensation policy,please call the Department at the nu ber liste. •elow. 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 gibly. The Dep• uie ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office,f Investigations has contact you regarding the applicant. Please be sure to fill in the permit/license number whic. will be used as a refere ce number. In addition,an applicant that must submit multiple permit/license applications in any given year,need onl submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant shoul. write"all locations in (city or town).".A copy of the affidavit that has been officially tamped or marked by the ci or town may be provided to the applicant as proof that a valid affidavit is on file for fu a permits or licenses. A ne' • idavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any .usiness or commercial venture (i.e.a dog license or permit to burn leaves etc.)said pe on is NOT required to complete is affidavit. cyour cooperation and shouldyou have anyquestions, The Office of Investigations would like to thank you in advance for p q , please do not hesitate to give us a call. The Department's address,telephone and fax number: ; The Commont,ealth of Massachusetts Department of iedustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass..gov/dia oFTrti Town of Barnstable Regulatory Services t BARNSTABLF, f 1MAes 1�g Thomas F.Geiler,Director i to Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,ee 4k i< i&iibkz , as Owner of the subject property hereby authorize e gry, to act on my behalf, in all matters relative to work authorized by this building permit application fon 39t o !Vl .v i 5t dui e -) 0,klift (Address of Job' /I (17 (de Signature of Owner Date eti) wivek��vZ Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION f Town of Barnstable (4;;.--tHE ; ,3: o • Regulatory Services • swxxsre Thomas F.Geiler,Director sr.e. ' Building Division t639.. �� '64f µpI 'Z Tom Perry,Building Commissioner , • — - - — — 200-Main-Street;Hyannis,-M-A-0260-1-- _-_ _ www.town.barnstable.ma.us Office: 508-862-4038 ! Fax: 508-790-6230 HOMEOWNER LICENSE EXEMP IN Please Print DATE: JOB LOCATION: number` street village "HOMEOWNER": name i home phone# work phone# CURRENT MAILING ADDRESS': 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 •.t possess a license,provided that the owner acts as supervisor. DEFINITION OF HO OWNER . Person(s)who owns a parcel of land c' which he/she resides or 'tends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attac'-d or detached structures accessory to such use and/or farm structures. A person who constructs more than one ho •- in a two-year peri.. shall not be considered a homeowner. Such "homeowner"shall submit to the Building g ".cial on a form.cceptable to the Building Official,that he/she shall be responsible for all such work performed unde •e building p.rmit. (Section 109.1.1) The undersigned"homeowner"assumes responsibi 'ty for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she unders p..is the.Town of Barnstable,Building Department minimum inspection procedures and requirements and that/h. .e will comply with said procedures and requirements. # Signature of Homeowner • Approval of Building Official • 1 Note: Three-family dwellings containing 35,000 cubic feet or larger will bi 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 s' .11 be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Superviisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."Many homeowners who use this exemption are unawareI 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 his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form cun-ently used by several towns. You may care t amend and adopt such a form/certificatioi.for use in your community. Q:forrns:homeexempt ✓fie Voan nzo�ccaPp/ ".. Board of Building Regulations and Stan lalgi,-_�� HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: • Registr flop, Board of Building Regulations and Standards �� Expiration 15095010 One Ashburton Place Rm 1301 t 1 Tr# 267093 • Type DBA Boston,Ma.02108 PETER J. SMIT fR`HOME-IMPROV EMENT f PETER SMITH 1 3925 MAIN ST. ✓f �\a�i� _ _ / " CUMMAQUID, MA 02637-'y � �� )/ �, Administrator Not�id without signature --'" Massachusetts- D'epartment.of Public SafetN 9 Board of Building.Regulationsand Standards • Construction Supervisor Specialty License • License: CS SL 99486 Restricted to: RF,WS a PETER SMITH 4 (" 4 - ;:oy s 3925 MAIN STREET +'1'1• ` '4:I�j CUMMAQUID,MA 02637 ftr .� iti • `� •Expiration: 11/1/2011 ('onunissiener Tr#: 99486 ,\ _ .. Town of.Barnstable Regulatory Services o*IHE 704, Thomas F.Geiler,Director �: Building Division E': c_€ . '1. BARNSTABLE * r3 r` � MASS.94.1 Tom Perry,Building Commissioner !� BL E Art p 200 Main Street, Hyannis,MA 02601 /7 1! °,u www.town.barnstable.ma.us 2 3: Ld 9 Office: 508-862-4038 "-r-Faax . Q8-790-6230 Approved: � `"'"--,� Fee: ` o15.- Permit#: HOME OCCUPATION REGISTRATION Date: )/,0240Lt Name: A 7 A i iA q Phone#: £d6 ✓b' — 7f ' Address: 3/zio AlAi i �/ village: /3Gl//1/s!7‘.. te- Name of Business:---1/fr74}'rJ,4 . i 4 C Type of Business: gfr1144,144 vL Map/Lot: 3 3 3 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, ve read and agr e with the above restrictions for my home occupation I am registering. Applicant: j� 4167Date: l/ a' d Homeoc.doc Rev.5/30/03 TO ALL E USINESS OWNERS DATE: I 11 0PR 90 • Fill in please: . � � 1 `/,,, A7i4beL APPLICANT'S YOUR NAME:-1 64 va BUSINESS m 3 YOUR HOME D RESS:• 5i9g- 2--19 64 • weiwitfaxiiti,Alt e TELEPHONE Telep one NumberHome) - bd- 7 NAIIIIE©F NEW BUSIN SS C 6a� r^a QI r � TYPE of BUSINESS IS THIS A HOME OCCUPATION? �'YES. NINO Have you been given ap'proval'from;t a bu ldih divas on'� Y ADDRESS'OF:BUSINESS ` �� �ldl� r !!!!".` ��' �$7, �,�,' When starting a new business there are several things you must do in order to be.in compliance with the rules and regu ations 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 (1st floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner Yarmouth Rd. & M in Street) and you will find the following offices: 1. BUILDING COM S ONER' -OFFI This individual has ee ' form of any pe r uire ents that pertain to this type of business. riz Signature** • COMMENTS: /41C �, .GG 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: 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 FORA BUSINESS CERTIFICATE ONLY. Assessor's Office(1st floor) Map ��; Lot . Permit# 7c� 1,, Conservation Office(4th floor) -t /( --7 Jos,, Date Issued 5-7/6795 Board of Health(3rd floor) , .y•- -953,5\ IP.* Engineering Dept. (3rd floor) House# _41_3 y' D a 41A. �`Ctp 1- °R P4a4 beat- (1st floor/School Admin.Bldg.): ���A� ®® �� i , , , - Definitive Plan Approved by Planning Board • 19 A ,cp, i61p./ A..lications � . 8:30-9:30 a.m.& 1:00-2:00 ..m. . "COS TOWN OF BARNSTABLE Building Permit Application Project Street Address .39 ., /1'i&,A -5741 Village . (Coln /Yi G#Q Lt i C-'/ Fire District ,� / Owner i42a/'1'0 n Th Gt \o fv) Ct Address 7 /�i ', ?y- S iZ •/ We /e� /'e`> j�`/5- J r Telephone 36 app _ ��F/ 64/9 • Permit Request: Z2 lO e / _5 oLe_C J 1 0 Ai1 c,efp/d . 4 ) oL e- c lZ /6 X c9 Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use p hd )IOYyce— Proposed Use Construction Type A)00 Gr FrcLc vz_ Existing Information Dwelling Type: Single Family I Two family Multi-family Age of structure Basement type // Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool • Attached Barn None Sheds Other Builder Information • Name /'& ///✓l / l Telephone number �.3 a ' �33 Address V r� +Ja.5 1,7 License# 060 '7 33 /Y. l7 Gv! G h ,, 7M4 O,.)6 9 j Home Improvement Contractor# // 6 9,; 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 Ya r rn o 41 uLlr9I, Proiect Cost 00 0 , OU Fee (" /0, SIGNATURE C�— DATE _/ — BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 3 c.t- BPERM T N. 2C)gFOR OFFICE USE ONLY � •' 5/16/95 7'62--- I.36- 23. . 335.023 - ADDRESS 3940 Main Street, Cummaquid VILLAGE Barnstable ,: - Marion Thomajan- , ., _T • OWNER - r - DATE OF INSPECTION: , FOUNDATION _ - FRAME , , - x , : INSULATION i - FIREPLACE ,_ ; h. ELECTRICAL: ROUGH FINAL f _ PLUMBING: ROUGH • FINAL ` r 4. + . GAS: (•,` ^ ROUGH FINAL P - e FINAL BUILDING: a;' g)i J • • DATE CLOSED OUT: ' I . - ' t . , • ASSOCIATE PLAN NO. • • ; , • t r t , . • !T , - f-o.r.:y -- • Assessor's office(1st Floor): K I SEPTIC S'i6 N Ia'm6Lt t;;US 4 "" Assessor's map and lot number 13 55- o a 3 INSTALLED IN COMPLIAti .;: �Qy:*THE T0`` Board of Health(3rd floor): WITH TITLE 5 Sewage Permit number f ®- 9/ ENVIRONMENTAL CODE AND t DASISTADLE i Engineering Department(3rd floor): 4_ 3� R C •' 7^'='s"�_ I ATIONS .o aus House number ��" r5� o �b�o• \��'' Definitive Plan Approved by Planning Board + 19 " ,Fo MO°' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR . APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION VI CLCS NS—Ir ..� Klc;\(..L--t1-029 19 q ( • TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi g•nformation: Location —39.40 R,20-�S‘k.'•�Z.V`L1.c ._, Proposed Use c�2s ZoningDistrict �'� TUMI� r Fire District � � " Name of Owner Address 'kO N� . 5`'� P 1 Name of Builder �"S-�� ��� Addres0\ •=1dC 9:7e-''1-4g-9 Name of Architect Address Number of Rooms < ,-- '"- Foundation eoc-sC5kt k-7, Exterior U L` Roofing 44‘.4 Floors l/�- Interior S` "e Heating \ .e,_-4 �'�'' ' Cr-S "� Plumbing �i�� Fireplace \2`2 ebL Lt-;' Approximate Cost 0).0 1,00d----' Area A v l e44 (WC. Bo Diagram of Lot and Building with Dimensions Fee d� t . to 3 L.\._ ),(cJock_ epcts---til\\------e,viL,gA 6 ''.6 • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barns abI: regaO'ng the - 'ove construction. V't le, • Name Construction Supervisor's Li =n-e )v��� y �THOMAJAN, MARION f. t No 34314 Permit For Enclose Porch Single Family Dwelling • Location 3940 Main Street �- �B`arnstable y`9 f`y j ; _ ' � Owner Maron Thomajan r Type of Construction Frame ' -' ' ti Plot Lot , 4• I ., ,, ' '` ( - r `�I. s , April 30 Permit Granted P 19 91 i Date of Inspection `C 19 �'` Date Completed -Y01,/ �. j 9 - _ E _ . _.._ . . ._ y n•, ; F0 k. ,\ ,) w.1 7 . �` J 1 okfiz. > - Assessor's map and lot number -32-5--023 CtsEPTIC SYSTEM MUST WE ENSTALLED IN COMPLIANCEK?, *THE ropy Sewage Permit. numberAo , 1 j �► .;,,� 21r�' WITH TITLE 5 � 7NVIRONMENTAL CODE AND t EAHHST4DLE, House number TOWN REGULATIONS Sop TOWN • OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT/TO • TYPE OF CONSTRUCTION 1 =19C1?.*— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 43,'+6 Vt-c Proposed Use Zoning District Fire District Name of. Owner 'CP.L.C- e`‘'�fkddress `'� '�- 4�` _. '1 6 l . Name of Builder Address Name of 'Architect 5 ^�— Address Number of Rooms Foundation 1"-k-0 Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost y7 Definitive Plan Approved by Planning Board 19 Area SI, Diagram of Lot and Building with Dimensions Fee ' e SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License ...g ���v JEAN, RICHARD j . ? . . . . .. - I . 28753. Build Dormer No - Permit for 'It Single: Family Dwelling ' . .* ' • . Locofion 3940 Main Street : -A• - , .T. r • . . . .. ; Barnstable ".; • 4.0 k.....".... , . -, , -4,- l'.( Owner Ricthazd..J., .J.ean. ..* . ..„; ., ..-.v ') • ,,,, " . Frame , . . 4. Type of Construction , - k. . ,. i . ...... . A - 2..t ‘ . r 4 . '•.. . .c' Plot ' Lot - , — • _. t., ... 1 ' • 7k ( . „ et•-•..... . ' -- ••• % Permit Granted December 11,- 85 ,., - i•' .: / . . , c -% -.,-: e` Date of-inspectionI • 19 I c% %• .f .t. . e ,",;••‘ Date Completed 0 r- 19 . . . ... . . ., , . . . . .., ., - - d , „ • •- . t . .i . . . . • ,--.. t • . ".• r., 1' ' "1:5 • 7 . , r. . „, 7 -5, ... • 1 -', ..r.de--- . ,, - , -• i,.. i-.1 , -• -A ,i,-, A-1' , . • . „',$. 110....... i • — . , a . . , .. • ''', •••". —, # ' -1.- ,..-• • . . . i ,- . • t , .......,...... 1 . 0 - . . ...ft. I . ... . , & •.. . . . •o . .1' • — , . .',‘ • — . - •.* .:4 . t. . X. : _., vo TN E roo TOWN OF BARNSTABLE - it : te, i BARNSTABLE, : V, II 164%84 I BUILDING INSPECTOR 4'40 ill tw' APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 4,--A--° --' - CPC4-: -jf't 0-14-11L/ ,11A1441-1 , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fo_llowing infornatioltn: ci A Location /4 'l 11„"1-1 /*AA-14 '4". 4-41,4 414-1 -4,,-.41 dritiffi-kie4.4-$4i4e,e- Proposed Use (I'Zoning District Fire District r71.5-5ST9 Name of Owner Address / / drOil Name of Builder6g6G1tA-1/7/21-1-414At, Address // 614-141-4-11-2, "--11,. V Name of Architeca .-lig....... .............. /i ' & 1-r . Number of Rooms ,r Foundation IA/ , I,1-'-' Exierior 4fi-/tr—d -,' Roofing 4/4404--teirk--Jt-A-4 4-94e I,- - e . 1.-- Floors 4440-0—k Interior Heating „--'1-"et-leA/./ • 4 / Plumbing --t / L'ar/-1/ Fireplace , --17, A-2-C-4 Approximate Cost : ' Difinitive Plan Approved by Planning Board 19 . Diagram Diagram of Lot and Building with Dimensions , 7-//-4 7 /// , ae--Al or e/pz7--,07. -411)/1,1.111 tA0 le ci r--------, ,is i F )c--- be •J •,.. ‘.‘ ..Z lk<'' 3 ' ----- 1.---- , — L . 1.-4- - _ -- - --1 1:..--"--2' CDO a i 21. ..................w.o...............q. 1.1 1 ._•..morw... —. / 1' . y>‘e.... • i IV 1 4-I Ai 4174 C ( r ...„ fi......m••••..........eam•mm....m••• ••• •••••• ••••••..modossams.m...••••••• ••=mm••••• ••••••=•••Frow..an. a-, yith--- IcNereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namee411-6t446 - 72te--411-'1-1L-q r .-- t Anderson, Edward I (pYh, 4. 47/:10---, • No 11208 Permit for one story, single family dwelling 9 �^ Locationl0 Alain St. 'i i,`A, 7 fir', - , " � 0 -1- 0... i e i. Owner Edward Anderson 7,e- id iAf. Type of Construction frame . Plot Lot Permit Granted July 11 19 67 I ( Date of Inspection '1 `v' 19 47 1 _ Date Completed A-7 19 6 8 4 i 'I PERMIT REFUSED 19 , 4 I 1 4 . 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