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Home My WebLink About0243 MILLWAY av3 M11110613 , �ja 1 `� YOU WISH TO OPEN A BUSINESS? • For Your Information: Business certificates.(cost$40.00 for 4 years). A business certificateONLY REGISTERS YOUR NAME in town (whichryou 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 by law. • DATE: 66" 1 Fill in please: %MAil'tbRAM 4 llki t' g mt,0 t+r t $ ` *': , + APPLICANTS YOUR NAME/S: -Th ►+ /t . /J,t 1- i ,q .i�eVl^s BUSINESS YOUR HOME ADDRESS: 5-d' .4Cdee j goe M h- rrt r a a f{IP)r1' �nulx ly 411 rri Nlfc TELEPHONE # Home Telephone Number .�O DZ$0 /0'E9 SO' •.fib Z 6 30Q (filbll N If'irikr yU„rr.. �r1u➢;�ij •'P°,I',�!�1104 uEonl'iS� NAME OF CORPORATION .54AA E//�/'a,e_:S5. ' `i " .. L/ • -5 'I or. NAME OF NEW BUSINESS 1 ' l(,1 . tZaQ- t-L !- TYPE OF BUSINESS • OCAA ' P3n.AI) • IS THIS A HOME OCCUPATION? YES NO; v� " S G.4_ MAP PARCEL NUMBER 3 _t1 ZS (Assessing) ADDRESS OF BUSINESS ;;1.'{� /►'>;r l ( tti�ru .. :�_�t25Sd�2 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 CO 1VIISSIO R'S OFFI This individual h..;. .-e j infoFM:d of •ny p- it r1.ui ements that pertain to this type of business. s .�! //A Au orized Signatur-** COMMENTS: • 2. BOARD OF HEALTH This individual has,beenfp me `'pof the permit requirements that pertain to this type of business. ra Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHORITY) This individual-h Je of o th lice I g require 6n s that pertain to this type of business. Authorized Signet * COMMENTS: • • otviE rp„y Town of Barnstable *Permit# 417. Regulatory Services Expires 6 m the date . M;14 IT Fee 943 039,k ' 1 Thomas F. Geiler,Director Building Division TOWN OF BARNSTABL ETom 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 �' b b V Z Property Address I3 I"1 O �S ' L-G, A- O 2 [}'Re d ntial Value of Work Ott. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (41.17. f o: C5c)14 3 22- ; i ' .5y1 tC /4i3 C 2_C 3 0 Contractor's Name 6 c HI a, Telephone Number ( i Home Improvement Contractor License#(if applicable) 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 Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to -roof(hurricane nailed)(not stripping. Going over 4xisting layers of roof) • ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .35)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property rewne must sign Property Owner Letter of Permission. A copy of t 6Home Improvement Contractors License& Construction Supervisors License is require,. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXP• SS.doc Revised 072110 +f Town of Barnstable Popp'THE roiy - y�.�o., o Regulatory Services �,,g Thomas F. Geiler,Director ��639. .." Building Division rED FM't Tom Perry,Building Commissioner • 200 Main Street,et,.._Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ` DATE: (2_. Lilo JOB LOCATION: 2T — MI t I 11.-u 1 1 S E TeAC number street village "HOMEOWNER": -J_. � C.l, *��,!,. ��;1� J`d --� I 1 0 C7 Vg-oi V2 name home phone# work phone# CURRENT MAILING ADDRESS: e d ,67( 6 0. . 6/1•614CE- WO-- oz(z;36 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. - DEFINITION OF HOMEOWNER . Person(s)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 constructs more than one home in a two-year period shall not be considered a homeowner, 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 _ minimum'. tion procedures and equirements and that he/she will comply with said procedures and • requireme.0# Signature of i' egwnetj • 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 section(Section 109.1.1 -Licensing of construction Supervisors);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 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 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 currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt • �00HE rots, Town of Barnstable Regulatory Services IBAaxsrABLE. �'�MASS. t, Thomas F. Geiler,Director o �� 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 r Complete and Sign This Section - If Using A Builder . I, , 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 for permit please co ete the Homeowners License Exemption Form on the verse side. Q:FORMS:OWNERPERMISSION Town of Barnstable P,00HE °wtio Regulatory Services '�� ' • Thomas F.Geiler,Director 1111,A BARNSTABLE.g Building Division i639. ♦0 4iprep moth Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038. Fax: 508-790-6230 COMPLAINT/INQUIRY REPORT Date: C L1 cea Rec'd by: "iO G-c )_& 1 Complaint Name: 6111 , . t,u A•� (�ar, n-e Map/Parcel Location Address��J (� n �► '4, �(� 12 6 Originator Name: 7�' % r2 . Street: Village: State: Zip: Telephone: Complaint Description:&-41e ii FOR OFFICE USE ONLY Inspector's Action/Comments Date: Qt \ diInspector: Pa(20, tJ1r`rW w\cv.rA0 , pr,a.. 1 /lDvYletesp l UVV Additional Info.Attached Q:forms:complaint , --"41141111°19111ry 11-- " 30002 , . I. aL 1 i lb tr F Th02) # 253 II CD il r •_ I Q � O n c ,R t 4 \ # 250