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Home My WebLink About800 BEARSE'S WAY (15) ��.� �� / � D�� -- -- --_ z I U W 1l U1 Durnstaine Building Department Services Brian Florence,CBO o K Building Commissioner s�xNsr�sr�. 200 Main Street,Hyannis,MA 02601 Mnss. 9 039. �� www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Approved: Fee: _ Permit#• -= HOME OCCUPATION REGISTRATION Date:� � ,l ✓ +� Name: �) ��!. .r� �L( � r � �1�1(�t=� Phone g: Address: �.�� j /�2 v ,4i� ��/_=� Village: Name ofBusine'ss: t1) 1_5,-_/—_9_V CACAAt I*lu� V1�� ; Type of Business: C-Lr-rl1k` 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,'subj act 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 tamed 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 residentiat 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 bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. L the undersigned,have read and agree with thhe_above restrictions for my home occupation I am registering. AppApplicant:t. L U l �G(t /G r'J Date: Homeoc.doc 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, 1st FI., 367 Main St.-, Hyannis, MA.02601 (Town Hall) and get the Business Certificate that is required by law. DATE: ��8 Fill in please: N�F�r3« f} / J¢ l t l� �tkr�t�1+s I APPLICANT'S YOUR NAME/S: mkl ( '�r 3'a jtaka;� BU INES�S/� //.. r1 YOUR HOME ADORE S: ' EA.�2.5 eS� L F� 'I c 1rJl�k.�r,l LAN".. 117P'fu! '"' IIJ40--6000 �I S A V 0/ ,_TELEPHONE # ; Home Telephone Number �y Nlttf �rif;l{J, E_ IN;:or; Email Address: I/ ue ')0 i ti NAME.OF _ CORPORATION:' �V� NAME OF NEW'BUSINE' ':�J.28E,56L✓ il:1i` i'C TYPE OF BUSINESS G / IS.THIS A HOME.OCCUPATION?.. YES Nov ADDRESS OF BUSINESS itl MAP/PARCEL NUMBER � `� ssessing) til � 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 COMMISSIONERtS' FF E MUST COMPLY WITH HOME OCCUPATION This individual has been+;- o d of an Virequirem ents that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO '`' COMPLY RESULT IN FIN S. uth&ized Sig to e* TS:C : 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** ' COMMENTS: 3. CONSQMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: LT - r.. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ',k?q Parcel P 610 AL) Application # Health Division Date Issued ,a .-.), Conservation Division Application Fee SU Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village 4U JWJ ICI Owner 4 �' Address Telephone Permit Request �L ,I - �1�o&-7',tw Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) .20 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑tether 09� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number 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 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �/a�� '7'��- �C'/ >d Telephone Number : 3C 3 Address iA ��'�-Lr License # !ia om � 79 �J +, Home Improvement Contractor# �C) � rII �I fjSl� (0 AV Worker's Compensation # wep.)_Ia" ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r. DATE OF INSPECTION: z FOUNDATION ( - FRAME P INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:' ROUGH FINAL F FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 7, The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information q Please Print LeLibly Name(Business/Organizatio»/Tndividual): �'1��QlQL( rr 1/ /-� Dler- ��DE �7 Address: P(), Boy /-/RoI q Zran sGbfgs, n ! ri vex City/State/Zip; SoqfdWIChPhone#: � g Are you an employer?Check the appropriate box: Type of project(required): 1.X I am a employer with 10 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction' 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Ff Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp, insurance comp.insurance.1 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself.[No workers' comp, right of exemption per MGL 12.❑ Roof repairs insurance required.] f c. 152,§1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *Any 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. ;Contractors 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: zurich-Am Policy#or Self-ins.Lic.#: ! p� ��[� Expiration Date: Job Site Address: & �� City/State/Zip: —j Attach a copy of the workers'comp ensa on poil declaration page(showing the policy num er 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 cer if un a thepains and penalties of perjury that the informati6n provided above is true and correct. signahtre: Date: 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6. Other v Contact Person: Phone#: i RightFax N1-1 12/22/2011 7:19t42 AM PAGE 3/003 Fax Server ° c ISSUE DATE .s. c rarr'.a 12122/2011 1 - THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO BIGHTS UPON 13M CER1r1FICA HOLDER.7IIIS CERTIFICATE DOES NOT ATFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED THE POLICIES BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI,�UTHORUU REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT;If the certificate holder Is an ADDITIONAL INSURED,the poUcy(los)must be endorsod,N SUBROG TION IS WANED,subject to the terms and condltlons of the policy,certain policies may require an endorsement.A statement on this certificate d es not confer rights to the certificate holder In Neu of such endorsement s. PRODUCER CONTACT OCEANSIDE INS GROUP NAME: 52 WEST MAIN STREET AICNNo,EA); FAX, No); HYANNIS,MA 02601 E-MAIL ADDRESS: PRODUCER CUSTOMER ID t. INSURED INS S AFFORDING COVERTC'6 NAIC# BENABBY INC DBA INSURER A ZURICH DISASTER SPECIALISTS INSURER B P 0 BOX 480 INSURER C SANDWICH,MA 02563 INSURER D INSURER E INSURER F COVERAGES . CERTIFICATE NUMBER: REVISION NUMBER; THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LLSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM ABOVE E R THE POLICY PERIOD MICATED. NOTWI HSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DocuwNT WITR RESPECTTO CH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED II4lECPr IS SUBIECI'TO ALL THE TERMS, CLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN LIAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUNCBER POLICY EFF POLICY E LE TT8 LTR INSR WVU D/YYYY1 I GENERAL LIABH.I7Y I EACROCCURRENCE 1 s 0 COMMMR MOENZRALLTABILTIY PRBASES(Each occurceace �: • LED.EXPEN.E.(Arty'mae I ; 0 CLAIMS MADE 0 OCCUR. perian PMOONALB.ADY $ - INJURY 0 OENERALAOORWATE $ i GERL AGOREOATE LRATT APPLIES PER - ' PRODUCTS-CO10101, S 0 POLICY 0 PROJECT 0 LOC AGO AUTOMOBILE LIABILITY COMBRUD SINGLE S LIMIT ch accident) O ANY AVID BODELYINJURY 1 On PmW I BODILY INJURY S 0 ALL OWNED AVI CS { (Per Acciderd) 0 SCHEDULED AUTOS PROPERTY DAMAGE S I er accident I 0 ETRED AUTOS S 0 NON•OWNFDAUTOS S 10 0 UMBREL LALIAB 0 OCCUR EACH OCCURRENCE 3 0 EXCESS L1AB O CLAMS-MADE AOOREGATF S 0 DEaUCI18LE S 0 REMITION S S WORKERS COMPENSATION WC A AND EMPLOYERS LIABILITY NIA STATUTORY YIN ! LC�4TB ANYPROPRIETOWPARTHLR/ I F.XECUTNEOFFIC1-RA4EhMER N NIA 6ZZUBA102P700 01/01/12 01/01/13 L.EACH ACCIDENT 3500,000 EXCLUDED? (MANDATORY INNM L DI89M--EACH 5500,000 LOYE;E i rryes,descrlb.wdwDESCRUM014OF LDGEASE-POLICY S500,000 OPERAIIONS below 1' UESCTt1PTIONOFOPERATIONB/LOCAttONANMCLES(Attach ACORD 101,Additional Remarks Schedule,iT(nore space urequired) ' TIE INA='.S MA WO.RESRS COMPENSATION POLICY AND ITS 125M OTHER STATES INSURANCE ENDORGYWENT AUTHORIZER 7HEPAYMENTrOF BENEPT+S FOR CLAIMS MADE BY TIM NSURED' E�9LOYEFS D7 STATES OTRER THAN MA NO AUTHORIZATION IS OT/FN TO PAY CLAIMS FOR BENEFITS IN ANY STATE UrrMR THAN}fA IF TM INSURP:D HIRES,OR HAS HIRED,EMPLOYEES OUTSIDE i MA THIS POLICY DOES NOT PROVIDE COVERAOE FOR ANY STATE OTHERTHAN MA THIS REPLACES ANY PRIOR CERTIFICATE I8SUED TO THE CERTIFICATE HOLDER AFFECTING WORXERSC MP LIOVER.kGE �,., ,v��-, -.z• �._.^',�'�,'�'. .�rS;'�.e+tip;;: a GAIBGLL M0: i SHOULD ANY OF THE ABOVE OE8C E0 POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE HALL BE DELIVERED IN ACCORDANCE PATH THE POLICY PR VI610N8. AUTHORM REPRaIWIATIVE BrtawMatil.eanr 'x4.COR`fY2'�"n09�Q `:i i$", "r'.,,,.h. .•C.: .�.. _ '�'r�?:._� .rc'Ysr':e.sJO"?�'�: :t98&$46�L'I? c1lt'AT36N.,71lT' `'t�"a�aYtx{:;. i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen'Lsor License: CS-071402 JOSIWA L COEN 1082 OLD STAG CLNTERV-JDPLE S , i �,•�:�� "A"`` Expiration commissioner 1213112013 1 , C��e epoo�a�r�waacuealG�o�CJ/�/`a:ttac�cvJeC�' _ ffice of Consumer Affairs&Business Regulation — - - t ME IMPROVEMENT CONT License or registration vali&for individul use only CONTRACTOR before the expiration date. If found return to: - e tion g'stra 10884 Expirati Type 2 t Office of Consumer Affairs and Business Regulation on gj20/2014 A 10 Park Plaza-Suite 5170 BENABBY INC/DISASTER SPECIALIST Supplement c;:ard Boston,MA 02116 i JOSHUA COHEN '` t Box 480 Sandwich, MA 02563 - Undersecretary Not valid without signature �TNE 1p Town of Barnstable Regulatory Services 9saxMASS.x ts� Thomas F.Geiler,Director �A 1619. �0 TfDMP'la 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 as Owner of the subject property hereby authorize e- to act on my behalf, .in all matters relative to work authorized by this building permit. (Address of J b) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ad J S' atuxe o wrier ature of Applicant Print Name Print Name Date t Q:FORM&OWNERPERMISSIONPOOLS 6/2012