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HomeMy WebLinkAbout800 BEARSE'S WAY (19) -ems F� Town of Barnstable R ��1HE 1pjY Regulatory Services Thomas F.Geiler,Director } Building Division - BMMSTABLE, i Mass. g Tom Perry,Building Commissioner .1639. �iOtEo •t sum 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: P Fee: �?s Permit#: 02 6d6 YD S HOME OCCUPATION REGISTRATION Date: Name: :h I ia A 1'[&) (9A,I LI�Phone T Address: jLe=P '' 5 UVA4 2A,2 Jg4 Village• Name of Business: T0_&AEI L p Q Type of Business: e- J-L I k k 9 Map/Lot: 29 1(Q t o Ad._. 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,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: ((j 4 )/Oro Homeoc.doc Rev.5/30/03 ee YOU WISH TO OPEN A BUSINESS? EFor Your Information: Business certificates (cost$30.00 foriars�, A business certificate ONLY REGISTERS YOUR NAME in town [which ---- ._a - ---- must do by M.G.L.-it does not give.you permission to opera e. �usiness Certificates are available at the Town Clerk's Office,1�`FL., 367 in Street, Hyannis, MA.02601 (Town Hall) DATE: 9 - Fill in please: ''nn APPLICANT'S YOUR NAME: � l s r BUSINESS YOUR OME ADD ESS: Y 2i e fl � wAtl TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS 0 IS THIS Al HOME OCCUPATION? YES NO F NE Ae TYPE O BUSINESS: Hav c _�-y given apprQ��from a building division? ADDRESS OF BUSINESS W 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 obtain ing nin the information you 9 y 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 COMMISSIONER'S OFFIC r- This individual has n informed o any permit requirements that pertain to this type of business. I � v Authorized Sig ature* 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. Cre Authorized Signature.* COM MENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9'�C Parcel , (b p9ic tion#-v Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address o�S� Village `¢,�J Owner 5 Address Telephone Permit Request Ze P1 a ej_lu e<n L .T d ea to D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /��b© Construction Type L of Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) o9eb Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ®der Z 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 /1 1 Telephone Number Address , / /b License # C 5 471 Home Improvement Contractor# �G ti Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �' FOR OFFICIAL USE ONLY t APPLICATION# f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE „ OWNER : DATE OF INSPECTION: FOUNDATION FRAME ; INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING { DATE CLOSED OUT ASSOCIATION"PLAN NO. r The Commonwealth of Massachusetts .1 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 'Please Print Legibly Name(Business/Organization/Individual): P�1�`O�OI,I ­DI WA I is5s4 r Sp ecical(� Address: Aox 4sn q JZ,3n '13e_b9s-_Lan *2) 1 ue, City/State/Zip: ill^ Phone#: r� Are you an employer?Check the appropriate box: Type of project(required): 1.Z I am a employer with 10 _ 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction 2.ElI am a sole proprietor or partner- listed on the attached sheet. 7. emodeling slip 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. 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 11.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑ Roof repairs insurance required.] t 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. I ant an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site information. Insurance Company Name: Z , Policy#or Self--ins. Lic.#: QP 7600 Expiration Date: / A�?n� / G / 'Job Site Address: J t / City/State/Zip: s (� Attach a copy of the workers' compensation policy d laration page(showing the policy n ber and ex iration 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�Zpains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: — Official use only.. Do not write in this area, to be completed by city or town official. 1 City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.BuiIding Department 3. City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: AightF'ax N1-1 12/22/2011 7:19:42 AM PAGE 3/003 Fax Server r i t212212011 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON IHE CERTIrICA4 HOLDER.THIS CERTIFICATE DOES NOT AFFIRJUTIVELY OR NEGATIVELY AMEND,EXTENT)OR ALTER THE COVERAGE AFFORDED THE POLICIES nuow,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE INSMNG INSURER(SN f UTHORIMJO REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:tf the certificate holder Is an ADDITIONAL INSURED,the pollcoes)must be endorsed.if SUBROG TION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate d es not confer rights to the certHlcate holder In Neu of such andorsement s. PRODUCER CONTACT OCEANSIDE INS GROUP NAME: 52 WEST MAIN STREET NCNNo,Ext: (arc,No): ' HYANNIS,MA 02601 64ML ADDREsa: PRODUCER CUSTOMER ID V. INBTmED INS S NG AFFORDI COVERAOE NAIC a BENABBY INC DBA INSURER A ZURICH DISASTER SPECIALISTS INSURER B P O BOX 480 INSURER C SANDWICH,MA 02563 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TM INSURED NAMED ABOVE F ilk.THE POLICY PERIOD INDICATED. NOTWITIiSTANDINO ANY AEQUAMdILNTT,TERM OR CONDITJON OF ANY CONTRACT OR OTHER DOMW NT WITS RESPECT TO WHICH TMS CFATIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED ITEREDN 18 SUBJECT TO ALL THE TERM, CLUSIONS AND CONDITIONS OF SUCH POLICE.LDdITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NIMSER POLICY EFF POLICY EX LIMITS LTR INSR WVD GENERAL LG1BEUTY , EACROCCURRENCE S MAMAOETO RENTED S OCOIMSR-OALOENERALLIA ILXTY PREMSES(Each occurrence MED.EXPENSE(My one S Q CLAIMS MADE 0 OCCUIL person O PERSONAL&ADV S INJURY D I OE14ZRALAGORMATE S i GERL AGOREOATE Tdldlr APPLIES PER PRODUCTS-complOP S j 0 POLICY O PROJECT O LOC AOG AUTOMOJIME I.IARMITY COMBmD SINOLS S - 7JGfi'r : ch sceldenl O A1TYAllIU BODILYINHJRY 1 i (Per Person) i NJU S O ALL OWttED AUTOS BOD i er Ac6YIcidcd)RY O SCHEDUI.EDAVfOS PROPERTY DAMAGE S j er aaldmt j 0 HIRED AUTOS S 0 NON•OWNFDAVTOS 1 0 0 UMSRFIAJ LJAB 0 OCCUR - EACH OCCURRENCE S U EXCESS LIAR 0 CLAASS-MODE AOOREOATE S 0 DEDUCTIBLE f _ O RETENTION S f wORKERS'COMPENSATION WC A AND EMPLOYERS LIABILITY NIA STATUTORY YIN LDM ANYPROPRIETORIPARTITZ11 - I DaCMVEOFFSCERlAMMBER N NIA 6ZZUB4102P700 01/01/12 01/01113 .L.EACH ACCIDENT s500,000 EXCLUDED? L D76EASE-SIGH (MANDA70RYINtOf) LOYEE $500,000 i IT yes,descnbe under DPSCRwRONOF L.DI?i44E.POLICY 5500,000 OPERATIONS below -I' UENCRIPTIONOFOPERATIDNSILOCAttONSrMaCLES(Abeh ACORD 101,Addilionel Remwts Schedule,irmore spice,IrequireeD TIME Dr,RJR.ED'S MA WORCERS COMP_41SAMON POLICY AND ITS LUZIED Oriffit STATES WSUI ANCE ENDORSEMENT AUTHORIZES THE PAYM DTiOF BENFyTM FOR CLAII.MS MADE BY THE INSURED' 1EMPLOYEES IN STATES O I-MR THAN MA NO AUTHORIZATION IS ONFN TO PAY CLAIMS FOR BENEFITS IN ANY STATE OTHER THAN MA IF TAE BISURED HIPM,OF,HAS RAPED,EMPLOYEES OUTSIDE MA'THIS POLICY DOES 140T PROVIDE COVERAGE FOR ANY LTATE OT'HERTHAN MA THIS REPLACES ANY PRIOR CERTDrICATE ISSUED TO TIM CERTTFICATE HOLDER AFFECTING WORhU Uc MP LIOVERAGE ,.._.. ,,. SHOULD ANY OF THE ABOVE DEBC I ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE PALL SE DELIVERED IN ACCORDANCE WITH THE POLICY PR ITT ...- AUIHORIItD RlPRELENTATIVY BrCawMaclecuv i ' i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen'uor License:CS-071402 3OSHUA L COaN 1082 OLD STAG . CLNTERVIJ jLE Expiration Commissioner 12131/2013 1Y ' . &21e cpor�vr� iuoea`C/z o��J/f/� — — Mee of Consumer Affairs _ — &Business Regulation — ME IMPROVEMENT CONTRACTOR License or registration valid for individul use only -;, before the expiration date. If found return to: e ration 108642 Office of Consumer Affairs and Business Regulation ® Expixpi rati 8/20/2044r; TYPe .on 10 Park Plaza-Suite 5170 BENABBY INC/DISASTER,, ? Supplement(:ard Boston,MA 02116 SPECIAL IST JOSHUA COHEN , Box 480 V = f' Sandwich, MA 02563 Undersecretary Not valid without signature THE*� Town of Barnstable Regulatory Services tARNSIe►sLE, v MASS. g Thomas F.Geiler,Director 1639• �FnN,p'�a 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 nn , as Owner.of the subject property hereby authorize 401-rG,rk-v-- --�OGeel b S r,c L to act on my behalf, in all matters relative to work authorized by this building permit. (Address of J b) r **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. G�0 Sature o wrier ature of Applicant - Print Name Print Name Date (/1 Q:FORMS:OWNERPERMSSIONPOOLS 6/2012 ti ,