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HomeMy WebLinkAbout800 BEARSE'S WAY (21) �� •� �� h�� ,off �f� _ -�'�� — �>C - __ Regulatory Services JP Thomas F. Geiler,Director • Building Division + RAMMAMLE. - v� Tom Perry,Building Commissioner A µp! .200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Approved: Feet Permit#: HOME OCCUPATION REGISTRATION Date: <:G I it -2, i 3 Name: 1 v 2 rv'. o n s ci Jc 4:� Phone#: ti- b-4-4 3 -T 5 oS -4kc8 11 ASS O-Z 6 ca Address: 8,0 Q 25 W cu t . PR VP Z.W G•_tN c;r„����_`IiIlage; Name of Business: c '» Ci�•�' x Type of Business: C c ,n: Y,�v Map/Lot(9 6 jLoo /5 D-TENT: 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 die 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 vvidun 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 fla=-Lble or ea.-plosive 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 CustomaryHome Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in die Customary Home Occupation who is not a permanent resident of the - dwJhng unit I, the undersigned, d and agree with the above restrictions for my home occupation I am registering. 6f � Applicant Date: r, �. Houieoc.doc RmIAV`08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cast$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 they necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 03I:t S- zo I3 Fill in please: APPLICANT'S YOUR NAME/S: iye,,: BUSINESS YOUR HOME ADDRESS: mooa� �'s �=- 4 TELEPHONE # Home Telephone Number - o 9 3 Lc4_ E5 NAME OFCOR..PORATION.- ca'vGl �o n orY.. . :NAME OF NEW BUSINESS 1�Y«ybci.-? TYPE OF BUSINESS:- IS THIS A HOME OCCUPATION? YES NO o.Z6 0 _ rnA ADDRESS OF'BUSINESS $op 3 ar s!z_S _ Q C3 MAP/PARCEL NUMBERZ: t 1-1-:�.� I d�� (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. MUST COMPLY WITH HOME OCCUPATION 1._ BUILDING CO ISSIo r OFFICE RULES AND REGULATIONS. FAILURE TO This individ al e iinfor e f any per it requirements that pertain to this type of bu nUPLY MAY RESULT IN FINES. Au rize i at AOlVnENT J nd ` 2. BOARD OF HEALTH This individual ha bee of the permit requirements that pertain to this type of business. IVIUS7"4;©Mf�L1P WITH ALL rGir yl `-.IAZARDOUS MATERIALS REGULATIr_;'.Iq Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS ( ICENSING AUTHORI - This individu s b n 'rif r d of he ' i r it merits that pertain to this type of business. Aut orized Sign e* COMM ENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # c;2dl 04 5 6 Health Division Date Issued �� L Conservation Division Application Fee Planning Dept. Permit Fee 4� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village_4�'1� n�� Owner _A t r�.,a A 108- I t of Q k) Address 'o �Lj 5 Telephone Permit Request , ��oS o . T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 ®D1� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 UKher 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 Ll Telephone Number �—ZS �� L11 Address !Y JA� 5f-b 4S1_1 6 A) License # <f!� �l ��- -5,4 IC 7NI{A 6>-5-G 3 Home Improvement Contractor# 03� C0U X-) Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �/ 4�4 DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED K MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: k FOUNDATION ' FRAME INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL. . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING DATE'CLOSED OUT ASSOCIATION PLAN NO. 3. j 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 Please Print Legibly Name(Business/Organizatiot>/Individual): u= / Dj--, ,s4Qr"' spec&l(s-1:S Address: City/State/Zip: Lj1^ Phone#: 8 Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with to 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction 2.❑ 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 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 I Q] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1211 Roof repairs insurance requited.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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. lContractors 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 isproviding workers'compensation insurance for tray employees. Below is thepolicy and job site information. Insurance Company Name: Z V , Policy#or Self-ins.Lic.#: ''1 f O A P 1600 Expiration Date: Job Site Address: &01 City/State/Zip: �/Ak<_ C Attach a copy of the workers'compensate policy eclaration page(showing the policy nu4ber and expiration elate). 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 the pains 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 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 Contact Person: Phone#: I RightFax N1-1 12/22/2011 7:19:42 AM PAGE 31003 Fax Server :I <yr � rF cldz u r r r' �F�}s£ cPc t� c � .T 155UEDATE •;•U;i x,} i : � s�:� ;� ���� �� �� 7pr�; ;:� ,w:7:• ar`r.'a 12n2l2011 TH33 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI•ICA HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVCLY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED THE POLICIES BELOW,TITS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE INSUING INS17REIt(SN�VTHORIY,ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the certifcate holder Is an ADDITIONAL INSURED,the poft*199)must be endorsed,if BUBROG 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 certificate holder In Hsu of such andorsement e. PRODUCER CONTACT OCEANSIDE INS GROUP NAME` FAX 52 WEST MAIN STREET uc No,Ext: (A/C,No): `. HYANNIS,MA 02601 64AIL ADDRE98: PRODUCER CUSTOMER ID Y. INSURED INS AFFORDING COVFJtACE NAIL ft BENABBY INC DBA INSURER A ZURICI{ 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 IS TO CER i IPY TRAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TW INSURED NAM ABOVE F DR THE POLICY PERIOD INDICATED. NOT WIiHSTANDRIO ANY REQUIREMENT,TERN OR CONDITION OF ANY CONTRACT OR 0•rmR DOCUMENT WITH RFSPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IIEREW 13 SUBJECT TO ALL THE TERMS,E XCLUSION'S AND CONDITIONS OF SUCH POLICES,LIMITS SHOWN IL1Y HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY E LITaTS LTR DISR WVU I GENERAL LIABILITY , EACH OCCURRENCE I ,DAMAQETO RENTED S 0 COMIZRCL(L OENERAL LIABILITY PREMISES(Eech occurrence ITT.EXPENSE(Any one S Q CLAMS MADE 0 OCCUR. persw 0 PERSONAL&ADV $ INJURY 0 GENERAL AGGREGATE S i GENL A(IOREOATE LIMir APPM PER ` ' PRODUCTS-COIAPIOP S I D POLICY 0 PROJECT 0 LOC AGO AUTOMOBILE rdABD.ITY CONMINED SINGLE S L1dB7' . haeeidenl � 0 ANY AUTO BODI.YINJURY I M Pera i BODI.YBUURY $ 0 ALL OWNED AUTOS i er Accidml) 0 SCHmULED AUTOS PROPERTY DAMAGE S er�mdmt i 0 HIRED AUTOS I 0 IION•OWNFD AUTOS I 0 0 UMBRELLALIAE 0OCCUR I EACH OCCURRENCE S 0 £CCESSLIAB 0CLABa-MODE AOOREOATJ: t 0 DEDUCMLE S 0 RETE cnl S S WORKERS'COMPENSATION i WC A AND EMPLOYERS LIABILITY )VA STATUTORYL¢4[B YIN �aCUMOFANY PAOPR@1'OR/FAATIrp.V I A,NYPRGPMT R)PARnrf ER N NIA 6ZZU8.4102P700 01/01/12 01/01/13 L£ACHADCIDENr 55 EXCLUDED? (MANDATORY IN NM L DMDLOYE -EACH �$15500ADO-000000 rr yes,describe ender DESCRIVnON OF I.DIMASE-POLICY OPERATIONS helaa ��� UESCRIPTIONOFOPZRATIONSILOCATION3/VMCLEI(Abch ACORD 101,Additional Remsrks Schedule,irrrcre spice is requirnA THE.MSURED'S MANNORYERS COMPENSATION POLICY AND ITS LI.ffTED OTHER STATES INSURANCE ENDOASFIMU AUTHORIZES TIE PAYME TT'0F BENFFTi'S FOR CIA"MADE DY TIIE NSURED. E%EPLOYEES W STATES OTHER THAN MA NO AUTHORIZATION IS CIM TO PAY CLAMS FOR BENEFITS IN ANY STATE UrrER THAN I."TM I S"UM IMUM,OR HAS HIRED,£IELOYEES OUTSIDE MA THIS POLICY DOM- NOT PROVIDE COVERAOE FOR AIiY STATE OTHER THAW IfA THIS REPLACES ANY PRIOR CERTMCATE ISSUED 70 TIE CERTIFICATE HOLDER AFFECTING WORKERS C MP COVERAGE I r: .ya s rYl iL +4".IO: a .�-'.:....''- Yr ,� :. e„'+.5':�✓:n;• C$RT,��,�Ci�,.�..��IP$I>x`�Y:.,:.a4 R a i��xer ,,..;x ��;�_._,xti._ F.? - SHOULD ANY OF THE ABOVE DESO ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE WALL BE DELIVERED IN ACCORDANCE PATH THE POLICY PR VISIONS. AUM MM REPMMATIVe BrW.P#V MXX"Lw4%' { �} y y i _ y L, ,. .•. :. 1 Y m.h .. DIL S R�IQW , I. �I� ccerl : na9ta. .� Massachusetts-Department of Public Safety Board of Building Regulations and Standards .Construction Supervisor License: CS-071402 w JO 5HIIA L CODEN r. 1 082 OLD S14 i R CLNTE IVD4L` Expiration Commissioner 12/31/2013 b X I ' �1HE rod, Town of Barnstable Regulatory Services w HARNSTABt E Thomas F.Geiler,Director i639.ATFDM{►'IA 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, —re/_/Pn , as Owner of the subject property hereby authorize /-rG.f fC.y' 0.ee,i 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. �A& ` Soatuxe o caner afore of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 ffice of Consumer Affairs&Busine�R�f��c/uaeC , — — Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i egstration - 108642 Office of Consumer Affairs and Business Regulation ion Expirat 8/20/2014 Type' 10 Park Plaza-Suite 5170 BENABBY INC/DISASTERaSPECIALIST Supplement�:ard Boston,MA 02116 JOSHUA COHEN Box 480 Sandwich, MA 02563 4 Undersecretary Not valid without signature