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Home My WebLink About800 BEARSE'S WAY (7) �� s �� N .. Town of Barnstable Building Department OF SHE Tp� q, Brian Florence,CBp o� Building Commissioner anxwsras , * 200 Main Street,Hyannis,MA 02601 . v MASS.. p 1639• www.town.barnstable.ma.us pTED MA'S A - Office: 508-862-4038 Fax: 50&790=6230 Approved: - Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Z Name: JU 1�r� cep)a t Q Ne fPGI Phone#: U 3 76 q�e l Address: N5 ui0.Y AP4 '20 E Village: y'a ✓) i &Qfn�laJ' Name of Business: C",V-Y)O S t'f Nl')C_ -T rn P r Q i)Co M P Il Type of Business: 0 on p l� Map/Lot: �r�P 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: Z The activity is carried on by the permanent resident of a single family residential dwelling unit,located 0 O within that dwelling unit. LLJ 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. U .J is no outside evidence,of such use, O < W • No traffic will be generated in excess of normal residential volumes. W . Z_ • The use does not involve the.production of offensive noise,vibration,smoke,dust or other particular 1Z M U) matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. Z T_ O - There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. tZ � 07 • Any need for parking generated by such use shall be met on the same lot containing the Customary Home (� LU Occupation,and not within.the required front yard., } a LU Cr • There is no exterior storage or display of materials or equipment. p < • There are no commercial vehicles related to the Customary Home Occupation,other than one.van or one O Q y_ pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to N � exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • . No sign shall be displayed indicating the Customary Home Occupation. 0 If the Customary Home Occupation is listed or advertised as a business,the street address shall not be :Emuincluded. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwellin unit. 1,the undersigned,h e read and agree with the above restrictions for my home occupation I am registering. . Applicant: Date: Homeoc.doc Rev.10/17 - S.' - 4 , 'I'ovvn of Barnstable .Building Department Brian Florence, CBO, Building Commissioner j 200 Main Street,Hyannis, MA 02601 • wwwaown,bamstable.ma.us Pre-application for Business Certificate a Date: Map Parcel , V j 9 a(—"J � I , Applicant Information t Applicants Name J (1 t l 01_E? Q T Ramos ► ' Applicants Address �oC7ef°SPS W0.y �Cr1V1 ��S I�h Z �C Email Address (_)[r? UIYYI �6) Q ✓Yl Q i ('0 ►l P Telephone Number �' I y - 91 Listed ❑ Unlisted ❑ i i Business Information New Business? _ { --- --- --- --- -- =-------• Ye No Business is a registered corporation? __ _- _________- _. Yes Nn .- �J If yes Name of{Coporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ____ 1-7-0 No If yes then a Home Occupation Registration is required—See Building Division Staff r . Name of Business V M �• Business Address Type of Business ' i Q VYl '�Yl el,0 U p ✓Yl P it k Building Commissioner Office Use Qnl Conditions. - C Cc.C Building Commissioner 1r Date Clerk Office Use Only TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6 Qp 1cgg ;�),0509 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 ' ^ Village q-A 4)6t i s Owner --j t>PL-Pt1 Address AiPLrYbf�d�/ Telephone Permit Request CF ;:r' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��d - v Construction Type ; �,-- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) a0 Age of Existing Structure Historic House: ❑Yes ��❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout tether �4WQ 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 � ISrA ,� 'll�'15_ Telephone Number Address 1 111,1—b LV ae.1 License # L4 55 �AA (.A)LC tea!? Home Improvement Contractor# �► v�� (_6 Worker's Compensation # /1� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE U 16 :y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r - - 3 DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations ' 600 Washington Street Boston, MA 02111 ivww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):.U n A6 t v �/ �� {� � �►t �l 15`�S Address: P U SX lq i uP., City/State/Zip: h Phone 8 / Are you an employer?Check the appropriate box: Type of project(required): 1.[g,] I am a employer with 1O _ 4. ❑ I 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 ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp, insurance comp. insurance. 9. Building addition 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 12.0 Roof repairs insurance required.] 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. Iam an employer that isproviding workers'conipensation insurance for nay employees. Below is thepolicy andjob site information. Insurance Company Name: r I ch-a Aooer_1'0� Policy#or Self ins.Lic.#: �VIOAPWOO Expiration Date: Job Site Address &,ZQgE o�rity/State/Zip: / T Attach a copy of the workers' compensation p icy dec ration page(showing the policy n ber 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 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#: Rightfax N1-1 12/22/2011 7:19:42 AM PAGE 3/003 Fax Server a r i�.ide�j��s."a`t'e,�'';F+i'�'71,Td i � ISSUE DATE ! ror ti 12/22/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BN THE POLICIES BELOW,T=CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSMW-WS),)AUTHORI7It.D REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed,If SUBROG TION 13 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate d as not confer rights to the certificate holder In Neu of such endorsements. PRODUCER CONTACT OCEANSIDE INS GROUP NAME` 52 WEST MAN STREET Al.No,Ext: AJC,NoI, HYANNIS,MA 02601 s Mal ADOREsat PRODUCER CUSTOMER ID•: INSURED INS S AFFORDING COVERA(1 NAIC 11 BENABBY INC DBA INSURER A ZURICH DISASTER SPECIALISTS INSURER B P 0 BOX 480 INSURERC 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 BUM ISSUED TO'FHE INSURED NAMED ABOVE P DR THS POLICY PERIOD INDICATED. , N0TWr=TANDIIO ANY REQUIIIPMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITS RESPECT TO WHICH TEIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DFSCMED HEREIN IS SUBJECT TO ALL THE TERMS,E XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY E LIMITS LTR MR WVD GENER41LIABIII7Y EACAOCCURRENCE S DAMAQETORENTED s 000nIERCIALOI•NERALLIABILITY PRI2,13SES(Ee6 occurreaca T MID.EXPEW.E(My one S 1 Q CLAWS MADE 0 OCCUR perscm 0 PERSONAL&ADY S INNRY 0 I OENERALAOOREGATB S j GEN'L AGGREGATE 1,1147 APPLIES PER OPOLICY QPRWECT OLOC PRODUCTS•COliPfOP S j AO0 AUTOMOBILE UARILITY COMBINEDSINOIE S LIMIT + ch sodden i 0 ANY AUTO BODB.YINJURY I M Pers i 0 ALL OWNED AUTOS j BODILYIRARY S i (Per Accideed) SCHEDULED AUTOS PROPERTY DAMAGE S er amidmt i 0 RIRFD AUTOS S 0 ITON•OWSM AU70S 0 0 UMBRELLALIAB 0 OCCUR EACR OCCU=- CE S 0 ECCESS LIAR OCLALNS-MADE AGGREGATE S 0 DEDVCHBLE I 0 RETENTION S S WORKERS COMPENSATION f WC A AND EMPLOYERS LiABDTfY )VA STATUTORY YIN r LR.ffTS ANYPROPRIETOWARTTTERJ j EECUTNEOFFICFxnm1IDER N NIA 67Zi)H-0102P700 0110U12 01/01/l3 LEACHACCIDENr $500,000 EXCLUDFM (MANDATORY IN NH) S.L DTSEASE-EACH wYEE S500,000 i rr yes,describe radar OLSCRIPISON OF ELDrMASE•POLICY S500,000 i OPERATTONSbelm P DESC"TTONOFOPERATIONS/LOCALTONRlVMCLES(ARaeh ACORDIOI,Additiorul Remsrks SeheMe,irrrerespteelsrequved) i TIE WSURED'S MA WOREERS COMPENSATION POLICY AND ITS La,9TED OTHER STATES INSURANCE END0119F EW AUTHORIZES=AYMEHTeOF BENEFITS FOR CLAIMS MADE DY THE NSURED' E\4LOYSES TN STATES MIER THAN MA NO AUTHORIZATION IS(31M TO PAY CLAIMS FOR BENS-M IN ANY STATE MxMR THAN MA IF V M Rl"RFD IMUM,OR HAS HIRED,Eh(PLOYEES OUTSIDE MA TRLS POLICY DOTS NOT PROVIDE COVERAOE°OR AITY STATE OTHEPTHAN MA THIS REPLACES ANY PRIOR CERTB"ICATE MS11EO70 TIM CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE I SHOULD ANY OP THE ABOVE DEBC ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICS VALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR VISIONS. ...-. AUMORM PIPREM MATIVP :- Srla+T.Macleaw IOU ", .. i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen'kor License: CS-071402. :r JOSl"dU L CaMN A r. 1082 OLD STAG CENTER r-. VILE v '` Expiration Commissioner 12/3112013 ��e (Poo�v�r�aoauuea z�p trice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONT License or registration valid for individul use only RACTOR before the expiration date. If found return to: egistration 108642 Office of Consumer Affairs and Business Regulation Expiration g/20/2014 f Type'' 10 Park Plaza-Suite 5170 BENABBY INC/DI SA Supplement Gard Boston,MA 02116 JOSHUA COHEN r Box 480 Sandwich, MA 02563 Undersecretary Not valid without signature DIME Teti Town of Barnstable Regulatory Services • snxNsrnsLE, 9 Mass. g, Thomas F.Geiler,Director 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 14aWLf 12 4," , as Owner of the subject property hereby authorize left, S I c c- to act on my behalf, in all matters relative to work authorized by this building permit. Ada� WV (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. G�0 AP- S. atu.re o wner ature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 I MRVP # Assessors Office (1st Floor) Assessor's Map and Parcel # Building Department (4th Floor) Zoning INSPECTION FEE $5.0-�$0 �• RE-INSPECTION. FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name ic/k c13 ka4,4-) Affiliation (Circle One) Owner Real Estate Agent Tenant Your Address S (o nd'S f ,`! Telephone Number (Day)7771�/'9/.1-010(Night) 5,olt z/-- 3 6?g Address of Pro er _y_ 'Where nspec on is Reque%ted Unit/Apt.# Zf - --.E ®0 WW 1� Name of Owner f\ 4,- Address l s2 ,�—►mow C� 1 Mailing Address (if different) 4 MA Telephone Number (Day) 509 L7'?3 ?IJ:%(Night) Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) (rYe No 7 Was the dwelling constructed prior to 1979? Yes No ----------------------------------_-------------------------- FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at v°�11J E r6Q l� 6i V4) was inspected on l�D by Health Inspec o for the Town of Barnstable and was found to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Program, a separate lead paint inspection must be conducted. Inspector's Si nat � u Date 3 0 TOWN OF BARNSTABLE BOARD OF HEALTH 1 ARTICLE I1:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner Tenant Address Address Compliance Remarks or Regulation# Yes Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities �i�. _ 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal (J� 17. Temporary Housing l �' PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Persons)Interviewed u Ins peccinl__=_ � I If Public Building subh as Store or Hotel/ ote p cify here