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Home My WebLink About0800 BEARSE'S WAY (16) �a-d�� s Gv�- ... .t _�, ��.... _ _ ___ _ . . - - i �� Town of Barnstable SHE Regulatory Services F Tp� o Richard V. Scab,Director `* aexNsraBIA Building Division NAM Paul Roma,Building Commissioner 163q. 'Drfo��yct a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us' Office: 508-862-403 8 Fax:. 508-790-6230 Approved:--; — Fee: 41 Permit#• � HOME OCCUPATION REGISTRATION Date: '.�6- Name:?)9"�D R: `rAnG' u-e,--6 Phone#: Address: �6-t) &L�� w% q-t village: NameofBusiness: BAH '-tIVIe Type of Business: �`'"^ �, �� Map/Lot: _U 1 �o•fir W:�.,,vL�e��-�.2 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 carved 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 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 b e loyed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have re an a e th above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.06/20/ YOU WISH TO OPEN A BUSINESS? fo For Your Information: Business certificates [c�st$40.00 r 4 years). A business certificate ONLY REGISTERS.YOUR NAME in town (which you must do by M.G.L.-it does not give you permissioh to_.aperste.] ou mus first obtain the necessary signatures on this form at 200 Main St:, Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law.%. DATE: `�� \\' Fill in please: i_�•:i5'1 < �'i'r limlit a� :I del ,;.:-I,;q0- �k.+ APPLICANT'S YOUR NAME/S: �:y ':y ai>',•_:;•:i �.j"a :;4:;` BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number r$ rr;dt;,;lru'�J.Sij'fi 'T•r`,�,aa E-MA I L: �+z,��ec� �`^"`�� `•^�"'' t ;r NAME OF CORPORATION: NAME OF-NEW BUSINESS a ate. k-iw t TYPE OF BUSINESS �e.a_ -I�� I�✓d� ty� M.1i��f2- � IS THIS A HOME OCCUPATION. _ YES NO ' ADDRESS OF BUSINESS A c N v�% v"o)MAP/PARCEL NUMBER 2 9y—00 (Assessing) , ce with the rules and regulations of the Town of mus t do in ord er to be in compliance 9 When starting anew business there are several things you m P Wh g 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 usiness in his town. 1. BUILDING COMMISSIONE 'S OFFI E MUST COMPLY WITH HOME OCCUPATION that ertain to this e of businRU.ES AND REGULATIONS. FAls been fo e ofanApoequiirementsp typ LURE TO This individual ha YCOMPLY MAY RESULT IN FINES.' A o ed S i g n a t u Ile 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. Authorized Signature** r� COMMENTS: ^y Town of Barnstable 6 IC17 Building Department �pSHE ip� Brian Florence,CBQ MUST COMPLY WITH HOME OCCUPATION Building Commissioner RULES AND REGULATIONS. FAILURE TO BARNSTABLE, * 200 Main Street,Hyannis,MA Os_•OMPLY MAY RESULT IN FINES. 9 MASS. 039• www.town.barnstable.ma.us AlED PAA�A Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: -� HOME OCCUPATION REGISTRATION Date: 1 Name: L d i G V- &fandA O Phone#: �_50 s [ Address: SeD 0ECLLS(I�'I W� Q,V C Village: n C S Name of Business: Type of Business: Pt&�C �l� 1�� C��0,nI n Map/Lot: ll � I yr G 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 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 be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: 0a . / Homeoc.doc Rev. 10/17 1r< r Town of Barnstable Building Department Brian Florence, CBO MUST COMPLY WITH HOME OCCUPATION Building Commissioner RULES AND REGULATIONS. FAILURE TO 200 Main Street,Hyannis, MA 0,MpLY MAY RESULT IN,FINES. www.town.barnstable.ma.us Pre-application for Business Certificate ,,ll nn Date ,� • i� C) Ma� Parcel C/T6 Applicant Information Applicants Name Applicants Address 3 00 ACC (_5([S (OW ��3 C Email Address ! I l C)"V J a b g !V� ail •(Q' Telephone Number -5 0 3 t)J "1 )O Listed ❑ Unlisted I Business Information New Business? ----------------------------------------. Yes No Business is a registered corporation? ------------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes 0 Is the business a sole proprietorship or home occupation? --------- Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business I C R CW�n l5 Business Address �V 0 9(:COY S 6 (_o C�A_ Q i yC d n a} 5 Type of Business Rt�rL c�' �C�.' C Building Commissio er Office Use Only Conditiod",-?A PY)�n i) /'V "W- oc� Building Commissio DatS Clerk Office Use Only v, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p Parcel �(�i� Application # Health Division Date Issued �l Conservation Division Application Fe v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address 9®' �— ` C r Village w�1 Owner PJ Im - Address 3 dr Telephone Permit Request in e,F a� �r� �� 2� o A$64c� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 4, i ��.0 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 UZfher 0 4 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 !DE5jd:5 " d/4/s2" Telephone Number Addressq J'9A) 5 1�ti� /� License #_ L'S 15k2D 431 C ti //Ug Home Improvement Contractor# A ?_(a Y)_ cc; Le ti V Worker's Compensation # /d 24 2gz-D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �164 DATE pItl� r i FOR OFFICIAL USE ONLY c APPLICATION# DATE ISSUED MAP/PARCEL NO. t . ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a 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 wwfv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizaliort/Individual): I�j(Qu� � '—DI WA I�)�� r <� � (� Address: P�)+ &y 4RO/q 2-gn `�bfq j'j 11- ue) �IP� City/State/Zip: t�l h Phone#: r� 8 l 13 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. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑ Building addition [No workers comp.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 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-contractois and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. fain.an employer that isproviding workers'compensation insurance for rtcy employees. Below is thepolicy andjob site information. Insurance Company Name; d Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address 02 v ity/State/Zip: s r Attach a copy of the workers' compensation policy eclaration 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 tnz a the pains and penalties of perjury that the informati6n provided above is true and correct. SiRnature; 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#: RightF'ax N1-1 12/22/2011 7:19:42 AM PAGE 3/003 Fax Server t R� eu.. Fx �.,.•�?^` �E\�1.�� r.. .: �,.;;.. ,..,•.. �� :�,:.,w.,:•-r zay:li"� i�,� 12/I212011 THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON TILE CERTIE'ICA HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ADAEND,EXTEND OR ALTER THE COVERAGE AFFORDED 0 THE POLICIES DELow.TM CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(ON)VMORZZO REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the cart fleate holder Is an ADDITIONAL INSURED,the P00 y(les)must be endorsed.if SUB ROG TION IS 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 uau of such endorsement a. PRODUCER CONTACT OCEANSIDE INS GROUP NAME: 52 WEST MAIN STREET A/C,No.Ext:NE (AJC No); ` HYANNIS,MA 02601 64AL ADDRESS: PRODUCER CUSTOMER ID t INSURED INS S AFFORDING COVERAOH 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: TIM IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TUR INSURED NAMED ABOVE F R THE POLICY PERIOD INDICATED. NOTWITU3TANDITO ANY REQUEIFME`7T,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HI4tEBN IS SUBJECT TO ALL THE TERMS,I XCLUSIONS AND CONDITTON3 OF SUCH POLICES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EX) LIMITS LTR INSR w'D I GENERAL LLIBIIITY , EACROCCURRENCE I MAMAGETORENTED O COMI fEtCLW GENERAL HABIT rrY T PREMISES(Etch occwrenaa) 1 UED,EXPENSE(Any-e S 1 0 CLAIMS MADE 0 OCCUR. Perim 0 PERSONAL&ADY f INNRY O ! OENERAL AOOAEGATS S OEN'L AGOREOATE L25r APPLIES PER: ODUCIB•COMPIOP f O POLICY aPROJECT O LOC AOOO i AVTOMOHn,ELIABILITY CONII)D DSINOIE T LAM ch aceidan 0 ANY AUTO BODILYINJURY I ar Pers BODB.Y INJURY S I O ALL OWNED AVrOS er Accidad) 0 acmmmw AUros PROPERTY DAMAGE T Ter xemdent I 0 MIRED AUTO$ S . O IION•OWNFD AVTOS S 0 O UMBRELLALIAB O OCCUR EACH OCCURRENCE T 0 EXCESS LLAB O CLAM-MADE A13OREGATF t _ O DEDUCTIBLE 0 REIENT:OII s S WORKERS'COMPENSATION 1 1VC TUTORY A AND EMPLOYERS LIABILITY STAITY LUIM YIN ! AXECUT AOMC1_ARTMI,B LEACHACCIDENT S500,000 E14YPROPRIETO/PARTHzW N NIA 6ZZLJB410ZP700 01101/12 01/01/13 EXCLUDES)? L DISEA.SL-EACH (MANDATORY II'I NH) $500,000 , 1 rr yes,describe order omcRWRON OF L DTSEASE.PoliCY S500,000 OPERATIONS below P UEaCR1PTIONOFOPZRAT70NeAACAtIO148NFITICLES(ANach ACORD101,Addjtional Rmwks SchedWe,irrnorcapate,aregsvaA THE.W%TREO'S MA'NORYERS COMPENSATION POLICY AND r1'8 LIlZM OTTER STATES INSURANCE DMORSEtAF U AUTHORIZES THE PAYMEN7I'OF BENEFITS FOR CLAIMS MADE By 71R.TNSURM' F_\9LOYETS IN VATES OTHER THAN MA NO AUTHOW7ATION IS OWEN TO PAY CLAIMS FOR BENEFITS IN ANY STATE O RER THAN MA IF TIM INSURED HBIES,OR HAS HIRED,EMPLOYEFS OUTSIDE j MA CHLS POLICY DOTS NOT PROVIDE COVEMOE FOR AITY CUTE OYERP THIN MA THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECIING WORKERS C b1P dOVERAGE ^.6giR•I,�FI,kG,�fk�.. Sre!��..EY,..w"•,,;o.A.�:xeY. ti �. IS arh i�,e��-5 �' -a•e5 I .. SHOULD ANY OF THE ABOVE DESC VD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE HALL BE DELIVERED IN ACCORDANCE MATH THE POLICY PR VISIONS. ..... AU HOR=RFPAEMATIVY SYCRW MG4 �.NeNdY r s gf 7 Irk; f 4b U':0 t Ft4I� :1s11 t i aceYMl t j j i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-071402 JOSHUA L CQMN`' 1082 OLD SM GVL, CENTERV�LE01 Expiration commissioner 12131/2013 i� /ze W11")—uuealCl _ ffice of Consumer Affairs&Business Regulation ~ _ License or registration valid1or individul use only ME IMPROVEMENT CONT RACTOR before the expiration date. If found return to: egistrationon 108642 �.. Office of Consumer Affairs and Business Regulation Expirati gj20/2014;= Type' 10 Park Plaza- BENABBY INC/DISASTER SPECALIST Supplement(.:ard Suite 5170 I Boston,MA 02116 JOSHUA COHEN Box 480 = "' Sandwich, MA 02563 4 Undersecretary Not valid without signature THE r Town of Barnstable ti Regulatory Services 9BAMMASS.STABL Thomas F.Geiler,Director �A 1639. �� rFON,,rA 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, �/��o'/�fy ��y�� Bf �v► , as Owner of the subject property hereby authorize �fsGf ICI rc -1:;L-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. S' atuxe o wrier ature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012