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Home My WebLink About0059 FAWCETT LANE i i -- f Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.fown.bamstable.ma.us Pre-application for Business Certifica te Date Mapi� Parcel Applicant Information Applicants Name SQ 4�v,1 dD Cv 1 P Y Applicants Address 57 F4i4J ce 7 —G yJ Email Address CD'" Telephone Number sOd-3q r-40 r6 Listed ❑ Unlisted ❑ Business Information 0 New Business? ----------------------------------------• es N�eo, Business is a registered corporation? ------------------------. Yes If yes Name of Corporation k ri 7 G"1 V1 thl 0 _ Does business operate under the registered corporate name? Yes `No Is the business a sole proprietorship.or home occupation? ------------ No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business <o-S dk_- [/a lC!t= O�1 S YyGTr O r7 Business Address Type of Business /-1 D A 'f"Y [JC_71-1 a/J 'e 4!22 o 06D Buil g Copmi' sioner Office Use my Conditions Building Commissioner 0. Date _ Via VV Clerk Office Use Only (0600, ao' off' Town of Barnstable Building Department OF SHE Tp� .l, Brian Florence,CBO Building Commissioner =AxxsTAB , ` 200 Main Street,Hyannis,MA 02601 y MASS. � 1639. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: —( HOME OCCUPATION REGISTRATION Date: Name: Phone#:_ S'l Address: 57 r06 CO"CO- L 1/7 Village: Name of Business: Ca.Sa VQ(o�_ CV n S TKaC T101 Type of Business: CD 014'hv RO19 iZe•*v dQ (!I�9 Q Map/Lot: Pup-( V 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 Z within that dwelling unit. 0 p Such use occupies no more than 400 square feet of space. aW • There are no external alterations to the dwelling which are not customary in residential buildings,and there = Q is no outside evidence of such use. UJ • No traffic will be generated in excess of normal residential volumes. � W • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular W Z matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. 2 vi M . There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess o ZO z of normal household quantities. = q • Any need for parking generated by such use shall be met on the same lot containing the Customary Home F- Occupation,and not within the required front yard. � w • There is no exterior storage or display of materials or equipment. >; W a: • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one d 0 Q pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to ® Z exceed 4 tires,parked on the same lot containing the Customary Home Occupation. U < . No sign shall be displayed indicating the Customary Home Occupation. 19 • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be : •p 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: Homeoc.doc Rev. 10/17 Town of Barnstable Building Department of SHE r� .y Brian Florence,CBQ or Building Commissioner w BAMSPABLE, 200 Main Street,Hyannis,MA 02601 v MASS $ i659• www.town.barnstable.ma.uS. PIED MA'S a • Office: 508-862-4038 Fax: 508-790-6230 Approved: �3 Fee: 0 Permit#: 00 HOME OCCUPATION REGISTRATION Date: Name: n` -N F' ri� � Phone#: 0-a `V3 r Zqr(3 Address: 5 c1 -"J LYl Village: Name of Business: I I aylq Type of Business: C I Eos n t�n� S1at MaplLot:P If/ '�� 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. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. p� Applicant:ff �(s= `l�rb�P� �'�. ° 1�c � f Q� Date: IQ h— f Lf 41 ' Homeoc.doc Rev.10/17 r Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Q 1- l "1 - ' MajQ-A1 Parcel Applicant. Information 77 - -Applicants Name Z✓1 - c, nGt rV� C4 Applicants Address Fc�c-u Cc-. Email Address e-r r V►C7- 1Vy Telephone Number S- Q8 3 2-9 OI 3 Listed Unlisted ❑ Business Information New Business? ___- Yes No Business is a registered corporation? _____'___________________. Yes oNo If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _________ Ye No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business 1 1 ay- S .� p Business Address I !ELL yCE�1� un `�4GN n1 S Type of Business C. 2 CA V\�r y ' Co ssioner Office Use Only Conditions61y1yyU1=TW( Building Commissioner Date /` 1-1 Clerk Office Use Only I - �-}- Town of Barnstable Al Building Department CF THE Tp� q, Brian Florence,CBQ 1// 7 11 o� Building Commissioner • sANvsTAsLE, 200 Main Street,Hyannis,MA 02601 9 MASS. 1639• www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: _ Permit#: U3 HOME OCCUPATION REGISTRATION Dater L1 — Name: I A Phone#: SOS Address: 9 Phi IV flae S t:! ea» �Q�tl.�Ll Village: - (50,Y Yy 'kc,(a te_-3 Name of Business: ort C I e CL In �. Type of Business: e yA t Map/Lot:42's � v pv% &- v CY-C l-kQ 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. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev. 10/17 Town of Barnstable Building Department Brian Florence, CB Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Map 2,5 parcel v Applicant Information -. . -- Applicants Name-. (' v I Applicants Address q 143 ' U,ky'-_Y v t Email Address toi%y-ict cuff? G� tr'^A11 . COm Telephone Number 50$ b 9 6 Listed E�r Unlisted ❑ Business Information New Business? -_ 0yes No Business is a registered corporation? -------------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No , 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 h (RY N S CPe-ah t Y15=- 1 Business Address 943 10J2,W&4e_T D Z 6 3 Z Type of Business C k ack Y-,l B ' di Commissioner Qffice Use Only ConditionsAAA AAA llqlBuilding Commissioner D Date Clerk Office Use Only _� _ �-�- r� �� v ,� �� r .� G�'' .� Town of Barnstable SHE Tp -Regulatory Services pF � o Richard V. Scali,Director n�sxsrnsM Building Division Kass. Paul Roma,Building Commissioner i63g. ♦0 'DIEo e. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax:. 508-790-6230 Approved: Fee: Permit#: ( —/-7 7 7 CO HOME OCCUPATION REGISTRATION Date: 01 Name: cxn C. F cak(e 1 U n 5 0-phone#: Y 1-Z.9113. Address: cJ�� Tu.W e t} LA(\ Village: Name of Business: LoA t rICAO`5 C Type of Business: Rc-1�iclev�ce. Map/Lot. 1 y� 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. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: en e-, {c" iat Date: ZZ t Homeoc.doe 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is required by law. DATE: 3 4 �� _ Fill in please: - ` APPLICANT'S YOUR NAME/S: l,.ii,'Cn i�l�✓1C�. BUSINESS YOUR HOME ADDRESS: 5!EJ 'f--c,Ut; C 12 H L CkV\V,lS 1 1 C7-. TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS LA-fw NA15 PLC-ANI N C, SE4.VIUSTYPE OF BUSINESS VnQf rla ✓A Ce. IS THIS A HOME OCCUPATION? YES NO , [ ADDRESS OF BUSINESS Sal FcAw cc-{ .L-%\ MAP/PARCEL NUMBER �� -7 `1 (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. 1. BUILDING COMMISSIONER'S FFI MUST COMPLY WITH HOME OCCUPATION This individual has been i r e any pe q r ants that pertain to this type o business. RULES AND REGULATIONS. FAILURE TO u r S�natur��" 4 COMPLY MAY RESULT IN FINES. COMMENTS C41C 6-7 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* COMMENTS: Town of Barnstable *Permit — —46 JC ail Expires 6 mon rs from i sue date Regulatory Services Fee annrrsrns��'f• Y 12016 Richard V.Scali,Director . � a �� T.q�LE Building Division Tom Perry,CBO,Building Commissioner 200-Main Street;Hyannis;MA-02601 - www:to_wn.barnstable.ma.us _— Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � Not Valid without Red X--Press Imprint Map/parcel Number�(, q. -14 r Property Address 4-� Gcll 1 ❑Residential Value of Work$ 1 SUCI./,pU Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C S TO c i.S S I-)0 i S S/ e Contractor's Name�r�/N�,P, G iQ ISTO J �r sS%�✓11 Si f Telephone Number <O 0- �7��D S7 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re est(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to dY4214A ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. " ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit fors RESS.doc Revised 040215 Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division * 13AMSUMIX. ' Tom Perry' Building Commissioner MASS. 1639. 200 Main Street, Hyannis,MA 02601 ED www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: --- ✓✓ JOB LO ,, CATION:�1 L4 u/Gk ii L d4 tiz a il-T �1Y7 • number street village "HOMEOWNER": C 1-tX 1 S T0; l SS% /SS% s 'X � name n home phone# work phone# . CURRENT MAILING ADDRESS: '� /�Y I Z""t"l3 city/t6lm state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to'allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro dures and requirements and that he/she will comply with said procedures and requirements. ignataue of Homeo Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFHM\FORMS\building permit forms=RESS.doe Revised 040215 dFWE i RSRNCI'ART.F. i _ . MASS. ,m Town of Barnstable QED MA'S� Regulatory Services � r3' Richard V.Scali,Director --- • 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 7 (� �i_S C i 2 as Owner of the subject property hereby authorize to act on my bebA in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPMESTORMSUflding permit fbrms\EXPRESS.doe Remised 04=15 The Commomvealth o,f Manadime& Dipartarent.of Industrial Accidents QJTwe of mwsligatiom 600 Washuigion Street Boston,MA 92111 si*Pmmas&gvv1dia __ ._. . _ vie Elders,� tictrs�'EI$cEricranslPumhers- - — � arrsa>mpensa�n ce Applicant Informatiag — — --Please-Print Addresssw l�ta.& Phone� s�f5 S o Are FoII an employer?Check the appropriate boz: Type of project(required): I.❑ I am a employes with. 4 ❑I am a general contractor and I 6. ❑New c:ousuuctim employees(full am&or part-time).* have lured the snub-cmtractors 2.❑ I am a sale proprietor orpartuer- fisted on the attached sheet 7. ❑Remodeling ship and have no employees These smb-contractors have S. ❑Demolition w dnc forme is any capacity. employees andbave wags' 9. ❑Building addition. [No Wo6mrs'camp.insurance Comp-m d] 5. ❑ We are a corporatii n and its 10-0 Electrical repairs or additions 3.EX I am a homeowner doing all wank officers have exercised their 1L0 Flumbiagrepairs or'additions ray-seelf[No workm'gip- f#t of es�ption per MGL 12.[I Roof repairs inuxance require&]F c.152,§1(4h andwe have no employees.[No workers' 1-3-El Other camp-insurance required-] 'Any a yHa mt[Hat chedm box#1 mast also M out the sectim behaw shorting[Heir ao&exe a=.pensafiaa policy inammxtiae Samevwnees Who sabot this affidatdt indicating dwy axe doing ahl wank=A dum lie autm&caatscmn mast submit a new affida-&indic=xg sacii fContxactats 1Exr check this boa m=emche fi as additional sheet sbawing the--of Me sub-c�sad state wheth"or net those eadties have employees.Iftbemib-ram-tactu65aveemployee%tbeyn=pmvidetheir workers'�=mp.policy number I cent an errtp r octet is prauidbW st arkers'compmsalLaii inmiraure for my employ ees Below is die pvNcy atd job wile inf atnzathm Insurance Company Name- -Policy'A'or Sew ins.Lic.;g: Expiration Date: Job Site Address Citylstatelzp: Attach a copy of the work-ere compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredutider Section 25A of MGL c,152 can lead to the imposition of criminal penalties of a fine up t.o$UOD 4Q andror one-year imprisanmezd 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 adsdsecl ttrat a copy of this statement may.be f awarded to the Office of lavestigations of the DIAL for insurance coverage verifcatim Ido hereby c& fj,under the pains aand penalties ofget}ury that the inf ormufims provided abmw is bus and carrect n pate: O phone iF Ojokial use only. Do not write in this area,#rr be completed by city ortonva ofjrciaL City or Town: PerndtUceuse# Issuing Authority(circle one): I.Board of Health 2.Buffiring Department 3.City1rown,Clerk d.Electrical Inspector 3.Plumbing Inspector 6.Other Contact Person Phone#: 6 lafarmatian and Instructions Massachusetts Ge=nl Laws chapter 152 regMes an employers to provide wolk=l compensation for their employees- . pr¢srrantto.this some,an.MPIoyee is defined as."-.every person in the service of another rmder any contract ofhue, =preSS or finplled, oral or wlrtb=L" t • An ernp[Zyer is defined as"an mdiividuat,partnership,associaliDA c�rporafiOn or other la entity,or any two or more of the R=going=gaged in a joint uprise,and inclndmg the legal representatives of a deceased employer,or the r=ziver or trastee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dweIInzg house having not more than.three apartments and who resides therein,or the occupant of the - dwPT�house of another who employs pm-mw to do mahiteaance,canstafion or repair work on such dwelling house or on the grounds or building appurte=uantthereto shall not because of such employment be deemed to be an employer.- MGM chapter 152,§25C(f7 also states that'every state or local licensing agency shO withhold fhe issuance or renewal of a license or permit to operate a business or.to construct buildings in the commonwealth for any applirantwho has not produced acceptable evidence of cdmcpIranm with the insurance coverage required-" Additionally,MCTL chapter 152, §25C(7)stars-Neither the comet cmwealth nor any of ifs political subdivisions shall enter into any contract for the performance ofpublm worm until acceptable evidence of compliance with the in saran C6.• reirrremts of this chapter have:begin pmsented to the contracting aufhodty_" : Applicaxis Please fin oizt the workers'compensation affidavit completely,by checking the boxes!hat apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phono-m— (s)alongwith their=tficate(s) of instirancB. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not required to carry worirers'compensation insurance- If an LLC or LLP does have employees, a policy is required. Be advised thrat this affidayitmiaybe submitted to the Department of Industrial Accidents for confirmation of isurance coverage. Also Be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application fur tine permit or license is being requested,not the Department of Indagt-ml Accidents. M ouldyou have any questions reganTmg the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the rnmhbea listed below. Self-iusred companies should ester their self-insurance license number on the appropriate line. City or Town Officials . f Please be sale that tie affidavit is complex and prim legibly. The Department has provided a space at the bottom of the affidavit for you to fM out in the event tine Office of Investigat ons has to contact you regal ding the applicant. Please be sure fn fr7l in the pexi t/ cense number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicens0 apply-cations in any given year,need only submit one affidavit indicating current policy filfbr oration(if necessary)and under"Job Site Addrms"the applic:a2 3t should Ovate"all locations in (City or town)_"A copy of the-affidavit that has been officiaIly stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fviin:e permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (1-5- a dog license orpennit to bum leaves eta.)said person is NOT required to complete this affidavit The of of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Department's address,telephone and fax number The COMMMWeRME of Massachmtls ' mt of Iidlsfial ACOdeuts Tfl 0 617-727-4900 cmt 4€6 w 1-977-MAS�AA� Fax 9 f 1 7-`27 7M Revised 4-24-D7 gagld 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: [2-G 16 Fill in please: APPLICANT'S YOUR NAME/S: YOUR HOME ADDR S: Ce tr L CS TELEPHONE # Home Telephone Number NAME OF CORPORATION: l vz Y p.( t NAME OF NEW BUSINESS W lVig tVI h TYPE OF BUSINESS I IS THIS A HOME OCCUPATION? 4¢t2.YES NO ��,/� ADDRESS OF BUSINESS S c] r--OLcc/C y- i MAP/PARCEL NUMBER .2tl � ^ 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 lgdd our business in this town. ��' WITH HOME OCCUPATION 1. BUILDING COMMISSIONER'S FILE RULES AND REGULATIONS. P AItURI�TO This individual has bee me of a Xyrmit requirements that pertain to this type of I ? Y MAY RESULT IN FINES. A ed Signature* rr COMMENTS: 1 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* COMMENTS: f .a uwn ui -Darnstauie •-- ppTHE r� Regulatory Services ' o Richard V. Scab;Director Building Division + �arisrtsrs, • g . Tom Perry,Building Commissioner '°ren rrua�a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: �W ro tz ccQ Ite Phone# Address: rC-Cl/ e 27 P-7 Village: .Name of Business: Type of Business: PCA-- l2 t—( Map/Lot MEW:W: 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 dr one pickup 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: Homeoc.doc Rev.103113 Town of .Barnstable HME L j Regulatory Services Thomas F.Geiler,Director Building Division WANSrnsi.s. y� Mom• g Tom Perry,Building Commissioner 'OrFn39. ►tee 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: �C�'a•!-03 NamelAkAAQS.Oop-f=e) S HP-tUles�4)4V ada�t Ph ne#: SCe -A00 - (995 Address: ,_ i C 2{� �4 2.:it caldl4l�s�-Acvba 1 °',Village: ' 1 a Name of Business:_T►�'CCJ 1�S �0.�Y1 t V k C� Type of Business: �rl Ok Map/Lot: o1co I 'f WTENT: 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 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: fie. "L. ia ,�v..�r� BPS G'((�1 4L�( il1FPCb Pkfijt!�ZDate: Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: memo Fill in please: WHOWN90 APPLICANT'S "win YOUR NAME: "9-AµRs. Ieb}u,)\ gaA° BUSINESS YOUR HOME ADDRESS: 69 PCXWQ4Ji Wnt2 TELEPHONE Telephone Number Home NAME OF NEW BU.SINESS-AAQrWL,2j Pckw; o TYPE OF BUSINESS 'P\ ,\r\q 0,. IS THIS A HOME OCCUPATION? YES LA1fNO �— Have you been given approval from the building division? YES®NO Q ADDRESS OF BUSINESS 59 . 40C.e R,-o.^e a S oabo MiAP/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 obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. —(corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This.individual ha een infor a of any permit requirements that pertain to this type of business. ut orized Signature* 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** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. 0c\CnNS11MFR\I nic\CA Fn►mc\nawhticfrm dnr.