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Home My WebLink About0190 FAWCETT LANE q � ��i i ��/ -_ _�. _ Town of BarAstable tNE Regulatory Services � Tp� P� do Thomas F.Geiler,Director Building Division saxxsrnsr.E. v ruse. g Tom Perry,Building Commissioner 1639. 1 39. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 508-790-6230 Approved: Fee: �— HOME OCCUPATION REGISTRATION Date: Name: i y 1•C?/l I r-\d Q U a V" C a")G,/- Phone#: 01t 3Le, C) 3 7�/ Address: t 9'C) '-�G,� c--e L&ytik- village: Vt�1 Name of Business: �S ��e�L'9' r Type of Business:C�f-1.C1"�1e. UA v !3: Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single f tmily dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discennible 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 nn traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration vaitln the Building Inspector,a customary home occupation shall be permitted as of right subject to the follovvirrg conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located vaithin 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.«ill be generated un 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. • 'I'Inere is no storage or use of toxic or hazardous materials,or flammable or explosive materials,ui 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 rvitdnin the required front.yard_. • Tlnere is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Gnfitomary 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 oradvertised 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 dwe i uwmt. 11 the unde red,have read and e ve cti is for my home occupation Ian registering. Applicant _ Date: Honieoc.doc Rev.01/3/08 : YOU WISH MOPEN A BUSINESS? For Your Information: Business certificates(cost$30:00 for 4 years). A business cerGifiFate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-*it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, I"FL,367 Main Street,Hyannis,-MA 02601 (Town Hall) DATE:.. +n Fill in please: I APPLICANT'S YOUR NAME: YY1-2 L A-y-,c) C BUSINESS YOUR HOME DDRESS: 1 qG,-4� C i fb� - �a Gc �a TELEPHONE # Home Teleph a Number- 0 L -3 -7.7 L/ IuANJl,OF NEV,W-RUSIN�1�5 C. TYPE OF SI.,ISINESS�� IS` I1I .A`1IIMEflOOUP ,,'LQI�I;r.." : • ;:`YES : - NL Have-ycio been.giveii.;3pprorr i�rw the ildin divisi�art?. YES N(] . D 'ES F-13US . L J. �C. / ��' MAP P,AACEI.N.UIt�IB>^R AO R S O. rlv.��s � When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of ' ' you may need.. You MUST GO TO 200 Main St. - (corner of Yarmouth , Barnstable. This form is intended to assist you in obtaining the information y y this-town. to a e sure you have the appropriate ermits and licenses re wired to legally operate your business in , Rd. &Main Street) m k rq 9 Y YP 1. BUILDING CONI ER'S OFFIC \ MUST COMPLY WITH HOME-OCCUPATION This individu I has b n ' d. y permit requirements-that pertain to this type of busines!RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. o e tur riz � COMMENT �.. ig Lld�)- 2. BOARD OF HEALTH. This individual has been informed of the permit requirements that pertain to this�Pa 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* ti� COMMENTS: engineering Dept.(3rd floor) Map _92_ Parcel 61 rmit# � House# Date Issued /v - Board of Health(3rd floor)(8:15 -9:30:/1:00-4:3.0) Fee 2 5 , ,-u Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Planning Dept. (1st floor/School Admin. Bldg.) Defi ' ive` Ian Approved by Planning Board 19 RMAM- 039. E ' TOWN OF BARNSTABLE . Building Permit Application of ct ee Address - Village Owner aiy n--�O /��f�,a^ L11C1 Address Telephone �7 ; Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 4 znn Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Poolp(size) ❑Attached size -_.� (size) ❑Barn(size) w ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name �j�� -Z� n ,��e�. Telephone Number `7 Address PQQQnh,S( ,�j/ License# A u). .✓lJl4L-a a:&�x r Home Improvement Contractor# �Q � Worker's Compensation# �d7/LC/ ,y y'/J f& NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE s DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY Ow y PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ; ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: ' r" FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL _ e FINAL BUILDING �� DATE CLOSED OUT � t ASSOCIATION PLAN NO. J , The Town o f Barnstable . $ NAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office•• 508-790-6227 Building Commission Fax: 508-790-6230 For office use only Permit no. Date /� AFFIDAVIT HOME IMPROVEMENT PERMIT TOR APPLICATION SUPPLEMENT MGL c. 142A requires that the "reconstruction, alterations of va ion, on repair,any pre-existingmodernization, iti , conversion, improvement, removal, demolition, or constructionunits t least one but not mom our such r owner occupied building contai aestdence or building be done�by fregistered CODg��' with which are adjacent to uirements. certain exceptions,along with other req - _ _ Q .,„ �' Est.Cost n")n Type of Work: ,Address of Work: 7 - . e. 2a.,�e U Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: G Rli'I'H U111REG D OWNERS PULLING THEIR OWN PERMIT OR DEA,LIN MENT WORK DO NOT HAVE CONTRACTORS FOR APP NPROGRAMg OR GUAARAN FUND DER MGL c.142A ACCESS TO THE ARBITRA SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner.ke - / ag9��' Registmtion No. Contractor Name Date � '. OR. Owner's Name �htP t E R EM a R - S N 1 W.E3oaMd o�PBON ing •t�egulataoRs an�;rStanda�ds 5 1 ' ,ws One Ashburton P1ace - Room-.,I. .30.1. rF t Boston, Massachusitts 02108 ;1 HOME IMPROVEMENT CONTRACTOR 1----- ------------ ---Regis i tration 108.918 . Expiration- 08/27/98 ---- TYPe ;zOBA y. ,. .. - - I � . HOME IMPROV A�, EMENT CONt� a OR�� R CT � Registration 108918 THEODORE L : HITCHCOCK � Type - DBA THEODORE L . HITCHCOCK 1 > PO ,80X 21.1/55 LISA LN Expiration 018/27/98 Ba RNSTABLE..MA_ 02668 I THEODORE L. HITCHCOCK,,w .r i THEODORE L. HITCHCOCK 7� 4,f ,8OX 211/55 LISA LN ADMINISTRATORBARNSTABLE MA 02668. �-� The Commonwealth of Massachusetts Department of Industrial Accidents J o Olflceo/Ievest/ps�liis 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: �j PfeasePRIlVTTeaG}�Tir name: L]114 / //I >Aa&a ce .4— bem dL� Location: I!q o �J�o .►t phone# -7 am a I omeowner performing all work myself. I am a sole proprietor and ha%e no one working in any capacity I.am an employer pro%iding workers' compensation for my employees working on this job. company name: /LTP-AeXAK 6%lQ77-/zdJ2Jd,r 0/Ne address: PC a://• city: it) , 8- " dLA& phone#• 776---;'> insurance co. J!--0 policy# 06744r lflo& I am a sole proprietor. ;eneral contractor. or homeowner(circle one) and have hired the contractors listed below who haN, the followinsi worker-;* compensation polices: company name: address: city: phone#: insurance co. policy# company name: address• cam: phone#• insuns�s4 00ticy# Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition of erimiaal penalties of a tine up to SI,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 1101.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri6eadmL /do hereb certify under the pains and penalties ojperjury that the infornutdon provided above is true and correct Signature ate ��//G)G; 16 Print name /1 ��/� �. . i��C� Phone it —7 7��763 o fficially do not w rite in this area to be completed by city or town official - _ permiNieease# nBuildiog Department OLicensing Board mediate response is required - QSelectmen's OMcc pHealtb Department n: phone q;_ ;_ - - rnOther Ire,,sed 3,95 PJAI Assessor's Office(0 tt floor) Map :1 7 b Lot rmit # 97 77 Conservation Office h floor ' f Date Issued 2 --c Board ofHca�_Ith h f4,3r �'• Ensinccrine Dept (3rd floors House# Planning Dent (1st floor/ chool Admin. Bld . " — ,•� Definitive Plan A roved b Plannin Bo r t ""M t (Applicillions processed 8.30 9.30 a m & 100 2 00 p m 1 TOWN OF BARNSTABLE Building Permit Application Proiect Slreel Ad res -►-,c i`ct. je-gyr j,nr+ Villa ,,e DistrictFire Chvncr i3 f.10, rTe 6 e oo�.rory /� Address 1 & vv't e Telc hone to p-- -7?) Permitit Rcc[jest: P I�ort:� goo Zonine District _ Flood Piain Water o i Lot Sirc Grandfather rd Zonint,Board of Appeals A th A—t' R de Current Use Ion Pronose use Construction Tye All EiistinQ Information Dwellin T e: in le.Famii w f nut 1 '-f mil A e of struc ur B Historic House Finished Old K Unfinished Number of Baths No.of Bedrooms Total Room Co nt not in 1 in baths) First I r _Heat NR an Fuel tiara ge: Dqlarhm Other Detach �'Imrturnc• psi Attached Barn None Sheds Other Builder Information Name C)avu eb:, We ho0 n1jimber Address ---------- HOMe IMPEOWMent Contraclo'r# ' MMM0011 # Lv NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN PROPOSED STRUCTURES ON THE LOT, (A5 BUILT) SHOWING EXISTING, AS WELL A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO i o uju 1-aFee --�C t t n SIGNATURE I Icy. N r`1_ DATE BUILDING PEMT DENIED FOR THE FOLLOWING REASON(S) 5/18/95 3-7-3 II ' 270. 136 190 Fawcett Lane Hyannis Owner: Barnstable Housing Authority The Town of Barnstable % sewvsrAMZ KAS& �mg Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date S-//7/1r AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: fLt.g.a® °A-�� Est.Cost 9-p 0 Address of Work: 170 F-6- c-srt L9 Owner Name: l?v r4 Ova)iz) Date of Permit Application: I herebv certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owner-0ccupied oZer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name F—. N ASSACi�USETtS NAHRO WORKERS' COMPENSATION P.G. Box 803 GROUP TRUST West Springfield, MA 01090 Phone (413) 7,33-4430 Seeing Your Insurance Needs (800) 932-3112 FAX (413) 733-7479 CERTIFICATE OF SELF-INSURANCE MEMBER: Barnstable Housing Authority POLICY NUMBER: W1030235 POLICY TERM: 10-01-94 to 10-01-95 Massachusetts NAHRO Workers' Compensation Group Trust Self Retention Coverage A: Workers'Compensation Insurance- $300,000 Each Accident $300,000 Disease - Policy Limit $300,000 Disease - Each Employee Coverage B: Employers'Liability Insurance- Statutory * $350,000 Self Retention for security guards Reliance National Indemnity Company Specific Excess Insurance Coverage A: Workers'Compensation Insurance- Statutory Coverage B: Employers'Liability Insurance = $1,000,000 Each Accident $1,000,000 Disease - Policy Limit $1,000,000 Disease - Each Employee Policy#NXC 0109319-01 Effective 06/01/94 to 06/01/95 This Certificate of Self-Insurance has been issued to said Member pursuant to the Terms and Conditions of the Participation Agreement, and has been executed on behalf of the Massachusetts NAHRO Workers' Compensation Gr up Trust by the Administrator, Mass West Financial Group, Inc. Thomas K. Randall, Vice President MassWest Financial Group, Inc. i '/LL (� __.'r°d(�✓ 6L ,b1GYRPdd� •' 'a ili_d.+ ,.vY:Y: a.�r`.511+�br'�, :13. ....�i.9...31L•l4)e 4 with a principal place of b x mess at: (�jasrs�.ua) do hereby certify under the pains and penalties cf penury, that: € am an employer providing workers, compensation coverage for my employees workin this job. less tiMPo Icbr&S �� i o 3D)-3 ;a 5 tnsunrr. Corr:^�•;. - Policy Number }.M�i 0 I am a sole proprietor and have no one working for me in any capacity. 0 i am a sole proprietor, general comtracxor or homeowner (circle one) and Eiave hired th contractors Iisted below who have the following workers' compensation policies.- Contractor Insurance Company/Policy Numt Contractor Insurance Company/Policy Tlurr L Contractor Insurance Company/Policy Numb () I am a homeowner performing all theL work myself. �cc-;of r:<_s_:e-Ent W:11'to ferrzreed cc t:e Office cf invem �crs cf a DU,for cc%,rrage verifir-:icr znd that t3u:e tc 2.h cf MGL 152 un iuc to the irr..cnvcn ci chmanai pen;.W'es eonsiytne of 2 fine of Lp to S 1,500-00 �• yf27S It7;�tL`C'':Ea;;�wfif ,;.<cr:ii GEr2l;iE:ir,the fcrr.:cf STOP WORK ORDE?? and 2 fine of S ICO.CO a day a it<:inc. Signed this _day of 1 q J l Licensee/Permittee Foy- I .d R Building department Licensing Board Selectmens Office Health Department TC VE.-, 17-' CCVE INFQRt, ✓A.T:ON CALL: 617-727-4900 X403, 4Q4, 405r 409, 375