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0102 LINCOLN ROAD
��-.__ ��� ��a� - �� � L,� �co/ ail' 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 Maim St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3113/t lc Fill in please: @�: >r" �"_Vi kUr ° : APPLICANT'S YOUR NAME/S: Alexls kecS� BUSINESS YOUR HOME ADDRESS: lU2 Li ncdl� �d L° ,� � TELEPHONE # Home Telephone Number �3`!-ZSS 227�i g^ � NAME OF CORPORATION. NAME:OF NEW-BUSINESS'Parl inSyal S r�c�'' -the' Nerve TYPE'OFi SINESS w , iS THIS`A HOME OCCUPATION� YES NO gsS'essm NUM R, 2"1 ADDRESS OF_BUSINESS I C2 'Lincol'r� >zoad : MAP/PARCEL; 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 F MUST COMPLY WITH HOME OCCUPATION This individual has been i f any p it r uire e s that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FIN915 A or Si nature** COMMENTS: 2. BOARD OF HEAL This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: r.- 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. ; Authorized Signature** COMMENTS: t, Town of Barnstable Regulatory Services Richard V. Scali,Interim Director Building Division BAMSPABM *� mass. g Tom Perry,Building Commissioner '0t 1639. 6 0 200 Main Street,Hyannis,MA 02601 En� Y , www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 1 Permit#: HOME OCCUPATION REGISTRATION Date: il/13 17 Name: AkQXiS �e CSon Phone#:(739) 2SS-2Z79 Address: /OZ L i/(-e//1 1Zoad Village: f+Vann(S Name of Business:--Park in '$ on -fhe MOVE - ------------------------------------------------------ Type of Business: Map/Lot: -]UQ:5-r] INTENT: It is die intent of this section to allow the residents of the To%vu of Barnstable to operate a home occupation widen single family dwellings,subject to the provisions of Section 4-1.4 of die Zoning ordinance,provided that die activity shall not be discernible from outside die dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest army Bung other than a residential use;no increase in traflic above nonnal residential volumes;and no increase in air or groundwater pollution. After registration with die Buildnhg Inspector,a customary home occupation shill be permitted as of right subject to the follohhing conditions: • The activity is carried on by the permanent resident of a single family residential dwelling wit,located witin that dwelling whit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to die dwelling whiich are not customary in residential buildings,and there is no outside evidence of such use. • No trafl'hc will be generated mh 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 comhnercial vehicles related to die Customary Home Occupation,other than one van or one pick-up buck not to exceed one ton capacity,and one trailer not to exceed 20 feet m 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 Occupations. • 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,die whdersigned,have read and a ee with the above restrictions for my home occupation lam registering. Applicant: Late: 3�13117 Homeoc.doc Rev.103113 7 / e—MAi �f Town of Barnstable ,60���i OFTME Iy ti Regulatory Services T SFP p T Richard V. Scali,Director ©F 1?O16, Building Division eq,9 � ►` Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 1F www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# , I " C FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village mow L ��� q-7� _ Property owner's name Telephone number g( 4 �2 ;2_70 GS Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) - Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND-APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg m REV:06/20/16 - I Town of Barnstable Geographic Information System September 1, 2016 270071 #273 270027 #107 270058 #114 270070 #279 y4 �Of O 00 270059 #102 ,tw 270026 #95 270069 #287 270060 #96 270068 #297 270061 0 16 Feet #88 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:270 Parcel:059 Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:WELTER,MARK F&PETERSON, Total Assessed Value:$145100 W+ 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessors tax parcels. They are not We property Co-Owner. Acreage:0.20 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:102 LI NCOLN ROAD such as building locations. Buffer // t r of Barnstable *Permit#tQ,bb`�g5 & PExpires 6 months fro ue date 1 I NOV 13 200 Regulatory Services Fee MAs& Thomas F.Geiler,Director WN OF BARNSTAMElding Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us fice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint arcel Number w 05 ty Address sidential Value of Wor , //,? Minimum fee of$25.00 for work under$6000.00 -'s Name&AddressCC�P�rE'y1 K L�IYIl�I /b 2 Zrh44�i 4K yYCa��,�� .ctor's Name Telephone Number Improvement Contractor License#(if applicable) uction Supervisor's License#(if applicable) rkman's Compensation Insurance Check one: © I am a sole proprietor gF am the Homeowner ❑ I have Worker's Compensation Insurance rice Company Name nan's Comp.Policy# A Insurance Compliance Certificate must be on file. Request(check box). El'ke-roof(stripping old shingles) All construction debris will be taken toask L% ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side t [Er Replacement Windows. U-Valu _ (maximum .44) *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. Home Improvement Contractors License is required. 9 �TURE: ,t s:expmtrg 71405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street l Boston,MA 02111 �UV ov/dia www.mass. g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluliibers licant Information Please Print Legibly ame(Business/Organization/Individual): r-- ddress: laZ /h ity/State/Zip: nn " Phone#: •771� - ya<'7- 7!6/ re you an employer? Check the appropriate box: Type of project(required): I am a employer with . 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the*sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet. $ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance, g• ❑Building addition [No workers' comp.insurance 5• ❑ We are a corporation and its officers have exercised their 10 ❑Electrical repairs or additions r ired.] o I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12,�oof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] y applicant that checks box#1 must also fill.out the section below showing their workers'compensation policy information. rmeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, actors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. m an employer that is providing workers'compensation insurance for my employees. Below.&thepolicy and job site ormation. urance Company Name: icy#or Self-ins.Lic.#: Expiration Date: Site Address: City/State/Zip: tat a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'lure to secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a e u stp 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 p to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of eigations of the DIA for insurance coverage verification. o hereby certify under the pains and penalties of perjury that the information provided above is true and correct? nature: Date: one#: -77Y r V 7- 7«� 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 Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: