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Home My WebLink About0151 LOCUST STREET r 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 OgVPLY MAY RESULT IN FINES, www.town.bamstable.ma.us Pre-application for Business Certificate Date 62 6 Ido MapL5__/o Parcel 0" Applicant Information Applicants Name J1'1l Q IV rn% rO Applicants Address L 0 6 U _ T S I P jak5nail Address Y��rl. 2 ��eYs�A)0 L Y a, (9(ITL 4VV-') Telephone Number SOR D&S j 12 Listed ❑ Unlisted ❑ Business Information New Business? No 0 r- Business is a registered corporation? ------------------------- Yes No iLIf yes Name of Corporation Does business operate under the registered corporate name? Yes No (A Is the business a sole proprietorship or home occupation? _________ 1&d No �i— If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business .R �Y a'I 1pey S 0A)d L-I'r 6 fya j Business Address Z `O JType of Business l e Yf; D,N V L�� 1 Ne r Building Commissioner Office Use O ly Conditio a7)� ' 0 i Q t -rj &hL- -��— Building Commissi rDat f7 `J Clerk Office Use Only Q Town of BarnstabWUST COMPLY WITH HOME OCCUPATION Building Department RULES AND REGULATIONS. FAILURE TO °F rOw,y Brian Florence,CBO COMD1 Y MAY RESULT IN FIRES, Building Commissioner anaNsr�sr�, ► 200 Main Street,Hyannis,MA 02601 KAM 9� 0.19. � www.town.barnstable.ma.us plEb MA'1 A Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: 02 / U6 ( 2 0 Q t� Name: N4 GY Z Z lyl O .N-re 1O Phone#: �0 )-go Address: J 1 Z O S R T a /✓/U 1 Village: Name of Business: yZ �� e YS o (U Type of Business: 5 y L' 1. 1 y Z i n)Cr 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 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 oT 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 s b employed in the Customary Home Occupation who is not a permanent resident of the dwellin I,the undersigned a r a age 'th the a ve restrictions for my home occupation I am registering. / J Applicant: Date: Homeoc.doc Rev.10/17 I Town of Barnstable Regulatory Services o Richard V. Scali,Director STAX Building Division MASS, Paul Roma,Building Commissioner 039. ♦0 iOrFp µp`l A 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: S 2010 Permit#: to HOME OCCUPATION REGISTRATION TOWN OF gp�RN� Date: / Name: 4z- '•/J AlId (0iA0 LAMrr,-f O 11 Phone#: . 03 �Y0 3 y Address: Lv LUC..S7 3.7 )411'36h� I 4 Village: Name of Business: _ Wn41 alM q Type of Business: P 0 P'('R b 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 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 enyplooy d'in the Customary Home Occupation who is not a permanent resident of the t. I the undersigned,dwelling have read �� e`e with the above restrictions form home occupation I am registering. Y P Applicant: Date: OS j1 Z 0�6 Homeoc.doc Rev.06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: P 1311 1(. Filt in lease: APPLICANT'S YOUR NAME S: A 2-aw%a r T. ko {.1 p / 2 A k n,P_+o i1 BUSINESS YOUR HOME ADDRESS: l SI Lo c-u s-4 S+ 508 G Po3�ty� TELEPHONE # Home Telephone Number t<o P b P,b 34�to� NAME OF C.:.ORPORATION. NAME OF N.EW BUSINESS TYPEOF BUSINESS IS THIS A HOME OCCUPATION?' YES NO ADDRESS OF:BUSINESS. S S �:. MAP/PARCEL NUMBER I (assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER' OFFICE MUST COMPLY WITH HOME OCCUPATION This individual has been i ror of any per quirements that pertain to this type of rusir ES AND REGULATIONS. FAILURE TO Authorized S nat r ** COMPLY MAY RESULT IN FINES. COMMENTS 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: .3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: of Town of Barnstable *Permit# �1052. q//.J2 a� s ; Regulatory Services Fee (� �$ P Thomas F.Gellert Director m Building Division ERMUT Tom Perry, Building Commissioner S EP 2 3 2005 200 Main Street;.Hyannis,MA 02601 Office: 508-862-4038 _ TOWN OF$'�RNST,q®LE Fax: 508-790-6230 t EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not.Valid without Red X:Press Imprint ipfparcel Number /�;� �2.=N� CP �perty Address Z-Ce,-,ST �< Inc, Ga 6 G i KLesidential Value of Work ` pl,!<Q d Minimum fee of•$25.00 for work under$6000.00 vner'sName&Address _.�S�� ► ta7 r11- S l Lac ,.T )ntractor_s_Na$e . Telephone Number Dme Improvement:Contractor License#(if applicable).. instruction Sup -(ervisor s License# if applicable . ' ]Workman's Compensation Insurance Check one: ❑ Larn a sole proprietor L" 1 athe Homeowner ❑ I have Worker's Compensation Insurance surance Company Name L-c rrr!, IiPT/�L 'orkman's Comp.Policy# opy of Insurance Compliance Certificate must be on file. :rmit R7P'e'roof ck box) (stripping old shingles) All construction debris will be taken to C/,n.05 to r ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum•44)• *Where required: Issuance of this•permit does not exempt compliance with other town department regulations,i.e,Historic.Conservation,etc, ***Note: Properly Owner roust sign Property Owner Letter of Permission. Home Improvement Contractors License is required. i gnature Facma:expmtrg evise063004 f The Commonwealth of Massachusetts ' Department of friduSs al Accidents ' Office.of Investigations 600 Washington Street Boston,MA 02111' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers ADDlicant Information Please Print Legibly Name (Businessiorpnizationanavidual) Address. I S I bo*c c e S,- .City/State/Zip':/State/Zip: `lGt wit oa6v 1 Phone . ty . Are you an.employer? Check the'appropriate box:. ;Type of project(required): 4. ❑ I am a general contractor and I 6, New construction am a lover with ❑ 1 ❑ Z have hired the sub-contractors 7. ❑ Remodeling employees (in part-time).* # attached sheet proprietor or mlaer- listed•on the 2.❑ I am a sole prop P 8 � • Demolition esesut-contractors have � ❑ • ship and have no employees These workers'owg forme in any capacity. comp.insurance. g, ❑ Bufiding addition [No work6& comp.insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or.additions ,,�equired] officers have exercised their t of ex lion er MGL 1'1.❑ Plumbing repairs or additions 3.�y,I am a homeowner doi_tlg all.work . P c. 152,§1(4),and we have no.. 12.❑ Roof repairs myself:[No workers comp. employees. [No workers r Hired. t 13:❑ Other ' prance ] comp.insurance required_] #.any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy iaformation t Homeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit anew affidavit indicating such tcontractoma that check this box must attached ea additional sheet showing the name of the sub-cunt%Lt m and their workew-comp.pdUcyWormatim I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. Insurance.Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: - City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). Fame to,secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a fine up to$1400,.00 and/or one-year imprisomnent, 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 to forwarded to.the Office of Investigations of the DIA for insurance coverage verification. � I do hereby certify under thepains andpenaldes ofperjury that the 1nformationprovided above Is true and correct. Signature: Date:. Phone-". O,�cial use only. Do not write in this area,to be completed by city,or town official City or Town: Permirt/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#: Information and Instructions :1 etts General Laws chapt er 152 r uires all employers to provide workers' compensation for their employees. Massachus person in me servile of another under any contract of hire, Pursuant to this statute, an employee is defined as"...every express or implied,oral or written." or two or more artaeg14 association, gWporation or other legal e�ltitjv, aaY An employer is defined aS`: iaclivii13�a1,•:P � to�er,or the of the foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased emp y partnership, association or other legal entity, employing employees' govteyer:tle receiver or trustee of an individual,p ant of the owner of a dwelling house having not more than three apartments and who resides therein,or.the occupant dwelling house of another who employs persons to do maintenance, construction or repair woikbn such dweIlTng house or on the grounds or building appurtenant shall not because of such employment deemed to be an employer." MGL chapter 152, §25C(6)`also states that"every.state;or local licensing agency shall withhold the issuance or al of a license or pew to operate a business or to construct buildings in the commonwealth for any renew produced acceptable evidence'of compliance with the insurance coverage required." applicant who has not p its-political subdivisions shall Additionally,MGL chapter 152, §25C(�states `Neither the commonwealth nor any of zts'p • :enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance Tegmements of this chapter have been presented to the contracting authority." Appll�ts : • .. checking the boxes that apply to Your situation and,if. Flease fill out the workers' compensation affia�s Viand hone numbers) along with,their certificates)of _ acto s names a ( ) P ess supply sub contr r() ( ) with no employees other than-the nec azY� ��(LLC)or Limited Liability Partiaershrps(L•LP) insurance. Limited Liability Comp _ LLC or LLP does members or partners, are not required to carry stork s'6omp maybe submitted to the Department ande. If an of Industrial employees, a.policy is requued. Bence Accidents for confirmation of insurance coverage.. r thelso bee�t or licenses being requested, not the Department of should t b e returned to the city or town that the application for p Industrial Accidents. Should you have any questions regarding the law or if you are required to olitam a wo=ke�' compensation Policy,please call the Department at the number listed below.. Self-insured companies should eaUrtheir self-insurance license number on the appropnate line. City or Town Officials hebotto Please be sere that the affidavit is complete and printed legibly. The Department0 has °vided a space you regarding the aPPlicanm of the affidavit for you to fill out in the event the Office of Investigations has Y licant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an app mail le permit/license applications in any given year,need only submit one affidavit indicating current that moist submi trPapplicant should write"all locations in_(city or policy information(if necessary)and under"Job Site Address"or� ed b the city or town may be provided to the tom)."A copy of 1he•affidavit that has been officially stamp Y tY applicant as p=oofthat a valid affidavit is ou.fno for;fature permitp•or-h6enses..Anew affidavitmastbe filled out each year,Where a home owner or citizen is obtaining a license or p ermit not related to any business�a�merm�venture Y ermit to bum leaves etc.)said person is NOT regwred to comp lete(ie. a dog license or p . • d hike to thank you in advance for your cooperation and should you have any questions, The Office ofInvestigalions woul please do not hesitate to give us a call. The Department's address,telephone and.faxnumber: The Commonwealth of Massachusetts . Iepax(ment o Industrial.Accidents Office q;f Investigataoms f' bOQ•Washingfon Street V MA 02.111 ' Tel. #617-727-4900 ext 406 or•1-877 MASSAFE Fax#617-727-7749 Revised 5-2645 www,mass.gov/din