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Home My WebLink About0164 LOCUST STREET Sa-, r Oda" Dommelft- ®a�wnsr�arisod ew�s+�v�wwr 9tot0ioo I �� evrtrotsns vsn rti�ww ZZ LZ L-ANn AM III ' i ��i Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 8I 19 Map �I y Parcel I Applicant Information Applicants Name 1\x V 1()S Applicants Address 1 t� C )')� >+ PlinAiW.Tmail Address +. N eq Telephone Number 5ca. 360 2'3 a� Listed ❑ Unlisted ❑ Z 00 a W Business Information Z) Cr U J O LL W New Business? Yes No WZ_ ---------------------------------------- to u O O Z Z Business is a registered corporation? ________________________. Yes No 3:0 — If yes Name of Corporation 3 y W Does business operate under the registered corporate name? Yes No zIs the business a sole proprietorship or home occupation? _________ es No If yes then a Home Occupation Registration is required—See Building Division Staff iiu 3 U Name of Business Ox`i 1S �I0_A Lj i,n c 5e Y'". Cri S ACLU t , Business Address 164 LOt��A S� ►ply c�m•�i� _ AM 0A0j Type of Business - _C_� Qq Aj i AA S e.r,_ki Ce S Bu'lding ommissioner Office Use Only Conditions r 1� r /•uh/' Building Commissioner Date a ,/ (,tip;( d Clerk Office Use Only r Town of Barnstable Building Department °FTHE r°h� Brian Florence,CBO Building Commissioner 1AENSUBLE, : 200 Main Street,Hyannis,MA 02601 Kass v i639. www.town.barnstable.ma.us ��TED MA'1 h Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: —m HOME OCCUPATION RIGISTRA.TION Date: o� Name: �C�i _ �/ _ _Phone#: 512-3 G a3 om Address: Village: Name of Business: Type of Business: �1o�z� i��n : tiR Map/Lot-so a k 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. • such use shall be met on the same lot containing the Customary Home Any need for parking generated by 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. • Customary Home Occupation who is not a permanent resident of the No person shall be employed in the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant:Homeoc.doc Rev.10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel a 13 Application # rQ�f� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 11� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 14 L 6 S jTet4 Village Q Ain 15 Owner Ve.Ioso Address S.aM-� Telephone Sob 3 6 b X3 b :1- Permit Request Add �9 4 A� (Z-�O � ��oSC -}-o -}�e_ `ic• r sea) Ae ` Dlue a13A blvemen+ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 15M Construction Type 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 ❑ Other 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: :z Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review Current Use Proposed UseJ r� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) I , , Name V�l� 6 ..8 /Co-ne, ewe 16C- Telephone Number _�Qg 398 03 Qk Address [ WA44k+oo I"tve License # �� 08� S. If 01r(ft �'4'h R b ��i6 Home Improvement Contractor# t_11 3$ D Email Worker's Compensation # WW(-31 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE L 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION i FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. L HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. r ► I 1 ja�10 D hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: 1 S / ,2.; The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to Housing Assistance Corporation the properly with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) Home Owner email: V Plu-C(7" 5 Agent:(Signature) Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy ron ier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 wwn.mas&gov/dia iV'orkers'Compensation.Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY.. Applicant Information Please Print Legibly Name(Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 0266.4 phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1:✓ I 0 am a employer with.20 employees(full and/orpart-time):* 7. [:]New construction 2. I am a sole proprietor or partnership and have no employees working;forme in 8. E]Remodeling any capacity.(No workers'comp.insurance required.] 3.n I am a homeowner doing all.work myself.[No workers'comp..insurance required.]:t 9. D Demolition 4:n I am a homeowner and will be hiringcontractors to conduct all work on m 100,Building addition y properly. I will ensure that all contractors either have workers'compensation insurance or are sole I Ln Electrical repairs or additions proprietors with no employees. 12.[]Plumbing.repairs or additions 5.®1 am a general contractor and I have hired the sub-contractors.listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.+ 13❑Roof.repairs 6.❑We are a corporation and its officers have exercised their right of exemption.per MGL c; 14.E]Other.lnsulation 152,§1(4),and we have:no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#I 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. *Contractors that check this box mustattached an additional sheet showing the name of the sub-contractors and state whether or.not those:;entities have. employees. If the sub-contractors have employees,they-must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. Insurance Company Name:Wesco Insurance Company Policy#or Self-ins.Lic.#:WWC3136274 Expiration Date:04/09/2016 Job Site Address:. 164 Locust Street City/State/Zip: Hyannis Attach a copy of the workers'compensation policy declaration page(showing the policy number and.expiration;date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violationpunishable by a fmc up to$I,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.A copy of this statement may be forwarded to the Office of Investigations.of the DIA:for insurance coverage verification. I do hereby certify under th pains and penalties of perjury that the information provided above is true and correct Signature: Date: 811/2015 Phone#:508-398-0398 Official.use only. Do not write in this area,to be completed by city qr 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.Plumbingl0spector 6.Other Contact Person:_ Phone#:- '� ACCTtiL3 rl Tk (MM)DD)YYYY} �... CERTIFICATE O L.IA8ILI'rY INSU�►NE /24/2Q15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS•UPON THE CERTIFICATE HOLDER. THIS CERMOMATE DOES:,NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED.BY`:THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CQNSTITIITE A CONTRACT BETWEEN THE ISSUING INSURER(S) AUTHORIZEDREPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER:. IMPORTANT. Rote sestf ¢ate holder Is an ADDITIONAL INSURED,the poNcy(tes)mttsl tre enalorsRd. U SUBROGATION`iS WAILED; subject to, the teens and conditions of the Policy,certain poitcies may require an endorsement. A statement on this certificate does not confer rights to the certificatebolder in.ieu of..such endorsement(s)4 PRODUCER. NAME: "Colleen Crowley Risk strategies Company eHDr� (781)986=4400 F 'X (701)963-4920 !C o 15 Pacella Park Drive - ccrowley@risk-strateges.coma Suite 240<,.. INSURERS)AFFORDING COVERAGE NAIC R dcsl�pt :ESA t32.3�13 INSURFAA:Se]ective •Ins, dl' erica INSURED .�. _. INSURERBAlI»xlC3 Flnancial'Allianoe 0212 Cape Save,, Inc INSURERC.WeSCO. Insurance_ an : 7 D Huntington Ave. . INSURER D INSURERE. . South YAiteuth Ili 02'664 INSURERF COVERAGES PER NUMBER:CL1532491-501 REVISION NUMBER` TFfiS iS TO G£RTVY T}FAT Tiff-P@LiC#ES`t3f fNStiRANCE LfSTEO BELOW HAVE 3fEN'ISSED'TOYfE-iSC •IqJ M" DAB €"FOR' iNQiCATED. MOCVfTi3iRD IG AYREQ (RETENT,TRM OR Cb TNE`POLICY"PEATOiWIT11O OF A14Y CONTRACT OR,OTHER DOCUMENT WITH.RESPECT"1O WTiICH fHfS CERCIFICATE`MAY BE:;ISSUED.OR MAY PERTAIN,THE INSURANCE,AFFORDED BY THE POLICIES DESCRIBED:HEREIN:IS SUBJECT TO ALL THE TERMS, EXCLUSIONS-AND CONDIT(ONS'OF SUCH;;POLICIES.LI#dUTS`SHOWN MAY HAVE BEEN REDUCED BYPAID:CLAIMS: INSR T1'PEOFINSURANCEa D S POLICYEFF POLICYEXP. POUCYNUMBER IDD MIOD LIMITS GENERAL LIABILITY ' EACH OCOURRENCE' $ i,D00,000 X. COMMERCWl'GENERALLIA6ILITY ETO RENTED PREMISES Ea occurrence ffi 100,000 P+ CU IMS MADE-a OCCUR 51994496 0/16/2014 0/16/2015 MEO EYP n) 10,000 - (Any oneperso g PERSONAL:&ADV INJURY I,QQO,00U GENERAL AGGREGATE $ 2;OOO,000. GEN'L AGGREGATE LIMB APPLIES PER PRODUCTS:-COMPlOP AGG $ Z,DQO,000 POLICY X PRO- X LOC. AUTOMOBn E'LIte1L>Tir Ea ccident ) 1,000,000 ANY AUTO $ BODILY INJURY(Per:Rerson) $ .. ALL OWNED SCHEDULED BODILY INJURY(Pei accident) $ AUTOS AUTOS £39660Q 1/6/201C. 1/6/2015 X` H(REDAUTOS : NOI:4J,Y�f EII QerOPtTYDAiNAti€ AUTOS X UMBRELt A LIAt3 ' X OCCUR EACH OCCURRENCE $ 1,OOO,000 A EXCES9CIAB CLAIMS*iADE AGGREGATE $ 1,000,000 DE og NTION Ilz i994480 o/16/2014 10115 2915 4VORKERSCQt>7PEN5ATtON ffseeY Isclticied for v�csrAru rH_ AND EMPLOYERS'LIAPILITY Y l,N X ANY PROPRIETORIPARTNERIEXECUI{ overage OFFICER/MEMBEREICLILIDED7 ® N!A EL.EACH ACCIDENT $ 500,000 (Mandatory In NH) 136274 /9/201-6 4/S9/2D15 E.L.DISEASE-E4 EMPLOYE Ifyes,describe under t DESCRIPTION.OFOPERATIONSbetow EIL.DISEASE-POLICY LIMIT $' : 500 00'0 DESCRfPTtON OF OPERATIONS)LOCATIONS t VEHICLES(Attach ACORD:109,Addl amd Remar6 Schedule,if,more space is required] Issued as evidence of =nsurance. _„ Thielseh Engineering, Inc. is listed as additional insured as respects=.General Liabilat�r as required•.by writtess tract. CERTIFICATE HOLDER CANCELLATION ? glaG'ape] g]st,r'QDlpact" g sFIOULD ANY OFTHE AS*6VE DESt:RI8ED PbUCIb3`8E CAR►CELLED BEFORE THE El(PIRAriON DATE THEREOF, NOTICE wiLL SE DELIVERED IN. 'Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attns. Marga/ret Soag.. .. o3Q7f 4�7['3CK AUTHORizEDREPREsENrAnVE 3195: 1Kain Street Barnstable,- P"I�, D2630 chael Christiran/CLC. -- '==. ACCIRD=ZS{2D'I0105j Q I988 24'�I3 AC CORPORAM11. AII°€guts reseriTed. tNS025(zotoos).o1, The ACORD name and;#ogo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation y' Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM MCCLUSKEY # — 7-D HUNTINGTON AVENUE ' ry [ SOUTH YARMOUTH, MA 02664 - — ---- --- �!y 4oa Update Address and return card.Mark reason for change. SCA 1 % 20M-05/1 7 Address [] Renewal E] Employment Lost Card . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: -4171380 Type: Office of Consumer Affairs and Business Regulation — 10 Park Plaza-Suite 5170 Expiration = 3/14/2016. Corporation Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE- SOUTH YARMOUTH, MA 02664 Undersecretary Not valid`` rthout signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-102776 ' WILLIAM J MC�USKEX 37 NAUSET ROAD alp West Yarmouth 113A `TJ ''�s` Expiration Commissioner 06128/201:7