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0169 MEGAN ROAD
gg ? YOU WISH TO OPEN A BUSINESS? J 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,.1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. e , r, sr� , DATE: i I�G �dvlk( Fill in please: APPLICANT'S YOUR NAME/S: C-- Z f- `N C urn. BUSINESS YOUR HOME ADDRESS: G °� , �C F�ca r.i t21 1� �I a N r�, 0�)601 TELEPHONE # Home Telephone Number rl::�b �'— NAME:OF CORPORATION: r;' d NAME OF NEW BUSINESS.. TYPE OF BUSINESS C r7(V � rV IS THIS;A HOME OCCUPATIONS YES., NO 2 ADDRESS OF BUSINESS' MAP/PARCEL.NUMBER .r\ �.cN [Asses 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 COMER'S OFFIC MUST COMPLY WITH HOME OCCUPATION This individu I hd n inf. of n ermit requirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO hQrized n re**; COMPLY MAY RESULT IN FINES. O MENTS: 9 t 2. BOARD O HEAL H 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 Regulatory Services Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 5 Permit#: HOME OCCUPATION REGISTRATION Date:zo f I L� Name: FS's R C� 9-r� Phone#:L Address:_ Village: Name of Business:_ ("r�7 C r\ Type of Business: J C- r�:, r 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: •1 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 unders' rread and agree with the above restrictions for my home occupation I am registering. Applicant: \ r Date:_`Zp/0'1/ { Homeoc.doc Rev.103113 Cl Assessor's map and lot number ...02.19 SEPTIC SYSTEM MUST BE I N'STALLED IN COMPLIANCE Sewage Permit number -' �y Y'VIT;-I ARTICLE II STATE ............. .............................. ......... ... SX-NTAiRy CODE AND TOWNS yofTNETo� TOWN OF BAnN XHLE Z BAWST"L$ i ""a .e� - BUILDING INSPECTOR O'FD m APPLICATION FOR PERMIT TO ..I(� .................................................................................................. TYPEOF CONSTRUCTION ........ ...... .... ..... t! "`...................................................................... .../. .........197 TO THE INSPECTOR OF BUILDINGS: The undersign e her by applies for a permit according to the following information: �s d Location .... :....... ...........�............ .... ............ ..........:......w... ..... ProposedUse ..... ......."jw/z ......................................... ....................... e .................................. ZoningDistrict ... .... ........�..`.�...........................................Fire District ........��oJ✓d.C.................................... ` � �� /,,z . . Name of Owner LeVI�� �,rl :......Address ........ y ... ................................................... 1. Nameof Builder .....1..`..........................................................Address .................................................................................... ,f Nameof Architect ...................................... ........................Address ............../....................................................................... Numberof Rooms ........................................................Foundation ...�.5�.. ............................................................. Exterior ...... .�Y,... ..............................,.Roofing Floors ......................Interior ....../........................................................................ Heating , .......... ..... .................................Plumbing ...........Z_":....:........................................................ Fireplace Approximate Cost ......." .. ....�-?1-�......................................../.../....................................... Definitive Plan Approved by Planning Board _________19_7__Z Area 1. .... °.....: Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH fJS. 7 0 e� KI, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ . ...... .. .............. ..�f�� / ............... ... Dacey, William E. Jr. I I. 16818 one o a No .......:........ Permit for .. single family d� 11' g �Legan Road - � tion l.. Loca � H...annis...................................... Owner ...............William E. Dacey, Jr. / yr .. Type of Construction .............frame.................. sr" % t ,.• .. +# lee ................................................................................ Plot .. Lot ..............#..8........... r December. 73 Permit Granted ................... , .. �•, r _ f'o f r Date of Inspection ....... ..�� ...''""' 9 Date Completed ........ # PERMIT ItEPIJSE® ,, i '~19 f, ..................................................... ...... �....+.� .... ................... ,d f1000 ......................................................... ................................................. .................... { le .. ...................... ........... Approved ........... 19 ............................................................................... ..................... ...................................................ti. J a' .j� Town of.Barnstablez:, I *) ermad 3 O,^ Expires 6 montJis from issue date Regulatory Services Fee 5� Mass.1639. Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 QU i 3 2003 Office: 508-862-4038 Fax: 508-750-6230 �IIIVIV OF �ARI".9uTA�L EXPRESS PERMIT APPLICATION - RESIDENTIAL O Y Not Valid without Red X-Press Imprint Map/parcel Number ' 2 Property Address (:/ / ' " NI V k)v P7 ne esidential Value of Work OL Owner's.Name&Address. Lev m.1 16r -z'1 Contractor's.Name rpP/ E �h r b(a Telephone.Number ✓" 70 ✓/ Home Improvement Contractor License#(if applicable) /0960+4 Z� Construction Supervisor's.License.#(if applicable) 7L,Zq q I ❑Workman's.Compensation Insurance Ch one: [' I am a sole proprietor ❑ I am the Homeowner ❑. I have Worker's.Compensation Insurance. Insurance Company Name � � �"� � Workman's Comp.Policy# Al 411 / 0 6 3 '1 Zo? 19 Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑;Replacement e Windows. U-Value a (maximum.44) s . *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. Ho a Impr a Contrac rs License is required. Signature � "/Y Q:Fonns:expmtrg Revised121901 d 9 PROJECT; VENEZIANO AUGUST 5, 2003 PAGE 5 OF 5 PAYMENT SCHEDULE; ® ACCEPTANCE OF THIS PROJECT ESTIMATE IS TO BE FORWARDED TO MICHAEL SHAMBERG WITH A SIGNED COPY AND A DEPOSIT OF $ 125.00 (ONE HUNDRED TWENTY FIVE DOLLARS) TO SEAL CONTRACT AND OBTAIN THE PERMITS • A SECOND DEPOSIT OF $ 2,413.00 (TWENTY FOUR HUNDRED THIRTEEN DOLLARS)FOR SPECIAL ORDER DEPOSIT TO ORDER THE STOCK. • A FILIAL PAYMENT OF $ 1,500.00 (FIFTEEN HUNDRED DOLLARS) AFTER WINDOWS INSTALLED AND THE IS JOB COMPLETED. THANK YOU FOR THE OPPORTUNITY TO BID FOR YOUR PROJECT. MICH '' L SHANMERG dba DATE M.S. CONSTRUCTION NEZIANO owner DATE 69 MEGAN RO HYANNIS, MA 02601 z,74, 3i/IYz:6'Iz1U6CG R:r nab ( Board of Building Regulations and Standards 1' HOME IMPROVEMENT CONTRACTOR Registra6n: 105626 k' Expiration: 7.120/2004 ype: `SBA M.S.CONSTRU&iON; . Michael Shamberg 23.Lane Rd j Oennisport,MA 02.639 , r a / {�dYIZYlzdYsY[6FGu✓(G�IdSRCdz6Pd j BOARD OF BU1LDIRIG REGULATIONS.,. ''i i License. CONSTRUCTION SUPERVISOR Number CS 044229 ' + Birthdatet 05l06/1958 t a Expires-.05l06/2t)04 Tr:no: 21652 . a ReMricted 00 MICHAEL D SHAMBERG` 23 LANE RD DENNISPORT, MA 02639 Administrator i v THIS CERTI IS ISSUED ASAMAT FICATE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Crocker Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Yr Hollow Rd. INSURERS AFFORDING COVERAGE x4 MA 02653 508-255-3212 F , INSURER A: American States Insurance Co. INSURER B AIM Mutual Insurance Com an Michael Shamberg j INSURER C_ DBA M. S. Construction INSURERD: 23 Lane Road IE: Dennisport MA 02639 INSURER 1 COVERAGES SURED THE POLICIES OF INSURANCE LISTED STEDITBIEL OF ANY CONTRACT OR OTHER IDOCUMENT WITH REESPECT TO WHICH(THIS CEIRTIIFICATE MAY BE OD INDICATED. ISSUEDOR DING ANY REQUIREMENT, MAY PERTAIN,THE INSURANCE AFFORDED BY VF BEcN RIEDIpCED By PDI HEREIN IS D CLAIMS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH LIMITS POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE POUCY EFFECTIVE POLTEYMM/DD N 4 DATE MMlDDIY'! DATE OO INSRI POLICY NUMBER f EACH OCCURRENCE $ SOOO LTR TYPE OF INSURANCEf ` GENERALLIABILITY 08/29/0.3 i 08/29I04 FIRE one fire j 5 200000 A �jX(COMMERCIAL GENERAL LIABILITY O1CC86352230 pIEpEXp(Anyonepeson) a lOOOO I r—� CLAIMS MADE ^I OCCUR PERSONAL&ADV INJURY $ 500000 TE 5 1000000 X I P—Prod/CompOPS Inc GENERAL AGGREGA PRODUCTS-COMP/OPAGG $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY II JECT 1 I LOC COMBINED SINGLE LIMIT $ (Ea accident). AUTOMOBILE LIABILITY ANY AUTO .BODILY INJURY , $ ALL OWNED DAUTOS _ (Per oe scn) _ ... ALL ONNED 'AUTOS ... .. _..,. .. ..BODILY INJURY ._ . __�..... ._. ._.. ... ` L.$. I (Per accident) HIRED AUTOS NON-OWNED AUTOS I I PROPERTY DAMAGE $ (Per accident) f AUTO ONLY-EA ACCIDENT `$ OTHi I f . ( EA ACC $ GARAGE LIABILITY {4lI I AUTO THAN ONLY: AGG`$ ANY AUTO AUTO EACH OCCURRENCE �$ EXCESS LIABILITY j AGGREGATE $ OCCUR CLAIMS MADE ff Tg DEDUCTIBLE f RETENTION $ _ _ _ - TORYLIMITSC ER WORKEERSCOMPENSATiONAND . 12/b2/02 12/02/03 EL EACHACCIDE.NT $ 100000 r, B EMPLOYERS'LIABILITY" AWC7003880012002 E.L.DISEASE-EAEMPLQYE $ 100000 E.L.DISEASE-FOLICYUMIT I$ 500000 `d OTHER a NtISPECIALPROVISIONS DESCRIPTION OF OPERATIONS�LOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEME Carpentry - Interior F - CANCELLATION CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER:7GF- HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BtEFf�ORE THE EXPIRATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITOTICE TO THE CERTIFICATE HOLDER NAMED TO THELEFT,BU7 FAfLURE TO DO SO SHALT Angelo VeneZlanO MPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 26 Brewster Road REPRESENTATIVES, Medford MA 02155 AUTHORIZEDREPRESENTAT1 E ©ACORD CORPORATION 198E ACORD 25-S(7/97)