HomeMy WebLinkAbout0500 OCEAN STREET (4) �'(�D Dcec-n S ;
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 permissio 'to operate.) You must t rst obtain the necessary signat.ureS on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Maid St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by laws.
DATE: r6Sl Fill in lease:
APPLICANT'S YOUR NAME/S: l, n p BUSINESS YOUR HOME ADDRESS:
' TELEPHONE # Home Telephone NumbeK
NAME OF CORPORATION:
NAME OF'NEW BUSINESS TYPE OF BUSINESS
IS THIS A:HOME OCCUPATION? YES" NO
ADDRESS OIF BUSINESS C , MAP/PARCEL NUMBER (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 CO ISSIO ER'S OFFI MUST COMPLY WITH HOME OCCUPATION
This individ I h" e n inf y rm' r quirem nts that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO
COMPLY MAY RESULT IN FINES.
Aut,odize igqat re
MME
(f :i
2. BOARD 91F 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:
Est
Regulatory.Services
J
P� Thomas F.Geiler,Director
}
Building Division
t aAxxsx�t�,
X, 1MASS
Tom Perry,Building Commissioner
Mpt 200 Main Street, Hyannis,MA 02601
www.town,barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: �'�
Permit#:
HOME OCCUPATION REGISTRATION
Date: J s
Name: Phone#: .-,
Address: SC2� 02q- VnIlage: � Cl� ii S'
Name of Business:
1 _ f v
Type of Business: �Gt�hl`cc�To(� ,' Map/Lot:
E,F=: It is the intent of thus 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 discenible 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 u
After registration with the Building Inspector,a customary home occupation shall be pemnitted 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«2thin
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to die.dwelling which are not customary in residential buildings,and there is �e'�i�0✓k
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 die same lot containing the Customary Home
Occupation,and not within the required front yard.
e There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Custonn<ary 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 indicatiing 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 yr ho is not a permanent resident of the
dw unit.
I, the undersign ,have read and agree vvith.the above restrictions for my home occupation I am registering.
Applicant: Date; .3— 5` j
Honieoc.doc Rey.01/3/08
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
e
Map 3 Parcel 0-T�e d V V Permit#
Health Division Date Issued l f g4_VO
Conservation Division iz Fee y
Tax Collector . S(,
Treasur 0--
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
e ,
Project Street Address 500 064AAI ST LLTS) 1 LIAAl DO AJ I T-ooF
�g
Village H YA 4/A//S
Owner —/-#Ox/c Jr eL"/Afe- FOR,,? Address 3. Pg�FR RUAI 1QD A/®,CAS70PJ 1144U
Telephone PA-yT1A49 496- 91-oP PytFIVI 6109 —2-3o — _7L49
Permit Request V6Pi-kGE 'i wo kwly .. w iypows ' /-AID l Wo ALa/&4
() VA Y006 18�1 S,444E 5CEE-P 0PEN1nj6,c
!VA NO
Square feet: 1st floor: existing proposedSI44 9nd floor: existing proposed C�3 Total new
Valuation /'D6 -Zoning District Flood Plain Groundwater Overlay
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 ZNo On Old King's Highway: ❑Yes U/No
Basement Type: ❑Full . N Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new 0 - Half: existing / new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new ® First Floor Room Count 3
Heat Type and Fuel: ❑Gas ❑Oil 26ectric ❑Other
Central Air: ❑Yes N/No Fireplaces: Existing New f, Existing wood/coal stove: ❑Yes V No�
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
n BUILDER INFORMATION'
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE ��/�e
i FOR OFFICIAL USE ONLY
' r
PEWIT NO. -
DATE ISSUED
` MAP/PARCEL NO.
ADDRESS " VILLAGE ;
OWNER
DATE OF INSPECTION'S
FOUNDATION -;
FRAME ,
INSULATION ,
FIREPLACE -
ELECTRICAL: ROUGH / FINAL s•
r
PLUMBING: ROUGH FINAL -
GAS: ROUGH FINAL'
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. ..
------ __ The Commonwealth of Massachusetts
Department of Industrial Accidents
A:�—�" '=-_� Olf�ca oflo�estigat�aQs
600 Washington Street
yr Boston,Mass. 02111
Workers' Co m ensation Insurance Affidavit
��������������,/i;%<.
�'r,�;.�as Ford
nary e /� L n
location: 000t'n S+ 0o 17 4`7
ci r I QYJVI hone# 00 ,7 0 27�
I am a ameowner performing all work myself.
I am a sole�rourietor and have no one working in any ca achy «:
C I am an employer providing workers' compensation for my employees tivarkang on this job.
comoanv name:
address: ;- >;>.::•:.....
av
insurance cn.
/ //%/%%//%/
I am a sole proprietor,general contractor, o homeowner(circle one)and have hired the contractors kilted below whc
have
the ioilo«1ng workers' compensation polices: >:.:::::;::::
comnanv name:
...,..::,...
address:
.............
:•..::. .
.:....... .................:........................
insurance cn. / // %///./r�ri•
/ //fir/ ......:;;.;:..;;.::..:;:::.;;;:�::•-,•.;:::c;:<•:,:.:::.>:-::,:.:;•>;::;:.::.;::::>:;>;:c::•;:•;::::.;•::.::;.::;;;::;.:�;::<:»:«<:»>:»:�;:»:>:>;: :.:._:
......,:.......
ca mnan ::.
address:
hone wi
�^
insvrnnce co.
�%/
;� ... n of criminal enalties of a tine tip to 51�00.00 and/or
Failure to secure coverage as required tinder Section 25A of MGL 152 can lead to the imposition p
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me- I understand that a
copy of this statement may be forwarded to the once of Investigations of the DIA for coverage veei8eadoa
I do hereby cerri der the p d p allies of perjury that the information provided above is trap and correct
Date 3l
Signature -
Print name
�bM' s A F-0-2 Phone# 509 -TW
4�, uc;:ruse only do not write in this area to be completed by city or town official
petmitNcense# ❑Building Department
city or town: ❑Licensing Boatel
- ❑Sdecanen's OfHcr
rl check if Immediate response is required ❑Realth Department
contact person:
phone 0; Other
.z
Information and Instructions
' compensation for
Massachusetts General Laws chapter 152 section 25 requires all employers to provide
n the service workers another under any h='
" to ee is defined as every person
employees. As quoted from the `law ,an MP Y
of hire, express or implied, oral or written. F
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more o
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec„�ii e:
or other
trustee of an individual,partnership,association legal entitY� employing employees. However the owner of a
dwelling house having not more than,three apartments who resides therein, or the occupant of the dwelling house of
another who employs personsto do maims, won or repair work an such dwelling house or on the grounns c
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renes
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h:
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contrast for the performance of public work urit�
acceptable evidence of compliance with the insurance regnirema= of this chapter have been presented to the co .z
authority.
x
Applicants
completely, checkingthe box that applies to your situation and
Please fill in the workers' compensation affidavit comp Y�b3'
and home numbers along with a certificate of insurance as all affidavits maybe
supplying company names,address p sign and
+t � ���,coaufiimation of insurance coverage. Also be sure to si
p submitted to the D arttaeat of Industrial
or license
'���. date the affidavit. The affidavit should be reauned to the�or town that the application for the permit a is
3 Accidents. Should you,have my questions regarding the"law"or if yc
. being requested,not the Departrrueat of Industrial
ion policy,Please roll the Department at the number listed below.
are required to obtain a workers' compensat
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of t
affidavit for you to fill out in the event the Office of has to contact you regarding the applicant Please
be sure to fill in the peiniitllicense rmmber which will be used as a reference number. The affidavits may be retumea to
the Department by mail or FAX unless other Pnft have been made.
The Office of Investigations would Like to thank you in adv==for you cooperation and should you have any questions.
please do not hesitate to give us a call.
ro,
The Department's address,telephone and fax number.
- The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Imlesduations
600 Washington Street _
Boston;Ma. 02111 .
fax#: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
°F 1HE
The Town of Barnstable
snxxsrasc.E.
9�A i6 9 �m� Regulatory Services
rED MA't a Thomas F. Geiler, Director
Building Division
Ralph Crossen, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
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
- 7 building=containing-at-4-east-one but:.=not_more._than four-dwelling unitsor to structures which are adjacent to
such residence-or building.be done by registered contractors,with certain exceptions,along with other
requirements. n
Type of Work: kQOldCe/NP,GL 6f 1�I�bWS't r��0 P66t3 Estimated Cost bb 6
- - ... Address-of Work: O b OGQG�IA S � f�1 Vl 1� "I �/Gf V�VI i S
Owner's Name: rD�-d
- -- ------- - •Date of Application:
/ON 17,1600
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Jcb Under$1,000
[]Building not owner-occupied
[Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR-OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
- --�---nACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forcis:Affidav
01/13/1995 04:00 918028624926 PAGE 02
�. . • The Town of Barnstable
Regulatory Services
Building Division
36'Maim Stmet,Hyannis MA 02601
Office: 508-8624038 Fax; 508- 90-6230
I10MEOwlvlERLILTXSEEXE "10.4
JOB LOCATION- , 00 O CQQK J .- Vl t'� q 14 Lq✓,wt l s
oiurippr ----. SVrN villaple
°'")M90wr-x-: Th amas Ford Sob-23d-27gg -79 1-LD: 73 13
tesnre �J, how phone# warp phanr-#
-1J?-ItrATMAiLINOADDRESS: ✓ Vety-SUALL4
No . E{-o 0 Maw 0735 t
city/Unm state sip code
The eurreI1t Cxt:nTfi0z1 for 110mcowners"was cxtended to i uClude nwnrr.nr.`+..+;.a.1'.■art��-�� =-
01 IZa,aiad ro allow honwow rawmn to engage an individual for him.whu does not passe Is a lic:enw,, rroov_ided
!fit tht o`vaet acts ms tlut]stv:isor.
-� DEnNITION OF 116.WOWN1ER
P9rl*n(8)ewho awns a parcel of land on whiub he/ylte I VS-des a.,;intends to reside,On wh;,ch there is,or is
intel]ded pt be,a one w two-family dwalling,attached or detached structures accessory to such use:idlor
farm stsuclUm. A pemon who cozu;tructs more than one home in a two-year period shall not be can;=idered
a homeowar. Such"homeolatler"shall submit to the Building Official on a form acceptable to the
Building Mcial,that he/she$hail bye responsible for all such work performed under the buildinrer�it.
(Section 109.1,1) -- -
JU mndenigned"1>ormnw.1e;.^ vv; ;ib,;,;� £or compiia=e with the:hate Building Code and
Other applicable codes,bylaws,roles.and r:gulatiaus.
T:te undersigrzed"h�nneowser"ee,t2- ftt.s that he/she unclers uds tote Tow a of liaragtab1!e Building
ncps t» um;nsp _.. .,cedar,s and requirement;;and that he;she will comply with said
procedu. d require um*.
.Sip"ire of Hoeteewhft —
Approval of&uidiag OHtoisl —
Nots, lbve.faanily dwellings contAiming 1500-abic gam. --- 3l
. , ...stir wu,iic required to comply
with the State Buildiq,Code Section I27.0 Cortstruction Conftl,
HOMEOWNER'S 1xBMlTt0N
The Codc splten that. "-any hoteowner peJ1brndr11 wOrlt for whit!,a b6lding permit is required shall be exempt:.'.otn the
Provisions of this aection(Section 104.1.1-Licensing of aons'ruetion Sopervisoa4i provided that if the homeowner en¢ages a
,nrson(s)for hire to do slush wot'k.That such tae,nud �. :ya,': I as sNycrvis,;*.::
Mans h& M-wnm who rat this eacrt{ption we unawam that they are UALkfnine the AMendix 0, rcs�pnaik:l:�:.e d(::e .,fir(seC
R„t,6 v.�-+ --- -. .
eW-""��.�Ligmsing Construction SuperAion,Set On 2.115) Thia lack afaw^nness often results in
serious prgblotmi,particularly when the homeowner MO tmlicensed persons. In this case,ow,Board cannot proceed attains)the
U11hor;nsad pemn as it wOutd with a lignaed Suptsrvlste. The homeowuycir acting 3s gupewv;sor is ultimawy msponsibie.
'•i`ataur►IhattltiE homegun..+to A,il•.- .ea.: - -
«.-.«...,.w�eur r6sp0nc1 'Allen,marry eame--tultitieS require,as pan',of the permit
applieaffim,that the homm rater rrrtify dW hcA;hc undentan&;the regxx"ibitities of a Supetn,isor. Cent the list page of this issue is a
A—ow+'ently used by s vonal wwns, Y'ola may care t auoend and adopt such a,forrniontiftcation for use in your community.
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