HomeMy WebLinkAbout3512 MAIN ST./RTE 6A(BARN.) YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$30.00 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.) Business Certificates are available at the Town Clerk's Office, 11'FL.,367.
Main Street, Hyannis,MA 02601 (Town Hall)
DATE:
Fill in please:
APPLICANT'S YOUR NAME:lvlC_/ot2
BUSINESS YOUR HOME ADDRESS:eFJ/a /VA/I7 ,677 -2
TELEPHONE # Home Telephone Number 7
NAME OF NEW BUSINESS r`LArjrc // t A/�d s Z//� TYPS OF'BUSINESS GAIT S�S,v9i4Y� d� //
IS THIS A HOME OCCUPATION? SNO
Have you been given approval from the building divisio '� Y S NO A
ADDRESS OF BUSINESS 31/�ice. s'� 1�J4' ^�'��MAP/PARCEL'NUMBER
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 F
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 FFICE
This individual.has been info r ed of any mit requirements that pertain to this type of business.
Authorized n ure*
COMMENTS: U-A 4-fL Zon' f °,r nt
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( CE ING AUT ORII�
This individual has orm of he I' a acquirements at pertain to this type of business.
�.....
Authorized Signature*
COMMENTS:
F
oFsr+�tow Town Of.Barnstable *Permit# 0
ti
Expires 6 months from WiT
RARNSzABM _ Regulatory ServicesMASS �-PRESS P
1639. � Thomas F.Geiler,Director
m
AlED MA'S p
Building Division JAH 3 0 2006
^ Tom Perry, Building Commissioner T®\N OFgARNSTABLE
200 Main Street, Hyannis,-MA 02601
Office: 508-862-4038
Fax: 508-790 6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-.Press Imprint
.p/parcel Number 3 —7 Oq 1 003
)pertyAddress 35la It1AIlJ
Residential Value of Work 4 3,b 13. �-
s� Minimum fee of$25.00 for work under$6000.00
mer's Name&Address 35 , a A:�4 :ST UNIT .2.
2Mt SS-TAe-L-F- 01 A 02JOO
ntractor's Name_ CFQ t''E t-t%'. �i�tl +� Telephone Numbez_ �1 7�j �(Zei 1 }
me Improvement Contractor License#(if applicable)
nstruction Supervisor's License#(if applicable) l A
s
Workman's Compensation Insurance
Check one:
I am a sole.proprietor
the Homeowner
I have Worker's Compensation Insurance
urance Company Name i►Z A L Tr4 U a,a 1,j C
akman's Comp.Policy .�-
py of Insurance Compliance Certificate must be on file.
mit 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)
❑ Re-side 22
Replacement Windows. U-Value ® J0 (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc.
*** ote. Property Owner must sign Property Owner Letter,of Permission.
Ho p v meat Contractors License is required.
\afore
Town of B arnstable ,
pf.�ne rog�
Reguxatoxy Services
.,� Thomas F.Geiler,'DIreCtar
' Buildia�gDivision
TcmPerry, $aftgCommissioner
' - 200 Maio Street, Hya�•�:MA U2601 . .
• • • .-• �.tai�n.barnstablema.us --
Fax; 508-790-6230
pffice: 508=86y4038
- Property C�waer Must --
--- ..complete and Sign This Section if Using A.Builder
• ' �4� . C�Htom® - ,ss der of the subject property
to act on mybebalf;
hereby authorize L L tion for
•matters relative to work authorized bytU buncUng permit apphca ---
���2 M�1� Ste- `�,�2�s-,a(3�� - •. __. - - -
Date
�rintNan
`` .- &mmowaieaa
yam' • 6
Board of Building Regul ions and Standards
One Ashburton-Place - Room 1301
Boston. Ma s. chusetts 02108
Home Improveme`/. {�� tractor Re istra i t on
^ C_ — Registration: 135174
Type: DBA
,a Expiration: 3/11/2006
ALL CAPE ALUMINUM
BEN MACPHERSON i -
192 IYANOUGH RD. = ,I
HYANNIS, MA 02601
Update Address and return card. Mark reason for change.
oPs-CAI G soM-ouoa-oiotzts ❑ Address Renewal Employment 71. Lost Card
��ie �arnmwvu�ea:C!/ o�,/�aaaac�ivaelta
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 135174 Board of Building Regulations and Standards
Expirations /1 1/2006 One Ashburton Place Rm 1301
Type. rDBA
Boston,Ma.02108
ALL CAPE ALUMINUM :.J _"
BEN MACPHERSON _
192 IYANOUGH RD.
HYANNIS,MA 02601' Administrator Not valid without-signature
1
~ ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
• i /� q
Map_ G. Parcel ®�P Permit#
Health Division Date Issued
Conservation Division s' 9 O.a, Fee 6�
Tax Collector
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address J-5-1a mw L)Ail r2..)
Village /l/
Owner 1<A)WAI �.0#/i/_'_VA Address
Telephone 6eAl
Permit Request /fVS17)-L/ / jCX rZ5,4!/6/�-, L-116< A1177-1 Wde)A5W S7j9P_5
1,1,5/11/6- XTX1_1 i7 tV'�r,_ W/Ar_Pd ' 0P4W1 n/G 9 /
0 C, Mv e_ -COd POD exce WQOa D <?,Aj S7 s
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Valuation V, V Zoning District Flood Plain Grounddater Ov y
o
Construction Type
CD
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting Qumentaf. -'I
Dwelling o`
Dwelling Type: Single Family j Two Family ❑ Multi-Family(#units)
Age of Existing Structure / `7 '7,� Historic House: ❑Yes ❑ No On Old King's Hig way: XWes fc-P No
Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) A661 Basement Unfinished Area(sq.ft) No��
Number of Baths: Full: existing 02, new Half: existing / new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing _J new First Floor Room Count
Heat Type and Fuel: M Gas ❑Oil AElectric ❑Other
Central Air: JXYes ❑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:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
' ®9'--3(c'g S C1f
BUILDER INFORMATION
Name �[ � �JlSVd Telephone Number 15391 91 816'
Address ogs M721 -:50 ppr--tv License# C 6 014-ZA
MAPSi W f✓I'iL.L_S, - (7Z( 'Ag- Home Improvement Contractor# 14:5-7. /
Worker's Compensation# �Plip_ g
ALL CONSTRUCTION DE IS ESULTING FROM THIS PROJECT WILL BETAKEN TO AM_4&1 P7C i 45M SX: AMU 5
SANPVVI CI- l �
SIGNATURE - DATE 7 �—
z
r
• FOR OFFICIAL USE ONLY '
R R
i
bPERMIT NO. ;
DATE ISSUED
',MAP/PARCEL NO.
i ADDRESS VILLAGE ' -OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
it
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
FINAL BUILDING f
r DATE CLOSED OUT`
ASSOCIATION PLAN NO.
5,
f'
s
-- The Commonwealth of Massachusetts
Department of Industrial Accidents
ANCO 81INVest/FOONs .
_ 600 Washington Street
Boston,lPIass. 02111
Workers' Comm ensation Insurance Affidavit
name: C•, ?-1-0WMr1J
location LAP 51A*F' r4 LJQ
city MAKSTD F m LLS, "+ DZL+ Dhone# Volg,,F599
❑ I am a homeowner performing all work myself.
❑ I am a sole r rietor and have no one working in an ca achy
////9/D///O�/EN
I am an employer providing workers'compensation for my employees working on this job.
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Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certi a pains enmities of perjury that the information provided above is true' 'and correct.
Signature `�' Date /•, ,
Print name L' . r-� Phone# 60T 4.2
official use only do not write in this area to be completed by city or town official
city or town: permit/license# QBuilding Department
❑Licensing Board
❑checkif immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(mviwd 9/95 PJA)
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BOARD.OF BUfWING REGUTAT�ONS
TION SUPERVISOR
r ►.icense ,GpNSTRUC
Number
Cs gJ4224
rx a s Birthdat p4j08►1'154
Tr.no: 21.65f
i " EicP ':041081�Z1
%itestr�cted 00�
JOHNDYSLIPPER
28 to= WIA 026'a r
MILLS, s",
i
MARSTQINS '.
dfTM° Town of Barnstable
' Regulatory Services
awss.�'a' Thomas F.Geller,Director
0'� �� Building Division -
Tom Perry,Building Commissioner
200 Main Street; Hyannis,MA 02601 .
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT•, - ._ . ,___ _M.r ._.� .��` ,
"HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION {
a r N= =
MGL c. 142A requires that the"reconstruction,'alter;bons;renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing aYleast onebut not more than four dwelling units or to structures which`are adjacent to rt
such residence or building be done by registered contractors,with certain exceptions,along with'other
re
q uirements.
Type of Work:I f(�,A Ll.— Estimated Cost
Ua D D D; 1
YVOODt;r( SrER5 S1NC�}`Exi6nn(6-�: 2sI-1�.HT
U wi^ a f FxR�c
Address of Work: r,f Z. Il iiMn( ST Si l T 8.42.r 'DZIo o
_Owner's'Name ' • t ..a 'kl Y��
16 .f,` ; €� �:P
L,
Date of Application. '
hereby certify"that �.
�t ,� .
Registration is not required for,th'e following reason(s):
[]Work excluded by law .. _. Ts.
�7ob Under$1,000.=
01. "> OBuildin not owner-occupied
p
g
DOwner,Pulling own permit
Notice is hereby that. _
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.. x
r SIGNED UNDER PENALTIES OF PERJURY
. 4
I hereby apply for a permit as the;agent of the r -7
_ r
Date
ontracOr Name
Registration No t
OR,:f -
a 4 Date f Owner's Name
it w ti .
O fonns.hormea 54w
............
• MlL MNlBOR
ur
PIP F
1�z 9J•Z5 42?•a9• I - �
Njg
br A,LAH K CHASE AND p'
U DAND P:!MOELLA.N.MUNSELL �T
LY J P.D.BOX 431 .
BARNSTABUE MA
026J0 ,z,,:'.: IACATION MAP
427.59• CIA" 9.t413iB 4<:�
"0117"N 1 .
JdM MARK THOMAIrPHYLLIS BECK
K�'1
»Zj �fatrir, i• .. Y eo IAMON ROAD
• I v_' 4 NETHRIAN,MA
p rar • �f 7'� 02194 a.;s NOTES:(1)OWNER RICHARD L TERRY
POLITE 2D .
_ P.0.BOX 560
1•s/ .°�y°!'•�$ a "MTuhSHPu-MASSACHUSETTS 0204D
y (2)suRVEYaIt RICHARD t H000,PLS
A•~ O tot>R L.C.rfAH Na • !
•� 17pm Oh 1 i) II ( I�^ "�f *,err:" J 21 NWICH. STREET
�/� I JOHN MARK 1HOMAS A' :.,''yv�c SANDWICH.MASSACHUSETTS 0238J
ry ce/pN/Ro 1 I z g PHYLLIS ffCK fL : ,�-..�•x - (3)LOpJS IS SHOW AS TAT 91,SHEET 317 ON THE
+= SB6'SSJO•W Comm"" aI B9 LAWTON ROAD TOM OF BARIWABLE ASSESSOR'S MAPS.
I NEEDHAM,MA .r 7• ..
164.54• u 02194 (4)DEED TO LOCUS IS RECORDED AT THE BMNSTAOLE
Ia. nQf ' COUNTY REGISTRY OF DEEDS IN BOOK PAGE
IL �.
.,• —IIf.9 $ ..1.- (a)Lows 1s RF-2 zaNED
f(ON`YaT i
(e)PLAN RfrFRENCESt PLAN BOOK JJS PACE 24
L.C.PLAN/W17994
1 CERTIFY THAT THIS PLAN HAS BEEN
O.a9'— - I ;.. j' m.!><T`•.� I r, PREPARED M OCI4FORTAANGE WITH THE RULES
,"q 164.54• g 164,54• 1 MELANIE B.POWERS AND AND REGULATIONS OF THE REGISTERS OF OEEDS
k"rSTEREE P.KOPPEL OF THE COMMONWEALTH OF MASSACHUSETTS.
Y o g .tr 1mar 1y 1 I 02530 ABLE..MA _-_. TL•
a... ' k al• I - DATE 0&.x6- („<I
1 CERTIFY THAT THE PROPERTY LINES S/0TR7
�1 ARE THE ONES DIVIDING EXISI NG OWNERSHIPS,
AND THE LINES OF STREETS AND WAYS 44DWN ARE
CAPE COD ART ASSOCIATION 1 1 •. -`RI q X 1 I c THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS
. P.O. S x as MA 8 i7 - 1 �4 ALREADY ESTABLISHED,AND THAT NO NEW L.91E<_
FOR DIVISION OF E)GSTING OWJERSHIP OR POR NEW
02630 �' b. I ` d :•.0� MST WAYS ARE SHOW
As- •�•R I'
�•M 1 1 DATE -
�.
y5 6A 1 CERTIFY THAT THIS PLAN FULLY AND
F �4 ACCURATELY DEPICTS THE LOCATION AND
�S .2 ,K RT+'• A - DIMENSIONS Of THE BUILDINGS,AS BUILT,A'!D
`W lti.'Tt yyt'+r' FULLY LISTS THE UNITS CONTAINED THEREIN.
�•• - '~ (19p9 1Y,�'E DATE-
OAT —. _24�ISff_____
I.
PLAN OF LAND
5 (cdNa4tTt)1 I N
TA /'+D1 L'ic"6""eFNm;�M°D�aAap(fAMO�'q n� �• � BARNSTABLE, MASSACHUSETTS
- i PREPARED FOR
(®I aN TOTAL AREA OF PARCEL 91 I RICHARD L. TERRY
MAP 317 = 3.57 +ACRES _
(INCLUDES LOT39)IN J. HOOD
�'�' ITOInsx9q
GRAPHIC SCALE FEET auwfc W/CAD YH9TIS56Tm IA1m aR• 1/PJ/9I ••' �J
.. R.H 'a r+v w: 002 L,;.. ' SAWVTCZ.IIAR94t•BVWrM 9R663
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