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Home My WebLink About0026 TUCKERNUCK ROAD � a r o o _ c r r ! r V �F e ' � .. _ .. .. � -. a ,.'�•4 •• .. ...: ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � Parcel Permit# Health Division 9116 le -1 V g ��,,,�Q,® Date Issued _9 Z9 l®Y Conservation Division I 0 Application Fee ✓� Tax Collector!/e. ---- 91/O 1 6 Y Permit Fee lit Treasurer 9&6 A y/ SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive.Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis r TOWN REGULATIONS Project Street Address �� rILCCK !� Villageo-e- 44rV Ownerr R7Y12d �l ('� , G2e6 ddress / -°t �rn Telephone _ _ - Permit Request Gee - a,. 0 (� � Square feet: 1 st floor: existing �'�� proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation W i , MO Construction Type Lot Size 01300 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure S30 r5 Historic House: ❑Yes YNo On Old King's Highway: ❑Yes 9/No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) l C�D� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ new r Total Room Count(not including baths): existing 62 new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric " ❑Other CD Central Air: ❑Yes 6Ao Fireplaces: Existing New Existing wood/coal stove: C,7 Yeses No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing O'new` ize Attached garage: existing ❑new size Shed:❑existing ❑new size Other:cE CIQ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ,N) cri Commercial ❑Yes ®No If yes,site plan review# m Current Use = - ._ a= Proposed Use _ _ BUILDER INFORMATION Nam k �rrtP� �� U�2C', CA A Telephone Number S08" Address &W- License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO U)n/ L OX-1 9Z7T , SIGNATURE DATE 7 Ir 4x FOR OFFICIAL USE ONLY 4.- PERMIT NO. , DATE ISSUED MAP/PARCEL NO. T e i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME -17-0 S INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL x PLUMBING: ROUGH FINAL GAS: ROUG h E FINAL r FINAL BUILDING A�fo—� & F 0 7 — a i - t - c -- s "fM � �- }s- 10 :z 0 "S rm DATE CLOSED OUT ASSOCIATION PLAN NOM�,2r Q CU - r�7 G 1 r . Iowa of Barnstable •' R.egulatdry.services. ' axsraaz�,$ Thomas F.Geller,Director 1659, k,� Building Division • ' , ' ' Tom Perry,Building Commissioner' ' 200 Main Street, Hyaumis,MA 02601 Office: 508.862.4038 Fax, 508-790-6230 ' Permit no. Date ' AFb'I7MAVIT ' 1101n WROYEMENT CONTRACTOR LAW SUFPIYIMENT TO PFIRTY=APPLICATION • ' MQL c,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •jmproyemeut removal,demolition,or eonstiuction of an additionto any pie-existing owner-occupied budding containing at least one but not more than four dwelling units or to structures which are adjacent to suah residence or building b e done by registered,contractors,with certain exceptions,along with other requirements, • Type of work: r Esti=ted Cost d Address of Work; wek Data of Application:,__ I hereby certify that: Registration is not required for the following reasons); ' [JWork excluded bylaw []7ob Under S 1,000 ' 1uildiug not owner-occupied Owaar pulling own Permit , Notice is hereby given that: - ' OVMR,S PULLING THEIR OWN PERMIT OR DEALING WITH UMG•ISTERED COi'i'I'RACTORS FOP,APPLICO.d HOME 3M ILOYEMENT WOPXDO NOT EAYE ACMS TO THE AMITRATION PRO GRAM OR GUARANTY YM UNDER 1YIGL c.142A, SIGNED UNDERPENALTIES OF PER7URY Thereby apply for apermit as the agent of the owner; - Date Contractor Name Regisfration I�Io. Owner's Name . ' The Commonwealth of Massachusetts . Department of Industrial Accidents' WCO aflWVsd M 600'Washington Street Boston,Mass. 0211.1. Workers'; Compensation.-Insurance Affidavit-General Businesses // / ,xti.. / •� ��.,,x�/*/�L:�'ifsiugo.• .p46 f o r' /� •� .',••''.. �'.i: ,"vi�id§3 / name: addre,IV -0 work site location full address I am.a sole proprietor and have no one Business Type.: []Retail❑*Restaurant1Bai:/Aating Establishment working in any capacity. [l Office 0 Wei(including-Real Estate,Auios etc.)• ❑I am an em toyer with em'lees(full& art time): ❑ Oth117117111171111111 er I am �loyer providing-Yorkers' compensation for my epployees working on this job. :utM1':Y+,S y7;.}. `.•i•3;:: .S: •'r:1` •.h' 4;; 'r .Y.I., ,. ,ryt+.r •.,,1:•�'..:i' coin"an xtafne: • '� ::i•' :5::•f ri l'• .+' is,..i::' a ,.;'+:i ;•.1•L'f.!'k�.r. ''+': r;,, •. ,�1•..�._ :L;' ':a. S ,•p•Be't.�7'ti4�,�. , �j• ,•,..r '?1^:•..•,�-': 'r' J'i: y�..�'•': ... di .g'•'» �'•' -%,• .[ '` : :!...�' :IS"�L' .'•ti'}xSa'::K:.. OLLC, .#'' }ti.:� t••'a'. •y• irisiirarice.ao's •:,:..1:�_:�„ . ..:•�:�i:.:.,•, /•:,. ..'�. }.•::.• . r .,•....• •.,,.,. r .:..:..:e. 77 I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: i 1'S: +�iw: ::(h" ",�.:1-' ,y• ,r:'r:.. ^i 5f: '•,v4.ijEi. ::pr-y'tn,,.. L♦,st. fi' _ CO na IDraIl nYe• U., Zrqf ra4:': ''•-�•: ,n:4•Ia.';• hL;: ''., •y'. +�ti, '.•�:r..`i�•�:'' :,l•. ,r" . 'i+. _ + • .}+• ',,: :'at... ":�i•!',; .iv.r'�:y�:.P, ,i. ,,•.}.:i:: } .,, •,. ";ram •,,jr:0.•:�'.'�. •,- :..Y::j,' '•' •r ys.. �7,�I: '�. s•L.�' :V'.'r�`'.'SWr'.L^:'t :S'� '}:• ^,:• i;.i •'0'liC :#'' .t:�i':x i•:.:,'•?'• r+:e::'" ::� `{"t.,ti.'',�',t,, insurance co. //�//////G%/%%// / :•� •5 co .;, ••t::' .:f...'i n.,,9t�;,J•i. Jr n' r;i....:'�.:r:'S.: t+�. •i. •,�•� •.i'..j•,:.•I\'� tJ!.f- '1,L•Y;4: „�,: !,: '•y�_s�',,' _ ,J�, l•• :Y,•, i.r• : E'.C• in ari. riaufe: :,:r _ ;.. address:. a r rL..r .tip — •4:1.:" i!' i.:'•.'f �TLL e.'' ., ,!• hone# CI :i:S� ';tir t✓'.'...' .1. ••A. I,S, -?�' .i tlw,,j a�i:' �Sq�'. :S't�t: :Y..'�; .;1.:' a s,' f iis`ur$nc` Failure to secure coverage as required under Section 25A of MGL I52 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#n the form ofa-STOP WORT{ORDER and a fine of$100.00 a day against me, I understand that g copy of this statement maybe forwazded to the Office of investigations of the DIA for coverage verification. I do hereby I and ! pains an en ties of perj at fi in ation provided above is true rid c r,rec�t Signa JOY Date 7 `� hone# official use only do not write in this area to be completed by city or town official - permit/llcense# ❑Building Department . - city or town: _ ❑Licensing Board _ ❑-check if immediate response is required []Selectmen's Of ice []Health Department contact person: phone#; ❑Other (reviied Sept 2003) Information and Instructions. mp ... atidh for*their. r1cers' co Massachusetts General Laws chiapter�152 section 25 requires allloY ersonin the servi a of another under any contract rrrtployees: As quoted from the law', an employee is.defined as every p of hire; express or in7pTled; oral or written. An ern Toyer is defined as an individual,Partnership, association, corporation or other legal entity, or any two or mare of P the foregoing engaged in a•joint enterprise, and including the legal representatives of a deeeased,employer, or the receiver or artnershi association or other legal entity, employing employees. 'However the owner of a trustee of an individual,p . P� dwelling house having notinore than three apartrnmts and-who resides therein, or the.occupant:of the dwelling house bf another who emplbyspersbris to do.maintenance, construction or repair work on such dwelling house or on the grounds or urtenant thereto shall not because of such.employment.be deemed to bean employer. building 2pp : • ::..., GL chapter 152 section 25 also'states that every state*or ibcal licensing agency shall Mhh for hold h isapplicant u li ce d who has renewal M P of a license or permit to operate a business or to construct buildings in the.cOmmonwea y pp 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 contract for the performance of public work until acceptable evidence of compliance with t}a insurance requirements of this chapter have been presented to the contracting . authority + Applicants Please fill,in .the workers compensation affidavit completely,by checking the box that applies to your sitdatiom Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned to the city,or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding'th ""law" or if you aze required to obtain a.workers.' compensation policy,please call the Aepartment at the number listed below. City or Towns . sure that the affidavit is cbmplete andprinted legibly. The Departrent has provided a space at the bottom of the Please be affidavit for you.to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill.in the perrrnt/license number:which will b�e-used as a reference number,-The.affidavits may.be.returned to- the Departrrient by. or FAX ul less other arrangements havebeen made.' k you in advance for you cooperation and should you have any questions,, The Office of Investigations would like to than please do not hesitate to give us a-calt. The Department's address,telephone and fax number: ., ,.. . The Commonwealth Of Massachusetts. Department of Industrial Accidents tii�ce of la>fsstf�ens _ 600 Washington Street Boston,Ma. 02111 fax M (617)727-7749 phone#: (617) 7274900 ext-.406 i EXISTING DWELLING '�"� EXISTING BASEMENT {� i `"°•'°°I AR■'CHIT/ EM,INC. A i PO BOX 34 YARMOUMPORT,MA 02675 rYPlcu oerAR o EXrEanX+nuts $ I I S •.J s � lQ� TEL/PAX(508)362-888I A .nm A 9 I 6 A I 4DITIONS&RENOVATIONS FOR: J41ES&JUDEE RITACCO V T%o e e°° s $ IV j 26 TUKMCK ROAD 'D oa ."° vo p R n°.�°'S i "°••'� I i CENTERMUE,MA ODUBIE MEMBERS /' FJRST FLOOR PLAN FOOTING PLAN ' � 1 TYPICAL BAT waroLCAN m- u.0 • 1 �uoTr��i . (mu�...oc°over"°n°alc.j• mm 1°au, _ mrmv n+"awm OAF ISAIED: m J® REasaxs: TTwcu oEr w�a(nAo eEAwxc-uss _ _ P'�RWT� PRocREss SET �axe ser �'�"�°�°dlw°11a � I Pgocgcss ser •"� Rm'�'"°7�G,"'.°W'CCU E) - B TYPICAL LUL/GLULAM BOLTING/NAILING �`""o�.�:xa;sRa uun T yr awls , .+m �� .®>vam.am �iurt°�o� A��rmvt pgt�t� ` - 1 REas11G110N °"'4F L`8m" M. 4.: '°"' .� '+'-'—i. .tee Km,mnc:.. °ua oaa°u •rmwr ww�wav rvo ror rt A A "�eio"1 u�u"n�°vulu`�°�n�i"i u�i"�iavm m mna 91EET)w. Ma11rEC1URAE s vrR 1/ TROOF FRAMING PLAN /'-1PORCH FLOOR FRAMING PLAN T.www+OF vuErs IN .� �-"--'—}l. .m.sK •vm SET: n0.R INEET INV" A U CDIeA10 WaWNG By A 1.,E.1 SET .. ORAMHCS ripo ER i ARCIiITECTS,INC. PO BOX 343 Y MOUTHPONT.MA 02675 TEL/PA%(508)382-8883 ADDITIONS 4 RENOVATIONS •®^i3m FOR: ------- ------ JAGJES&JUDEE RITACCO 26 NCKERNUCK ROAD )�I CENTERALL£,MA LEFT ELEVATION RIGHT ELEVATION ®�a�wL.—'—___ ——'———•per.ua® onTE RssuEo: REAR ELEVATION o®m.m....a PEnwr sEr PflocsEss sET PflIW10 SET �v Pfl0a1ESS SEr 04 y Mr s Y EJOBnNc M]7 :y...—'—....... SNEET No. �'"m"+°�' �••.� '�iePliw'C'm. .wo°n:cnfl.i A 2 EUVnna13 A SECnONS roru Nu�Mem s<".cTs ' sEn SECTION ®NEW GREAT ROOM y/ n \SECTIOfJ ® NEW GREAT ROOM ' 1W5 SNFfT Wvnllp UHI£$S ALOOYPNTIED By A COMPIEB:SEl K Aa ofl•MNa; 1 Town of Barnstable OFTME 1pr,_ Regulatory Services ST, Thomas F.Geiler,Director t0 03 Building Division 9. ,0� �prFD N1A't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 9 1-71LOq Please Print DATE: 1 /+ //,f, JOB LOCATION: �" &r/!4t&A V r'/1 number village "HOMEOWNE ": M� �/l"IC go GQG� - street V Q8" ",56 . / s name home phon # work phone# CURRENT MAILING ADDRESS: � r '112. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and zuirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:homeexempt r 09/27/2004 11:02 5083628883 ERT ARCHITECTS INC PAGE 01 f E .RT ARCHITECTS , INC . ARCH I T E C T U R F INTERIORS PLANNING CONSTRUC TION FACSJUILE TRAN'SMIT'I'AL SkIEET TO: FROM: Jeff Lauzon Erik Tolley COMPANY DATE; Building Inspector 9/27/2004 FAX NUMBER' TOTAL NO,OF PAGES INCLUDING COVER: 508 790 6230 4 PHONE NUMBER: SENDER'$REFERENCE NUMBER: 508 862 4034 RE: Ritacco Residence YOUR REFERENCE NUMBER: ❑ URGENT 0 FOR REVIEW ©PLEASE COMMENT PLEASE REPLY ❑ PLEASE RECYCLE NOTESICOMMENTS: Jeff, Apparently wolmanized !vl's are no longer available from Taus Joist McMillan. Therefore, I am authorizing the substitution of a 3 4/2" X 9 '/z" wolmanized ParallaM PSL in place of the previously specified Ivl's. I am also providing you witl) the talcs for the new beam. Please note the "Wolmanized MC>28%"reference. This is Trus Joist's terminology for pressure treated. If you need a definition of what MC>28 perhaps the builder can get that Information from the lumber yard. Regards, rik Iley, AI,A ncipa! ERT Axch.itects, Inc. PC% BOX 143 - YARM0'UTHPOAT, MA 02675 508-362-8885 r 09/27/2004 11:02 5083628883 ERT ARCHITECTS INC. PAGE 02 RITACCO ADDITION ION FIRST FLOOR I C. GIRT Ruaw TJ•aiarra a.IS Serial Number: �le8 8 3 f i X 9 I/i' Z.V E ParallafnOD PSL, Wolmanizedg)-SL 3 (MC > 28%) Pao$1 Ee^a00Vaereion+�sp3 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimension:29* I Product Diagram to Comeptusl. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width: 10' Primary Load Group-Residential-Living Areas(psi);40.0 Live at 100%duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions Ply Depth Nailing Detail Other Width Length (Ibs) Depth Live/DeadlUplift/Tota l 1 Glulam or solid sawn lumber 3.50" Hanger 18161641/0/2456 NIA NIA N/A H1:Top Mount None beam Hanger 2 Plate on masonry wall 3,50" 15.48" 4854/1978/016832 N/A N/A NIA 83 None 3 Glulam or solid sawn lumber 3.50" Hanger 1816/641/0/2456 N/A NIA N/A HI,Top Mount None beam Hanger -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s): 111:Top Mount Henger,B3 -Bearing length requirement exceeds input at suppoR(s)2.Supplemental hardware is required to satisfy bearing requirements. HANGERS:No Manufacturer Selected Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope 8pecles 1 H1:Top Mount Hanger NONE FOUND 0/12 0 NIA N/A NIA Douglas Fir 3 H1:Top Mount Hanger NONE FOUND 0/12 0 N/A N/A N/A Douglas Fir. DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) 3416 2888 3793 Passed(70%) Lt.end Span 2 under Floor loading Moment(Ft-Lbs) -6633 -6633 7312 Passed(91%) Bearing 2 under Floor loading Live Load Defl(in) 0.190 0,243 Passed(L/614) MID Span 2 under Floor ALTERNATE span loading Total Load Defl(in) 0,308 0,485 Passed(U379) MID Span 2 under Floor ALTERNATE span loading -Deflection Criteria:STANDARD(LL:U480,TL:U240). -eracing(Lu):All compression edges(top and bottom)must be braced at 14'7"o!c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS,INC. 939 MAIN STREET SUITE 01 YARMOUTHPORT,MA 02675 Phone,(508)362 8883 Fax :(506)362 4863 ERIKQERTARCHITECTS.COM CopyrLpr,t :a 3VU4 by Traz JOUt, 0 A¢ycrhaacsor EU.8:na38 9sralitxay Sy a r8glgCored kradomo.rk v:" M'caa Joi.a? Z:\E$2-A.E�6"k!R'fLCr31200912004^PPOJFC75\0492�ATTACCOlAl IA_CCGIR7.sms 09/27/2004 11:02 5083628683 ERT ARCHITECTS INC PAGE 03 I - RITACCO ADDITION FIRST FLOOR GIRT IV rJ-9eame0.15s.daiN"ms 3112 x 9 1/2" 2.0E Parallam®P _SL, Wolmantxed® SL. 3 {MC > 28%} Paget E e ev.rsi nz155� THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTE : -IMPORTANT! The analysis presented is output from software developed by True Joist(TJ), TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user, This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code USC analyzing the TJ Distribution product listed above- -Environment Consideration:Wolmanized®-SL 3(MC>28%).Member analysis is appropriate only for material that is properly treated in accordance with procedures authorized by Trus Joist.Warranties extended by Trus Joist do not include the adequacy or performance of the treatment, PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS,INC. 939 MAIN STREET SUITE D1 YARMOUTHPORT.MA 02675 Phone (508)362 8883 Fax :(508)362 4883 ERIK@ERTARCHITECTS.COM Capyrl•xn.t U ?QQ4 b, T.evs 306" a.wevar^aeuser 9u»inass Fars l.lam� is a repiatcr.et tratlemarh of True loiet. L:\CRY-FIRCXI'rEwY31200i\:ODa-PROJECTS,04t -R!'TFCrn`,nfTkC J6IP.7.sma 09/27/2004 11:02 5083628883 ERT ARCHITECTS INC PAGE 04 ® � � RITACCO ADDITION FIRST FLOOR GIRT TJ-99emva.Is Serial Nu to�7oa a 8rUa 3 1/2" x 9 1/2" 2.OE PM114IMS PSL, W®Imanizeft - SL 3 (MC > 28 User:2 %27,2004 11:02 g5 AM pfo Pa9e3 Engine Version:1,t5.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Pzimary Load Group Max. vert,cal .Keact„j.pn Total (lbs} 24.5n" Max- vert,xcal Reaction Live otl3 245b (lbs) 1815 4854 1816 Required Bearing Length in 5,57(W Max. vnbraced Length (in) ) 15 '�) 5.57(Wl 175 17S 175 Loading on all spans, LDF = 0,90 1-0 Dead Design Shear (lbs) 464 -83F ?1.i6 -904 Max 5 hear (lbs) 593 -989 989 -5a13 Member. Reaction (lbs} 59? 197F Support reaction (lbs) 641 1G'8? 5 Moment (Ft-Lb.) t41 1080. -19 C LDSO 1,0ading on all, spans, LDF ljm , 1.0 Dead : 1.0 Floor Deal.gn Shear (lbs) 1604 -�:868 '8813 Max $bear (lbs) r -1604/� Member Reaction Ilbs -34zh 341v -20a0 ) 20.�50 0 683^. 2D50 Support Reaction (J.bs) 2214 6832 214 Morirent (Ft-Lbs) 3731 -663:3 3731 Live Deflection (in) 0.115 0.115 Total Deflection (in) »� 0.222 A1.TFRNATE SPat-i loading on odd # spans, LDF - 1.Oo 1.0 pgara + 1.0 Floor Design Shear (lbs) 1847 -2645 1079 -�22 Max Shear (lbs) 2292 -3173 1232 -351 Merrber ,Reaction Ubs) 2292 4405 351 Support Reaction (Ibs) 2456 440.5 394 Moment (Ft-Lbs) 4667 -4276 377 Live Deflection (i.n) 0.190 -0,082 Total Deflection (in) 0.30E -0,042 ALTERNATE span loading on even # Span::, LUF - 1.00 , 1.0 Dead + 1.0 Floor Design Shear (lbs) 222 -1079 2645 -1.847 Max Shear (lbs) 351 -1232 3173 -2292 Membex Reaction (lbs) 351 4405 2292 Support Reaction (lbs) 394 4405 2456 Moment (Ft-Lbs) 377 -$27F 44,567 Live Deflection (.in) -U.6©2 0.19n Total .Deflection (in) -0.042 0,3n8 PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY E RT ARCHITECTS,INC. 939 MAIN STREET SUITE D11 YARMOUTHPORT,MA 02675 Phone:(508)362 8883 Fax :(508)362 4883 ERIK@ERTARCHITECTS.COM copyr).VrA a-101A by TC 'Aa deiat, eW.ye rl•,�eUaet 5.ae i.t.e.ye raral.)amA' is a re,,,istetea trademark Qf Traa %iet. 2:\ZRT-ARCHI'TEt T$,200J.20oa-7,R4'dC"Tj•,OG72-Rt TAi rq•,,rol TAC C,Oy:F.'f.,:m� 09/17/2004 10:13 5083628883 ERT ARCHITECTS INC PAGE 05 RITACCO RIDGE BEAM TJ•Bieir66,15 aitacuwrl3�:sinaa S6rlel NumE�r.Y00301865a PagUse ` w17n Versio083"''M 2 Pen of 1 314" x 14" 7.9E Md)icroBMalm®LVL Page 1 Engine Version:1.95.3� THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:oil Roof SliopW2 1 2 All dimensions are horizontal. 20. Product Diagram is Conceouied. LQADS: Analysis is for a Header(Flush Beam)Member, Tributary Load Width: 10' Primary Load Group-Roof(psf):25.0 Live at 125°/6 duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Llve/Dead/UpllWrotol 1 Stud wall 3.50" 2.78" 2500/1635/0 l 4135 L1'Blocking 1 Ply 1 3/4"x 14"1.9E Microllam®LVL 2 Stud wall 3,50" 2.78" 2500/1636 10/4135 L1:Blocking 1 Ply 1 314"x 14"1.9E MicrollamO LVL -See TJ SPECIFIER'S/BUILDERS GUIDE for dataii(s):Li:Blocking DESIGN CONTROLS; Maximum Design Control Control Location Shear(Ibs) 4066 -3532 11638 Passed(30%) Rt.end Span 1 under Roof loading Moment(Ft-Lbs) 19993 19993 30323 Passed(66%) MID Span 1 under Roof loading Live Load Dell(in) 0.583 0.658 Passed(U405) MID Span 1 under Roof loading Total Load Defi(in) 0,965 0.983 Passed(U245) MID Span 1 under Roof loading -Deflection Criteria:STANDARD(LL:U360,TL:L/240). -Sracing(Lu):All compression edges(top and bottom)must be braced at 7'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented IS output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available, Check with your supplier or TJ technical representative far product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'$I BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS,INC. 939 MAIN STREET SUITE 01 YARMOUTHPORT. MA 02675 • Phone:(508)362 8853 Fax :(508)362 4863 ER IK(PERTARCHITECTS.COM cOP. 2;jo; Ay %x6 Jox.eS, a weyerhaav;*y eUBir,asr - y,icxoAAe1+4'i !a n r.27iater.ed x:xn.c.ematk n.r Trw, 09/17/2004 10:13 5083628883 ERT ARCHITECTS INC PAGE 06 RITACCO RIDGE.BEAM TJ-BeBfr1e fi.1S$6fid1 Nurnp9QF�� P,m:2 8117P2 m,l,T5.33 FOAM Pa992 Enginy VOtdieior; Z Pce of 1 3/4"x 14" 1.9E MlcrollamO LVL Ve THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Grcup Max. Vertical. Reaction Total.. (1bs) 41:15 4135, Max. Vertical R.ea.rtirjn Lave (lb-.) 25QO 2 5 D 0 stliui.xed $eariny Length in 2.7'3(W) 2,78(W) Max. Unbraced Length (in) 92 Loading pn all spans, LDF = 0.go , 1.0 Dec.a Design $hear (Zbs) 1.397 -,13g7 Max Shea.x (lbs) i60B -1 03 Member Fteacti,prj (lbs) IE-08 16n8 Support Reai:tion. (lbs) 1,E35 it_i Moment (Ft-Lb3) 7Qi¢: Leading on all spans, LDF 1.25 t.,(1 Dead + 1.0 Floor * 1.0 ,R,por' Deaign Shear (lbs) i5,. -3532 max Shear (1b3) 4Urii 4Q66 Member Reaction (lbs) 406G 9C66 Support Reaction, (Ibs) 4115 4135 Moment (F,-Lb3) 199,13 Li �e Deflection (in) 0..583 Totaa Deflection (in) PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS, INC, 939 MAIN STREET SUITE D1 YARMOUTHPORT,MA 02675 Phone:(508)362 8883 Fax :(508)362 4883 ERIK@E RTARCHITECTS.COM CQpytijht• T•20•,4 by Tr.Ada 30 t- a weytx' r'aer Aun;neee. Mi 7roJ.!.aa�Z :r i regiete.rea trade—rx er rraa 09/17/2004 10:13 5083628883 ERT ARCHITECTS INC PAGE 07 LE oky �. //+/�7 RITACCO SLIDER HEADER TJ•9oern�8.16 8erisi NWUMA 1 01 w5a uwcz 9noinavgvion: jgpM 2 Pcs of 1 3/4"x 9 1/2" 1.9E Microllam LVL Pepe t Enpins Ver4ion:1.15,33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:ORZ Roa!SlopeOM2 1 2 All dfinensloas are hortltonpfd, Product Diagram is Conceptual. LOADS; Analysis is for a Header(Flush Beam)Member. Tributary Load Width: I' Primary Load Group-Roof(psf) 25.0 Live at 125%duration, 15,0 Dead Vertical loads: Type Class Live Dead Location Application Comment Point(lbs) Roof(1.25) 4135 0 1' SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other WWdth Length LivalDeadlUpliftrTotsl 1 Stud wall 3,50" 2.47" 3602/73/0 J 3674 L1:Blocking I Ply 1 3/4"x 9 1/2"1.9E Microllam®LVL 2 Stud wall 3.50" 1.50" 683 173/0 1 756 L1: Blocking 1 Ply 1 3/4"x 9 112"1.9E Microllam®LVL -See TJ SPECIFIER'S/BUILDERS GUIDE for dstail(s)'L1:Blocking DE"IN CONTR Maximum Design Control Control Location Shear(Ibs) 3686 3188 7897 Passed(40%) Lt,end Span 1 under Roof loading Moment(Ft-Lbs) 3030 3038 14719 Passed(21%) MID Span 1 under Roof loading Live Load Defl(in) 0.034 0.189 Passed(U999+) MID Span 1 under Roof loading Total Load Daft(in) 0.035 0.283 Passed(U999+) MID Span 1 under Roof loading -Deflection Criteria'STANDARD(LL:L/360,TL;L/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 6'olc unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge, ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user, This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. _THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code USC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'S I BUILDER'S GUIDES for multiple ply connection. PMEGT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS,INC. 939 MAIN STREET SUITE D1 YARMOUTHPORT, MA 02675 Phone:(508)362 8883 Fax :(508)362 4883 ERIK®ERTARCHITEwCTS,COM Copyriq.Mt (P 2000 by 'Trus jokat, d �9yNKt:aeU.BNi; BUeP�7e9a M1v'Xo1..LPro27 is 6. x,evi,tr.red trademark of Trus JoIst. t:\8RT-AhCHl TECx9\%009\2009^FROJY�CT51ri0:+Y-RITN_COIAITACCVNEh1DER.sms 09/17/2004 10:13 508362888:3 ERT ARCHITECTS INC PAGE 08 � RITACCO SLIDER HEADER T-Beama,B.15 Seiral /' 7cttharu.o f�y.m¢ra Number:70U3016866 uago 2 Engine Varsi n 1 qAm 15,3 2 Pcs of 1 314" x 9 1/2" 1.9E Microllam®LVL Pape 2 �npine Version:1 15;33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group � 5' B.pQ,� �.. Max. Vertical React,lOn Total (l.bs) 3674 75i Max. Veztica.l Reactirm i.lve flbs) 350 Ft3 Required Bearing Lengtii in i .47(w) Msx. gnbraced Length (in) 71 Loading on all ap.ans, :LIT 0.9(1 , 1.R D«•id resign Shear (lbs) 4E yE Max Shear Jibs) 6'a Nettlber F.e.3ct.ic,-, (lbs) 6'.7 'U POzt !,eaction (lbs) 73 73 Noment (Ft-Lt,,) 97 Loading on all spans, 1.?5 1.G Dead + 1.p K'l.nr_,z + Deyirjra Shear (lba) 3+8F. Max hi,ir (1bs) 3666 _747 Member jibs)Reaction - I- ) 1F35 717 Suppor Y.eSrtion Jibs) _.Eiq 75" Moment; (Ft-Lt,el 3U,6G Live Defl,e.ction (i.n) C.034 Total. DeflecLiri:Y PROJECT INFORMATION: OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS, INC. 939 MAIN STREET SUITE 131 r YAR.MOUTHPORT,MA 02676 Phone:(508)362$883 Fax (508)382 4883 ERI K:OERTARCHITECTS.COM --o,yrignt t:, -ppu pY TXv.e .loi,t, a VGe/¢Iha:U:Qt' ap9!.Oe98 !4J..:A�!.AeSnT ie a cepist crcA t:ryUNtl.S.r.'i. 5F T,tua t.,i.ee. _ ':F.RT-1k6N'TF..rTu`.:'004`.,2rin7-PRCtJFQ;".`.',gd.':-hi TA:U'�',R1iA:._OF:EE>rER..:n,c ' E RT ARCHITECTS , INC . ARCH ITECTURE • INTERIORS • PLANNING • CON-STRUCTION MEMORANDUM TO: FROM: Mr.Jeff Lauzon Erik Tolley COMPANY: DATE: Building Inspector,Town of 2/8/2005 Barnstable FAX NUMBER: TOTAL NO.OF PAGES INCLUDING COVER: 508 790 6230 1 PHONE NUMBER: SENDER'S REFERENCE NUMBER: 508 862 4034 RE: YOUR REFERENCE NUMBER: Ritacco Residence,26 Tuckernuck Rd., Centerville,MA ❑URGENT El FOR REVIEW ❑PLEASE COMMENT ❑PLEASE REPLY- ❑PLEASE RECYCLE NOTES/COMMENTS: Inspector Lauzon, Mr. Ritacco has informed of his intent to convert what was supposed to be a screened in porch in to finished living space. He has also informed me that you would require a letter from me stating that the structure, as designed for a screened porch, is adequate for living space. The structural system for the screened porch was originally designed for 40#LL & 15#DL. By code,this is adequate for finished space. Furthermore, I don't see how the roof design would be impacted by the change. Therefore, it is my opinion that no structural changes are required for the proposed use., Please feel free to contact Ayou have any questions. Regards, O� 'r, r, uw No.10730 YARI OUTFI PORT, iu_!" o MASS. j<u c R. T ect/Pri cipal `-N rH OF ERT Architec Inc ►' ' PO BOX 343 - YARMOUTHPORT, MA 02675 - 508-362-8883 e '.TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 190 151 GEOHAASE ID 11310 ADDRESS 26 TUCKERNUCK ROAD PHONE '. CENTERVILLE ZIP _ { ! LOT BLOCK LOT SIZE 1 DBA DEVELOPMENT DISTRICT CO r !. PERMIT 79578 DESCRIPTION SCREENED ROOM 20'X 15'+ f PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION ' CONTRACTORS PROPERTY OWNER Department of ARCHITECTS: Regulatory Services I TOTAL FEES: $1.68.08 BOND $.00 CONSTRUCTION COSTS $2$,eoo.oa � Y. �► 4-34 RESID ADD/ALT/CONY 1 PRIVATE 1639. xA BU D DIV`JS N By. # DATE ISSUED 09/29/2004 EXPIRATION DATE UO THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 A vto 1019 14 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL persons contracting with unregistered contractors do not have access to the guaralry fund (as set forth in MGL c.142A) WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Town of Barnstable �THE T Regulatory Services -� Thomas F.Geller,Director • a►sxsr�te. • • ,' ,�� Building Division SEA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 � r _ PERMIT# 8's FEE: $ �7 SHED REGISTRATION 120 square feet or less 1� /0CA1 pg.�) O cl \ Rn Location of shed(address) Village i? Odd Property owner's name Telephone number Size of Shed Map/Parcel# 21 tare Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District-Commission jurisdiction? Conservation Commission(signature is required) L q lC_ PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN . Q-fo=-shedreg 21901 LOT 45 BARNSTABLE \Alld -190-155 - CB DH LOT 46 FOUND PLAN REF. 224-87 g3.30 ASSESSOR'S MAP.• MAP 191 LOT 151 ZONING. RC" 25"E CURRENT SETBACKS:20-10-10 JY LOCUS N712 FLOOD ZONE.' C" AYo PANEL NUMBER- 250001-0015-C DATED.• 8-19-85 LOT 41 4 AIM 190-151 a 0.34 ACRES y 15012t S.F. pcBJNGgg EN c w So ig TN�S AREA LOT 42 ROUTE 28 AIM 190-152 THE SEPTIC TANK AND D-BOX WERE D—BOX ' DRAWN FROM INSPArMES REPORT \ 33' SEPTIC 1 � LOCUS MAP x 0 TANK -�o'roe o 24'M CO FV099NC J B' NDA77ON 8 4'CONC 11• PWOR CB DH FOUND `HOUSE= _ PLAN OF LAND 26; _ _ SHOWING _ ;_ - _ _ __ _ _ 'r PROPOSED ADDITION LOT 40 _ _ _ '� N AIM 190-150 _ `a._o �{A LOCATED A2- CB DH 26 TUCKERNUCK ROAD _ FnuND CENTERVILLE,, MA PREPARED FOR.• go to AD °F JAMES & JUDEE RITACCO tt" 'wtr� SEPTEMBER 3, 2003 CB DH R'879 98 ►�A SW HE FOUND �� j rj 1 'V $ J.DOYLE ►o.37559 YANKEE SURVEY CONSULTANTS 1825°W KE ��o �� UNIT 1, 40B INDUSTRY ROAD g7f , T- 1.V C P.0. BOX 265 1 MARSTONS MILLS, MASS. 02648 TEL• 428-0055 FAX 420-5553 J# 53421 SDS LOT 45 BARNSTABLE \AXM 190-155 - CB DH LOT 46 FOUND y�r PLAN REF` 224-87 g3.3g ASSESSORS MAR- MAP 191 LOT 151 0 ZONING. RC" 25"E CURRENT SETBACKS:20-10-10 9 yEs Nq LOCUS 712 FLOOD ZONE.• C" Y N PANEL NUMBER- 250001-0015-C 4� p1D DATED.- 8-19-85 LOT 41 AIM 190-151 J 0.34 ACRES 15012f S.F. ixG FIEF o o_ cL °Txis n�ja^ LOT 42 pUTE 28 AIM 190-152 R THE SEPTIC TANK AND D-BOX WERE D-BOX DRAWN FROM INSPECTORS REPORT 33 5 SEPTIC UBES LOCUS MAP o TANK N 24'MCoNr m �„- fmvOTINO p 9t UNDATION 8 ' y . , H4"CONC 11• ..�,i FLOOR rn CB DH FOUND 'HOZeE = PLAN OF LAND zs_ SHO WING LOT 40 � � PROPOSED ADDITION AIM 190-150 ova ' LOCATED AT.• CB DH 26 TUCKERNUCK ROAD o FOUND CENTER VILLE,, MA PREPARED FOR.' go 10' �D JAMES & JUDEE RITACCO "OF SEPTEMBER 3, 2003. CB DH g,87g' .( �rda TE HEn � FOUND DOYLE 1' ►$o.375 � YANKEE SURVEY CONSULTANTS _ 16.30 W UNIT 1, 40B INDUSTRY ROAD tj C P.0. BOX 265 MARSTONS MILLS, MASS. 02648 TEL.' 428-0055 FAX 420-5553 s J 53421 SDS Enghieering Dept.(3rd floor) Map, Parcel S—, Permit# 4 5� , � �� r 9 House# _. �� Date Issue � 8 B of Health Ord floor)-(8:15 -9:30/ 1:00-�) Fee s• Conservatio ice(4th floor - 9:30/1:00-2:00) Planning Dept. oo hool Admin. Bldg.) �,Ne rq Def' ' ve Plan Approved by Plann oard 19 ' tEO MAC s�� TOW BARNSTABLE Building Permit Appl' ation Project Street Address �q� Village Owner J^1 Address Telephone Permit Request _ '2n P dC/1r� f First Floor /00 square feet Second Floor square feet Construction Type'Estimated Project Cost $ C17 0000 Zoning District Flood Plain Water Protection Lot Size d 1,3 7 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure fi— Historic House ❑Yes 2190 On Old King's Highway ❑Yes 040 Basement Type: � ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) . Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing New No.of Bedrooms: Existing y New Total Room Count(noZas ing baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes Fireplaces: Existing / New Existing wood/coal stove ❑Yes Garage: ❑�Detaced(size) Other Detached Structures: ❑Pool(size) d(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# r - Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE D BUILDIN !!!ER DENIED FOR THE FO OWING REASON(S) ram, VZ FOR OFFICIAL USE ONLY ,, PERMIT NO. DATE ISSUED 44 MAP/PARCEL NO. ADDRESS f VILLAGE` - OWNER DATE OF INSPECTION: ' FOUNDATION t FRAME - INSULATION FIREPLACE r ELECTRICAL: ROUGH 1 FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r L - FINAL BUILDING ,DATE CLOSED OUT ASSOCIATION PLAN NO. e . 1 4 , L The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph CrossenBuilding Commi: Fax: 508-790-6230 For office use only 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 building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: QO 1n { Est. Cost '�o� O®® address of Work: Ci ��/� rr►G�,� vyf Owner's Name,AD ate of Permit Application: ' I hereby certify that: Registration is not required for the following reason(s): 'iWork excluded by law 1 _ Job under SI,000. _B 'iding not owner-occupied wner 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 ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent the er. r Date Registration No. OR - "'=• Tile Cultrrrrunlrealth of:Itaslaclruscli •4yw Dcpartme,11 of IndustriaiAccidents ;, ; s" '-:.►� p -cPal111Yes1lgallolls ::.. 6110 if iaxhiartun Street , + ensation Insurnncc Alydavit V1orkcrs Comp ,._.�.,,—..---•----•^-...�.._---- ---- • i li�tn inf rm inn• ---- . ...._ -- — ... _. ._.... __ __ _..._. . . 1nc,non ./ �Jle a homeowner performing all wort: myself. 17 I am a sole proprietor and have no one worl:in_= in any capaciry T,•,t�._..._._-....�...-- Cj pensation for my employees working on this job. I am an empiover providing workers' com com unm• nnmcc - 'ttitlrcac• , hnne 00- incur-mrr rn. _ .._ . ......... Q I am a sole proprietor. ;cneral contractor. or homeowner(circle otre) and have hired the contractors listed beio�� the following workers' compensation polices: cnm any mine- Idd rccc• hone ii• cin•� alley!! •- — --�- incnranrr ro. _ _ _. _— cnm my mitre- iddrrsc- hone#• city- insur-ince en. niic•� Attach additional sheet if necaiacy� .� �` =�"'�"""�`'��' Failure to secure cuvcracc as required under Section 3A of,11GL 15_caa Icad to the imposition of cnmtna!penalties of a Une up to S1S0U.UC unc cars' impri.onmcnt a.•�'eli:ts civil penaitiCS in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understanc copy'of this statentcttt ma► be fur„•nrded to the orrice of Investigations of the DIA for coverage verification. fp 1 do herchr certi find the 'is a eltalti ocrj , tltar the information protided above is true and correct Oatc Signature Phone Prin nzrtt official use onto do not write in this area to be completed by city or town official nermidliccnse it r inuiiding Department City ar tn%vn: _ C2Uccnsing Huard 0sciectmea's 0MCC _..'.,...,.�.. rcauircd PHtcaith llcnartmer; tassachusetts General Laws chapter 152 section 25 requires all employers to providc workers compensation 'tir flit' nplovecs. As quoted from the an eirrpinrer is defined as every person in the service of another under any• :mtract of him.'express or implied. oral or\vritten. n enrplf tj-er i.=def incd as an individual. partnership. association, corporation or other legal entity•, or any 1%vo or more forcaoitr_ en�_a;_cd in a,joint enterprise, and including the le-gal representatives of deceascd emplover. or tite =civer or trustee of an individual , partnership. association or other legal entity, employing employees. Ho%\,ever dic •'ner of a d%%-elling house having not more than three apartments and who resides therein. or tite occupant of tite .cliin" house of another who employs persons to do maintenance , construction or repair work: on such dwelling h6 u oil tit: _Tcunds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 73L chapter 152 section 25 also states that even- state or local licensing agency sliall withhold the issuance or Icwal of a license or permit to operate a business or to construct buildings in the conimonrcaltli for an• -licant who has not produced acceptable evidence of compliance ,%vith the in coverage required didonalk. neither the commonwealth nor anv of its political subdivisions shall enter into an), contract for the iormanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter lta n presented to the contracting authority. )iicants se fill in the workers' compensation affidavit completely, by checking the box that applies to your situ-,:on and )ivin_► company names. address and phone numbers as all affidavits may be submitted to the Department of strial Accidents for confirmation of insurance coverage. Also be sure to sien and date the aflidaviL Tlie :avit should be returned to the city or town that tite application for the permit or license is being requested. .he Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required -:ain a xvorkers' compensation policy. please call the Department at the number Iisted below. or Towns be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o; Tdavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas re to fill in the permit/license number which wiil be used as a reference number. The affidavits may be returned to _parttnent by mail or FAX unless other arrangements have been made. Tice of Investigations would like to thank you in advance for you cooperation and should you have any questions. do not hesitate to _ive us a ca11. . Itparttnent's address. telephone and fax number: The Commonwealth Of Massachusetts rr• -• Department of Industrial Accidents _ r Office of Investigations w 600 Washington Street Boston,Ma. 02111 fax #: (6I7) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 E 'nt T I ✓�te�i p�w'navewea.�.l�i p�,./vuraaac�ivaeCl� '-. t HOME IMPROVEMENT CONTRACTOR Registration 124578 ,0' Type - INDIVIDUAL Expiration 01/21/99 Kenneth I. Stuart G� 0 7f 44andy Rd ADMIMSTRATOR Pocasset MA 02559 . - --, �/t¢ '(0O9ltilltO)zt!/C2lC/L O��(q,(Zd9aCRUJ6� DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nueber: Expires:) Restricted To: 00 `< KENNETH I STUART 63 HANDY RD PO CAS SET, MA 02559