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Home My WebLink AboutBLD-19-000882 ONE &TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 itir . ,,•— Massachusetts State Building Code,780 CMR 'V 4 t. r t Building Permit Application To Construct,Repair,Renovate Or Demobs R •'N ..,;... --..-.= a One-or Teo-Family Dwelling . 11• •� - This E. or Official Use Only- . - 14 lit BuiidingPermit Number: to l.l0 `. -an Al A - _ :a = • PANT . Building Official(Print Name) , -.i_ . • -.SECTION 1:ME INFORMATION - • 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers if 4tr,4trxn 79/111z3 237 1.1a Is this an accepted street?yes___ no - Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R- 2.. 1010 10, 100± s.f. 10141- Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 30' 30.4 ' I5' 20.9' 21Y ' 33.3 ' 1.6 Water Supply:(M.G.L c.40,454) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: Outside Flood Zone? Municipal I,On site disposal system K' Check if yes° - - , SECTION 2:1 PROPERTYOWNERSHIPt- . - .• 2.1 Owner'of Record: . Tohnsdi {'actin Vfcrceska NMA- 01(000Name(Print) ' City,State,ZIP• ' 26 Emmain Si- cos 185•1140 K4J 32 55 6) dol. Cern No.and Street Telephone Email Address ' ' . SECTION 3:DESCRIPTION OF PROPOSED WORK;(check ill that apply) •: , _ b New Construction 0 Existing Building)61 Owner-Occupied C Repairs(s) O Altetation(s))j Addition m e" W Xi Demolition C Accessory Bldg.C Number of Units_ Other 0 Specify: -m Brief Description of Proposed Work2: Vern tot, eA sh Vr Aeck 4 sa rWlei Fo th ad e 73 kit then mats vo0vi midi-hal Czb' i m o (n y�tt{t `i f M dtis -n a (Ilk evict r' GI z en • :,:`•;r= ,: SECTION 4i ESTIMATED CONSTRUCfIONCOSTS::; •4�;:;.-. t' `-'i' ' I- C Item Estimated Costs: '• --S Ose Ont-4,2; (LaborandMaterials) .. ; , ,- y,.=., ;, ..,..;: ',r:•,, . ... fn rn 1.Building $ 11C�r 000 1�Building Permit Fee:S 6'OD- n Indicate how fee is determined: 2.Electrical e 7 D00 .in Standard City/town Application Pee. , :z;-'•1':m i!. —i m U Total Project Costa Item'6Tx multiplier :-I.;:' ;,.x .- �'.'. •i O 0 3.Plumbing $ Zs) 000 2},Other Fees: $'' 'i . :; ;. " : .`._ a Z c 4.Mechanical (HVAC) $ 25, 000 List.. ,.• i. .," mp 5.Mechanical (Fire Suppression) $ Total AllFees>S i'' Cheek Check Amount ` Cash.Amormt:' -. 6.Total Project Cost $ 250, Mb o Paid iuFull ..-:' a Out;taniling Ba�Tik Duee'c(N 5-1 r w - I- Ails 09 7ma BUILDING )EPAk rr'F.i , P SECTIONS: CONSTRUCTION SERVICES •• 5.1 Construction Supervisor License(CSL) cc -0701'77 5(5-t�2g9 Ed heti E CTRL License Number Expiratio Date Name of CSL Holder 20rn goal CSL Type(see below) U No.and Street�.L Type , . ' Description T��1MOw t t N� 025(.0 U Unrestricted(Buildings up to 35,000 cu.ft.) Cityadwn,State,TW R Restricted l&2 Family Dwelling M Masonry • RC Roofing Covering WS Window and Siding • SF Solid Fuel Burning Appliances 6)13•525•fR0 SCGit1( MA aor ennui. CCM I Insulation Telephone Email attest D Demolition 5.2 Registered Home Improvement Contractor(HIC) SttAu FYI ( rpr Inc• IZ¢Zlyq P3•0-,n19 Coop HIC Registration Number Expiration Date HIC 20 any NHIR rine No.an Street cibinC. nig, goet{tnul CA1'i mMI N. 4 02;Co 5O&521.1401 Ema l eddr s City„°wn,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§ 25C(6)) • Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? Yes 14. No ❑ - SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize -AC a cilek/ Skit (u4-rY1 00'j?'r11AJ to act on my behalf in all matters relative to work authorized by this building permit application.• j/ I4ilifl 10hrsa1 -T•2_3.18 Print Owner's Name(Electronic Signature) Date • • SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. F4 &w4 E. %'v_ "7.23•(5 Print Owner's or Authorized Agent's Name(Electronic Signature) Date •- NOTES: • 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will t�or have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the BIC Program can be found at www.mass.gov/ocq Information on the Construction Supervisor License can be found at www,mass.aov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft) (including garage,finished basement/attics,decks or porch) Gross living area(sq.R.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage”may be substituted for"Total Project Cost" The Commonwealth of Massachusetts A Department oflndustrialAccidents r =Tgh= @ 1 Congress Street,Suite 100 " Boston,MA 02114-2017 :yr was• www massgov/dict Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Stn (hsbvi ale& Address: 20 " ten Rd City/State/Zip: Tlyenet4141 Mk 023(x0 Phone#: ok • •8• ... S3 ce - _.. •-Y .Wet Are you an employer?Check the appropriate box: Type of project(required): I.0 1 am aemployer with. (t employees(MI and/orpart-time).• 7. 0 New construction 2.01 am a sole proprietor or partnership and have no employees working forme in 8. alRemodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself[No workers'comp.insurance required.]: 9. Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 i am a general contractor and 1 have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insu rance.t 13.0 Roof repairs mn 6.0 We are a corporation and its officers have exercised their right of exemption per MOL e. 14. Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing an work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached 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 insurancejor my employees. Below is the policy and job site Information. Insurance Company Name: Nry(�-{LM .D Ing. rlNc. Policy it or Self-ins.Lic.#: S}}VIC 88I9R7 Expiration Date: $.2.S -Ig Job Site Address: (/ Sll(1ci11 lhTh City/State/Zip: y.(• Yzirw1b1(i MA- 0473 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 violation punishable by a fine up to$1,500.00 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. Ido hereby certify e ,. , , , ,. aides of perjury that the Information provided above is true and correct Signature: Date 1-23.16 hon #• , ' i - i ' • • _ - „s.• Official use only. Do not write In this area,to be completed by city or 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.Plumbing Inspector 6.Other Contact Person: Phone#: • oE'YARsTOWN OF YARMOUTH �+Z ,. a BUILDING DEPARTMENT F �€ 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext.1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR,Chapter 1,Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Cl caLlitmtoh VJ. yetrmotAkil Work Address Is to be disposed of at the following location: dol x✓X Chi Ids QMH aher $rit Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. i -23.IP) ignature of Application Date Permit No. . •;otf"k�s TOWN OF YARMOUTH 3 e HEALTH DEPARTMENT o . q PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: V Building Site Location: Co Su,hetY1 ?t h W' 3gYtYlotLlll, M!� Proposed Improvement: tentrio e>cSir ' Artf wend pith add Ki}chni/ aldt{tw V ?Ur% . I.IeW va tr1q -t 9'A'nl� 4 wnillrws. Int✓ tnakdmig. Applicant: Snet QCl1m Cato, Tel.No X45 I Address: 2_0 t Rd T W04/41l Wi- Date Filed: 7.25.1 **If you would like e-mail notification of sign off please provide e-mail address: SEC'(t1C. KA. ® , 1. can. Owner Name: kali-Y1 k Li Ma- C11f1Sill v Owner Address: 7 Co Gcir zth Owner Tel. No.: 5b8.*3. 1140 c.__.MM b.1.(a.OL?.._..._....__..__.... RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. l / REVIEWED BY: DATE: 7/ -�/ / �- PLEASE NOTE !!! COMMENTS/CONDITIONS: 11-04e- 1t P.:e Li 3 Sed vo �-, )11 YARMOUTH WATER DIVISION _0 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 • BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location (p S h TaMap #: 23 Lot #: 237 Proposed Improvement: -Moe With arck 4 port, 1 add Kthen mudvr a -F Stitt,' Applicant: , aeon/ (v�y. ' Address 2A tR Pel `PI9.2 JlvIesith Tel. #( . -314.8 Date Fled: j•25•12 (6) 62S• C01'1)1 RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; I.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, I.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, I.e. Smoke Detectors, Sprinkler Systems, Etc... Sigttal a licant Date PLEASE NOTE: • COMMENTS: • Revie Ii by:Water Division e • D.te Town of Yarmouth 1146 Route 28 Yarmouth, MA 02664 ACORD 2683790 0008/00089H53 CERTIFICATE OF LIABILITY INSURANCE on` ,8°"Y"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). RODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. PHONE FAX 150 SAWGRASS DRIVE MC NO EXT): 877.266-6850 (A/C No): 585389-7426 ROCHESTER,NY 14620 E-MAIL Certs@paychex.com AnnRECS• INSURER(S)AFFORDING COVERAGE NAICNt VSURED INSURER A: NorGUARD Insurance Company 31470 SHEA CUSTOM CARPENTRY INC. INSURER B: 20 DOTEN RD PLYMOUTH,MA 02360--218 INSURER C: INSURER D: INSURER E: INSURER F: :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. sR TYPE OF INSURANCE ADDLSU_BR POLICY NUMBER POUCY EFF POUCY Em LIMITS IR INSR D (MMOONYYY) (MMIDO/YYYY) GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ I�;LAIMS-MADEI I;TCCUR MED PREMISES ale person) $ MED EXP(My person) S PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: POKY PROJECT1 LOC PRODUCTS-COMPKW AGO $ S AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO (ES accident) I ALLOWNED SCHEDULED BODILY INJURY $ AUTOS AUTOS - - HIRED AUTOS q 0NED BODILY INJURY & (Per accident) PROPERTY DAMAGE & (Per accident) S I UMBRELLA uAB OCCUR EACH OCCURRENCE $ I EXCESS UAB CLAIMS-MADE AGGREGATE _ & I DED I I RETENTIONS S WORKERS COMPENSATION AND X WC STATU- 0114 EMPLOYER@ LABILITY SHWC881987 08282017 08282018 TORYI IMTR FR EL.EACH ACCIDENT S 100,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE CFPICERAEMBER EXCLUDED/ YIN E.L.DISEASE-EA ENWLOYEE $ 100,000.00 (Ma,d+«yIn NH) N I N/A EL DISEASE-POLICY LIMIT $ 500,000.00 1 yes,Mab under nFSCRIRTIMJ fF OGFAATI]NR IWnc 1 ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,AOdlIoni Remark.Schedule,n more specs Is required) :ERTIFICATE HOLDER CANCELLATION Town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1146 Route 28 DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY Yarmouth,MA 02664 PROVISIONS.BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE r'rl(>•.A 4 C S ; %CORD 25(2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • • Town of Yarmouth 1146 Rte. 28 South Yarmouth, MA 02664 ACORD 2683790 0008/00089H53 11- .44KORCY CERTIFICATE OF LIABILITY INSURANCE 8ATE(MMAXI/YYYY) 1/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS , CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:N the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. PHONE FAX 150 SAWGRASS DRIVE _(AAI No FXTI• 877-266-6850 y&C No 585-389-7426 ROCHESTER, NY 14620 E-MAIL Certs@paychex.com AnnRF44 INSURER(S)AFFORDING COVERAGE NAIL t VSURED INSURER A: NorGUARD Insurance Company 31470 SHEA CUSTOM CARPENTRY INC. INSURER B: 20 DOTEN RD PLYMOUTH,MA 02360•-218 INSURER C: INSURER D: INSURER E: INSURER F: :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE ADDL BURR POLICY NUMBER POLICY EFF POLICY EXP LIMITS rR INSR WVD (MWDD/YYYY) (MWDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES y IlLAIMS-0UDEI `.00CUR MED EXP(Any a person) $ person) g PERSONAL&ADV INJURY $ I GENERAL AGGREGATE $ GEN.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AUTO accident) ANNALL OWNED SCHEDULED SOLID INJURY $ AUTOS AUTOS P�person) - uo�.gvNED BODILY INJURY HIRED MHOS (Per aCCldent) OMrt05 $ PROPERTY DAMAGE (Per accident) $ —I UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ _ IDED I [RETENTION$ $ WORKERS COMPENSATION AND X WD STATU- 0TH- EVPLLYERBNABRITY SHWC973187 08)28/2018 08282019 TCSV Jar" FR E L EACH ACCIDENT $ 100,000.00 NW PRCPRIErORPARTNER/EXECUTIVE CWICERMELSER EXCLUDED? E.L DISEASE•EA EMPLOYEE $ 100,000.00 alndray In NM N/A EL DISEASE-POLICY LIMIT $ 500,000.00 I yes,dncrbWIder IfFA"RIPTIMI CF DPFAATIrVJ91vlw -ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N mors space Is required) • CERTIFICATE HOLDER CANCELLATION Town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION 1148 Rte.28 DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY South Yarmouth,MA 02664 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ) Flo•«.. PStt -: %CORD 25(2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2-/lie w io/P/1aC/M • 17 E Office of Consumer Affairs and Business Regulation ``„,=`°' - 10 Park Plaza- Suite 5170 • Boston, Massachusetts 02116 Home Improvement Contractor Registration �� ^'.`4 7 Type: Corporation ._ y,, Registration: 124789 SHEA CUSTOM CARPENTRY,INC. )' >_I. ra=. _ Expiration: 08/19/2019 20 DOTEN RD. , -T` f'==3 k PLYMOUTH,MA 02360ilr7 -r T c«� ' f/ Update Address and return card. Mark reason for change. • SCA1 0 200-05/11 __ —.�. —�—�` .—�..— ..—. 0-47.!eeivSS-u P-44G;e g O-E.^.r.CI111 u i.CS!et-a-. J�e Tom monen(IA o/'f(auacAax-(h Office of Consumer Affairs&Business Regulation nHOME IMPROVEMENT CONTRACTOR Registration valid for individual use only w .i. TYPE:Corporation before the expiration date. If found return to: ,i pealstration Expiration Office of Consumer Affairs and Business Regulation .1,.:: 124769 08/19/2019 10 Park Plaza-Suite 5170 SHEA CUSTOM�CARPENTRY,INC. Boston,MA 02116 EDWARD E.SHEA ".,= . 20 DOTEN RD. �``-' ,r�.---� PLYMOUTH,MA 02360 - UndersecretaryNot valid without signature Commonwealth of Massachusetts ®; Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-070177 - Expires:05/30/2019 ' EDWARDESHEA ::•4 ' ° ;- 20 DOTEN R13--•,. - PLYMOUTH MA 02360 . . Commissioner CeL r MACINNES CONSULTING, LLC PO Box 1182, East Sandwich, MA 02537 (508)274-2091 shawn@macinnesconsu Iti n g.com July 31, 2018 Edward E. Shea II President, Shea Custom Carpentry, Inc. 20 Doten Road Plymouth MA 02360 RE: Engineered Ridge Beam • 6 Sachem Path West Yarmouth, MA Dear Mr. Shea, • This letter is in reference to the engineered ridge beam design as shown on Sheet 6, Roof Framing Plan Detail, of the plans titled"Renovations to Johnson Residence,6 Sachem Path,West Yarmouth, Massachusetts"by W.B. Daniels Design Services, dated July 20, 2018 The location of the redesigned beams and the construction specifications are as follows: 1. Proposed Ridge Beam for Addition It is recommended that a 20'-0" long ridge beam consisting of(2) 1 3/4 x 11 7/8 1.9E Microllam (or equal) LVL be installed as shown on the attached plan.The beam shall be installed in two sections,the first being 7'-6", and the second being 12'-6". The beams shall rest on 3'/z x 3'/ 1.8E Parallam Columns (or equal). Columns shall extend down to 3'x 3'x 12" concrete footings on compacted base to provide support. On the exterior wall prior to bump out, ridge beam column shall sit rest on a 5-0" long (2) 1 3/4 x 9 1/2 1.9E Microllam (or equal) LVL on 3 '/x 3 IA 1.8E Parallam Columns (or equal). Columns shall extend down to 3'x 3' x 12"concrete footings on compacted base to provide support. Please contact Maclnnes Consulting if you have any questions or require additional information. Sinc .., m a ��° SHAWN �c�\ MacINNES 11:1\ cmc • ..91 c kti Shaw : ,d. a License#4 1111111111111 -1-T1 II I I I I I I I I I I I I I I I l_,_ 312xa3121.ae 1 1 1 1 1 1 1 1 1 1 1 1 H `_ _ Parallam LVL —- 31/2x31/21.8e Column posted 1 1 I I 1 1 I 1 1 I l I 1I ,� ParalWm LVL down to 3'x3X12" I I I I I I I I I 111 1 1 1 I Columns posted concrete pad on , Cool..ded base I 1 I I I I I I I I I I I I oncretepad on 3,2%312,.8e ; 1 1 1 1 1 1 1 1 1 �� 1 T Parattam LVL I Compacted base Column ii i 1 1 1 I (2)13/4 x 11 7!8"1.9e I I - 1 PROVIDE SOLID BLOCKING MlcrollamLVL I 1 1 1 1 FIRST A6" (2) 'I (2) BATS '/� �� •�8•a.-�"..�� _ xir R DG B I FROM END WALL-TTP. I =��jr I.I I TO MEET CODE REQUIREMENTS T-6" _ 17.6• r- I I I L_�r_ 11 I BUILT OVER1 1 1 I I I 312 x 3121.8e I la CRICKET — 11 1 1 1 1 Column LVL 1 1 �-�_1. 1. 1—f- --1„I _1— 11 1 1 1 1 1 (2)13/4 x 9 1)2 I I I � 7.:.,. � iii 1 I I II / 1 1 1 ,.9eMlaollamLVL 1 1 1 1 _ __ IC DBL FRAME / - I I I 1 1 I = �� J AROUND ROOF I I I '1 1 1 I 1 1 1 1 I I Ik (r�J I OPENINGS � 111 I I I I 1 1 1 1 1 1 I II 2-2x10 BELCH--I I 1 I 1 I 1 1 1 1 1 1 I 1 ��I tEiLI I I I I I II I I r1-1 n 1 I 2xIO'S Q I6" O.C, `` - . 4 r RFP — 7 2018 bhi DING itn; Ft IN; Town of Yarmouth 1146 Rte. 28 South Yarmouth, MA 02664 ACORD 2683790 0008/000891153 Arn� CERTIFICATE OF LIABILITY INSURANCE �As� D/YYYY) 18 T11S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIRCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). 'RODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. PHON' E 150 SAWGRASS DRIVE (AHC.NCI FXT): 877-266-6850 (AC No). 585 389-7426 ROCHESTER, NY 14620 E-MAIL Certs@paychex.com AnnRFSS• INSURER(S)AFFORDING COVERAGE NAIC 1 VSURED INSURER A: NorGUARD Insurance Company 31470 SHEA CUSTOM CARPENTRY INC. INSURER B: 20 DOTER RD PLYMOUTH,MA 02360--218 INSURER C: INSURER D: INSURER E: INSURER F: :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR OF INSURANCE ADDL BURR POLICY NUMBER POLICY EFF POLICY ETPLIMITS tR INSR WVD (MM'DD/1'YYY) (MMDDNTTY) GENERAL LIABILITY EACH OCCURRENCE $ I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFn n7AIMS-MADEn CCUR MED EXP(Anya one occurrence) $ MED EXP(Any ane person) $ I PERSONAL&ACV INJURY $ I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROJECT LDC 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) I ALL OWNED SCHEDULED (PBet ppIer son)NJURY AUTOS AUTOS - MREDAVTOB IA✓ F VNED BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) 5 5 I UMBREUa UAB OCCUI EACH OCCURRENCE _ $ I EXCESS UAB n CLAMS-1MOE AGGREGATE B DED I I RETENTION 5 WORKERS COMPENSATOR AND X WC STAT)- OT1H EMPLOYERS.UAaUTY SHWC973187 08282018 08282019 Trnv"""R FR E L EACH ACCIDENT 5 100,000.00 ANY PROPRIETOR/PARTNER/UECUTIVE CFFICERMEP.SER EXCLUDED? YIN E DISEASE-EA EMPLOYEE $ 100.000.00 SlinclSy In NM I N N/A EL DISEASE•POLICY LIMIT $ 500,000.00 rip.Moab under IIFSCAIPTIONK norRATIMI9 Simi I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,AddRIOnsl Remarks Schedule,It mon space Is required) :ERTIFICATE HOLDER CANCELLATION Town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1146 Rte.28 DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY South Yarmouth,MA 02664 PROVISIONS,BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE rl oa4 Psis: %CORD 25(2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Sears, Tim From: Sears,Tim Sent Thursday, August 16, 2018 4:11 PM To: 'Edward E Shea II' Cc Grylls, Mark Subject: 6 Sachem Path Ed, I am reviewing your application for 6 Sachem Path,and we need some information on the elevation shown on the plan. The plot plan shows that it the house is in an AE Elevation 10.8.The FEMA map shows that this house is in an AE Elevation 11,and there is no place on this map showing 10.8.The 9th Edition of the building code now requires adding lft to this elevation, meaning that the floor elevation would be required to be at 12ft. Please have the surveyor address this issue. Please call if you have any questions Thank you Timothy Sears CB0 Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@varmouth.ma.us 1 REScheck Software Version 4.6.5 0 1 Compliance Certificate Project ADDITION/RENOVATION Energy Code: 2015 IECC Location: West Yarmouth, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 6 SACHEM PATH LINDA JOHNSON WEST YARMOUTH,MA 6 SACHEM PATH WEST YARMOUTH,MA Compliance: 0.5%Better Than Cods Maximum UA: 219 Your UA: 218 The%Better or Worse Than Code Index refiec% how close to compliance the house Is based on code trade-oil rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies rUm4**::24 !a ,rt',“s r ,� _ 3, „ ,,..-12:,., Perime er Yr:, Ceiling 1:Flat Ceiling or Scissor Truss 1,312 38.0 0.0 0.030 39 Wail 1:Wood Frame,16”o.c. 1,203 21.0 0.0 0.057 53 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 110 0.260 29 Door 1:Glass 120 0.320 38 Door 2:Solid 40 0.400 16 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1,312 30.0 0.0 0.033 43 Compliance Statement The proposed building design described here Is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed In the REScheck Inspection Checklist. Name-Title Signature Date Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: CAUsers Wanie\OneDrive\Documents\REScheckAlohsonsck Page 1 of 9 .. 0 REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC • Requirements: 0.0% were addressed directly in the REScheck software Text in the"Comments/Assumptions"column Is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that Is documented,or that an exception Is being claimed.Where compliance Is itemized In a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions &Req.ID 103.1, 'Construction drawings and 1 ,❑Complies 103.2 :documentation demonstrate .❑Does Not [PR1]' I energy code compliance for the el 'building envelope.Thermal ❑Not Observable envelope represented on : ❑Not Applicable construction documents. - - 103.1, Construction drawings and -,❑Complies 103.2, documentation demonstrate • ❑Does Not 403.7energy code compliance for [PR3]' I lighting and mechanical systems. ❑Not Observable 0 Systems serving multiple ❑Not Applicable dwelling units must demonstrate . - compliance with the'ECC 3 :Commercial Provisions. • - - - - d r r 302.1, ]Heating and cooling equipment Is Heating: Heating: ❑Complies 403.7 ]sized per ACCA Manual S based Btu/hr Btu/hr ODoes Not [PR2]' ion loads calculated per ACCA Cooling: Cooling: it/ I Manual.1 or other methods Btu/hr Btu/hr ❑Not Observable ]approved by the code official. ONot Applicable Additional Comments/Assumptions: • 1 High Impact(Tier 1) I 2 'Medium Impact(Tier 2) I 3 Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename:C:\Users\dance\OneDriveWocuments\REScheckVohson.rck Page 2 of 9 Section 71 Foundation Inspection Complies? Comments/Assumptions &Req.ID 303.2.1 ;A protective covering is Installed to ❑Complies [F01112 :protect exposed exterior Insulation Oboes Not :and extends a minimum of 6 in.below ONot Observable }grade. ONot Applicable 403.9 Snow-and ice-melting system controls ❑Complies IFO12]2 "Installed. Oboes Not 1� ONot Observable , ONot Applicable Additional Comments/Assumptions: • • • 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: C:\Users\dance\OneDrive\Documents\REScheck\lohson.rck Page 3 of 9 . • ' , . Section Plans Verified Field Verified # Framing I Rough-In Inspection Value Value Compiles? Comments/Assumptions & Req.ID 402.11 Door U-factor. U- U- ❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. (FR1]1 ONot Observable ONot Applicable 402.1.1, !Glazing U-factor(area-weighted ' U-_ U- ❑Complies See the Envelope assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3,402.5I . ONot Observable (FR2)1 • ONot Applicable FR2] 40 303.1.3 'U-factors of fenestration products, ❑Complies [FRO are determined in accordance • ,Y❑Does Not 4:4 with the NFRC test procedure or ONot Observable ;taken from the default table. • l❑Not Applicable 402.4.1.1 'Air barrier and thermal barrier ' a OComplies [FR23]1 installed per manufacturer's - ❑Does Not dy instructions. 4 ;Mot Observable . '❑Not Applicable 402.4.3 j Fenestration that is not site built „❑Complies [FR20]1 I Is listed and labeled as meeting / -;❑Does Not ife I AAMA/W DMA/CSA 101/1.5.2/A440[[[ for has infiltration rates per NFRC ONot Observable 400 that do not exceed code - - 'ONot Applicable limits. I i 402.4.5 IC-rated recessed lighting fixtures: • ❑Complies (FR16]' i sealed at housing/interior finish - ❑Does Not iand labeled to indicate 52.0 cfm 5 ;leakage at 75 Pa. - ,ONot Observable . - ''ONot Applicable 403.3.1Supply and return ducts in attics ,❑Complies (FR12]1 403.3.1 ; Insulated>=R-8 where duct is ❑Does Not 4.iH=3 Inches In diameter and>= R-6 where<3 Inches.Supply and ❑Not Observable return ducts In other portions of IONot Applicable the building insulated>=R-6 for diameter>=3 inches and R-4.2 I '.1 ;for<3 Inches in diameter. f 403.3.5 ;Building cavities are not used as '❑Complies [FR15]' Il ducts or plenums. - ❑Does Not SL ONot Observable I i - ❑Not Applicable 403.4 1 HVAC piping conveying fluids R- R-_ ❑Complies (FR17)2 :above 105 QF or chilled fluids ❑Does Not below 55 QF are insulated to aR- . ii 3 ONot Observable ONot Applicable • 403.4.1 I Protection of insulation on HVAC - .❑Complies [FR24]1 I piping. ❑Does Not 0 ' 'ONot Observable _- ONot Applicable 403.5.3 I Hot water pipes are Insulated to_,-R --- R-_ ❑Complies (FR18)1 aR•3. ❑Does Not !A' 1 ONot Observable ONot Applicable 403.6 ;Automatic or gravity dampers are - ❑Complies [FR1912 installed on all outdoor air ,❑Does Not • l intakes and exhausts. 4 .❑Not Observable i� 'ONot Applicable 1 High Impact(Tier 1) I 2 I Medium Impact(Tier 2) I 3 I Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: C:\Users\danie\OneDrive\Documents\REScheck'johson.rck Page 4 of 9 Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) I 3 Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: C:\Users\danle\OneDrive\Documents\RESchecl Johson.rck Page 5 of 9 • ' Section Plans Verified Field Verified # Insulation Inspection Value Value .Complies? Comments/Assumptions & Req.ID 303.1 All Installed insulation is labeled : • .❑Complies [IN13j2 I or the Installed R-values ' _ ' • 1❑Does Not I 41); provided. 'ONot Observable 1 ❑Not Applicable - 402.1.1, ;Floor Insulation R-value. 11- 1 R-_ ❑Complies See the Envelope Assemblies 402.2.6 I 0 Wood 0 Wood ODoes Not table for values. [INljl ❑ Steel ❑ Steel ONot Observable 0 ONot Applicable 303.2, !Floor insulation Installed per ❑Complies 402.2.7 manufacturer's Instructions and _ ODoes Not [IN2j1 lin substantial contact with the 0 !underside of the subfloor,or floor ONot Observable I framing cavity insulation Is In - Not Applicable contact with the top side of I sheathing,or continuous • Insulation Is installed on the j underside of floor framing and 'extends from the bottom to the I I top of all perimeter floor framing I 'members. i I 402.1.1, I Wall insulation R-value.If this is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, I mass wall with at least l/of the 0 Wood 0 Wood ODoes Not table for values. 402.2.6 :wall insulation on the wall (INV 'exterior,the exterior insulation ❑ Mass ❑ Mass ONot Observable ,`y (requirement applies(FR10). 0 Steel 0 Steel ONot Applicable 303.2 Wall Insulation is Installed per ❑Complies [IN411 (manufacturer's Instructions. - ,❑Does Not ONot Observable -❑Not Applicable Additional Comments/Assumptions: 1(High Impact(Tier 1) 2 I Medium Impact(Tier 2) 3 ILow Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename:C:\Users\danie\OneDrive\Documents\RESchecldjohson.rck Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Compiles? Comments/Assumptions &Req.ID 402.1.1, ;Ceiling insulation R-value. R- R- OComplies See the Envelope Assemblies 402.2.1, 0 Wood 0 Wood ODoes Not table for values. 402.2.2, 0 Steel 0 Steel ONot Observable 402.2.6 [FI1]' 1 ONot Applicable 303.1.1.1,;Ceiling insulation installed per }- - - -- , - - —- - - - OComplies 303.2 I manufacturer's instructions. ❑Does Not [F1211 Blown Insulation marked every I ' - 1 300 ft'. ( . ONot Observable f ,ONot Applicable 402.2.3 Vented attics with air permeable '( 'OComplies [FI22]2 -I,insulation include baffle adjacent k' - ' - ODoes Not ;to soffit and eave vents that , f[, • ;extends over insulation. ,❑Not Observable ONot Applicable 402.2.4 ;Attic access hatch and door R-_ R- OComplies [F13]1 I insulation aR-value of the ODoes Not :adjacent assembly. ONot Observable , !❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa.<-5 ACH 50= ACH 50= OComplies [Fl17]' �<®3 In achn Climate Climate Zones 3 8. ODoes Not 1 ONot Observable ONot Applicable 403.3.4 i Duct tightness test result of<=4 cfm/100 cfm/100 OComplies (F14]' 'cfm/100 ft2 across the system or ft2 ft2 ODoes Not I<=3 cfm/100 ft2 without air ONot Observable :handler @ 25 Pa. For rough-In 'tests,verification may need to ONot Applicable occur during Framing Inspection. i I 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 OComplies (FI27j' determine air leakage with ft2 ft2 ODoes Not either:Rough-in test:Total ONot Observable leakage measured with a pressure differential of 0.1 Inch ❑Not Applicable w.g.across the system Including ;the manufacturer's air handler :enclosure If Installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 Inch w.g.across the entire system including the manufacturer's air handler enclosure. 403.3.2.1 Alr handler leakage designated [ - ' ' OComplies [FI24j' by manufacturer at<-2%of I. ODoes Not design air flow. - - ❑Not Observable ❑Not Applicable 403.1.1 'Programmable thermostats i - ; - _ :OComplies [F19]2 ;Installed for control of primary I. - ODoes Not ;heating and cooling systems and I ! 'initially set by manufacturer to ) ONot Observable s code specifications. f ONot Applicable 403.1.2 Heat pump thermostat installed F - - - ,OComplies [F110]2 ',on heat pumps. , ' i❑Does Not 1 ONot Observable ONot Applicable 403.5.1 Circulating service hot water , OComplies [F11112 ,systems have automatic or - ODoes Not laccessible manual controls. ONot Observable j } - ONot Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) I 3 Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: CAUsers\danie\OneDrIve\Documents\RESchecl ohson.rck Page 7 of 9 Section Plans Verified Field Verified # Final Inspection ProvisionsValue Value Complies? Comments/Assumptions &Req.ID 403.6.1 I All mechanical ventilation system , OComplies [F125]2 Mans not part of tested and listed ` ,ODoes Not 1 HVAC equipment meet efficacy _ - Iand air flow limits. ❑Not Observable ONot Applicable 403.2 'Hot water boilers supplying heat ` OComplies [F12612 t through one-or two-pipe heating ' ''❑Does Not systems have outdoor setback '❑Not Observable I control to lower boiler water temperature based on outdoor - ❑Not Applicable Itemperature. i 403.5.1.1 I Heated water circulation systems ' OComplies [FI28]= I have a circulation pump.The - ;❑Does Not system return pipe is a dedicated ,.ONot Observable retum pipe or a cold water supply", pipe.Gravity and thermos- ONot Applicable syphon circulation systems are + not present.Controls for _ 1I circulating • hot water system I pumps start the pump with signal . for hot water demand within the occupancy.Controls a I automatically turn off the pump ;when water is in circulation loop - , lis at set-point temperature and _ I no demand for hot water exists. , 403.5.1.2 $Electric heat trace systems OComplies , I [FI2912 (comply with IEEE 515.1 or UL ❑Does Not 1111515.Controls automatically ONot Observable adjust the energy Input to the , !heat tracing to maintain the - _:❑Not Applicable I desired water temperature in the - I piping. 1 403.5.2 I Water distribution systems that ,, OComplies [1130)2 I have recirculation pumps that . , ❑ - RDoes Not 1 pump water from a heated water ' ONot Observable I supply pipe back to the heated water source through a cold _ ;ONot Applicable water supply pipe have a - demand recirculation water - - - Isystem.Pumps have controls - that manage operation of the I pump and limit the temperature of the water entering the cold I water piping to 1049F. -+ 403.5.4 I Drain water heat recovery units C -.❑Compiles (F131]2 ;tested in accordance with CSA - ❑Does Not 11355.1.Potable water-side - - • pressure loss of drain water heat ONot Observable (recovery units<3 psi for - i❑Not Applicable !individual units connected to one i - I or two showers. Potable water- side pressure loss of drain water ' heat recovery units<2 psi for j I Individual units connected to - - - 1 1 three or more showers. 404.1 175%of lamps in permanent - 'OComplies ------ (116)t (fixtures or 75%of permanent - i❑Does Not ;Does not apply to low-vol!fixtures have high tps ONot Observable age - - I lighting. ---- -.----_ ',ONot Applicable 404.1.1 Fuel gas lighting systems have ___ ----- OComplies ' [FI23j3 Ino continuous pilot light. ,❑Does Not ---------.__ j - 'O, I -❑Not Observable _________ ONot Applicable 1'High Impact(Tier 1) ! 2 I Medium Impact(Tier 2) 13 I Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: C:\Users\danle\OneDrive\Documents\REScheclAlohson.rck Page 8 of 9 Section Plans Verified Field Verified Final Inspection Provisions Value Value Compiles? Comments/Assumptions &Req.ID _401.3 'Compliance certificate posted. - ❑Complies [FI?]' ; Oboes Not a❑Not Observable • I - .❑Not Applicable 303.3 Manufacturer manuals for .❑Complies [FI1813 mechanical and water heating I , - ,- -, .. __ a❑Does Not systems have been provided. F 1} ',❑Not Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) j 3 Low Impact(Tier 3) Project Title:ADDITION/RENOVATION Report date: 07/24/18 Data filename: C:\Users\dance\OneDrlve\Documents\REScheck lohson.rck Page 9 of 9 2015 IECC Energy Efficiency Certificate I'nsulatio ' •ating- min; , Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/Roof 38.00 Ductwork(unconditioned spaces): Glass&Door •atinp ii• acto . " I Window 0.26 Door 0.32 ittertrittaltitt atter? Heating System: Cooling System: Water Heater: Name: Date: Comments U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date:November 30,2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2) insurance agent/company,and(3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Policy Number: LILDA&KALLIN JOHNSON A2. Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O.Route and Company NAIC Number. Box No. 6 SACHEM PATH City State ZIP Code WEST YARMOUTH Massachusetts 02673 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) DEED BOOK 18913,PAGE 105, YARMOUTH TAX ASSESSORS MAP 23, PARCEL 237 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.41.64375 Long.-70.23272 Horizontal Datum: D NAD 1927 x❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1,312 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 7 c) Total net area of flood openings in A8.b 1,400 sq in RECEIVED d) Engineered flood openings? El Yes 0 No A9. For a building with an attached garage: SEP 14 2018 a) Square footage of attached garage N/A sq ft BUILDING DEPARTMENT By -------- -- b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b B/A sq in d) Engineered flood openings? 0 Yes 0 No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81. NFIP Community Name&Community Number B2.County Name ' B3. State YARMOUTH 250015 BARNSTABLE Massachusetts 84.Map/Panel 85. Suffix B6. FIRM Index 67.FIRM Panel 68. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0588 J 07/16/14 07/16/14 AE 10.8 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: Q FIS Profile ❑ FIRM ❑ Community Determined 0 Other/Source: GPS RECEIVER 611. Indicate elevation datum used for BFE in Item 69: 0 NGVD 1929 0 NAVD 1988 0 Other/Source:NAVD 1988 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes E No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 6 SACHEM PATH City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: GPS RECEIVER Vertical Datum:NAVD 1988 Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 x❑ NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9.50 ❑x feet ❑ meters b) Top of the next higher floor _ 121 ❑x feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A 0 feet 0 meters d) Attached garage(top of slab) N/A 0 feet 0 meters e) Lowest elevation of machinery or equipment servicing the building ❑ meters feet E (Describe type of equipment and location in Comments) 12 o f) Lowest adjacent(finished)grade next to building(LAG) _ 9 4 x❑ feet 0 meters g) Highest adjacent(finished)grade next to building(HAG) 10.2 x❑ feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 9.8 ❑x feet 0 meters SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No 0 Check here if attachments. Certifier's Name License Number CRAIG A. FIELD 38039 Title DIRECTOR OF SURVEY OPERATIONS i00OF4/46,s4c1 Company Name oa crtmoA °vA BSC GROUP, INC. " FIELD - Address No.38039 349 ROUTE 28, UNIT D e0stE0 City State ZIP Code Lti-77th'r9s'r 'ri WESTYARMOUTHMassachusetts 02673 —1)-eniv.1Q I Signat Date Telephone Ext. /��,/ ] 09 13 2018 5013-778-8919 4581 Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) BUILDING IS TO BE RAISED TO ELEVATION 12.1 WITH THE USE OF(3)2x6"PRESSURE TREATED SILL PLATES.THE SITE IS LOCATED NEAR FEMA CROSS SECTION#137 ON THE YARMOUTH FLOOD STUDY PANEL WHICH DEPICT AN ELEVATION OF 10.8 WHICH IS ROUNDED UP ON THE FLOOD MAPS TO ELEVATION 11. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 6 SACHEM PATH City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade,if available.Check the measurement used.In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure) is ❑feet ❑meters 0 above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments • 0 Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 6 SACHEM PATH City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E), and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10. In Puerto Rico only,enter meters. 01. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 02 0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. 0 The following information(Items G4-G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: 0 feet 0 meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum 610. Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e),if applicable) 0 Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date:November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 6 SACHEM PATH City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front Yew"and"Rear View"; and, if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. • Photo One Photo One Caption Clear Photo One Photo Two Photo Two Caption ; Clear Photo Two FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date:November 30,2018 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 6 SACHEM PATH City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. Photo Three Photo Three Caption Clear Photo Three Photo Far Photo Four Caption Clear Photo Four FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 } A MACINNES CONSULTING, LLC -a. ,!' PO Box 1182, East Sandwich, MA 02537 L (508)274-2091 sh awn @maci n nesconsu lting.com July 31, 2018 Edward E. Shea II President, Shea Custom Carpentry, Inc. 20 Doten Road Plymouth MA 02360 RE: Engineered Ridge Beam , ' 6 Sachem Path West Yarmouth, MA Dear Mr. Shea, This letter is in reference to the engineered ridge beam design as shown on Sheet 6, Roof Framing Plan Detail, of the plans titled"Renovations to Johnson Residence,6 Sachem Path, West Yarmouth, Massachusetts"by W.B. Daniels Design Services, dated July 20, 2018 The location of the redesigned beams and the construction specifications are as follows: 1. Proposed Ridge Beam for Addition It is recommended that a 20'-0" long ridge beam consisting of(2) 1 3/4 x 11 7/8 1.9E Microllam (or equal) LVL be installed as shown on the attached plan. The beam shall be installed in two sections, the first being 7'-6", and the second being 12'-6".The beams shall rest on 3 %x 3 % 1.8E Parallam Columns (or equal). Columns shall extend down to 3'x 3'x 12"concrete footings on compacted base to provide support. On the exterior wall prior to bump out, ridge beam column shall sit rest on a 5-0° long (2) 1 3/4 x 9 1/2 1.9E Microllam (or equal) LVL on 3 %x 3 '% 1.8E Parallam Columns (or equal). Columns shall extend down to 3'x 3'x 12" concrete footings on compacted base to provide support. Please contact Maclnnes Consulting if you have any questions or require additional information. Sinc- - ----Iii i a4. .: //�f SHAWN ,cscj;, 1 MacINNES CIVIL ', 91 : POUF,eQo i s nil `�4? Shawn �'t/rrn-,' °: . ' License#111-3Y81 I • 'I I I I I I I I I I I I I I-1 -1-T1 • ,I I 1 I 1 I 1 1 I I I I I I I L--n 3 ,alta,3 /21.8e I I I I I I I I I I I I `1 __ _ Parallam LVL I — 31/2 x 31/21.Se Column posted I I I I I I I I I I I I ,/ Pamliam LVL ` • down to 3'x3 x12" II III I I I I I I II I 1 1 I Columns posted • concrete pad on 1 down to 3135c12" 1 I I I I I I I I I I I I _ _ 31/2 x 31/21.8e •• • ded I I I III I I I T concrete pad on Parana,LVL compacted base �U� 11 I I I I 1 (2)1 3/4 x 11 7/8"1.9e PROVIDE SOLID BLOCKING Mirldlam LVL ' I I 1 I I I EI 40" O.C. at. ••••-a ..nam�,�� I Er -y-I FIRST (2)D BAYS `/� 1 _I ___, &e.L __�..__—, 7 xl" RIDG9 Bp. I T FROM END WALL EQUI I- 1— - RI 1 I I TO MEET CODE REQUIREMENTS T-6" 12-6" _ I I 1 L_1r_ BUILT OVER• 'I 1 °1 I I I t IIIIII 11 ( III 31/2 x 31/2 1.8e CRICKET1-21F-4-74.-71;1_ _ 1 I I I 1 J ,II ( I I I Column posted to I I � — -yt IlIII 1I 1 1 (2)1 3/4 x 9 /4x912I I I 1.9eMi IcmiIiam 1L.V L I I I I' ' ' 'I ' — 111 'I _./-DBL FRAME /__ I I Il AROUND ROOF I I I 1 i I 1 1 1 i 1 = =1� _ LJ jOPENINGS II1 I I I I I I I I I I I 2-2xle BELOW 11I I I 1 1 III 1 1 1 I i 11 I III 1 1 I 1 I 1 I I I r-1-r1 I2x1O'S @ Ib" O.C. TOWN OF YARMOUTH Building Department CERTIFICATE OF (508) 398-2231 ext.1261 OCCUPANCY 04It.1640 y PERMIT NO BLD-19-000882 MATT N f EDWARD E SHEA ADDRESS:6 SACHEM PATH, WEST YARMOUTH, MA 02673 ZONING DISTRICT Bldg. Type: Residential SUBDIVISION MAP BLOCK LOT 023.237 REMARKS Addition &Alterations per approved plan 780 CMR MSB , • Edition, -40 Bylaws—remove existing rear deck with screened por• &c•nstru new kitchen/mudroom addition, reroof, siding&windows nterio reno -tio /�Z�j,/� CERTIFICATE OF OCCU-ANCY DATE: T / BUILDING OFFICIA • .,i�,_�it,_iAil/ IOW JOHNSON KALLIN& LINDA BUILDING DEPT BY 26 GERMAIN ST WORCESTER, MA 01600 PHONE iIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ERMANENTLY.ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JRISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF JBLIC WORKS. CERTIFICATE OF OCCUPANCY BUILDING INSPECTIONS APPROVALS EIRE: OTHER: DATE: 7/k/ 9 DATE: INSPECTOR: INSPECTOR: ELECTRICAL / BOARD OF HEALTH DATE: '7/ 9 119 DATE: Vao //,' INSPECTOR: Z? 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