Bld-20-001362 ♦ e '
ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department f
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 '''r
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct, Repair, Renovate Or Demolish
a One-or Two-Family Dwelling _
RECEIVFD
This Section For Official Use Only
Building Permit Number$[,-aO Dat plie : AU 3 O 2019]
J SeA rs -II _-
Building Official(Print Name) Si a re t3UILt71NCPART\VIENT
SECTION 1:SITE INFORMATION
1.1 Prpperty AsdC s: j n J �� p p 1.2 Assessors 1 Parcel Numbers ��
(e /�1 1'( j�'` (� f
1.1 a Is this an accepted street 46 no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
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
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System _
Public Private 0 Zone: _ Outside Flood Zane? Municipal 0 On site disposal system 0 '
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of c d: f' 7 '?
Name(Print) w City,State,ZIP
k v ‘d. e
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Construction 0 Existing Building❑ Owner-Occupied 4f Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units / Other 0 Specify:
Brief Description of Proposed Wor s
vfr , 1 H • (QELI /4 • 4- LesNy (Roofn
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1.. Building Permit Fee:$1 50 Indicate how fee is determined:
2.Electrical $ IIStandard City/Town Application Fee
0 Total Project Cost3(Ite 6)x multiplier . x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List -..
5.Mechanical (Fire
Suppression) $ Total All Fees:$
^� Check No. Check Amount: Cash Amount:
&�6.Total Project Cost: 5 , 000 0 Paid in Full IR Outstanding Balance Due: 115
SECTION 5: CONSTRUC N SERVICES
5.1 Construction'') /1
S/;,
ervisor License(CSL)
( (I 9 9
„9'9 a
v I4111 License Number Ex irationIZDZD,V
ate
Name of CSL Holder
e o' x'/!'„Q.+- �'/ "1 J(J 4 c 4 List CSL Type(see below)
No.and Street - "'n
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted I&2 Family Dwelling
City/Town,State,ZIP M Masonry
,� 6.011 g H a 1 �j RC Roofing Covering
' • `��" ( '' / WS Window and Siding
/� SF Solid Fuel Burning Appliances
'-' [;-1�p U-'(�`/ /i 'I I i�q, I Insulation
Telephone Email address D Demolition
5.2 egistered Home Improvem(ennt Contractor(HIC) 1807 3 r . o/![
ga
be C`i 'om �✓om p / HIC Registration Number E(pirat' n Date ic ,
' HIC Company Name or HIC Registrant Name
3 c,rb a0 r 14,1 ( Or.-.0 11
No.and Street Emaihaddress
rr►^cO4• l 1 oa f L
rty/Town, State,LLf 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 0 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPPLLIIESSFFOR BUILDINGPERMIT
I,as Owner of the subject property,hereby authorize—'` ► �� 1 Ldd�—
to act on my behalf,in all matters relative to work authorized by this building permit application.
'6 R 1 04 0"-R-R 69 t-i 13\911 '
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
contain in this application' e and accurate to the best of my knowledge and understanding.
- 6A2Zcv)
Print Owner's or Author' ed ame(Electronic Signature) D to
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 not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
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.ft.) , 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
in_* , � L Department of Industrial Accidents
' ='sellll= 1 Congress Street, Suite 100
q — Boston, MA 02114-2017
-..)-... www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): AjIL f P 'E9 )44:$ ` /4{'r1`6 NI, {j
Address: 12'171 l/CtidVA1 VA O R V'77',
It
City/State/Zip: Phone #:
Are you an employer?Check the appropriate box:
Type of project(required):
1.11 I am a employer with employees(full and/or part-time).* 7. ❑New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling '
any capacity.[No workers'comp. insurance required.]
3.0 I am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. ❑Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on mYProPerh'• 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 I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.7 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 all 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 insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: 7 R/GVe LA_ RI s
✓
Policy#or Self-ins.Lic.#:
11/ Iv►�I�+`03 '�^sI Expiration Date..
Job Site Address: 1 I'1`C-I6-P/?.u'A -, c ' p ity/State/Zip:
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.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: Date: I /
{'Phone#: ,til. � -a(44 e 4
lii
1/
-,.....Qficial use : ly. 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#:
61.'f lit *- TOWN OF YARMOUTH
a5 BUILDING DEPARTMENT
.-3)
�� «K =6V 11.46 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DA'1E: e
tRetevfie 0 ,,„, ( . ,644,, ,,,,i-k
JOB LOCATION:
NAME STREET AD L,RESS SECTION OF TOWN
"HOMEOWNER"
NAME HOME PH•i WORK PHONE
PRESENT MAILING ' 'DRESS
CITY OR ' OWN STAIE ZIP CODE
The current exemption for ..omeowner' was extende• to include owner—occupied dwellings of one or two units
and to allow such homeowne to engage an individu.4 for hire who does not possess a license,provided that such
homeowner shall act as supervi •r. (State Building ode Section 110 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on •'ch he/ he resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detaches stru' re assessory to such use and/or farm structures. A person who
constructs more than one home in a two-year•7, od shall not be considered a homeowner;such"homeowner"shall
submit to the building official, on a form accep. , e to the building official,that he/she shall be responsible for all
such work performed under the buildingpe r.'t. ( -ction 110 R5.1.3.1)
The undersigned `homeowner' assumes r-•ponsibility •r compliance with the State Building Code and other
applicable codes, by-laws, rules and regula ions.
The undersigned `homeowner' certifies at he / she understand s the Town of Yarmouth Building Department
minimum inspection procedures and re I uirements and that he she will comply with said procedures and
requirements. s �r
HOMEOWNER"S SIGNATURE V Rcut4 Opp lY -
APPROVAL OF BUILDING OFF1C
INSURANCE COVERAGE:
I have a current liability insurance ,•olicy or its substantial equivalent, which meets e requirements of MGL
Ch.142. Yes No
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of th ass. General Laws and that my signature on this permit application waives this requirement.
Check one:
Sign r of Owner or 0 ner' Agent Owner Agent
h:homeownrlicexemp
Yt}�� TOWN OF YARMOUTH
k ' • C BUILDING D EPARTMF_NT
\ 1 — 1146 Route 28,South Yarmouth,MA 02664
\�—.•_5y� 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 63 4 rel, F
Work Address
Is to be disposed of at the following location: ,,/5
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
% i, , dirt 4 ,Y- q .
Si;.,u a'•re of Applica 'on D e
Permit No.
0t-:Y � TOWN OF YARMOUTH
s;' ; ' .,A ° HEALTH DEPARTMENT
• .- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: / Q
Building Site Location: .14 'f' ,4 `C ' rAC ul. A AM PU *A')
Proposed Improvement: %/flVL1 L t V/) 6P7y1 474J Leh a-N
ae.( Li 14 5_,.1-
e vt f-f 1 1�A-" Int t iq e /► 1
Applicant R'r 4/l\ p Tel. No.: e F IFoSE O I
Qed
Address: ii Pi Pk V/1 ram' • itpvt, 4, rA''pz,7. Date Filed: J -
**Ifyou would like e-mail notification of sign off please provide e-mail address:
/41 Owner Name: J1AL1 p".R.PO Ali
Owner Address: 4/‘ .I (&4 'A".Ai W•ram AgM'Y Owner Tel. No.: /al`f `3 W
ayi-V.
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.
REVIEWED BY: PrA179 .-
DATE: la/�ol1 l
PLEASE NOTE
COMMENTS/CONDITIONS:
eK4 v-0 c",,,, /1-0uS,2__ (-I/S I / lco a —
R- -- civ� Ace_sernr 4 , ►,xeloc., KJct_Etc
8 Q-s-e.wee 4 T ' cp LI P.O iM-
.L e g z.,,yonef n.�l/ 7,1Ga;-;u.1 .;e7rJ
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:individual Registration valid for individual use only
EILOgn before the expiration date. If found return to:
02/01/2021 Office of Consumer Affairs and Business Regulation
ROBERT B.Dl>lVp80 1000 Washington Street-Suite 710
Bosto ,MA 02118
ROBERT B.DUNPHY
3 HARBOUR HILL RIJN c __;
SOUTH YARMOUTH,MA 02664
Undersecretary of valid without sig afore
a:,
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction,,SHASer 1 & 2 Family
CSFA-069294 spires: 09/14/2020
ROBERT B DEINPHY r it
ZT
3 HARBOUR H11fL RUNS ,` :
SOUTH YARMOLLTH MA 2664 •
Commissioner Ch
NOTICE NOTICE
TO TO
EMPLOYEES -_ _ — EMPLOYEES
OW
O,M = s'
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
1 Congress Street, Suite 100, Boston, Massachusetts 02114 — 2017
617-727-4900 — http://www.state.ma.us/dia
As required by Massachusetts General Law, Chapter 152,Sections 21,22&30,this will give you notice that
I(we) have provided for payment to our injured employees under the above mentioned chapter by
insuring with:
THE TRAVELERS INSURANCE COMPANIES
NAME OF INSURANCE COMPANY
P.O. BOX 1450
MIDDLEBORO. MA 02344-1450
ADDRESS OF INSURANCE COMPANY
(6HUB-1K63222-5-18) 09-29-18 TO 09-29-19
POLICY NUMBER EFFECTIVE DATES
o=
JOHN J LAMB INS AGCY INC 24 NORTH STREET
HINGHAM MA 02043
NAME OF INSURANCE AGENT ADDRESS PHONE#
— DUBLIN CONSTRUCTION INC 2 HERSEY STREET
'�1" 7 SO YARMOUTH
'-_ MA 02664
EMPLOYER ADDRESS
EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of
employment to furnish adequate and reasonable hospital and medical services in accordance with the
provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the
'— injured employee. The employee may select his or her own physician. The reasonable cost,of the services
provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably
connected to the work related injury. In cases requiring hospital attention, employees are hereby notified
that the insurer has arranged for such attention at the
NAME OF HOSPITAL ADDRESS
TO RE POSTED RV EMPLOYER
Sears, Tim
From: Sears, Tim
Sent: Thursday, September 12, 2019 2:52 PM
To: 'dublincompanies@comcast.net'
Subject: 6 Archie Rd
Bob,
I have reviewed your application for 6 Archie Rd, and there are some items to address;
1. Specs for LVL beam need to be submitted
2. The rescheck that was submitted has no information on it
Please submit these items for review
Thank you
RECEIVED
Timothy Sears CBO
Building Inspector SEP 13 21319
Town of Yarmouth
508 39$ 2231 Ext. 1259 BUILDING DEPARTMENT
BY - ---
mailto:tsears@yarmouth.ma.us
1
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EV:Mit;CONNOUR RONALD J. CADILLAC, PLS, RS
F,:()PC,S•FD CONINup 11161C)`1 PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
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P.O. BOX 258
III III Ec 0,1-P H, ,,,,01- t I L '.!,,•,,,,... .
,-41,-y`L.,C1,1.;c,-Etri'c/ /-./e , , WEST YARMOUTH, MA 02673
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HEALTH AGENT APPROVAL DATE (508) 775-9700
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REScheck Software Version 4.6.5
Compliance Certificate RECEIVED
Project 6 archie I SEP 13 2019
BUILDING DEPARTMENT
Energy Code: 2015 IECC By - ----
Location: Yarmouth, Massachusetts
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 5 (6137 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
6archie brian serpone bob dunphy
yarmouth, MA 64725 serpon innovations Ilc dublin construction
21 fruean way unit G yarmouth, MA
yarmouth, MA 02664 781 718 0881
508 619 3558
Compliance: Passes using prescriptive requirements for alteration projects
Envelope Assemblies
Gross Area Cavity Cont.
Assembly or R-Value R-Value U-Factor UA
Perimeter
Ceiling 1:Cathedral Ceiling --- --- --- --- ---
Exemption: Framing cavity filled with insulation
Wall 1:Wood Frame, 16"o.c. --- --- --- --- ---
Exemption: Framing cavity filled with insulation
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 56 0.290 16
Door 1: Solid 36 0.270 10
Basement Wall 1: Masonry Block with Empty Cells --- --- --- --- ---
Wall height: 6.6'
Depth below grade: 4.6'
Insulation depth: 0.0'
Exemption: Framing cavity not exposed.
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space --- --- --- ---
Exemption: Framing cavity filled with insulation
Mechanical Equipment
Description Fuel type Efficiency
Forced Hot Air 78 AFUE
Air Source 7.7 HSPF, 13 SEER
Electric Central Air 13 SEER
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 1 of10
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: 6 Archie Report date: 09/13/19
Data filename: Untitled.rck Page 2 of10
,
REScheck Software Version 4.6.5
Inspection Checklist
Energy Code: 2015 IECC
c.i.
Requirements: 2.0% 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 ��,, ' • ❑Complies
103.2 documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the ' ' F
0, building envelope.Thermal ,,.�, ,_.:r ,°' r ;❑Not Observable
envelope represented on ❑Not Applicable
construction documents.
103.1, Construction drawings and . ❑Complies
103.2, documentation demonstrate ,-,:1,''. ❑Does Not
403.7 energy code compliance for
[PR3]1 lighting and mechanical systems. ;❑Not Observable
, , Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the IECC
Commercial Provisions. :* _% -
302.1, Heating and cooling equipment is Heating: Heating: ❑Complies
403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
[PR2]2 on loads calculated per ACCA Cooling: Cooling:
Ab Manual J or other methods Btu/hr Btu/hr ❑Not Observable
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 3 of10
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
&Req.ID
402.1.1 Conditioned basement wall R- R- ❑Complies See the Envelope Assemblies
[FO4]1 insulation R-value.Where interior R_ R- ❑Does Not
table for values.
insulation is used,verification
may need to occur during ❑Not Observable
Insulation Inspection. Not ❑Not Applicable
required in warm-humid locations
in Climate Zone 3.
303.2 Conditioned basement wall ❑Complies
[FO5]1 insulation installed per ❑Does Not
manufacturer's instructions.
❑Not Observable
❑Not Applicable
402.2.9 Conditioned basement wall ft ft ❑Complies See the Envelope Assemblies
[FO6]1 insulation depth of burial or ❑Does Not table for values.
distance from top of wall.
:Not Observable
❑Not Applicable
303.2.1 A protective covering is installed ElComplies
[FO11]2 to protect exposed exterior ' F ❑Does Not
insulation and extends a
minimum of 6 in. below grade. Not Observable
❑Not Applicable
403.9 Snow-and ice-melting system ❑Complies
[FO12]2 controls installed. ❑Does Not
E]Not Observable
- .=❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 4 of10
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Commes/Assump
&Req.ID
402.1.1, Door U-factor.
U U- ❑Complies See the Envelopent Assemblies tions
402.3.4 ❑Does Not table for values.
[FR1]1 ['Not Observable
d'
Not 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,
402.5 QNot Observable
(FR2]1 ❑Not Applicable
4
303.1.3 U-factors of fenestration products # ❑Complies
[FR4J1 are determined in accordance ❑Does Not
with the NFRC test procedure or
taken from the default table. QNot Observable
g °:❑Not Applicable
402.4.1.1 Air barrier and thermal barrier :❑Complies Requirement will be met.
[FR23]1 installed per manufacturer's ❑Does Not
instructions. `.QNot Observable Location on plans/spec:
besement
-',❑Not Applicable
402.4.3 Fenestration that is not site built "❑Complies
[FR20]1 is listed and labeled as meeting _=❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440 f (
or has infiltration rates per NFRC QNot Observable
400 that do not exceed code ; ' , ❑Not Applicable
limits. a
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish `' `, Does Not
and labeled to indicate <_2.0 cfm
leakage at 75 Pa. ❑Not Observable
El Not Applicable
403.3.1 Supply and return ducts in attics ) > ❑Complies
[FR12]1 insulated >= R-8 where duct isu ='❑Does Not
>= 3 inches in diameter and >= =❑Not Observable
R-6 where< 3 inches. Supply and` r r
return ducts in other portions ofIll ❑Not Applicable
the building insulated >= R-6 for
diameter>= 3 inches and R 4.2
for< 3 inches in diameter.
403.3.5 Building cavities are not used as , A ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
['Not Observable
�' 'r !=❑Not Applicable
403.4 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2
above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to >_R-
['Not Observable
❑Not Applicable
3
403.4.1 Protection of insulation on HVAC •• ,:;❑Complies
[FR24]1 piping. >' ❑Does Not
i
t( ❑Not Observable
' i '` =:;❑Not Applicable
403.5.3 Hot water pipes are insulated to R R ❑Complies
[FR18]2 >_R-3. ❑Does Not
` ❑Not Observable
❑Not Applicable
403.6 Automatic or gravity dampers are ��=❑Complies
[FR19]2 installed on all outdoor air 'li, ` � < ❑Does Not
intakes and exhausts. " e
QNot Observable
e t ���❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Page 5 of10
Data filename: Untitled.rck
•
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 6 of10
::E
on Plans Verified Field Verified
insulation Inspeion Complies? Comments/Assumptions
.ID
303.1 All installed insulation is labeledrr, ; '„❑Complies
[IN13]2 or the installed R-values ` - `; ❑Does Not
provided. s
❑Not Observable
❑Not Applicable
402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.6 ElWood IIIWood ❑Does Not table for values.
[IN1]1 ❑ Steel ❑ Steel :Not Observable
a3a
❑Not Applicable
303.2, Floor insulation installed per ❑Complies
402.2.7 manufacturer's instructions and `!❑Does Not
[IN2]1 in substantial contact with the r � a
kiiunderside of the subfloor,or floor '{ ❑Not Observable
framing cavity insulation is in 'r, .�: ❑Not Applicable
contact with the top side of
sheathing,or continuous 1
insulation is installed on the
underside of floor framing and 1
extends from the bottom to the
top of all perimeter floor framing
members.
402.1.1, Wall insulation R-value. If this is a• R- R- ❑Complies ;See the Envelope Assemblies
402.2.5, mass wall with at least of the ElWood ❑ Wood CI Not table for values.
l
402.2.6 wall insulation on the wall ❑ Mass '❑ Mass ❑Not Observable
[IN3]i exterior,the exterior insulation
requirement applies(FR10). ❑ Steel El Steel ❑Not Applicable
fe 303.2 Wall insulation is installed per ❑Complies
[IN4]1 manufacturer's instructions. ❑Does Not
['Not Observable
" 4 f . 5. ..,-.d . . ... .,00Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 7 of10
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
&Req.ID
402.1.1, Ceiling insulation R-value. R- R- ,❑Complies See the Envelope Assemblies
402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.2, ❑ Steel ❑ Steel ['Not Observable
402.2.E ❑Not Applicable
[HIP:
303.1.1.1, Ceiling insulation installed per El Complies„
303.2 manufacturer's instructions. ❑Does Not
[FI2]1 Blown insulation marked every 4
300 ft2. Not Observable
.i❑Not Applicable
402.2.3 Vented attics with air permeable ❑Complies
[FI22]2 insulation include baffle adjacent `° ❑Does Not
to soffit and eave vents that
extends over insulation. ❑Not Observable
,. a ,. ❑Not Applicable
402.2.4 Attic access hatch and door R- R- ❑Complies
[F13)1 insulation >_R-value of the ❑Does Not
adjacent assembly.
❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies
[F117P ach in Climate Zones 1-2,and ❑Does Not
<=3 ach in Climate Zones 3-8.
❑Not Observable
LINot Applicable
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[F14P cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in Not Observable
tests,verification may need to ❑Not Applicable
occur during Framing Inspection.
403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[F127]1 determine air leakage with ft2 ft2 ❑Does Not
either: Rough-in test:Total
leakage measured with a Not Observable
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 Air handler leakage designated -❑Complies
[F124]1 by manufacturer at<=2%of ,x ❑Does Not
design air flow.
❑Not Observable
[Not Applicable
403.1.1 Programmable thermostats f • ❑Complies
[FI9]2 installed for control of primary -� ❑Does Not
heating and cooling systems and ❑Not Observable
initially set by manufacturer to ❑Not A licable
code specifications. to pP
403.1.2 Heat pump thermostat installed • ❑Complies
[FI10]2 on heat pumps. € ❑Does Not
['Not Observable
❑Not Applicable
403.5.1 Circulating service hot water f k s ❑Complies
[FI11]2 systems have automatic or ; ' • ❑Does Not
accessible manual controls. _� x
�,i❑Not Observable
y fi ' ❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 8 of10
Section Plans Verified Field Verified
# Final inspection Provisions Value Value Complies? Comments/Assumptions
&Req.ID
403.6.1 All mechanical ventilation system 1❑Complies
[FI25]� fans not part of tested and listed ��e F ? `a❑Does Not
HVAC equipment meet efficacy
and air flow limits. ❑Not Observable
`; ❑Not Applicable
403.2 Hot water boilers supplying heat ', ❑Complies
[F126]z •through one-or two-pipe heating w, g .; ` �-,42 - h. ❑Does Not
systems have outdoor setbacks M
control to lower boiler water ❑Not Observable
temperature based on outdoor s❑Not Applicable
temperature.
403.5.1.1 Heated water circulation systems • 34 =❑Complies
[FI28]z have a circulation pump.The ; j ',-- Does Not
system return pipe is a dedicated
return pipe or a cold water supply r ❑Not Observable
pipe.Gravity and thermos d -- �❑Not Applicable
syphon circulation systems are
not present.Controls for - ;A,° L .
circulating hot water system
pumps start the pump with signal
for hot water demand within the , a
occupancy.Controls
automatically turn off the pump ;;E
•
when water is in circulation loop a
•is at set-point temperature and
no demand for hot water exists. 4 1 :'
403.5.1.2 Electric heat trace systems z, • ` `°-°_❑Complies
[FI29]2 comply with IEEE 515.1 or UL t ❑Does Not
515. Controls automatically
adjust the energy input to the ; ';❑Not Observable
heat tracing to maintain the 's < ❑Not Applicable
desired water temperature in the
piping. i h
403.5.2 .Water distribution systems that ❑Complies
(FI30]2 have recirculation pumps that p ❑Does Not
pump water from a heated water
supply pipe back to the heated _ ❑Not Observable
water source through a cold �� tip, r ❑Not Applicable
water supply pipe have a
demand recirculation water
system. Pumps have controls
that manage operation of the a
pump and limit the temperature • ,
of the water entering the cold `
water piping to 1049F.
403.5.4 Drain water heat recovery units ; >�i � t ❑Complies
[FI31]� tested in accordance with CSA • , , • ❑Does Not
655.1. Potable water-side
pressure loss of drain water heat ' • ❑Not Observable
recovery units< 3 psi for ] ❑Not Applicable
individual units connected to one
or two showers. Potable water
side ressure loss of drain water '
p
heat recovery units< 2 psi for
individual units connected to "
three or more showers. ,
404.1 75%of lamps in permanent -, ❑Complies
[FI6]1 fixtures or 75%of permanent `' ° fs ❑Does Not
fixtures have high efficacy lamps. r
Does not apply to low voltage ❑Not Observable
lighting. ❑Not Applicable
404.1.1 Fuel gas lighting systems have ;x ❑Complies
[FI23]3 no continuous pilot light. .❑Does Not
t� a
❑Not Observable
tip ' ▪ ❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 9 of10
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
&Req.ID
401.3 Compliance certificate posted. $ ❑Complies
(F17)Z
'r❑Does Not
,'❑Not Observable
❑Not Applicable
Ixe 4 1
303.3 Manufacturer manuals for `❑Complies
[FI18]3 mechanical and water heating Not
systems have been provided.
E ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 6 archie Report date: 09/13/19
Data filename: Untitled.rck Page 10 of10
ed2015 IECC Energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 0.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling/ Roof 0.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.29
Door 0.27
Heating&Cooling Equipment Efficiency
Forced Hot Air 78 AFUE
Air Source 7.7 HSPF,
Electric Central Air 13 SEER
Water Heater:
Name: Date:
Comments
-
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®Boise Cascade - Triple 1-3/4" x 14" VERSA-LAM®2.0 3100 SP PASSED
RB01 (Roof Beam)
BC CALC®Member Report Dry I 1 span I No cant. September 13, 2019 10:03:25
Build 7295
Job name: 6 Archie Rd File name:
Address: 6 Archie Road Description:
City, State,Zip: West Yarmouth, MA, 02673 Specifier:
Customer: Serpone Designer: Kevin Lonkart
Code reports: ESR-1040 Company: Mid Cape Home Centers
<10
12
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 101 1 1 1 1 1 1 1 1 1 11 1 1 1 1
18-00-00
B1 B2
Total Horizontal Product Length=18-00-00
Reaction Summary (Down I Uplift) (Ibs)
Bearing Live Dead Snow Wind Roof Live
B1, 3-1/2" 1677/0 2970/0
B2, 3-1/2" 1677/0 2970/0
Load Summary Live Dead Snow Wind Roof Tributary
Live
Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125%
0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 18-00-00 Top 21 00-00-00
1 Roof Load Unf.Area(Ib/ft2) L 00-00-00 18-00-00 Top 15 30 11-00-00
Controls Summary Value %Allowable Duration Case Location
Pos. Moment 19858 ft-lbs 39.6% 115% 4 09-00-00
End Shear 3894 lbs 24.2% 115% 4 01-05-08
Total Load Deflection L/460(0.458") 39.2% n\a 4 09-00-00
Live Load Deflection L/719(0.293") 33.4% n\a 5 09-00-00
Max Defl. 0.458" 45.8% n\a 4 09-00-00
Span/Depth 15.0
%Allow %Allow
Bearing Supports Dim.(LxW) Value Support Member Material
B1 Column 3-1/2"x 5-1/4" 4647 lbs n\a 33.7% Unspecified
B2 Column 3-1/2"x 5-1/4" 4647 lbs n\a 33.7% Unspecified
Cautions
For roof members with slope(1/4)/12 or less final design must ensure that ponding instability will not
occur.
For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow surcharge
load.
Notes
Design meets Code minimum (L/180)Total load deflection criteria.
Design meets Code minimum (L/240) Live load deflection criteria.
Design meets arbitrary(1")Maximum Total load deflection criteria.
Calculations assume member is fully braced.
BC CALC®analysis is based on IBC 2009. RECEIVED
Design based on Dry Service Condition.
SEP 13 2019
BUILDING DEPARTMENT
By
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*Boise Cascade - Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP PASSED
RB01 (Roof Beam)
BC CALL®Member Report Dry I 1 span I No cant. September 13, 2019 10:03:25
Build 7295
Job name: 6 Archie Rd File name:
Address: 6 Archie Road Description:
City, State,Zip: West Yarmouth, MA, 02673 Specifier:
Customer: Serpone Designer: Kevin Lonkart
Code reports: ESR-1040 Company: Mid Cape Home Centers
Connection Diagram: Full Length of Member
a
• F• •
• • •
a minimum=2" c= 10"
b minimum=4" d= 12"
e minimum= 1"
All FastenMaster screws may be installed from one side of multiply Versa-Lam beams.
Connectors are: FMFLOO5
Disclosure
Use of the Boise Cascade Software is
subject to the terms of the End User
License Agreement(EULA).
Completeness and accuracy of input
must be reviewed and verified by a
qualified engineer or other appropriate
expert to assure its adequacy,prior to
anyone relying on such output as
evidence of suitability for a particular
application.The output here is based on
building code-accepted design
properties and analysis methods.
Installation of Boise Cascade
engineered wood products must be in
accordance with current Installation
Guide and applicable building codes.To
obtain Installation Guide or ask
questions,please call(800)232-0788
before installation.
BC CALC®,BC FRAMER®,AJST""
ALLJOIST®,BC RIM BOARDTM,BCI®,
BOISE GLULAMTM,BC FloorValue®,
VERSA-LAM®,VERSA-RIM PLUS®,
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