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HomeMy WebLinkAboutBld-20-002950 - //2 ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department oF.....r 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ....,!i� Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling c This Section For Official Use Only Building Permit Number: /7-n,lp o 29S-0:: I.Date App " !CV tCt .f, r' S1\cs '' il-d. Building Official(Print Name) Signature tip SECTION 1:SITE INFORMATION. 1.1 Property e,ss: elt°(04 1.2 Assessor 'Vlay&Parcel Numbers ttoSwditkhch ©t. Gi1MAlm j� 1.1 a Is this an accepted street?yes 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: Public1 Private 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Own r'of ot;d: Lam\ CI 4 Cu he Q,i ` CI k(5Url,-, 1-A{, 0-)A,6q Name(Print) City,State,ZIP • lLP d�,SA Di. `95 C YEs1- NC7vTh) c i/9 No.and Street 'Telephone Email Address Obi SECTION3:.DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg.❑ Number of Units Other Cl Specify: Brief Description of Proposed Work': • IndAlajA liV S te' \ (--CLf 6� Mi-o.-\ o—t\%M 6 3 k cc, _SECTION:4 ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item OfficiaMe Only (Labor and Materials) 1.Building $ :1. Building Permit Fee;$:ISO. Indicate how fee is determined: 2.Electrical $ •21 Standard City/Town Application Fee • 0 Total Project Cost-(Item:6)x multiplier... x • 3.Plumbing $ 2. Other Fees: $ List: 4.Mechanical (HVAC) $ - 5.Mechanical (Fire $ Suppression) Total All Fees $' Check/4.. Check Amount: C Amounts 6.Total Project Cost: $ q.acb 60 i • O Paid in Full Outstanding Bai ce Due: Ili • ONE or TWO FAMILY- BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: t \1v`C \ , Sa(i V CW'(ry uth`1Mk C24b4 Scope of Proposed Work: I--0o CL1 L`Y) S*L i 11 2C (An Date: Based on the scope of work described above,the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept.—508-398-2231 ext. 1241 Conservation—508-398-2231 ext. 1288 Water Dept.—99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept.—508-398-2231 ext. 1250 Fire Dept.—Kevin Huck/Scott Smith, 96 Old Main Street,SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: Applicant's Signature Date Rev.Jan. 2019 The Commonwealth of Massachusetts ►t o*v = 1, Department of Industrial Accidents °lea- 1 Congress Street,Suite 100 _:ti__ Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. • TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Northeast Foundation Repair LLC. dba Ramjack of New England Address: Po Box 417 City/State/Zip:West Hyannisport Ma. 02672 Phone#:Office 508-295-3133 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 6 employees(full and/ 5. ❑Retail or part-time).* 6. ElRestaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. 0 Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing no employees. [No workers'comp. insurance required]** 11.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.❑✓ Other Foundation repair *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Assnciated Employers Insurance Insurer's Address: Po box 417 City/State/Zip: West Hyannisport Ma. 02672 Policy#or Self-ins.Lic.#UWVC 50050204102019A Expiration Date:05/01/2020 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nd he pains and penalties of perjury that the information provided above is true and correct Signature: Date: k l-1"l`1 G1 Phone#: Office 508-29 -3133 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia • b1 YfiR TOWN OF YARMOUTH • • o - c BUILDING DEPARTMENT • - y 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 I, Section 111_5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at \ b Ora (" \( rj( , y a ovvotAtvl Work Address Olt Is to be disposed of at the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. ‘\ 16‘\1(1 Signature f Application Date Permit No, o�.Y TOWN OF YARIOUTH • • BUILDING DEPARTMENT 6�4a n G 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATIO • NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" AME HOME PHONE WORK PHONE PRESENT MAILING AD SS CITY OR TO' STATE 7TP CODE The current exemption for'Homeo er' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to eng::e an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (St. e Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which h./she resides or intends to reside,on which there is or is intended to be,a one or two family attached or detached struc .re assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period •all not be considered a homeowner;such"homeowner"shall submit to the building official,on a form acceptable to .,e building official,that he/she shall be responsible for all such work performed under the buildin a permit. (Sectio. 10 R5.1.3.1) The undersigned `homeowner' assumes responsibility for c•aipliance with the State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned 'homeowner' certifies that he/ she understands :- Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / sh= will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING O.Fr1CIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets - requirements of MGL Ch.142. Yes No If you have checked Lel,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 the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp a'2e- W4mllu teleaGitX ci P/v offs Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC NORTHEAST FOUNDATION REPAIR LLC Registration: 185517 DB/A DBA RAMJACK NEW ENGLAND Expiration: 06/27/2020 P.O.BOX 417 W.HYANNISPORT,MA 02672 Update Address and Return Card. SCA 1 11 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration r ,Op Office of Consumer Affairs and Business Regulation 185517 08/27/2020 One Ashburton Place-Suite 1301 NORTHEAST FOUNDATION REPAIR LLC Boston,MA 02108 DIBIA DBA RAMJACK NEW ENGLAND �2Cq ANTHONY P.CAPELLE C� 166 TOBEY WAY W.HYANNISPORT,MA 02672 Undersecretary W out signature Construction Supervisor Conimor,wealth of Massachusetts Unrestricted-Buildings of any use group which contain Division of Professional Licensure less than 35,000 cubic feet(991 cubic meters)of enclosed Board of',wilding Regulations and Standards space. Construction Surarvisc+r CS-108241 E,x p i res.09/25/2020 ANTHONY P CAPELLE •' .- PO BOX 417 7749303261 WEST HYANNISPORT MA 026)t2 nt Failure to possess a curra edition of the Massachusetts - State Building Code Is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl Commissioner G02206186 OSHA reeumeaea Omrc.ch hontion courses as as orkatatm.to acopatioonl safety - m sad Wank for worker&pmkipatio It at/1mm,workers mot fern x additional training oa specific hazards of their Job.This mane mooted.eard doer not expire. tkS-beeefeneltt 9f t]Ilwr Occuyatiuw Saaciy ass Heart`sed:n„natrirxnn • Visit US oiitne at www.excel-in-safety.com Anthony P.Catpelle Or call 508.548.0866 has-...t1mhtoy mnpleied a to-i14dr 0ccialatronal Safety and Health -. Training Casein saws sloth _. , Patel Fey funks iformatisa ue our web site at taws oobaswlawmchAimt • , Proposal � _ � JACK Ram Jack New England 12 Kendrick Road,Units 15-16 11/11/2019 Wareham,MA 02571 admin@ramjackne.com 194554 508.295.3133 BILL TO: PROJECT:Support existing foundation at sunroom 16 Swordfish Drive Yarmouth MA 02664,MA 16 Swordfish Drive Yarmouth MA 02664,MA Jim Burke 508-667-2715 774-302-4444 jmbnora(Oaot.com DESCRIPTION QTY UNIT PRICE TOTAL Installation of Three Helical piles with support brackets to an existing foundation Hand excavation and install two piles under at overhang,U35 kabota to be used at bulk head for two. (3)4021 brackets,(3)8"-10"helical leads,(6)7'0"-(10)2'-0"extensions if requierd. 3 $2,250.00 $6,750.00 Provide Engnnering for building permit application,permit application service fee,permit cost. 1 $2,500.00 $2,500.00 Crack repair,carbon fiber staples.(1)crack water side. 1 $0.00 $0.00 Mobilization to site,ONE TIME. "WAIVED" 0 $0.00 $0.00 DE-mobbilization from site,ONE TIME. "WAIVED" 0 $0.00 $0.00 Ramjack's contractual pile depth limit is 15.-0"helical pile,below the stabilization bracket.If required to proceed beyond 15'- 0"by either engineering design,specifications,poor soils or other reasons,customer shall be notified that their will be an additional cost of$30 per foot. .Installation Fee Structure is subject to any signed Change Order(s).You agree to pay Ramiack for thetotal of the Work.A 35%deposit is due with signed contract and for work to be scheduled,35%payment upon mobilization to site,balance is due . . plus any change orders,minus any previous payments.Balance is due when Installation is complete,and before the Supervisor leaves the site.Unless other arrangements have been made prior. SUBTOTAL 9250.00 DISCOUNT 0.00 SUBTOTAL LESS DISCOUNT 9250.00 `/ RATE 0.00% ate ��i /�f TOTAL TAX 0.00 Si�natur SHIPPING/HANDLING 0.00 Total $ 9,250.00 /2" /-2,‘,s7,474-ke, 4e-0-3 er6/ )77,,,a;5;-7FL3, 2)__3 7, 5-v 13 40.7` Project: Jim Burke 16 Swordfish Dr. S Yarmouth, MA 02664 Foundation Loading Calculations and Pier Calculations Contractor: Ram Jack N.E. 12 Kendrick Road, Unit 15-16 Wareham, MA 02571 Calculations Prepared by: Kevin T. Moore, PE Massachusetts License No. 52596 o _4 KEVIN T. o MOORE No. 52596 `A .o 01 i1�..s p Date: November 19, 2019 Hayman Engineering, Inc 1923 N. Broadway Ave. Springfield, MO 65803 (417) 831-5550 hfeorders@haymanengineering.com HE19110059 Page 1of7 Design Notes Owner: Jim Burke Address: 16 Swordfish Dr. City,State,ZIP: S Yarmouth, MA 02664 PN: HE19110059 1 These calculations provided in support of a contract between the contractor and the owner. The calculations are to provide engineering design and review of the proposed scope of work provided in the terms of the contract.This design represents a proposed solution agreed upon in the contract used to address the areas of concern identified to the engineer. The owner should be alert to possible changes to the condition of the structure and continue to monitor the building's condition. 2 Hayman Engineering warrants that this design is based on sound engineering principles but makes no warranty or guarantee regarding the work performed by the Contractor. 3 This design is based on information supplied by the Contractor. Field verify that no system's placing violates the notes in this drawing set. 4 Install the system shown in accordance with the manufacturer's recommendations. 5 The building weight assumptions used to calculate pier load are estimates. 6 Drive each pier until a slight lifting of the building occurs to indicate that the structure's load has transferred from the soil to the pier. Do not lift or drive past the load transfer point as damage may occur to the foundation or to interior and exterior finishes. 7 Because soils vary even within a given site,the installation torque is a more reliable indicator of installed capacity for helical piers and anchors.A greater installation depth may be required in one areathan in another to achieve the required torque. 8 Given the relatively light loads required on this project, it is estimated that minimum depths will govern installation and that the torques achieved will exceed the minimums. 9 Tension and compression capacities based on torque are approximately equal when the average torque over the last 3'of driving equals the required torque,Treq. 10 ICC ES AC-358 requires a minimum embedment of 12 times the top helix diameter(D) for tension applications,and 5 times D for compression applications. Page 2of7 Foundation Load Calculation Owner: Jim Burke Address: 16 Swordfish Dr. City,State,ZIP: S Yarmouth, MA 02664 PN: HE19110059 Calculate linear load on foundation Condition: All Half Width 8 Calculate snow load for BARNSTABLE County Stories 1 pg: 25 psf, ground snow load Fndn Ht 4.00 Pf= 0.7 x Ce x Ct x I x pg, Eq 7.3-1, Flat Roof Snow Load, ref ASCE-7- Backfill Ht 3.00 Ce: 1 Table 7-2 Side wall Ht 9 Ct: 1 Table 7-3 Roof pitch in 12 0.5 I: 1 Table 1.5-1 rafter length +1 9.0 Pf= 20 psf Ps=Cs x Pi Sloped Roof Snow Load, Eq 7.4-1 Cs: 1 7.4.1-7.4.2, assume 1.0 to be conservative Ps= 20 psf RUNNING TOTAL ROOF ITEM: Comp Shingle Deck Rafter Snow mat! psf: 2 1.88 2.6 20 mat'l plf: 18.0 16.9 23.4 160.0 218 ATTIC No steps LL Ins Sheetrock Joists mat'l psf: 10.0 3.0 2.5 1.6 mat'l plf: 40.0 12.0 10.0 6.4 68 1st: 2nd: SIDEWALLS Siding None Studs Sheetrock Ins. 1 Levels of framing mat'l psf: 1.3 0.0 1.6 2.5 2.5 mat'l plf: 11.3 0.0 14.4 22.5 22.5 71 FLOORS Living LL Finish Finish Joists Sub 2nd flr mat'l psf: 40 1st flr mat'l psf: 40 9 2.6 2.25 mat'l plf: 160.0 36.0 10.4 9.0 215 FNDN WALL Conc CMU Clay Brick Limest Footing ht width Thickness= 10 12 24 500.0 0.0 0.0 0.0 300.0 800 Assumed footer size OVERBURDEN (lip in inches) 7 (half the difference between ftr width and wall thickness) Bkfill above: 1 Bkfill Ht 2: 0 ft Wedge: 192.5 0.0 0.0 193 (Enter 0 in 'Bkfill above"for full excavation) Backfill wedge: No Wedge angle: 30 degrees Wedge wt: 0.0 lbs PLF ON FOUNDATION 1,565 Page 3 of 7 Calculate moment and shear strength in wall to get max spacing,Condition All Enter load per linear foot(calculated elsewhere): w-total plf 1,565 plf Calculate Strength of Unreinforced Section Foundation dimensions(Note:For thickened slab,enter thickening as footer and slab as wall) T= 10 in (thickness of wall) H = 48 in (ht of wall) S= 12 in (ht of footer) B= 24 in (width of footer) D= 60 in (total ht of foundation) Centroid,c=sum (AiYi)/sum(Ai) d-(d^2 *t+s^2 8 (b-t))/(2 * (b * s+h *t)) = 35.25 in Moment of Inertia (I)= I stem = 92,160 In^4 parallel axis 60,750 In^4 I footer= 3,456 In^4 parallel axis 101,250 In^4 I = 257,616 In^4 S= 7,308 in^3-I/c f'c= 2,500 psi—(assume 2,500 for conc) Mn= 152,255 ftlb-5xsgrt(f'c)xS Mu= 98,966 ft lb-0.65 x Mn Calculate Strength of Reinforced Section Note:This analysis neglects the"ears"of the footer, using wall thickness as"b"and assumes 3"clear to the steel. fy: 40,000 psi k1: 0.85 As: 0 in^2,assume none phi: 0.9 qmax= 0.371 =0.6375*k1*(87,000/(87,000+fy) q= 0.000 = [As/b*d]*fy/f'c Mu= 0 ft Ib,phi*As*fy*d(1-0.59q) Ma= 0 ft lb allowable, Mux0.65 Mx= 98,966 ft Ib, Max of unreinforced and reinforced Calculate maximum span to achieve Moment strength Mx=(wl^2)/8 L allow= 22.49 ft-sqrt(8M/w) Page 4 of 7 • Check shear for foundation section (assumes no shear reinforcing),Condition All Concrete: Vc=4/3x phi x(sgrtf'c)xbxh Sect above Phi= 0.65 (sgrt fc)= 50 (min of f'c^0.5 and 100) Footer shear strength: Hf=s-2 10 in (reduction accounts for uneven excavation) Bf= 24 in (from above) Vf= 10,400 lb Wall shear: Hw= 48 in (from above) Bw= 10 in (from above) Vw= 20,800 lb Conc.Vu tot= 31,200 lb(total allowable shear in the concrete) Page 5 of 7 Pier Load Calculations Owner: Jim Burke Address: 16 Swordfish Dr. City,State,ZIP: S Yarmouth, MA 02664 PN: HE19110059 Calculate Individual Pier Loadings and Drive Requirements Pier Model: RJPP Bracket/Cap: 4021 Pier Type: Push Factor of Safety: 1.5 standard for this pier type Eff Head Area (EH) 16.27 sq in, drive head area for 3.5 in drive cylinder Shaft Allo&e cProduct Manual Ibs, per mfr literature Bracket Allow. Ld: 33,500 Ibs, per mfr literature Use Allow. Ld: 33,500 Ibs, min of shaft or bracket Pier Allow.T: 0 ft-lb,allowable torque if helical,0 if push Max Pier Space: 21.41 ft; min of(Use Allow/w) and L allow Max Rec Space: 8 ft unless noted otherwise Pier Model: RJ288 Bracket/Cap: 4021 Pier Type: Helical Factor of Safety: 2 standard for this pier type K: 9 1/ft,torqe correlation factor Shaft Allow. Ld: 31,500 Ibs, per mfr literature Bracket Allow. Ld: 33,500 Ibs, per mfr literature Use Allow. Ld: 31,500 Ibs, per mfr literature Pier Allow.T: 7,000 ft-lb,allowable torque if helical,0 if push Max Pier Space: 20.13 ft; min of(Pier Allow/w)and L allow Max Rec Space: 8 ft unless noted otherwise Pier Span Linear Load Drive Comments No. Load Wk'ing Ck Ult psi (ft) (plf) (Ibs) (Ibs) req'd 1 8.5 1,565 13,303 OK 19,954 1,226 2 8.5 1,565 13,303 OK 19,954 1,226 3 5 1,565 7,825 OK 11,738 721 Page 6 of 7 Pier Load Calculations Owner: Jim Burke Address: 16 Swordfish Dr. City,State,ZIP: S Yarmouth, MA 02664 PN: HE19110059 1 8.5 1,565 13,303 OK 26,605 2,956 second product 2 8.5 1,565 13,303 OK 26,605 2,956 second product 3 5 1,565 7,825 OK 15,650 1,739 second product Max: 9 OK 13,303 19,954 1,226 Push Max: 8.5 NG 13,303 26,605 2,956 Helical Note that system capacities given are for galvanized,corroded brackets. Page 7 of 7 DATE(MMIDDIYYYY) A�v` CERTIFICATE OF LIABILITY INSURANCE 7/10/2019 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 lieu of such endorsement(s). PRODUCER CONTACT Helen Medeiros NAME: Eastern Insurance Group LLC PHONE N Ext): (800)333-7234 X59560 FAX No): 233 West Central St ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Natick MA 01760 INSURER A Merchants Mutual Insurance Co INSURED INSURER B Merchants Insurance Group 23329 Northeast Foundation Repair LLC INSURER C Associated Employers Insurance PO Box 417 INSURER D: INSURER E: W Hyannisport MA 02672 INSURER F: COVERAGES CERTIFICATE NUMBER:2019 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. INSR INSURANCE ADDL SUBR POLICY EFF POLICY EXP TYPE OF LTRINN) WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE x OCCUR PR PREE MIS MIS TO RENTED $ 100,000 TO (Ea occurrence) CNP9155416 5/1/2019 5/1/2020 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AUTOMOBILE (Ea accident) ,AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTO HIREDSAUTOS AUTOS�NON-OWNED (PPR�OPE DAMAGE $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B - EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTIONS CUP9148295 5/1/2019 5/1/2020 $ WORKERS COMPENSATION x PER UTE x ERH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A C (Mandatory in NH) WCC-500-5020410-2019A 5/1/2019 5/1/2020 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe der DESCRIPTIONunder OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Display purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John Koegel/HMEDEI ‘;'t""---'''� — ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS02S/,ntanil r HAYMAN ENGINEERING A Detailed r_E NGINEERING DONE RIGHT. . . NOW! © Work Area CODE NOTES: • I Model Code: ( !Ie International Residential Code (2018), R301.2(3) Contractor shall meet all local, state, and federal building ooc' ' code requirements. I �\cP to GENERAL NOTES I C' I 1. This document set contains an engineering design that I..../ addresses specific areas of a foundation needing x. . — — • — repair. The areas addressed are those of greatest e concern to the owner. The scope of work may not �o6\ address all areas needing attention. Additional work 0o I, may be added to the contract for construction when oo' deemed appropriate and dependent on the results of C>° initial work. The owner should be alert to possible changes to the condition of the structure and continue to monitor the building's condition. 2. The IRC does not cover the products used in this _i 1--- design. They have been designed in accordance with TOVIIN OF Y, t ia-.i T, acceptable engineering practice per R301.1.3. Hayman Front REVIEWED FO^'1l"'C!NO ANC"O;0.1',C CODE COMPLI- soundEngineering warrants that this design is based on engineering principles but makes no warranty or ANCE. ERRORS u; ,_., .;SSONS DO NOT RELIEVE THE guarantee regarding the work performed by the APPLICANT FROM THE RESPONSIBILI I Y OF'AS BUILT' Contractor. F f�F L COPY COMPLIANCE, 3. This design is based on information supplied by the E� DATE:k1"k5 '1`1 Contractor. Field verify that no system's placing ,7-' violates the notes in this drawing set. NUILDIN3 FOAL 4. Install the system shown in accordance with the manufacturer's recommendations. A Site Layout 5. Contractor is responsible for obtaining all permits. 1 SCALE: NTS HAYMAN ENGINEERING, I N C These drawings are subject �y�N of�� to the Hayman Engineering 1923 N.Broadway Ave,Springfield,MO 65803 Terms and Conditions Kevin T.Moore,PE Registered Professional Engineer Massachusetts License No.52596 CtGKEVIN T. c, (417)831-5550 hfeorders@haymanengineering.com COVER MOORE N FOUNDATION WORK BY: Owner: Jim Burke No. 52596 Address: 16 Swordfish Dr. RAM JACK N.E. S Yarmouth,MA 02664 '0', '9�r31. e- 1 2 KENDRICK ROAD, UNIT 1 5- 1 6 Job No: HE19110059 A- `` .,, `j Date: W A R E H A M, MA 02571 Own By: JKT 11/19/19 Chkd By: KTM ��11/19/19 (5013) 295-31 33 I L NOTES 1. System spacing is based on 4'-3" the following notes and 8 -6 4'-3„ assumptions. If field conditions differ, notify Engineer before placing piers. 2. Structure: - Foundation: 10" lhk. conc. I wall w/ 24Wx12D spread footing N - Ext. siding: vinyl/wood O O - Roof: asphalt shingles 1 - Exist. structure is generally in 2 CO I good condition. N 3. Place piers directly under O n; concentrated load points such as SECTION beam pockets, interior ryPi A load-bearing walls that meet theler ext. foundation, interior columns, etc. 4. Place piers on both sides of doors, windows, and other wall CRAWLSPACE LEVEL FOUNDATION:INTERIOR PARTITIONS NOT SHOWN openings. Do not place piers under wall openings. ® = PIER NUMBER 5. Place piers w/in 3' of both sides of significant vertical cracks in the foundation wall. A significant vertical crack is one that eliminates the foundation's ability to transfer load across the crack. A Detailed Work Area © SCALE NTS HAYMAN ENGINEERING INC 1923 N.Broadway Ave,Springfield,MO 65803 to ethe drawings are subject Kevin T.Moore,PE Registered Professional Engineer Massachusetts License No.52596 Hayman Engineering Terms and Conditions2 0-1;1 OF4,4(417)831-5550 hfeorders@haymanengineering.coms rat FOUNDATION WORK BY. I'I-ANEVIN T.,,,.. ..?„,.., RAM JACK N.E. Owner: Jim Burke ' MOORE Address: 16 Swordfish Dr. No. 52596 1 2 KENDRICK ROAD, UNIT 1 5- 1 6 fli S Yarmouth,MA 02664 \*.WAREHAM� MA p2571 Job No: HE191100590,4:�1 PO08 2 ' 5-3 1 Date: 11/19/19 �. 3 Dwn By: JKT `, Chkd By: KTM �h~ ?v ./ 11/19/19 .9 A e (AMJACK PUSH PIERS — Load: Install to an estimated ultimate capacity of 20 KIPS and 1230 PSI. — Steel: 2-7/8" round schedule 40 steel. — Bracket: 4021 w/ 4107 sleeve 1. Install in accordance with manufacturer's installation instructions. 2. Push the pier tubes using �1 FOUNDATION structure weight as reaction ►1 WALL mass until structure lifts slightly to indicate that load has CRAWL SPACE WORKING TRENCH transferred from surrounding soil to push pier. r 3. If load transfer occurs before \/ / listed pressure is reached, driving \\/\ TRIM PORTION may cease, and listed pressure is / / OF FOOTING TO waived for that pier. Note "load //\/ FIT BRACKET transfer" on the pier drive log ,\/\/ \��' \ UNDER WALL along with the pressure achieved >j/\j\• • Illat \j/\ 4. If ad lift tranis(desired, to prevent \/\\/j\ 0 \\\% structural damage, lift carefully '\\/\\ / and slowly while monitoring the \��\\/�'\\ A\\A\\, FOUNDATION foundation's and building's BRACKET conditions. Cease the lift if the building shows evidence of PIER SHAFT: SEE NOTES distress. A Detail — Push Pier Option 3 SCALE: NTS H AY M A N ENGINEERING , I N C These drawings are subject �F to the Hayman Engineering ,0 MA 1923 N.Broadway Ave,Springfield,MO 65803 Terms and Conditions Kevin T.Moore,PE Registered Professional Engineer Massachusetts License No.52596 (417)831-5550 hfeorders@haymanengineering.com DETAILS 4f� KEVIN T. Gs g MOORE y i FOUNDATION WORK BY.. Owner: Jim Burke No. 52596 Address: 16 Swordfish Dr. RAM JACK N.E. S Yarmouth, MA 02664 A.. '45.c/; A 1 2 KENDRICK ROAD, UNIT 1 5- 1 6 Job No: HE19110059 �, — „� WARE H A M, MA 02571 Date: 11/19/19 '�h�.,�' �1.,-'/ (5 0 8) 2 9 5-3 1 3 3 Dwn By: JKT Chkd By: KTM 11/19/19 RAMJACKVHELICAL PIERS Load: Install to a minimum ultimate capacity of 27 KIPS and 3000 ft—lbs torque. — Steel: 2-7/8" round thermoplastic polymer powder coated steel, with helix configuration of 8"/10", 3/8" plate. Contractor may substitute =. another helix configuration or a pier II FOUNDATION with a thicker wall without requesting __1 WALL approval so long as the minimum ultimate capacities and torques are CRAWL SPACE WORKING TRENCH met. Contact Hayman Engineering . before substituting with a larger p diameter shaft. \/\ — Bracket: 4021 w/ 4107 sleeve /\\� TRIM PORTION — In compliance with ICC AC-358 • /\// 1. Install in accordance with / OF FOOTING TO manufacturer's installation instructions. //' FIT BRACKET 2. Because soils vary even within a 'i; / , UNDER WALL given site, the installation torque is a \/\/ 4 F 1 \/` more reliable indicator of installed //\//\° 'illl ' capacity than estimated installation \\/ \ � �\/ depth. A greater installation depth (\//\ �late than estimated may be necessary to achieve the required torque. Drive piers '�//\// \/�//\' until the average torque over the last �� ' �� ' '�� FOUNDATION 3' If driving equals the requiredpreentorque. ! BRACKET 3. If a lift is desired, to prevent � _\ structural damage, lift carefully and PIER SHAFT: SEE NOTES slowly while monitoring the foundation's and building's conditions. Cease the lift if the building shows evidence of I.-- distress. 1 1_ I A Detail — Helical Pier Option 4 SCALE:NTS H AYM A N ENGINEERING, I N C These drawings are subject OF to the Hayman Engineering '(N Mq a 1923 N.Broadway Ave,Springfield,MO 65803 Terms and ConditionsMIX sy Kevin T.Moore,PE Registered Professional Engineer Massachusetts License No.52596 (e'''' ' co (417)831-5550 hfeorders@haymanengineering.com DETAILS KEVIN T. 8 to MOORE 4 FOUNDATION WORK BY: Owner: Jim Burke No. 52596 RAM JACK N.E. Address: 16 Swordfish Dr. ,p q O • S Yarmouth,MA 02664 `Gl- P . 12 KENDRICK ROAD, UNIT 1 5- 1 6 Job No: HE19110059 �, ' � ,,,��� WAREHAM, MA 02571 Date: 11/19/19 �h`1 '' ' 1. '.f+", r (5 O 8) 2 9 5-3 1 3 3 Dwn By: JKT Chkd By: KTM ��11/19/19 RAMJACK® a o - oe Sb DATE: l 2/i o/Zo,er Job Name: - �`^" 3k..if k< Crew Chief: JOB# I9 1-1 55-4 JOB START DATE: JOB END DATE: Pressure/Torque Verified by: Date lz//61 Z6i 9 Customer Name: wt. Address: lc, ,prA nsyektryvtocA-4-14 x Average Pile Depth Crew Chief, (as per design) Hydraulically Advanced Helical 7K Driver 2.5 Driver Hydraulically Advanced Driver Sketch house with pier placement and record of accurate elevation recovery or pier: NP% lkI%ca e;k 1491 CvccG f3kj &Vc - ha *** SEE OTHER SIDE FOR PILE LOG*** 12 KENDRICK RD#15-16 • WAREHAM MA 02571 • PHONE: 508-295-3133 • www nanmarI_rnM RAMJACK® DATE: /2/10/ 2oic Job Name: T%WN, �l,�,r\'-e Crew Chief: e i. JOB# iq Final Depth Final Pressure/Torque Accurate Elevation Pile# Final PSI (ft) �� (ft-Ibs) Recovered 1 12� 2fr06 211 6ris fry,153q, 2 21 Z!a 5o 24017.E /JO,mil.2 e'0 2N 6R(o s34. 12 KENDRICK RD#15-16 • WAREHAM MA 02571 • PHONE: 508-295-3133 • WWW RAM mew.rnM