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HomeMy WebLinkAboutBLD-22-007256 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C3-07n17 7 5/ �' / ? Erlik_� kra License Number Expiration Date Name of CSL Holder ' +1C-n `ci List CSL Type(see below) U No.and Street Type I Description )t( I f 1 /� ,ram `2r 0 U t Unrestricted(Buildings up to 35,000 Cu.ft.) 1, t t rZ ( '�CL J R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering (� WS Window and Siding Cc a SF Solid Fuel Burning Appliances c 2� O T 1� 87➢55 f1`('r` I Insulation Telephone Email address D I Demolition r 25.2Reegistered Home Improve ent Contractor(HIC) , � I (/ Iq Jyrrae, 3 l � i } . HIC Registration Number Expiration Date FEC C any Name or C egistrant Name and Street Cc-nf-1,c' G pr-.c-A-)th , M4 2 F'.1,, 1• .8>2C' ) Email address �CIThi Citylllown,State,ZIP u Telephone SECTION RAJ ``� t 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 15( No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 9 er of the subjec property,hereby authorize I-d 1 Q ( �cCJ ► C\(Tb j�iCYl f rri ' to act on m behalf,in aL matters relative to work authorized by this building permit application. + I `.-e0„--, ! tovriL nz7nto e sfo /t9(-9 -Pwner'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 ion is true an ate to the best of my knowledge and understanding. ' _E-CILLnre2la &ig laa Print 0 gen s ame(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 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.aov/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 • Department oflndustrialAccidents e'er 1 Congress Street, Suite 100 Boston,MA 02114-2017 OW 4•'y 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/Organiaation/Individual):� rn (09 r� ,, Address: City/State/Zip )I( Arnij MAD 6 ne #:c 8 'c"J?l'G} . & e7J Are you an employer?Check the appropriate box: — ( Type of project(required): am a employer with ( ) employees(full and/or part-time).* 7. New construction 2.0 lam a sole proprietor or partnership and have no employees working for me in c aci8. ❑Remodeling an y ap ty.[No workers'comp. insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t I. ❑ 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.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance.? 13. Roof repairs 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14•❑Other 152,§1(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box f1 must also fill out the section below showing their workers'compensation policy information_ 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. f am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /� t Insurance Company Name: A_t\e\ )-1.-)cx \ t�� Policy#or Self-ins.Lic.#:LA CC--` (90 a r- cA c9) Expiration Date: / a p� JcQr Job Site Address: 10 I '(\rh\c City/State/Zip:i3, W(1(t/5th MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 73 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. .1 do hereby certify under ins and penalties erjury that the information provided above is true and correct. Signature: Date: Q Phon Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License r Issuing Authority(circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at \O MINA IC, RA Work Address Is to be disposed of oat the following location:T('xi7(14 Nal 'ti*V Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 1114 —� /P) /aa Application Date Permit No. ACC,RIr)s CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 3/1 1/2022 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(ies)must have ADDITIONAL INSURED provisions or 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 RogersGray,Inc.-Kingston Branch NAME: PHONE 63 Smith Lane (A/G.No.Ext):508-746-3311 (ac,No):877-816-2156 Kingston MA 02364 E-MAIL ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC A INSURER A:Main Street America Assurance Company 29939 INSURED SHEACUSLI INSURER B:Arbella Protection Insurance Company,Inc. 41360 Shea Custom Carpentry,Inc. 20 Doten Rd INSURER C:Associated Employers Insurance Company 11104 Plymouth MA 02360 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:263048105 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 1 ADDL SUBRI POLICY EFF POLICY EXP LTR INSD WYD POLICY NUMBER (MM/DD/YYYY) (MM/OD/YVYY) LIMITS TYPE OF INSURANCE A i X i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A 1 MPJ 1774M 3/12/2021 3/12/2022 X MPJ1774M 3/12/2022 3/12/2023 DAMAGE TO RENTED CLAIMS-MADE I (OCCUR PREMISES(Ea occurrence) $500,000 'MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE UMITAPPLIESPER: GENERAL AGGREGATE $2,000,000 X 'POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: S B 'AUTOMOBILE LIABILITY 1020010055 12/11/2021 i 12/11/2022 COMBINED SINGLE LIMIT S 1,000,000 ~—ANY AUTO (Ea accident) BODILY INJURY(Per person) $ OWNED i X I SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X i HIRED X NON-OWNED PROPERTY DAMAGE S i AUTOS ONLY AUTOS ONLY I(Per accident) I IS j I I UMBRELLA LIAB OCCUR r EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ i I DED RETENTIONS $ c i WORKERS COMPENSATION I WCC-500-5023002-2021APER OTH- ER AND EMPLOYERS'LIABILITY Y/N 8/28/2021 8/28/2022 X STATUTE ANYPROPRIETOR/PARTNER/EXECUTIVE i OFFICER/MEMBER EXCLUDED? n N/A I E.L.EACH ACCIDENT $500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under iDESCRIPTIONOFOPERATIONSbelow EL DISEASE-POLICY LIMIT $500,000 A I Commercial Property MPJ1774M 3/12/2021 I 3/12/2022 A MPJ1774M 3/12/2022 3/12/2023 Personal Prop $5,000 I DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) —*ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND COMMERCIAL AUTO (WHEN REQUIRED BY WRITTEN CONTRACT)ON A PRIMARY AND NON-CONTRIBUTORY BASIS AND WAIVER OF SUBROGATION FOR:ANDERSEN CORPORATION,ITS AFFILIATES,AGENTS,AND EMPLOYEES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT ID REPRESENTATIVE ©1988-200015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD S ':'.V74. TOWN OF VAtt11Ot i t t ,7 �o WATER DEPARTMENT 4—'1-' ' i' ', c�c.3Bac tlanib;, b �, r (,, a c : =.rmuuth MA 02.67 i BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: Mddit,1,,,PC3 PROPOSED WORK: Cainior oryt4—)cgcxbIlr9de-ds) _ f APPLICANT: - `)\V t_\ ._. W' C....E. - . ' . RESIDENTIAL AND 'OR COMMMERCIA1. BUILDING Water Department: I)etetmitws Compliance of Water Acailability and or existing location Engineering Department: I)etermines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act. i.c. If butts)border any type of cc ctlands.streams.ponds.rivers, ocean. bogs. boy . marshland. FTC... I Iealth Department, Determines Compliance to State and Town Regulations.. i.e. requirements for Septage Disposal and other Public Ilearlth Activites Fire I)cpartmcnt: I)etermines Compliance to State and Town Requirements for Personal Safety. Property Protections, i.e.Smoke Detectors, Sprinkler Systems,etc -,,, fr__)i tr,,54. ' , ' APPLICANT SIGN, Tun'... ___ ...._,�. _ I) I"I? OFFICE USE: COMMENTS (IN PERMIT APPROVA1. OR DENI:1I. . —41 Ls.„....._ ''' i i i / 7 z_ REVIEWED Y WATER DIVISION(SIGNATURE) I)1 II: Ontglier dna°MR I �, ucw n.H;r.awv ISM I 4 _ -r ar_ 1 c;aa *:xa-xm�3� 1 `� .,,,, w °l' ; f ._._...,__ ..... su3sna.ssw+ avow 3ttlain \\ r; \__ __ i .__ / : - ? '".YL ram. .' Wgeige4 'Oda/ S , ti o !41i ofimulos Wwnl+m..n PA.'M raj 1 Oa 6W�i Olb.AtlV: "tgvg I-- 'JNl v NOiri"OJ 4 :' �iY t IWIIY ratoa 1 }} t 1107 su3snuaysm unrravA n "` ' ' • ;` "` ili Idaoa an ‘ off \ 1.111,1 Mi.Hvd Stu; ? Gasodmid r .. w�r� t `1 ��� , N � L0010 KM •ill 4 7 ' " .p�•Yq T()WNOFYAR\it�)t TIi -,\` "� WATER DEPARTMENT 9 9 BUCK island Road a�,,:,,��� ,.�Eaf� \'i�` t \ nnouth. tA O2 ' b I, h Hlont €it;< 7I-'9J I • I a1. +`itti: 7'1- "t`)rs BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: 10 f\r\ Cidiejc--)C3 A1'P1.WANT: M... .i. 1v-t4 . ADDRESS: " - i s `�~•`� .I.l I PlIO`E: c.... \ s b __ " It .. - C . f TI- RESIDENTIAL AND 'OR COMMERCIAL BUILDING 0-0 " Water Department: Determines Compliance of Water.\vailabilit} and or existing location l:nr_ineerine Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines('ompliance to Wetlands Act: i.e. If lints)border any type of a etlands. streams.ponds.rivers,ocean. hogs.boys, marshland, FTC... Ilealth Department: I)etennines Compliance to State and Town Regulations, i.e. requirements for Septage Disposal and other Public Health AetiVites Fire I)cp;utmeni: Determines('ompliance to State and Town Requirements for Personal Safety. Property Protections.i.e.Smoke Detectors. Sprinkler Sysstem ,ete "�� f)f :APPLICANT SIGN: `RE...... ..-------._._.._.._."m_ HATE OFFICE USE: COMMENTS ON PERNII"T APPROVAL I. OR HI•:NI:V, / I 2 2__ REVIEWED Y WATER DIVISION'(SIGNATURE) DATE t4 r.ot...Y ,.. TOWN OF YARMOUTH HEALTH DEPARTMENT o = a '!„ it.. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: ICE NVCAi \c.A \ . Proposed Improvement: 1-1 i Y C_.A ( � . 1 (1 C_. ,.`� ll '"- ) ` _ _sic\-`:',A A vM3 0 rJrz Applicant:c _r t fl1 )3-t 1 On g((-- c-.i Tel. No.i )8,_ 8.-2, Address; - C(Th ( - 1)1,q)m MA Date Filed:k2) 13]acD **Ifyou would like e-mail notification of sign off please provide e-mail address: l(,', �, Q C...-t I i fl Owner Name: �`V.�- t;_.� ( ( i rC`. ear ) 1 Owner Address: (C j A lC _ Rd Owner Tel. No.: 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: N�� DATE: 0 -)---.: PLEASE NOTE COMMENTS/CONDITIONS: - . if/A 0 --lie/ SERVICE NO. 11120 8/6/99 NAME David P Gazzolo Vii-Ainia Gazzolo STREET 7re" Mid1 oci LoL 1 VILLAGE West Yarmouth 6.51- 7i METER NO, *144--, 1TP7 A. .,71114IF $3" gt1 431 , 11) 777 inco 01/f)c-;1 te1(:)?SiS 03S75 71 I '4.-.4=c,V'sLitie gkel • $ � 0 't A Conservation Office Town of Yarmouth kgrant(a)yarmouth.ma.us �` MATTA »cc._, ' Conservation Commission K1 kAPoIlItEO Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: ID t \ 'C_, Rd Map # c T Lot(s)# Property Owner:t\t,A a knix..4 eJaZZCMDate filed: - / I<5 is c *Applicant: cc:1 O ct 1 f r ccC1ITH Applicant Addressc) \Cf Q L r (3 A Email: (..)1 1 e_ clinCetal r (in Telephone: c5O ?flH '&9)5b Please Note:By submitting this ap t the a applicant grdnts perm the Conservation Office to enter the location to conduct a site visit(if needed). Proposed Project Description: Vnr\-PRA Odd Itc_5 OThicp CFC 5-Itm3Ctei •Site Plan Title/Date: \-)C 1' l� k ``J 1 ( 1 n 1 la i �a c__><-\ \ cc TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? / L1 Refer to: SE83- or DOA permit Comments from Conservation Commission: Approved j Conditionally Approved Rejected Conservation Commission Sign-off Signature: Date: u S122 *TO APPLICANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. Commonwealth of Massachusetts 4:7= Division of Professional Licensure Boar"of Building Regulations and Standards Construction Supervisor CS-070177 i Expires:0513012023 EDWARD E SHEAF K. 20 DOTEN RD PLYMOUTH MA 02360 ommissloner • Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 124769 SHEA CUSTOM CARPENTRY,INC. Expiration: 08/19/2023 20 DOTEN RD. PLYMOUTH,MA 02360 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR egistration vali Jor vidual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration onsumer Affairs and Business Regulation 124769 08/19/2023 1000 Was ington Street -Su}fe 710 SHEA CUSTOM CARPENTRY,INC. Boston A 2118 EDWARD E.SHEA 20 DOTEN RD. PLYMOUTH.MA 02360 Not valid without signature Undersecretary 4 , Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicabilit COPY Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 A. General Information Important: When filling out From: forms on the Yarmouth computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Virginia&David Gazzolo return key. Name Name 10 Middle Road lifP' Mailing Address Mailing Address West Yarmouth MA 02673 _ _ City/Town Stale Zip Code City/Town State Zip Code (� 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents Proposed Kitchen Pantry Extension Plan 7/21/2021 Title Date Title— — Date _.___-_ .__ ._ -- — Date Title 2. Date Request Filed 3/18/2022 B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable) Rreplacement of existing deck wits an addition within the buffer zone to coastal bank and salt marsh Project Location: 10 Middle Road West Yarmouth Street Address City/Town 37 53 Assessors Map/Plat Number Parcel/Lot Number wpalorm2 doc•Determination of Appocabdity•rev 5/1 5170 2 0 Page 1 of 5 4 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations. Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received from the issuing authority (i e , Conservation Commission or the Department of Environmental Protection) ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act Removing,filling,dredging. or altering of the area requires the filing of a Notice of Intent ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination 0 3. The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review (if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s)and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpalorm2 doc•Delennina5on of Apphcabfhly•rev 511 812 0 20 Page 2 of 5 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) D 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s).which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the F:equest is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent. subject to the following conditions (if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpafcrm2 ooc•Detenninalwn of Apphcabihty•rev 5/18/2020 - 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands L WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth We tland By-Law, Chapter 143 B. Determination (cont.) O 5.The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required. Exempt Activity(site applicable statuatory/regulatory provisions) ® 6.The area and/or work described in the Request is not subject to review and approval by: Yarmouth Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Wetlands Protection Bylaw Ch 143 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on 4/13/2022 - Date Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state,or local statutes, ordinances, bylaws,or regulations This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office(see https://www mass.gov/service-details/massded-regional-offices- by-community)and the property owner(if different from the applicant). xpaform2 doc•Detemonat on of Appficabihly•rev 5/18/2020 Page 4 of 5 C 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands LUP_i1 WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 C. Authorization (cont.) Signatur .. ' - L//nor Law t,etlee Sig 10 Printed Name _ . — ._ k2ck g%5h u Sign. ,- -—� / 1 7/ Printed Name Signature Printed Name c ) . Signature) e-, Printed Naive z1< � GL l�r,�< .r�s Signature Printed Name Signature Printed Name Signature Printed Name Signature Printed Name D. Appeals The applicant, owner, any person aggr eyed by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see HHttps//www massgov/service-details/massdep-regional-offices-b_y: community)to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpaforr2 Cog•Oeterm,nahon of Apphcabddy•rev 5/1812020 Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: Request for Departmental Action Fee Transmittal Form Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information 1- Location of Project a Street Address b.City/Town,Zip c Check number d Fee amount Important: 2. Person orparty making request(if appropriate, name the citizengroups representative):filling out forms on the computer, Name use only the tab key to Mailing Address move your cursor-do City/Town State Zip Code not use the return key. Phone Number Fax Number(if applicable) �to 3. Applicant(as shown on Determination of Applicability(Form 2), Order of Resource Area Delineation (Form 4B),Order of Conditions(Form 5), Restoration Order of Conditions(Form 5A), or Notice of Non-Significance(Form 6)): Xe N Name Mailing Address City/Town State Zip Code Phone Number Fax Number(if applicable) 4. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions—Fee: $120.00(single family house projects)or$245(all other projects) ❑ Superseding Determination of Applicability—Fee: $120 ❑ Superseding Order of Resource Area Delineation—Fee: $120 Send this form and check or money order, payable to the Commonwealth of Massachusetts,to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpefarm2 doc•Request for Departmental Action Fee Transmittal Form•rev 5/18/2020 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number Provided by DEP Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) 2 On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office(see https//www mass qov/service-details/massdep-regional-offices-by-community) 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. wpaform2 doc•Request for Departmental Action Fee Transmittal Form•rev 5/18/2020 Page 2 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number Request for Departmental Action Fee Transmittal Form Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information 1. Location of Project a Street Address b.City/Town,Zip c Check number d Fee amount Important: 2. Person or party making request(if appropriate, name the citizen group's representative) When filling out forms on the computer, Name use only the tab key to Mailing Address move your cursor-do City/Town State Zip Code not use the return Phone. y Number Fax Number(if applicable) t)#194 3. Applicant(as shown on Determination of Applicability(Form 2), Order of Resource Area Delineation (Form 4B), Order of Conditions(Form 5), Restoration Order of Conditions(Form 5A), or Notice of Non-Significance(Form 6)): Name Mailing Address City/Town State Zip Code Phone Number Fax Number(if applicable) 4. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions—Fee: $120.00(single family house projects)or$245(all other projects) ❑ Superseding Determination of Applicability—Fee: $120 ❑ Superseding Order of Resource Area Delineation—Fee: $120 Send this form and check or money order, payable to the Commonwealth of Massachusetts, to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpeform2 doc•Request for Departmental Action Fee Transmittal Form•rev 5118/2020 Page 1 of 2 4 Massachusetts Department of Environmental Protection LBureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 C. Authorization (cont.) Signature'' 011111`- i _ C!/no✓ Laul�iice Sig Printed Name V �� / 1 r-_) Printed Name Sign= .. •t " , — , (' «-r./.z.,r..-&f_ 'thorn as Durk i v> gignAturee `- Printed Name Signatures ! r, . '' _717-- Printed N cat/ HUATIPIS Signature Printed Name �______ Signature Printed Name Signature Printed Name Signature Printed Name D. Appeals The applicant, owner,any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see httas//www mass qov/service-details/massdeo-regional-offices-bY- community)to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant.The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate jurisdiction. wpaform2 doc•Determination of ApplrcabEty•rev 5/18/2020 Page 5 of 5 4 L1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) L] 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required Exempt Activity(site applicable statuatory/regulatory provisions) ® 6. The area and/or work described in the Request is not subject to review and approval by Yarmouth Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw Wetlands Protection Bylaw Ch 143 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on 4/13/2022 Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances bylaws, or regulations This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office(see https//www mass gov/service-details/massdep-regional-offtces- by-community)and the property owner(if different from the applicant). r.pa'o'e2 co:,•Je.ertmnai on c`Apol.catAly•rev 5r18 2020 Page 4 of 5 4 LMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels. and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions(if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaiorm2 tloc•Determination of AppGcabildy•rev 5/1812020 '_ 4 L1 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) The following Determination(s)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e.,Conservation Commission or the Department of Environmental Protection) ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination ❑ 3. The work described on referenced plan(s)and document(s)is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s)and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5.The area and/or work described on referenced plan(s)and document(s)is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaforre2 Coo•Detennnalion of Apohrxootly•rev 511 812 0 20 Page 2 of`_. 4 Massachusetts Department of Environmental Protection LBureau of Resource Protection - Wetlands WPA Form 2 - Determination of ApplicabilityeCOP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Y Town of Yarmouth Wetland By-Law, Chapter 143 A. General Information Important: When filling out From: forms on the Yarmouth computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Virginia&David Gazzolo return key. Name Name 10 Middle Road ',IC Mailing Address Mailing Address West Yarmouth MA 02673 IFFAII City/Town State Zip Code City/Town State Zip Code 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents Proposed Kitchen Pantry Extension Plan 7/21/2021 Title Date �.T Date Title Title Date 2. Date Request Filed 3/18/2022 B. Determination Pursuant to the authority of M.G.L. c. 131, §40,the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable) Rreplacement of existing deck with an addition within the buffer zone to coastal bank and salt marsh Project Location: 10 Middle Road West Yarmouth Street Address City/Town 37 53 Assessors Map/Plat Number Parcel/Lot Number wpaform2 doc•Determination of Appl,cabikly•rev 5/18/2020 Page 1 of 5 ti . -. 1 HNt Ni VI wn�44, PwrRA G"ttgra r. wve noari. ------ <raun awo•w.nw /.ne 1;001. w t t 1 -:= 1 }-�:xs Nn F x >� f 1 1 OM oum ‘oil 1 t107 .,.1 \ ` A ,1t� rma NOIS4131X3 111 )I .0 A� 7 ----- — ilMYd N31p1YN -'"y X` ;I ,airM✓ ! ht `. R 9107 in rt nx ., .u.> , ir.I L3 -F t. i .. _7; - -- --3-29 i m.o...0 G.,.+. 1., . roam .- ' x.. •mow wo:n ZA. -ii I . .:: ° ---u ' i I t.Sf1.j 1 _ ONJa,rI r• Y,qR TON OF YAR\if , if t '� . 43 WATER DEPARTMENT 0-1, t '' O.j B;e t it,.,, Road '�a; i I, Hlont• .11).ii 1-'921 • fay: !`+t)t3 . 't-'E)stts BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: tO f\CMprida.C.,PC\ PROPOSED WORK; it(lA CCOltiOrxCA' ,i. r")S,61119 .. Y) APPI.IC 1NT: • 1 RESIDENTIAL AND OR COMMERCIAL BUILDING A n Water Department: Determine.Compliance of Water Availability and or existing location t nu!ineerinc Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act: i.c. It Iot(s)border any type of wetlands. streams.ponds.rivers. ocean. hogs. boys, marshland. FTC... Iiealth Department: Determines Compliance to State and Town Regulations. i.e. requirements for Septage Disposal and other Public health Activites Fire I)epartmcnt: Determines Compliance to State and Town Requirements for Personal Safety. Property Protections. i.e. Smoke Detectors.Sprinkler Systems,etc a„, _ fr.)/ \PPLICANT SIGK __ Ti`Rf . er*; DATE OFFICE [SE: COMMENTS sIMENTS ON PERVIIT APPROVA1.OR in:NEVI. f --+L REVIEWE 4 Y WATER DIVISION(SIGNATURE) I):VTF: „N.�,:,„. TOWN OF YARMOUTH ;.;41,J, : HEALTH DEPARTMENT ''�• `` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: 11\CC\ c.k (0 N Proposed Improvement: C�►Y r (x( l Applicant: rJ `'- c\ ( rtpr"A-1\ Tel. No. 9\55 Address-,.2.) 1 ” (T Pd . '1-'i,( x-' ) tm MA Date Filed: ) 13 l a a **/fyou would like e-mail notification of sign off,please provide e-mail address: '''- 12Z.C.�., C-lZ ' Owner Name A\jr.,-A \LI L 7 7 Owner Address: IC Vlk_ �\ Owner Tel. No.: 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: DATE: C PLEASE NOTE COMMENTS/CONDITIONS: if/A0 -11" SERVICE NO. NAME - 11120 8/6/99 • David P Gazzolo Virginja Gazzolo STREET 7re' Middle Rod - Lot, 1 6 ) VILLAGE West Yarmouth 0.3-1— 7 -- METER NO. • 7 . , .31 41, =3" , >s. 6c; 1r) MCC) 0../flhi%, • 77. :14 • 1-414146CD?S1/4.71 )0-001-4FW:r 03% 4j.:,,A "SLIVeI224z /20 A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 X Check Compliance 1.1 SCOPE Wind Speed (3-sec. gust) 110 mph _X_ Wind Exposure Category B _X 1.2 APPLICABILITY Number of Stories _1_stories -<2 stories _X_ Roof Pitch (Fig 2) 1/8_ -< 12:12 _X_ Mean Roof Height (Fig 2) _9'_ft <<33' _X_ Building Width, W (Fig 3) 8'_ft <-80' _X Building Length, L (Fig 3) 9.70_ft <_80' _X_ Building Aspect Ratio(L/W) (Fig 4) _1.00 5 3:1 _X_ Nominal Height of Tallest Opening2 (Fig 4) 6'8" <_6'8" _X_ 1.3 FRAMING CONNECTIONS General compliance with framing connections (Table 2) X 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete _X_ Concrete Masonry 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general (Table 4) _72 in. _X_ Bolt Spacing from end/joint of plate (Fig 5) _12_in. <_6"-12" _X_ Bolt Embedment-concrete (Fig 5) .7 in. >_7" _X_ Bolt Embedment-masonry (Fig 5) in. >_ 15" N/A Plate Washer (Fig 5) >3"x 3"x 1/4' _X 3.1 FLOORS Floor framing member spans checked (per 780 CMR Chapter 55) _X_ Maximum Floor Opening Dimension (Fig 6) 0_ft 5 12' _N/A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) _X Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) ft <-d _N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8) ft 5 d N/A Floor Bracing at Endwalls (Fig 9) X Floor Sheathing Type (per 780 CMR Chapter 55) X Floor Sheathing Thickness (per 780 CMR Chapter 55) _3/4_in. _X_ Floor Sheathing Fastening (Table 2)_8_d nails at_6 in edge/_12_in field _X_ 4.1 WALLS Wall Height Loadbearing walls (Fig 10 and Table 5) _9 ft <- 10' X Non-Loadbearing walls (Fig 10 and Table 5) 91 ft <-20' X Wall Stud Spacing (Fig 10 and Table 5) _16_in.<-24"o.c. X_ Wall Story Offsets (Figs 7&8) _ft 5d _N/A _ 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls (Table 5) 2x 4_-_7.2_ft_0 in. _X_ Non-Loadbearing walls (Table 5) 2x_4_-_7.2_ft 0 in. _X Gable End Wall Bracing' Full Height Endwall Studs (Fig 10) X WSP Attic Floor Length (Fig 11) ft>W/3 _X_ Gypsum Ceiling Length(if WSP not used) (Fig 11) _6'_ft>_0.9W X_ and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11) or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays_X_ Double Top Plate Splice Length (Fig 13 and Table 6) _4_ft X Splice Connection(no. of 16d common nails) (Table 6) 4 X AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780cNnt5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of 16d common nails) (Tables 7) _X Non-Loadbearing Wall Connections Lateral(no. of 16d common nails) (Table 8) _X_ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans (Table 9) _5_ft_in.<_ 11' _X_ Sill Plate Spans (Table 9) _5_ft_in._< 11' _X_ Full Height Studs (no.of studs) (Table 9) _3_ _X_ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans (Table 9) _3 ft in. 512' _X_ Sill Plate Spans.... (Table 9) _3 ft in. <_ 12" _X_ Full Height Studs(no.of studs) (Table 9) _3_ _X_ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension, W Nominal Height of Tallest Opening2 _6'8"_<_6'8" Sheathing Type (note 4) _X_ Edge Nail Spacing (Table 10 or note 4 if less) _6_in. _X_ Field Nail Spacing (Table 10) _12_in. _X Shear Connection(no.of 16d common nails)(Table 10) _ X- - - Percent Full-Height Sheathing (Table 10) _33 % _X_ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) _X Maximum Building Dimension, L Nominal Height of Tallest Opening2 6'8"_5 6'8" Sheathing Type (note 4) _X_ Edge Nail Spacing (Table 11 or note 4 if less) _6_in. _X_ Field Nail Spacing (Table 11) _12_in. _X_ Shear Connection(no.of 16d common nails)(Table 11) _X_ Percent Full-Height Sheathing (Table 11) _33_% _X_ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) _X_ Wall Cladding Rated for Wind Speed? _X_ 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool, see BBRS Website) _X_ Roof Overhang (Figure 19) _.2_ft<_smaller of 2'or L/3 _X_ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift (Table 12) U=203 plf _X_ Lateral (Table 12) L=176 plf _X_ Shear (Table 12) S=77 plf X_ Ridge Strap Connections, if collar ties not used per page 21... (Table 13) T=0 plf _N/A_ Gable Rake Outlooker (Figure 20) ft<_smaller of 2'or L/2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift (Table 14) U=417 lb. _X_ Lateral(no.of 16d common nails)...(Table 14) L=148 lb. X_ Roof Sheathing Type (per 780 CMR Chapters 58 and 59) X_ Roof Sheathing Thickness _1/2_in.>_7/16"WSP X Roof Sheathing Fastening (Table 2) _ X Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment WHEN THIS EDGE RIM ON Jf/ ARAMING USE&!NAILS AT 6b.c. +T T_____�1-__ I1 I 1 I 3 H 1 I 11 1 u II 1 y 11 1 11 1 I4 H FI 11 1 I II 1 g II PI ,C• I 1 R O n - I- I 4 1 t m it Q I I Z l; m ti ' g `Iti 1 M I 2 IU O. M1 � i qQ n LL II 1 VI UJ 1 2g 1y1 t 11 y . 7 u II ,,,I • d. II u11 S W Iv V r u i f 171 I 1� yl 11 it • DOUBLE EDGE NAIL SPACING i• }} PANEL_ ` See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 ' tu 6 pi 5 1 • wit'•: Z r I RI I a u'r i FRAMING MEMBER$ EDGE INTERMEDIATE 1 r f`I 2 lV 3- STAGGERED } 1-3 MIN AWL PATTERN PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAL Detail Vertical and Horizontal Nailing for Panel Attachment REScheck Software Version 4.7.2 0 Compliance Certificate Project GAZZOLO ADDITION 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: 10 MIDDLE RD WEST YARMOUTH, MA ompliance:Passes using UA trade-off Compliance. 4.2%Better Than Code Maximum UA: 24 Your UA: 23 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. NOTE: Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on- grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies Gross Area Cavity Cont. Prop. Req. Prop. Req. Assembly or R-Value R-Value U-Factor U-Factor UA UA Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 76 38.0 0.0 0.030 0.026 2 2 Wall 1: Wood Frame, 16"o.c. 218 19.0 0.0 0.060 0.060 12 12 Window 1:Vinyl/Fiberglass Frame:Double Pane with 22 0.280 0.320 6 7 Low-E Floor 1:All-Wood Joist/Truss:Over Unconditioned 76 30.0 0.0 0.033 0.033 3 3 Space 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 4.7.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 1 of 9 REScheck Software Version 4,7.2 IInspection 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 Corn plies? I Comments/Assumptions & R q.ID' __ — —. 1 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the ,re. building envelope.Thermal ENot Observable envelope represented on ENot Applicable construction documents. 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ElDoes Not 403.7 energy code compliance for [PR3]1 lighting and mechanical systems. ENot 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]z on loads calculated per ACCA Cooling: Cooling: N 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) i 2 I Medium Impact(Tier 2) 13 I Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 2 of 9 Section Foundation Inspection Complies? Comments/Assumptions &Req.ID 303.2.1 A protective covering is installed to ❑Complies [FO11]2 protect exposed exterior insulation DDoes Not and extends a minimum of 6 in. below ❑Not Observable grade. ❑Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies [F012]2 installed. ❑Does Not DNot Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 3 of 9 Section ' Plans Verified I Field Verified 1, # Framing/Rough-In Inspection Value Value Complies? ( Comments/Assumptions & Req.ID 402.1.1, Glazing U-factor(area-weighted U- U- ElComplies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, 402.5 ❑Not Observable [FR2]1 ENot Applicable 303.1.3 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance ❑Does Not I with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier EComplies [FR23]1 installed per manufacturer's Does Not instructions. ❑Not Observable ❑Not Applicable i402.4.3 Fenestration that is not site built ❑Complies i[FR2O]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. -- 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.3.1 Supply and return ducts in attics DComplies [FR12]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and>= R-6 where < 3 inches.Supply and ❑Not Observable return ducts in other portions of ❑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 ❑Complies [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable I-- ❑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- 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies l[FR24]1 piping. DDoes Not :Not Observable ENot 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 ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: I 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 4 of 9 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.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 [IN13)2 or the installed R-values ElDoes Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑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 underside of the subfloor, or floor ['Not Observable framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing,or continuous insulation is installed on the underside of floor framing and 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 V2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable pilot Applicable Additional Comments/Assumptions: 1 j High Impact(Tier 1) 2 i Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 6 of 9 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 402.2.6 [FI1]' ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [FI2]' Blown insulation marked every ❑Not Observable 300 ft2. ❑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 :Not Observable extends over insulation. ONot Applicable 1402.2.4 Attic access hatch and door R- R- ❑Complies [FI3]' insulation >_R-value of the ❑Does Not adjacent assembly. ['Not Observable ONot Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= ❑Complies [FI17]' ach in Climate Zones 1-2,and Does Not <=3 ach in Climate Zones 3-8. ONot Observable ONot Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]' cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=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. 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [F127]' determine air leakage with W— ❑Does Not either: Rough-in test:Total [Not Observable leakage measured with a pressure differential of 0.1 inch ONot 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 [FI24]' by manufacturer at<=2%of ❑Does Not design airflow. ['Not Observable ONot Applicable 403.1.1 Programmable thermostats ❑Complies [F19]2 installed for control of primary DDoes Not heating and cooling systems and ❑Not Observable initially set by manufacturer to ONot Applicable code specifications. 403.1.2 Heat pump thermostat installed ❑Compiles [F110]2 on heat pumps. ❑Does Not ONot Observable ONot Applicable 403.5.1 Circulating service hot water ❑Com lies `[FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ONot Applicable 1'High Impact(Tier 1) 1 2 i Medium Impact(Tier 2) j 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 7 of 9 Section Final Inspection Provisions Plans Verified Field Verified & Req.ID p I Value ; Value i Complies? 1 Comments/Assumptions 403.6.1 All mechanical ventilation system ❑Complies [FI25]2 fans not part of tested and listed DDoes Not HVAC equipment meet efficacy and air flow limits. DNot Observable ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [FI26]2 through one-or two-pipe heating DDoes Not systems have outdoor setback control to lower boiler water ['Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies [FI28]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply DNot Observable pipe.Gravity and thermos- DNot Applicable syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [F129]2 comply with IEEE 515.1 or UL DDoes Not 515. Controls automatically adjust the energy input to the DNot Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. 403.5.2 Water distribution systems that ElComplies [FI30]2 have recirculation pumps that DDoes Not pump water from a heated water supply pipe back to the heated DNot Observable water source through a cold ❑Not Applicable water supply pipe have a demand recirculation water system. Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1044. 403.5.4 Drain water heat recovery units ❑Complies [F131]2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ENot Observable recovery units < 3 psi for ❑Not Applicable individual units connected to one or two showers. Potable water- side pressure loss of drain water 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 ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light. EDoes Not DNot Observable DNot Applicable 1 i High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 8 of 9 Section Plans Verified Field Verified Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 401.3 Compliance certificate posted. ❑Complies [F1712 ❑Does Not ['Not Observable ❑Not Applicable 303.3 Manufacturer manuals for DComplies [FI18]3 mechanical and water heating ❑Does Not systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: L�J High Impact(Tier 1) 2 Medium Impact(Tier 2) 13 I Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 9 of 9 D __. e.(j. 2015 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 19.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.28 Door Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments LOCUS INFORMATION O CURRENT WNER Gaon REMY TRUST MOAT LOOM NCO 2 Et R G.n12x«n Ttu31EE LEGEND GWB P.Gz2«o 0 ¢ .....xN q A:oNE RFEW FLOOD ,A a ME REFERENCE DECO BOOR 20011,PAS Y+ a 50.9 0 SPOT ELLV0000 P11E1 REFERENCE: PRAM BOON 01,POE 121 ORE 0*0001: •A'0•AFELSV 11.G1E0 7-IB-TJ it < CS• GOO+SON PIM BOOR 001.PAGE 25 PANEi/20201COJW J 1.04E MHO WOO.WOO. WI BOOT 201.PAGE JI-a SRO WHO Stem kW.. ASSESSORS WO 37 01110 r LOT SRL 25.W0 Si. NMO ifl#P51011E WHOLE SJ MTN0 LOT SZE: 30,250 SS.WHOP,WEILOO) S i LP LIDIt POE 2F IIPL LOUR'POLE/UDFf ZOM10 U6ORICf: R-SS PROPOSED Bun.CO.£RNOE: 21JL2 SE. SETOLCNS: 02€ >D' UPLT MOW ROLE/100 0 TRNISPORYER 002 PROPOSED BID.CORERIDE: ;IJ12 4O. UPTT,♦[, URLT'POt2/TRANSFOMJER RERR A' D411,un CERTIFY TO Bi01 OF Ltl `^^— LOIN PDIF....0 LINE I E NOT 10 SC,L O F OESS...NNOWLEOCE.NnOR2FON OIM .E o OW ELECTRIC ROOMS02 BEUEF THAT RR 10T CORN\RS. SUMCNS •COT GAS MITER STRUCTURE AS i0EDTO BY E —c— Ms USE 9Os1RUNEN1 suR.EY MO AS SHOWN OH OAS GTE TARS MO OE CORRECT. We 0 WATER GTE .. AO TEST PIT rNqr y irk 1S Q � ".7 tors 8 OS O ¢ii B G a.. .' .+.•'.'. GTE 1 1g110 pill s ^PROPOSED \- I \\ 1. +r o ( f0 ooKITCHEN $ F aQ\�\\\\...\t \ 1 '1 \' • -\ EXTENSION APLAN L \ � \\1; 1 /1' 1L "\ \ I I / Pn. \ iY 10 ��+ \1\\\ \1; 1 1 �' LOT 1 \ MIDDLE ROAD lg i �'i'fie`\11 1 \ V ( RJWEv \ 00 1 \'}III \ ` \ 1 1 1 \ 1 N\ W. YARMOUTH i 1 R \ II \ \ MASSACHUSETTS LOT7 \\ \ I \ '\ • / 1\'v\ (BARNSTABLE COUNTY) i i a 11 1 \ \ 1 (W '-\ A.\� ,, a \b \ 1_ is \\A Lore . +_;1 \i '"a _ \ W ; F \\ \\ \ �I \ " \ JULY 21,2021 tt i �V ` ,ilek\1 \A1.n 1 \ 1\ 1y\ i \\ SRR 593 Y- , IWRm ' I I I'.\t-` \ \ \ �RP W..en.m, y NO. GTE Drx. ! '" \ I :I Cl1.R 11 t%2 • \\ ( 1 I ( I\S\ \\ \\\ \ .i ..I — Cl `s \` 1 i nano O• 1 \ �2 — =7,,WD 0 SW.. MAY 1 Imo` 1 �' 1\\ \\ ) I e s I� — M/DOLEROADI' ; I L !\it � yyn 1 COMMONS LANDING hRGINI& OLo R.11.0.4EII�.MOM gg -3 1 ( .,d'•'Fb \ I WEST YARMOUTH,MA 02673 \ _.___-1..__ 506-771-6515 Form. ` BSC GROUP \ \ i 349 Main Strect.Rt.28.Unit 0 8.0 ramp \ W.Yarmouth Massachusetts02673 \'` 5081788919� 49 Roe+TM WC u.,.r, \.4 SOU.E: I' 20' m • LR x w III 02NwO1 ROWm a Rum PR.,.MOIL:C.fA2D MI.P.miffit GLC./DESICN:N.MALY Cep.:N.NVL.Y DROP:C.FIELD PAS:00026-MCP.O00 JO.P.S-002300 *CET I a I Sears, Tim From: Sears, Tim Sent: Tuesday, June 21, 2022 9:15 AM To: 'Office' Subject: 10 Middle Rd Ed, I have reviewed your application for the addition and there are some items needed. Health Department sign off(under review) . The use of sonotubes for a foundation requires the plans be reviewed and stamped by a Registered Design . Professional (Section R403.1) ..). Rescheck needs to be based on 2018 IECC _ L3m- %�cht Please submit these items for review C This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 MACINNES CONSULTING, LLC PO Box 1182, East Sandwich, MA 02537 (508)274-2091 shawn@macinnesconsulting.com June 23, 2022 Ed Shea Shea Custom Carpentry 20 Doten Road Plymouth MA 02360 RE: Footing Design 10 Middle Road West Yarmouth, MA Dear Mr. Shea, This letter is in reference to the footing design as shown on the plans titled "Addition to The Gazzolo Residence, West Yarmouth, MA" by WB Daniels Design Services, dated May 15, 2022. The footing sizes and the construction specifications are as follows: 1. Footings Supporting Addition & Deck Footings Shall be 12" Sono Tubes with Tube Base 36" Big Foot Base (or equal) with four feet of frost protection and Simpson ABU66 (or equal) Post Bases with 5/8" diameter threaded rod emoedded in pier 7" minimum in epoxy pad inner side of base. Use 16d nails through padding into beam. Space footings as shown on plans. Please contact Maclnnes Consulting if you have any questions or require additional information. Sincerely, ,yaw or 4f, >„ SHAWN ,\. MacINNES CIVIL A o.4132f3 ST • Cod Shawn Maclnnes, P.E. License#41328 1 20y CI Efficiency 15IECC Energ Certificate Insulation Rating R-Value Above-Grade Wall 19.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/ Roof 38.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.28 Door Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Data: Comments Section Plans Verified Field Verified , Final Inspection Provisions Value Value Complies? Comments/Assumptions &Req.iD 1 401.3 Compliance certificate posted. DComplies (F1732 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [F118]3 mechanical and water heating ElDoes Not systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact[Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 9 of 9 Section Final Inspection Provisions Plans Verified FieldVerified Complies? Comments/Assumptions &Req.ID Value Value 403.6.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [FI26]2 through one-or two-pipe heating ❑Does Not systems have outdoor setback control to lower boiler water Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies [F12812 have a circulation pump.The ❑Does Not system retum pipe is a dedicated return pipe or a cold water supply ❑Not Observable pipe. Gravity and thermos- ENot Applicable syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems EComplies [F12912 comply with IEEE 515.1 or UL ❑Does Not 515. Controls automatically adjust the energy input to the Not Observable heat tracing to maintain the Not Applicable desired water temperature in the piping. 40- 3.5.2 Water distribution systems that ❑Complies [FI3012 have recirculation pumps that DDoes Not pump water from a heated water supply pipe back to the heated ❑Not Observable water source through a cold DNot Applicable water supply pipe have a demand recirculation water system. Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1044F. 40- 3.5.4 Drain water heat recovery units ❑Complies [F131]z tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units < 3 psi for ENot Applicable individual units connected to one or two showers. Potable water- side pressure loss of drain water heat recovery units < 2 psi for individual units connected to three or more showers. 40-4.1 75%of lamps in permanent ❑Complies ,[FI6]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage Not Observable lighting. ENot Applicable 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light. ElDoes Not ❑Not Observable ENot Applicable 1 I High Impact(Tier 1) 2 [Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 8 of 9 Section Plans Verified Field Verified Final inspection Provisions Value Value Complies? Comments/Assumptions &Re .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 402.2.6 1[FI1]1 ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]1 Blown insulation marked every ❑Not Observable 300 ft2. ❑Not Applicable 402.2.3 Vented attics with air permeable DComplies [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. :Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [FI3]1 insulation >_R-value of the ElDoes Not adjacent assembly. ['Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50=_ ACH 50 = ❑Complies [FI1711 ach in Climate Zones 1-2,and ElDoes Not <=3 ach in Climate Zones 3-8. ONot Observable ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [F14]1 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 [F12711 determine air leakage with ft2 ElDoes Not either: Rough-in test:Total ❑Not 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 Air handler leakage designated ❑Complies [FI24]1 by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed for control of primary ElDoes Not heating and cooling systems and ❑Not Observable initially set by manufacturer to code specifications. ❑Not Applicable 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 ❑Complies '[FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 7 of 9 Section ' Plans Verified Field Verified Insulation Inspection Value Value Complies? Comments/Assumptions Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ,❑ Wood ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel [Not Observable ❑Nat Applicable 303.2, Floor insulation installed per ❑Complies 402.2.7 manufacturer's instructions and ❑Does Not [IN2]1 in substantial contact with the underside of the subfloor,or floor ❑Not Observable framing cavity insulation is in ENot Applicable contact with the top side of sheathing,or continuous insulation is installed on the underside of floor framing and 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 1/2 of the ❑ Wood ❑ Wood GDoes Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. ❑Does Not :Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 1 High Impact(Tier 1) 2 i Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 6 of 9 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 5 of 9 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? ; Comments/Assumptions &Re .ID 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 DNot Observable [FR2]1 ❑Not Applicable 303.1.3 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or taken from the default table. DNot Observable ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. ['Not Observable ❑Not Applicable i402.4.3 Fenestration that is not site built ❑Complies [FR2O]1 is listed and labeled as meeting DDoes Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC DNot Observable 400 that do not exceed code DNot Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]z sealed at housing/interior finish ❑Does Not and labeled to indicate 5_2.0 cfm leakage at 75 Pa. ❑Not Observable DNot Applicable 403.3.1 Supply and return ducts in attics ❑Complies '[FR12]1 insulated >= R-8 where duct is EDoes Not >= 3 inches in diameter and>= R-6 where < 3 inches.Supply and ❑Not Observable return ducts in other portions of ❑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 ❑Complies [FR15]3 ducts or plenums. DDoes Not ❑Not Observable ❑Not Applicable 403.4 HVAC piping conveying fluids R- R- ❑Complies [FR17p above 105 QF or chilled fluids DDoes Not below 55 QF are insulated to>—R- 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR24]1 piping. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ❑Complies [FR18]z >R-3. ❑Does Not ❑Not Observable DNot Applicable 403.6 Automatic or gravity dampers are ❑Complies [FR19]z installed on all outdoor air DDoes Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 iHigh Impact(Tier 1) 2 (Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 4 of 9 Section 41k Foundation Inspection Complies? Comments/Assumptions &Req.ID 303.2.1 A protective covering is installed to ❑Complies [F011]z protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below ❑Not Observable grade. ❑Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies [F012]z installed. EDoes Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 3 of 9 REScheck Software Version 4.7.2 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 I Plans Verified Field Verified # Pre-Inspection/Plan Review Compiles? Comments/Assumptions StReq.ID Value Value 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the building envelope.Thermal ❑Not Observable envelope represented on DNot Applicable construction documents. . 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 lighting and mechanical systems. ❑Not Observable Systems serving multiple El 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: ❑Not Observable p,, Manual J or other methods Btu/hr Btu/hr approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1 1'High Impact(Tier 1) 1 2 I Medium Impact(Tier 2) i 3 I Low Impact(Tier 3) Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rc:k Page 2 of 9 REScheck Software Version 4..7.2 0 Compliance Certificate Project GAZZOLO ADDITION 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: 10 MIDDLE RD WEST YARMOUTH, MA ompliance:Passes using UA trade-off Compliance: 4.2%Better Than Code Maximum UA: 24 Your UA: 23 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. NOTE: Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on- grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies Gross Area Cavity Cont. Prop. Req. Prop. Req. Assembly or R-Value R-Value U-Factor U-Factor UA UA Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 76 38.0 0.0 0.030 0.026 2 2 Wall 1: Wood Frame, 16"o.c. 218 19.0 0.0 0.060 0.060 12 12 Window 1:Vinyl/Fiberglass Frame:Double Pane with 22 0.280 0.320 6 7 Low-E Floor 1:All-Wood Joist/Truss:Over Unconditioned 76 30.0 0.0 0.033 0.033 3 3 Space 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 4.7.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: GAZZOLO ADDITION Report date: 05/14/22 Data filename: C:\Users\danie\MUSCKGROVE\Gazzolo.rck Page 1 of 9