HomeMy WebLinkAboutBLDR-24-167 r
' ONE & TWO FAMILY ONLY- BUILDIiNG PERMIT
Town of Yarmouth Building Department of
1146 Route 28, South Yarmouth,MA 02664-4492
R E E 1 V E D 508-398-2231 ext. 1261 Fax 508-398-0836 (4.11116;,.,�' ' .
Massachusetts State BuildingCode, 780 CMR '�
202�
2 9 uil ink-Permit Application To Construct, Repair, Renovate Or Demolish
MAR .;._ i_;._,:
a One-or Two-Family Dwelling 1
BUILDlNC DEPARTMENT This Section For Official Use Only
Building Permit Number: .R�2..L- 7 Date Applied: ,/.-?
Building ial(Pri ame) gn re Date
SECTIO 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
I
1.1 a Is this an accepted street?yes no Map Number Parcel Number
j 1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public CIPrivate❑ Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
/2.1 O ner'ofRe d: b2�� Ls°rt- z(SL `�VIJAC)-�, 'D2-( MA 75
Name(Print) City,State,ZIP
-Z,CWZC tniTZ b lk ‘,0 A� `7)4 72:1 4321( MicearZ1 S(olLc.c, u.S-
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 I Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 1 Addition 0
Demolition 0 I Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':
./ c.--_
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1. Building $300l 1. Building Permit Fee:$ Indicate how fee is determined:
0 Standard City/Town Application Fee
2. Electrical $ Spo0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ ---- 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire —
Suppression) $ Total All Fees:$
% Check No. Check Amount: Cash Amount:
�/ 6.Total Project Cost: $ 3500 .CSO o Paid in Full ❑Outstanding Balance Due:
rh i Gt.d, r SLc \ 1 CLGvwnCu-s+
SECTION 5: CONSTRUCTION SERVICES
'1 Construction Supervisor License (CSL)
License Number Expiration Date ,
i Name of CSL Holder
List CSL Type (see below)
No. and Street Type Description
U Unrestricted (Buildings up to 35,000 cu. ft.)
R Restricted I &2 Family Dwelling_
City/Town, State, ZIP M t Masonry
RC Roofing Covering•
WS Window and Siding
SF Solid Fuel Burning Appliances
I ( Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor (HIC) i
I HIC Registration Number Expiration Date j
HIC Company Name or HIC Registrant Name
No, and Street
1 Email address
City/Town, State, ZIP Telephone
SECTION 6: WORKERS' COMPENSATION DISURANCE 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_ pet init. 1
i
i Signed Affidavit Attached? Yes 0 No 0
1
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN I
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
i
I I, as Owner of the subject property, hereby authorize
to act on my behalf; in all matters relative to work authorized by this building permit application.
Print Owner's Name (Electronic Signature) Date
• SECTION 7b: OWNER OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
i contained in this application is true and accurate to the best of my knowledge and understanding.
V NA, Ls&AP'c'a ' -Z (‘-' ap LA 3 / .2 ft / 2400.
Print Owner's or Authorized agent's Name (Electronic Signature) Date
NOTES:
1 . An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor I
(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.g_ov/oca Information on the Construction Supervisor License can be found at www.mass.aovidns
2. When substantial work is planned, provide the information below: i
Total floor area (sq. ft.) (including garage, finished basementattics, decks or porch)
Gross living area (sq. ft.) , v Habitable room count
Nn}mber of fireplaces Number of bedrooms
Number of bathrooms Number of halfibaths
Type of heating system Number of decks/ porches
Type of cooling system Enclosed Open
1
3. "Total Project Square Footage" may be substituted for "Total Project Cost"
The Commonwealth of Massachusetts
7 = Department of Industrial Accidents
r l= a= 1 Congress Street, Suite 100
' i_ `
Soli
= Boston, MA 02114-2017
ow",, www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
J Name (Business/Organization/Individual):
•..// Address:
`/ City/State/Zip: Phone #:
Are you an employer?Check the appropriate box:
Type of project(required):
I.❑tam a employer with employees(full and/or part-time).*
7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in
ca aci 8. Remodeling an
Y P ty.(Ivo workers'comp. insurance required.]
3. 1 am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.D Electrical repairs or additions
proprietors with no employees.
12.0 Plumbine 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•El Roof repairs �!`�
6.0 We are a corporation and its officers have exercised their right of exemption per NfGL c. 14.❑Otherr PiC_C i 1LN `
152,§I(4),and we have no employees. [No workers'comp. insurance required.] '- ' 3 i C A
*Any applicant that checks box R 1 must also fill out the section below showing their workers'compensation policy information. ) V
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.r: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Sienature: Z \6
Date: '2 Ct\ 2 f4
l
Phone#: "- 1I 1 12 L&324
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
o� YRR TOWN OF YARMOUTH
of � 1 • BUILDING DEPARTMENT
Tr^�� J 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:
JOB LOCATION: o� C-‘6:24STUR We-72- 1.4344 QJ>\\'oR l J�A
NAME STREET ADDRESS SECTION OF TOWN
"HOMEOWNER"%tanA61.�RIS(a U. — i 324
NAME HOME PHONE WORK PHONE
PRESENT MAIL[ TG ADDRESS o�Citirkx5t1 v Ci (AIL.u. O NC)c ,C NA jS 2- :
CITY OR TOWN STATE ZIP CODE
The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall
submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all
such work performed under the building permit. (Section 110 R5.1.3.1)
The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOMEOWNER"S SIGNATURE �54.',lrc
APPROVAL OF BUILDING OF1~1CIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of 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:homeownrlicexernp
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.Chapter 40,Section 54 and 780 CMR,Chapter 1,Section 111/5
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at C 7,:pD, L,p,x( �� t,1\
Work Address
Is to be disposed of at the following location ci4pJ(J(. >kS
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111,Section 150A.
f rn n�r`.u' 3I 25 12 u
Signature of Applicant Date
Permit No.
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> aXy -to? \Acct
To 1 b" O. C.
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2rta,>7)\ (OR-C. NW o26.15
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rGenerated by REScheck-Web Software
14 Compliance Certificate
Project Finished Basement
Energy Code: 2021 IECC
Location: Yarmouth Port, Massachusetts
Construction Type: Single-family
Project Type: Addition
Climate Zone: 5 (6137 HDD)
Permit Date:
Permit Number:
All Electric false
Is Renewable false
Has Charger false
Has Battery: false
Has Heat Pump: false
Construction Site: Owner/Agent: Designer/Contractor:
2 Christopher Hall Way Michael F. Driscoll Mic Driscoll
Yarmouth Port, MA 02675 2 Christopher Hall Way 2 Christopher Hall Way
Yarmouth Port, MA 02675 Yarmouth Port, MA 02675
774-722-4324
Compliance: Passes using UA trade-off
Compliance: 15.7%Better Than Code Maximum UA: 70 Your UA: 59
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.
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
Basement Wall 1: Wood Frame
Wall height: 8.0' 1,212 22.0 0.0 0.045 0.050 53 59
Depth below grade: 7.0'
Insulation depth: 8.0'
Door 1: Solid 20 0.160 0.300 3 6
Door 2: Solid 9 0.070 0.300 1 3
Window 1:Vinyl/Fiberglass Frame:Double Pane with 6 0.320 0.300 2 2
Low-E
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 1 of10
Additional Efficiency Package(s)
Not applicable
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 2021 IECC requirements in
REScheck Version:REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Notes:
REScheck by Cape Cod Insulation,Inc.
18 Reardon Circle
South Yarmouth,Ma. 02664
800-696-6611
Project Title:Finished Basement Report date: 04/04/24
Data filename: Page 2 of10
.i- REScheck Software Version : REScheck-Web
i ii Inspection Checklist
L....i
Energy Code: 2021 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
1 # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
I & Req.ID --- —�_
103.1, Construction drawings and ❑Complies
103.2 documentation demonstrate ❑Does Not
[PR1]' energy code compliance for the
building envelope. Thermal ['Not Observable
envelope and energy compliance ❑Not Applicable
path represented on construction
documents.
103.1, Construction drawings and ❑Complies
103.2, documentation demonstrate Does Not
403.8 energy code compliance for
[PR3]1 lighting and mechanical systems. ❑Not Observable
< , Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the IECC
Commercial Provisions.
I302.1, 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:
K Manual J or other methods ❑Not Observable
Btu/hr Btu/hr
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
11High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact (Tier 3) j
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 3 of10
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
&Req.ID _
402.1.2 Conditioned basement wall R- R- ❑Complies See the Envelope Assemblies
[F04)1 insulation R-value.Where interior R- R- ❑Does Not table for values.
0 insulation is used, verification ONot Observable
may need to occur during
Insulation Inspection. Not ONot Applicable
required in warm-humid locations
in Climate Zone 3.
303.2 Conditioned basement wall ❑Complies
[F0511 insulation installed per ❑Does Not
titmanufacturer's instructions. pilot Observable
ONot Applicable
402.2.8 Conditioned basement wall ft ft ❑Complies See the Envelope Assemblies
�[F06]1 insulated in accordance with ❑Does Not table for values.
Table R402.1.3 with insulation
depth the minimum of 10 ft ❑Not Observable
below grade or to the basement ONot Applicable
floor.
303.2.1 A protective covering is installed ❑Complies
[F011)2 to protect exposed exterior ❑Does Not
insulation and extends a
minimum of 6 in. below grade. ONot Observable
❑Not Applicable
ad m ❑Complies
[F0403192]z controlsSnown
installedice de to shut offsystem ODoes Not
system when pavement
temperature > 50F and no :Not Observable
precipitation. ONot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 4 of10
;Section ( Plans Verified Field Verified
# Framing/ Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
,402.1, Door U-factor. U- U- DComplies See the Envelope Assemblies
j 402.3.4 ❑Does Not table for values.
[FR1]1 ❑Not Observable
❑Not Applicable
402.1, Glazing U-factor(area-weighted U- U- DComplies See the Envelope Assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3,402.5 ['Not Observable
[FR2]1 ❑Not Applicable
303.1.3 U-factors of fenestration products DComplies
[FR4]1 are determined in accordance DDoes Not
with the NFRC test procedure or ['Not Observable
taken from the default table.
DNot Applicable
402.4.1.1 Air barrier and thermal barrier DComplies
[FR23]1 installed per manufacturer's ❑Does Not
instructions. ❑Not Observable
3❑Not Applicable
402.4.3 Fenestration that is not site built DComplies
[FR20]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 ❑Complies
[FR12]1 insulated >= R-8 where duct is ❑Does Not
>= 3 inches in diameter and >_
R-6 where < 3 inches. ['Not Observable
❑Not Applicable
403.3.4 Ducts, air handlers and filter DComplies
[FR13]1 boxes are sealed with ❑Does Not
n� joints/seams compliant with
International Mechanical Code or ❑Not Observable
I International Residential Code,as ❑Not Applicable
applicable.
1403.3.7 Building cavities are not used as DComplies
1[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
{ ❑Not Applicable
403.4 HVAC piping conveying fluids R- R- DComplies
[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 DComplies
[FR24]1 piping. ODoes Not
Ei ❑Not Observable
❑Not Applicable
402.4.6 Electrical and communication DComplies
[FR29]3 boxes installed in the thermal ❑Does Not
boundary of the envelope sealed [Not Observable
to limit air leakage between
conditioned and unconditioned ONot Applicable
spaces.
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 5 of10
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
403.5.2 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
[FR1912 installed on all outdoor air ❑Does Not
intakes and exhausts for DNot Observable
mechanical ventilation systems.
❑Not Applicable
403.6.1 Ventilation systems in climate ❑Complies
[FR30]2 zones 7 &8 shall utilize heat or ❑Does Not
energy recovery
:Not Observable
❑Not Applicable
Additional Comments/Assumptions:
j 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 6 of10
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
s provided. :Not Observable
❑Not Applicable
402.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies
402.2.5, mass wall with at least Y2 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 El 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:
High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 7 of10
Section Plans Verified Field Verified
Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
402.2.4 Attic access hatch and door R- R- ❑Complies
[FI3]1 insulation ?R-value of the ODoes Not
adjacent assembly.
❑Not Observable
ONot Applicable
402.4.1.3 Blower door test @ 50 Pa. <=5.0 ACH 50 = ACH 50 = ❑Complies
[FI17]1 ach in Climate Zones 1-2, and DDoes Not
<=3.0 ach in Climate Zones 3-8.
ONot Observable
ONot Applicable
403.3.5 Ducts are pressure tested in cfm/100 cfm/100 ❑Complies
[F12711 accordance with ft2 ft2 ❑Does Not
ANEI/RESNET/ICC 380 or
ASTME1554 to determine air ['Not Observable
leakage with either: Rough-in DNot Applicable
test:Total leakage measured
with a pressure differential of 0.1
inch 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.
403.3.6 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[FI4]1 cfm/100 ft2 across the system or ft2 ft2 ODoes Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. Duct tightness [Not Observable
<= 8 cfm/100 ft2 for ducts within ONot Applicable
thermal envelope. For rough-in
tests,verification may need to
occur during Framing Inspection.
403.3.4.1 Air handler leakage designated ❑Complies
[FI24]1 by manufacturer at<=2%of ODoes Not
design air flow.
ONot Observable
ONot Applicable
403.1.1 Programmable thermostats ❑Complies
[F19]2 installed for control of primary ODoes Not
heating and cooling systems and
initially set by manufacturer to ['Not Observable
code specifications. DNot Applicable
403.5.1 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ODoes Not
accessible manual controls. DNot Observable
ONot Applicable
403.2 Hot water boilers supplying heat ❑Complies
[F126]2 through one-or two-pipe heating ODoes Not
systems have automatic outdoor
setback control to lower boiler ['Not Observable
water temperature based on ONot Applicable
outdoor temperature, indoor
temperature or water
temperature sensing.
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 8 of10
Section Plans Verified Field Verified
Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
403.5.1.1 Heated water circulation systems ❑Complies
[FI28]2 have a circulation pump.The DDoes Not
system return pipe is a dedicated ❑Not Observable
return pipe or a cold water supply
pipe. Gravity and thermos- ❑Not 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
[FI29]2 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.
403.5.3 Drain water heat recovery units ❑Complies
[F131]2 tested in accordance with CSA ❑Does Not
B55.1. Potable water-side ❑Not Observable
pressure loss of drain water heat
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.
403.6.2 All mechanical ventilation system ❑Complies
[FI25]2 fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy
and air flow limits per Table ❑Not Observable
R403.6.2. ❑Not Applicable
403.6.3 Mechanical ventilation systems ❑Complies
[F133]2 tested and verified to meet the El Does Not
minimum flow rates required by
Section R403.6. ['Not Observable
DNot Applicable
403.5.1.1. Demand recirculation water ❑Complies
1 systems have automatic controls ❑Does Not
[FI32]2 to start pump when hot water is
requested. ❑Not Observable
❑Not Applicable
404.1 100%of permanent fixtures have ❑Complies
[F16]1 high efficacy lamps. ❑Does Not
❑Not Observable
ONot Applicable
404.1.2 Fuel gas lighting systems have ❑Complies
[F123]3 no continuous pilot light. ❑Does Not
❑Not Observable
❑Not Applicable
404.1.1 Exterior lighting for multifamily ❑Complies
[FI35]3 buildings shall comply with ❑Does Not
Section C405.4.
❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 9 of10
Section Plans Verified Field Verified
Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.lD
404.2 Permanent interior lighting shall ❑Complies
[F136]3 be controlled with either a ❑Does Not
dimmer,occupancy sensor or ❑Not Observable
other control built into the
fixture. ❑Not Applicable
404.3 Exterior lighting >= 30 watts ❑Complies
[FI37]3 shall have the following controls: ❑Does Not
manual on/off switch with ❑Not Observable
automatic shut-off, automatic
shut-off in daylight hours, and ❑Not Applicable
controls that override automatic
shutoff that returns to automatic
control within 24 hours.
401.3 Compliance certificate posted ❑Complies
[FI7]2 with building specifications and ❑Does Not
compliance path and results.
❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
systems have been provided.
['Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Finished Basement Report date: 04/04/24
Data filename: Page 10 of10
C2021 y
IEfficiencyIECC Energy Certificate
Insulation Rating R-Value
Above-Grade Wall 0.00
Below-Grade Wall 22.00
Floor 0.00
Ceiling/Roof 0.00
Ductwork(unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.32
Door 0.16
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
'a cL.4Is-3' hZ2 1-1-A.t-t /A\l A-9,1160T focZ\
3\-- Q. -- aL4 — \ 1
BeamChek v2018 licensed to:Swanson Structural,Inc. Reg#1194-67550
Driscoll 2 Chris Hall Yarm Port Basement Steel Channels 1'wo A rQvutCa/
job 6813 Prepared by.PWS Date:4/10/24
Selection C 8x 13.75 50 kal Steal Channel Lateral Support Lu=3.8 ft max.
Conditions Actual Size is 2-3/8 x 8 in.
Min Bearing Length R1=0.9 in. R2=0.9 In. (1.0)DL Deli. 0.15 In
Da a Beam Span 15.33 ft Reaction 1 LL 3387# Reaction 2 LL 1845#
Beam Wt per ft 13.75# Reaction 1 TL 4945# Reaction 2 TL 2571#
Bm Wt Included 211# Maximum V 4945#
Max Moment 12094'# Max V(Reduced) N/A
TL Max Defl L/240 TL Actual Defl L/352
LL Max Defl L/360 LL Actual Defl L/501 4r"
Attributes Section(In') Sheer(in') TL Defl(In) LL Defl µ 44
Actual 1 9.03 2.42 0.52 0.37 1 PA
Critical 4.84 0.25 0.77 0.51 A/ $WAN N
Status OK OK OK OK x� STRIICT L
Ratio 54% 10% 68% 72% `.A,9 36 C
Fb(psi) Fv(psi) E 'x mil .."ic*
Values Ref.Value Fy 50000 50000 29.0
Adjusted Values 30000 20000 29.0 —
Adjustments YP Factor,Lu 0.60 0.40 4/j o 0 2¢
At Point Loads:Provide these minimum bearing lengths in inches or provide web stiffeners.
B=0.9
Loads Uniform LL:200 Uniform TL:260 =A
Point LL Point TL Distance Par Unif LL Par Unif TL Start End
1933 B=2900 2.33 H=30 0 2.33
100 1=150 0 2.33
Flab Pfjj,L 2.- %�••Ffvt•6S RECEIVED
3-a,r8•s
7 P►/-FOA ii4iLs Dom.,. AUG 07 2024 GX)StING.
r
• 2 ii xG
BUILDING DEPARTMENTNT jflLVG tI 1�.�
arm 6oG15 EAcN Ill
END ■■
L_-1 1
I 1 H I —
_ Uniform Load A
Pt loads: B r 1i��"
4-4x4 LvL R1=4945 J R2=2571 (JSGS
�/ 4 f'D<iTS SPAN=15.33 FT ZS
S TAa404
/)0575 Uniform and partial uniform loads are lbs per lineal ft. MASONAY
(0)4 Foil. 0.04 NA"Kitt
(.14ANN6L) - — ---- -- r
• . • •
V k >)
01
IS=a" &trt t.61+41N