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r oF'Y ONE & TWO FANHLY ONLY — BUILDING PERMIT C APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWEUING Town of Yarmouth Building Department 1146 Route 28 • South Yarmouth, MA 02664-4492 508-398-2231 ext.1261 Fax 508-398-0836 011lee Use Ordy MrIfling acre I* m rxm Assessors Depar ent Inforomtlarc Pefetit�fa �S � Type MW Qate La Oate Permit Fee $ b�� ��'�emad Depasit Reed. $ DateL! / / Recording pug kei1 � terMa 1.4 Prepertp Oitrterions:Net Due $ 6tat Ar- (s) Fratnape (th tat Cave�e Tra 3ee9a1 for BUI1 1? %i11Rli� . •,: D$f@ 1sz#tlec . SdC1166.4 - SM Irrm"iiatfbrkI Use Group: R-4 T : 5-B 1.! ProPwhr Adduresw 12 Zanirg Inforrymaorc L/ Iley `Zt, WQs� yaIZ- Zs- Zoning District Proposed Use 1.3 Building setbr ela (ft) Front Yard Side Yards Yard i t1 o Required Provided Required Provided Required Provided _dolFlear 3, 1.4 VMw stWptfr (v n ■ a.a S 5" X Pubrc Private 1.5 Flood Zane kftrmd= . commwft 7N. —Era-t E 11 - • SectloiJlZ- OWnershi Authorized ZI Ornw of Reconk r Nra 1< r i��r21<Gti��'Rus� Z� Ut'l.1 le AZ W, Ag r"ov7-)1 MaScg Address gSgnatff �08- 77a zcc�* GINr ac. I�a2� aab• a ntlraelsad A9Te z2 Auulephone ail Address: ranft NdY N_ Lu4X f A 2/S f5lt Z9 (]A-64 2 W . \ AM 1% / _ Mailing Address SignaUe Tel hone.;_., p'p ax Secdon a - Constrt>dion Semcds �.1 Lken>w c,nstr„o1,en � sops t.. Not Applicable _ Ucense Number Expiration Date Address gwt° Telephone Email Address: 3 2 Aidered Home Impmvemant l,ontraciot: CanrMers Mann Not Apprcable LicemeNumber Address Email Address: Teiephone Expiration Date 1 of 2 OVER Sectforti.4s WorkWV Ccm enlist oft InSUrAnCt Amaav►r ML-o► raua,c aa� for Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure. ,ti to provide this affidavit will result In the denial of the Issuance of the building permit. Signed Affidavit Attached Yes ......... No .......... Section S- Descri oft?fo Wbdt (dwick er appl ; M!-) New Construction ❑ Nm of i3edrooms Na of 89hroolrn Existing M ❑ Repalr(s) ❑ Arcer2tlorsa ❑ Addition Awry Bldg. ja Type 6A2 G Demolition Other Specify: Brief Description of Pro sect Work Sit a ANb Co,us%2 vrrt A /L' X 33' G U2 e- T- era 0—y. i / r JO u 1 Section s- Estimated Construction Casts Item Estimated Coat (Dollars) to be Check Below completed by Permit applicant 1. Bui i A �f ConserntionZortmisslon Filing 2. Ell ro0 (b apple) 3 / Gas 1<00 4. Medtanlcal (HV ❑ Old Klrx)s Highway d fib Comirttssion applwel 6. Fire Protection (if applicable) B.Totalm(t +2+3+4+5) dos `�o 7. Total Square Ft. VoW Naw a SMOWel 'Zl.ca o Secd.da 7i! •Owner Authbrtzatfort'- To be Completed When owners Agent of Contractor A Ites for BUiklle Permit IAA 2/f-p2 -r ltu��;'t� , as owner of the subject property hereby authorize r,. W pat) `� `f� A 2 /� ,=� to act on my b , In ad matters rela uthortzed by this building permit application. a7rSere k- -2- Date • $jgnalNce Owner Section 7b - OwnedAuthadzed Agent Declaration I, r p uW A-2- �. �µ2 I ��'/1- , as Owner/Authorized Agent hereby declare that the statements and information on the to regaing application are true and acctuate, to the best of My knowledge and belief. Signed under the pains and penalties of perjury. r. �"-(Dan).<e/L F- name / Blgnatura or Ower/Agent Gals 9•15•99 2of 2 • u• vu.a... VDc Vlllr Permit No. Dare TOWN OF YARMOUTH ' »y AFF MAV IT Home Improvement Contractor Law Supplement to Permit Applteitlon MGL c 142A requires that the 'recaeuaion, alteration, reaovatiou, repair, moderniation, coave icn, imlrm=eat, renoval, demolition or construction of an addition to any pro-adstiag owner-ow*ed bull&l cmtaidog at lei one but not more than fir dwdling units or structorrs which ere adjacent to sock rmidwm or building' be done by registered contractors, with =ten excxptions, along with other requirements 1 Type of Work:__Co,u%4aocf 6nas`r� I!i eo, Est. Cost LSgyo Address of Work - oPS VA Il�.l f2n WQs� d A2moON, rkA b2f,'73 Owner Name: U t rLSj t ti ► a K .�,a,2 keg , �2 u sf Date of Permit Application: SejZI Z1- Z.oty I hereby certify that: Registration is not required for the following re:sson(s): Work excluded by law Job under $1,000 Building not owner occupied —>�- Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply.for a permit as the owner of the above property: Date 40wn;eea�m�c T The Commonwealth ofMassaehusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 i' www.massgov/tea Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name (BusmessMrpnizadam4ncffiriduan: U 1 (Rcj 1 w1 A- Address: P. ll e t I Z -6 Q4> 4to nA. o att& hn i'i- o Z col 3 Phone#: 51)W- -77 Y- Z vb Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with ' 4. (g I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 6. RNew construction 2 ❑ I am a sole proprietor or partner- listed on the attached sheet 1 7. ❑ Remodeling ship and have no employees working for me in any rapacity. [No workers' comp. inset-mce required:] 3. ❑ I am a homeowner doing all work myself [No workers' comp. t 3a. 9 Iam a � lacuag as a general contractor (refer to #4) These sub -contractors have employees and have workers' comp, insaranre,i 5. ❑ We are a corporation and its officers have exercised their right of exemption perMGL c. 152,11(4X and we have no employees. [No workers' como. insurance reatmrd.l S. ❑ Demolition 9. ❑ Buildmg addition 10.❑ Electrical repairs or additions I L[] Phurabing repairs or additions 12.[] Roof repairs ME] Other ;Any app6®! that Aecis bos 91 mtst also fill am she scaoa below showing theirwosi�' en�doefoofiey mfacmatioa I3om-Awnets who aahmrt this al5davk indicating they we doing all work and then has outside amst aabma a new at8davtt mrbeaaag 7aCh. :CMM= Q that chock this box brat attacbed an addinatal :beet showmg the name of the and state whetbw or not those cadre bave employee. If the tor; have employee, they mmst provide their wordate comp. policy —bey I arse an employer that is prodding workers' compensadon btsutmtee for my earployem Below is the policy and job site informatlam Insurance Company Name: Policy # or Self -ins. Lin #. Expiration Date: Job Site Address City/StatelTp: Attach a copy of the workers' compensation policy declaration page (showing the policy number and erpintion date). Failure to secure coverage as regnired under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to SI,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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I der hereby ecru} E e airyt and penalties of pa}ury that the informatton prodded above is trae and correct L.—.t -" Date: 5 ero �- I Pbone #. - 03- -7-I-Z- oo �- O ffld l use only. Do not write in this area, to be completed by city or town ojyidaL City or Town: Permit/IScense # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. Cityfrown Clerk 4. ©ectrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 est.1261 PLEASE PRINT: DATE: JOB LOCATION: "HOMEOWNER" V 1 S!$ / w i it NAME PRESENT MAILING ADDRESS Z91 HOMEOWNER LICENSE EXEMPTION STREET ADDRESS SECTION OF TOWN i4a L.(e✓L �R�Sfi HOME PHONE WORK PHONE al(.ay 2,L (,L� V/A2mo.rri V" # 01G73 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 APPROVAL OF BUILDING OFFICIAL i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes X No If you have checked�es, 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 Cha5rz 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:homeownrlioexemp Project REScheck Software Version 4.5.0 Compliance Certificate Garage Addition Energy Code: Location: Construction Type: Project Type: Climate Zone: Permit Date: Permit Number. 2012 IECC West Yarmouth, Massachusetts Single-family Addition 5 (6137 HDD) Construction Site: 25 Valley Rd. w. Yarmouth, MA 02673 Owner/Agent: Edward Parker ^-]8'Valley Rd. W. Yarmouth, MA 02673 Designer/Contractor: Compliance: 1.2% Better Than Code Maximum UA: 80 Your UA: 79 The % Better or Worse Than Code Index reflects how dose to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Kwe Ceiling 1: Cathedral Ceiling 475 40.0 0.0 0.026 12 Wall 1: Wood Frame, 160 D.C. Window 1: Vinyl Frame:Double Pane with Low-E Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 582 21.0 0.0 0.057 29 78 0.310 24 416 30.0 0.0 0.033 14 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 be designed to meet the 2012 IECC requirements in REScheck Version 4.5.0 and to comply with the mandatory requifertteatsitSted-I th REScheck Inspection Checklist. ./—/)cvAic) I , (/61,42 /'f>Z /CA i Name - Title Si K Date Project Title: Garage Addition Report date: 10/10/14 Data filename: Untitled.rck Page 1 of 8 Name A and E Forms Matthew Anderson island siding WC-100-6015366-2014 untitled subcontractors Page 1 see attached see attached Lice �`�DO CERTIFICATE OF LIABILITY INSURANCE °"""""°D14 9/� 22/2014 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 polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER Eastern Insurance Group LLC 233 West Central Street Natick MA 01760 NAME, Select Department X66807 PHjorcONE 800-333-7234 0ei-3e6-e244 ADDRESS: seleetwork@easterninsurance.corn INSUR S AFFORDING COVERAGE NAIL S INSURER AAmerican Fire 6 Casualty Cc INSURED A S E Forms Ina 32 General Solway Road So Yarmouth MA 02664 INSURERB..Twin City Fire Insurance Co 9459 INSURER C: INSURER 0: INSURER E : INSURER F: COVERAGES CERnFICATENUMBER34aster 14-15 RF%n4InFJIJIIIURFR• 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. N TYPE OF INSURANCE wait POLICY NUMBER Y LIMITS GENERALLIABItITY EACHOCamRENCE f 1,000,000 A X COMMERCIAL GENERAL UABILITY CLAIMS�.IAOE X�OCCUR RA5361B898 /4/2014 /4/2015 DAMAGE socnurronee f 300,000 MEDEXP one f 15,000 PERSONAL 4 AM INJURY f 1,000,000 GENERAL AGGREGATE f 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS• COMP/OP AGO f 2,000,000 PRO-X POLICY jEcT LOC f AUTOMOBILELUBIIJTY COMBINEDe�baM I I 1,000,000 BODILY INJURY (Par pawn) S A ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS WS3610898 /4/2016 /4/2015 BODILY INJURY (Perawlderr0 S X HIRED AUTOS X µ1TOSN'�'IED (Per Iderm f Undadmumd motorist IN a f UMBREWIUAB HOCCUR EACH OCCURRENCE f AGGREGATE S EXCESS LIAB CLAIMSMADE DEC) I I RETENTIONSf B WORKERS COMPENSATION AND EMPLOYERS' LIABRITY YIN ANY PROPRIETORPA/TTNEREXECl1TIVE OFFICER/MEMBER E(CLUDED7 (Mandatory In NH) Nyyn. dasedbe under DESC SCRIPTON OF OPERATIONS tbbw NIA DMMCCH4300 /4/2014 /4/2015 X I WC S ATU• OTI+ TORY LIMITS ER ELFJICHACCIDENT f 500 000 ELDISEASE.EAEMPLOYE f 500 000 E.L.DISEASE•POL.ICY LIMIT S 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addrdonal Remarks Schedule, S more space Is required) CONCRETE FOUNDATION CONTRACTOR Ned Parker is additional insured for the General Liability Policy. ginedcOverizon. net Ned Parker 29 Valley Road West Yarmouth, MA 02673 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John Koegel/KB3 ACORD 25 (2010105) IN4;n25 nrltrwn n1 The ar npn nema and innn am mnietamfi msrlre of ar npn CORPORATION. All riahts IAl`� CERTIFICATE OF LIABILITY INSURANCE DAT9123/2014YY) o9n3no1a 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Mark Sylvia Insurance Agency, LLC 404 Main Street Centervile, MA 02832 NAME: Debbie PHONE 508 957-2125 A/C No :508-957-2781 mall DDREs • markftmarksyMainsurance.com INSUR S AFFORDING COVERAGE NAIC0 INSURER A : Farm Family Casualty Insurance INSURED R.W. Anderson & Sons Framing, Inc. INSURER s INsuRERC: 241 Route6A INSURER D: East Sandwich, MA 02537 INSURER E : INSURER F : ---- - -- M"VIJIVI1 FlumorI[: 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 MATH 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. NSR TYPE OF INSURANCE POLIerNUMeER Mwo MM/DD/YY LIMITS X COMMERCIAL OENERAL LIABILITY CFO 2001X0555 1/1 1 1/1 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES aoccurtenoe $ 100,000 OX OCCUR MED EXP (Any one S 5 000 PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X O �T ❑ GENERAL AGGREGATE S 2,000,000 PRODUCTS . COMPtOP AGG f 2,000,000 POLICY LOC OTHER: s AUTOMOBILE LIABBJTY a H S ANY AUTO BODILY INJURY (Par person) S ALL 01MJED SCHEDULED BODILY INJURY (Par eoddmd) 3 AUTOS AUTOS HIRED AUTOS NON-OWEDAUTOS PROPERTY G S S UMBRELLA LIAR EACH OCCURRENCE S HOCCUR EXCESS LIAB CLAJMSNADE AGGREGATE _ DED I I RETENTION f A WORKERSCOMPENSATION 2001W6391 9/18/2014 9118/201$ AND EMPLOYERS' LIABILITY YIN EL. EACH ACCIDENT = 1,000,000 ANY PROPRIETORIPARTNER,,EJMCUTNE OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) Nyn. describe under E.L. DISEASE• EA EMPLOYEE S 1,000,000 E.L DISEASE •POLICY LIMIT S 1,000.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO tat, AddMl i Remarks Schedule, maybe attached B more space is mgtdmd) CARPENTRY Matthew Anderson Is covered by the worker's compensation policy. nrnr elnw rr uwI n�.. _ _ Richard Parker 25 Valley Road West Yarmouth, MA 02673 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR= REPRESENTATIVE All rights ��Wnw &U taM Iwu I) I no ACUHLP name and logo are registered marks of ACORD 0 REScheck Software Version 4.6.0 Compliance Certificate Project Garage Addition Energy Code: 2012 IECC Location: West Yarmouth, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number. Construction Site: 25 Valley Rd. w. Yarmouth, MA 02673 Owner/Agent: Edward Parker 29 Valley Rd. W. Yarmouth, MA 02673 Designer/Contractor: Compliance: 0.0% Better Than Code Maximum UA: aO Your UA: BO The % Better or Worse Than Code Index reflects how dose 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. Ceiling 1: Cathedral Ceiling 475 30.0 0.0 0.034 16 Wall 1: Wood Frame, 160 D.C. 582 21.0 0.0 0.057 29 Window 1: Vinyl Frame:Double Pane with Low-E 78 0.310 24 Floor 1: All -Wood joist/Truss:Over Unconditioned Space 416 38.0 0.0 0.026 11 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 2012 IECC requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Pagel of 8 CREScheck Software Version 4.6.0 �J( Inspection Checklist Energy Code: 2012 IECC Requirements: 12.0% 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 # Pre-Inspection/Plan Revlew Plans Verlfled Value Field Verified Value Complies? Comments/Assumptions & Re .ID 103.1. Construction drawings and • ❑Complies ; 103.2 :documentation demonstrate '❑Does Not (PR111 ;energy code compliance for the I []Not Observable ; 9 :building envelope. ; I 1.0Not Applicable ; 103.1. Construction drawings and ;❑Complies 103.2, documentation demonstrate ? ❑Does Not } 403.7 energy code compliance for S ❑Not Observable [PR31' :lighting and mechanical systems. ❑Not Applicable 19 :Systems serving multiple ; dwelling units must demonstrate ; I compliance with the IECC ; Commercial Provisions. ; 302.1, ;Heating and cooling equipment is; Heating: Heating: :❑Complies ; 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR212 :on loads calculated per ACCA Cooling: Cooling: ❑Not Observable pj ;Manual) or other methods approved by the code official. i Btu/hr Btu/hr❑Not Applicable , ; Additional Comments/Assumptions: 1 High Impact (Tier 1) 12 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\13086 Parker REV.rck Page 2 of 6 Foundation Inspection I Complies? I Comments/Assumptions W3.2.1 ;A protective covering Is installed to ❑Complies F011]2 I protect exposed exterior insulation ❑Does Not :and extends a minimum of 6 in. below. J ;grade. ❑Not Observable; 403.8 ;Snow- and Ice -melting system controls ❑Complies IFO1212 installed. []Does Not []Not Observable: ❑Not Applicable Additional Comments/Assumptions: 111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 3 of 8 Section # Framing / Rough -In Inspection Plans Verified Value Field Verified 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. bNot Observable 402.3.6, 402.5 !❑Nat Applicable [FR211 303.1.3 U-factors of fenestration products ; ❑Complies [FR411 :are determined in accordance j t❑Does Not j with the NFRC test procedure or j taken from the default table. 6❑Not Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ; ❑Complies ; [FR23]1 Installed per manufacturer's ; '❑Does Not Instructions. j I ❑Not Observable ; T❑Not Applicable 402.4.3 ;Fenestration that Is not site built ; ❑Complies (FR2011 :Is listed and labeled as meeting ! t❑Does Not 19 AAMA /WDMAICSA 101A.S.2/A440 :❑Not Observable ; or has Infiltration rates per NFRC 400 that do not exceed code '❑Not j Applicable limits. 402.4.4 IC -rated recessed lighting fixtures; o❑Complies ; (FR1611 sealed at housingAnterior finish j i❑Does Not of ; and labeled to indicate s2.0 cfm ; leakage at 75 Pa. ; ; ❑Not Observable ; } UNot Applicable 403.2.1 ;Supply ducts in attics are R-_ R-_ ❑Complies ; (FR1211 I Insulated to 2:11-8. All other ducts R R- ;❑Does Not :In I' :outside unconditioned spaces or the building envelope are: bNot Observable (insulated to 2tR-6. ;❑Nat Applicable ; 403.2.2 :All joints and seams of air ducts, j []Complies ; [FR1311 :air handlers, and filter boxes are❑Does Not ;sealed. ; {❑Not Observable j '❑Not Applicable 403.2.3 Building cavities are not used as ? ❑Complies ; (FR1513 ducts or plenums, j f❑Does Not ❑Not Observable ; ❑Not Applicable 403.3 HVAC piping conveying fluids R- R-_ OComplies ; [FR1712 above 105 OF or chilled fluids ❑Does Not 19 ; below 55 OF are insulated to xR- ❑Not Observable j 3 ;❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ; 'E Complies [FR2411 piping. j '[]Does Not ❑Not Observable ; j 'ONot Applicable 403.4.2 ; Hot water pipes are insulated to R-_ R- ❑Complies [FR1812 : aR-3. ❑Does Not J j bNot Observable ❑Not Applicable 403.5 ;Automatic or gravity dampers are; ❑Complies ; [FR1912 ; installed on all outdoor air j 'ODoes Not J i Intakes and exhausts. ; I 1❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 1HIgh Impact (Tier 1) 12 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 4 of 8 111 High Impact (Tier 1) 12 Medium Impact frier 2) 13 1 Low Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 5 of 8 Section 0 # Insulation Inspection:Plans Insulation Inspection Verified Value Field Verified Value Complies? Comments/Assumptions & Re .ID 303.1 :All installed Insulation Is labeled ❑Complies :Requirement will be met. [IN13]2 or the installed R-values I ,❑Does Not provided. ❑Not Observable :❑Not Applicable 402.1.1, Floor insulation R-value. ; R- ; R- ❑Complies ;See the Envelope Assemblies 402.2.6 Wo ; ❑ od ; ❑ Wood ;❑Does Not table for values. [IN1]1 ; ❑ Steel ; ❑ Steel ,❑Not Observable ; ❑Not Applicable 303.2. Floor Insulation Installed per I :❑Does ❑Complies :Requirement will be met. 402.2.7 !manufacturer's instructions, and '< Not [IN2]1 j In substantial contact with the I❑Not Observable g ;underside of the subfloor. } ❑Not Applicable j 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 1h of the ; ❑ Wood ; ❑ Wood :ODoes Not table for values. 402.2.E ;wail Insulation on the wall ; ❑ Mass ; ❑ Mass tlNot Observable [IN3]1 ;exterior, 10 I the exterior Insulation requirement applies (FR10). ❑ Steel ❑ Steel �ONot Applicable ; 303.2 :Wall Insulation is Installed per 1 ❑ Complies Requirement will be met. [IN4]1 :manufacturer's instructions. T Does Not S$ [❑Not Observable ❑Nat Applicable Additional Comments/Assumptions: 111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 Low Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 6 of 8 Section # Final Inspection ProvisionsT Plans Verifled Value Field Verified Value Complies? Comments/Assumptions & Re .ID 404.1.1 ; Fuel gas lighting systems have ;❑Complies (F123]3 no continuous pilot light. 1 ❑Does Not ; I ;❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ;❑Complies [FI712 ; k 1❑Does Not Ai I ❑Not Observable j ,❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 :mechanical and water heating 7 ❑Does Not j Q ; systems have been provided. !❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 111 Nigh Impact (Tier 1) 12 1 Medium Impact [Tier 2) 13 1 Low Impact filer 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 8 of 8 2012 IECC Energy Efficiency Certificate Above -Grade Wall 21.00 Below -Grade Wall 0.00 Floor 38.00 Ceiling / Roof 30.00 Ductwork (unconditioned spaces): MWOOEQ90 Window 0.31 Heating 8 Looting Equipment Efftclency Heating System: Cooling System• Water Heater• Name: Comments Date• ®Boise Cascade Double 1-3/4" x 18" VERSA -LAM® 2.0 3100 SP Roof BeamlBeam04 BC CALCO Design Report Build 3272 Job Name: Parker Residence Address: 25 Valley Raod City, State, Zip: West Yarmouth, MA Customer. Parker, Ned Code reports: ESR-1040 Dry 11 span j No cantilevers j 0/12 slope File Name: BC 5143 Description: Designs\Beam04 Specifier. Paul W. Swanson, P.E. Designer. Company: Swanson Structural, Inc. Misc: job 5143 • 25-00.00 BO Total Horizontal Product Length = 25.00-00 Reaction Summary (Down ! Uplift) (ibs ) BO, 5-1/2" 4,728 B1, 5-1/2" 4,728 Monday, October 06, 2014 B7 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Roof Unf. Area (lb/ft^2) L 00-00-00 25-00-00 15 30 08-00-00 Controls Summary value %Allowable Duration Case Location Pos. Moment 27,708 ft-Ibs 51.6% 115% 4 12-06-00 End Shear 3,987 Ibs 29% 115% 4 01-11-08 Total Load Deli. LJ338 (0.859") 53.2% n/a 4 12-06-00 Live Load Defl. U533 (0.545") 45% n/a 5 12-06-00 Max Defl. 0.859" 85.9% n/a 4 12-06-00 Span / Depth 16.1 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim. (Lx W) Value Support Member Material BO Wall/Plate 5-1/2" x 3-1/2" 4,728 Ibs 57.8% 32.7% Spruce Pine Fir B1 Wall/Plate 5-1/2" x 3-1/2" 4,728 Ibs 57.8% 32.7% Spruce Pine Fir Cautions For roof members with slope (1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope (1/2)/12 or less final design must account for Rain -on -Snow surcharge load. Design meets Code minimum (L/180) Total load deflection criteria Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 118" were ignored in the results. Page 1 of 2 i®Boise Cascade Double 1-3/4" x 18" VERSA -LAM® 2.0 3100 SP Roof Beaml6eam04 ut Dry 11 span j No cantilevers 10/12 slope Monday, October 06, 2014 BC CALC® Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Designs\Beam04 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 Connection Diagram Disclosure C I t d f i t omp a eness an accuracy o np mus be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be In a=rdance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call a minimum = 2" C = 14" (800)232-0788 before Installation.WnBC b minimum = 3" d = 24" CALC®, BC FRAMER®,AJSTM, ALUOIST®, BC RIM BOARDTM, BCI® , Member has no side toads. BOISE GLULAMT , SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof BeamlBeam05 BC CALCO Design Report Build 3272 Job Name: Parker Residence Address: 25 Valley Raod City, State, Zip: West Yarmouth, MA Customer. Parker, Ned Code reports: ESR-1040 Dry I 1 span j No cantilevers j 0/12 slope Monday, October 06, 2014 File Name: BC 5143 Description: Designs\Beam05 Specifier. Paul W. Swanson, P.E. Designer. Company: Swanson Structural, Inc. Misc: job 5143 oe-oo-oo Total Horizontal Product Length = OCr00-00 Reaction Summary (Down / Uplift) (ibs ) BO, 3" Bt, 3" 2,632 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100%. 90% 115% 160%. 125% 1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 06-00-00 15 25 02-00-00 2 Beam04 at bearing ... Conc. Pt. (Ibs) L 03-00-00 03-00-00 1,728 3,000 n/a Controls Summary Value %Allowable Duration case Location Pos. Moment 7,004 ft-Ibs 43.6% 115% 4 03-00-00 End Shear 2,540 Ibs 35% 115% 4 01-00-08 Total Load Defl. L/999 (0.065") n/a n/a 4 03-00-00 Live Load Defl. U999 (0.041") n/a n/a 5 03-00-00 Max Defl. 0.065" n/a n/a 4 03-00-00 Span / Depth 7.1 n/a n/a 0 00-00-00 %. Allow % Allow Bearing Supports Dim. (Lx W) Value Support Member Material BO Post 3" x 3-1/2" 2,634 Ibs 34.6% 33.4% Spruce Pine Fir 131 Post 3" x 3-1/2" 2,632 lbs 34.6% 33.4% Spruce Pine Fir Cautions For roof members with slope (1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope (1/2)/12 or less final design must account for Rain -on -Snow surcharge load. Notes Design meets Code minimum (L/180) Total load deflection criteria. Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary (1 ") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8" were Ignored in the results. Page 1 of 2 ®BolseCascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof BeamlBeam05 Dry j 1 span I No cantilevers j 0/12 slope Monday, October 06, 2014 BC CALC® Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Deslgns\Beam05 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 Connection Diagram Disclosure C I t d accura of in ut must omp a eness an cy p be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call a minimum = 2" c = 5-1/2" (800)232-0788 before InstallationAnlnBC b minimum = 3" d = 24" CALC®, BC FRAMERS, AJSTM, ALLJOConnection BCRIMSIMPLE design assumes point load is top -loaded. For connection design of side -loaded g p p 9 BOISEIGLULSTO, ING FRBOARDTmAMING BOISE GLULAM ,SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. SYSTEM®, VERSA -LAM®, VERSA -RIM Member has no side loads. PLUS®, VERSA -RIMS, Connectors are: 16d Sinker Nails VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 ®Boise Cascade Single 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor BeamlBeam06 Dry I 1 span I No cantilevers 1 0/12 slope Monday, October 06, 2014 BC CALC®Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Designs\Beam06 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 !NlER���1�������1�1�4���1��1�����l��l����� BO 10i79-00 B1 Total Horizontal Product Length a 10-06-00 Reaction Summary (Down / Uplift) (ibs ) Bearing Total BO 1.623 B1, 5-1/2" 1,716 Live Dead Snow Wind Roof Live Trlb. Load Summary Tag Description Load Type Ref. Start End 100% 90%. 115%. 160%. 125%" 1 2nd floor Unf. Area (Ib/ft"2) L 00-00-00 10-06-00 40 12 06-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 3,975 ft-Ibs 37.4% 100% 1 05-01-07 End Shear 1,256lbs 31.8% 100% 1 01-01-14 Total Load Defl. U819 (0.147") 29.3% n/a 1 05-01-07 Live Load Defl. U999 (0.111") n/a n/a 2 05-01-07 Max Defl. 0.147" 14.7% n/a 1 05-01-07 Span / Depth 10.1 n/a n/a 0 00-00-00 %" Allow %. Allow Bearing Supports Dim. (Lx W) Value Support Member Material BO Hanger 2" x 1-3/4" 1,623 Ibs n/a 61.8% Hanger B1 Wall/Plate 5-1/2" x 1-3/4" 1.716 Ibs 41.9% 23.8% Spruce Pine Fir Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8" were ignored in the results. Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please Call (800)232-0788 before installation.ln\nBC CALC®, BC FRAMER®,AJSw, ALLJOISTV , BC RIM BOARDTM, BCIO , BOISE GLULAMTM, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade Wood Products L.L.C. OF ' FAULW SWANSOh STRUCTURA - No. 35334. Page 1 of 1 ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beaml6eam08 Dry I 1 span I No cantilevers 10/12 slope Monday, October 06, 2014 BC CALCO Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Designs\BeamO8 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 11-00-00 BO 61 Total Horizontal Product Length = 11-00-00 Reaction Summary (Down ! Uplift) (ibs ) Bearing Total BO, 5-1/2" 4,200 B1, 5-1/2" 2,652 Live Dead Snow wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 116% 160% 126% 1 2nd floor Unf. Area (lb/ft^2) L 00-00-00 11-00-00 40 12 01-00-00 2 Gable Wall Unf. Lin. (lb/ft) L 00-00-00 11-00-00 120 n/a 3 BeamO5 at bearing ... Conc. Pt. (Ibs) L 01-00-00 01-00-00 983 1,650 n/a 4 BeamO5 at bearing ... Conc. Pt. (Ibs) L 07-00-00 07-00-00 983 1,650 n/a Controls Summary value %Allowable Duration Case Location Pos. Moment 8,416 ft-Ibs 34.4% 115% 2 07-00-00 End Shear 2,799 Ibs 30.8% 115% 2 01-05-06 Total Load Defl. L/841 (0.146") 28.5% n/a 2 05-07-05 Live Load Defl. U999 (0.069") n/a n/a 5 05-09-07 Max Defl. 0.146" 14.6% n/a 2 05-07-05 Span / Depth 10.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim. (L x W) Value Support Member Material BO Wall/Plate 5-12" x 3-1/2" 4.200 Ibs 51.3% 29.1% Spruce Pine Fir B1 Wall/Plate 5-1/2" x 3-1/2" 2,652 Ibs 32.4% 18.4% Spruce Pine Fir Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary (1") Maximum total toad deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8" were Ignored in the results. �ZH OF Moss PAU"' gcyG SWR,NSOti STRUCTURA Page 1 of 2 ,®Bolsecascade Single 1-314" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor BeamlBe=07 Dry 11 span I No cantilevers 1 0/12 slope Monday, October 06, 2014 BC CALCO Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: DesignskBeam07 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 1 BO 1540-00 B1 Total Horizontal Product Length = 16-00-00 Reaction Summary (Down / Uplift) (ibs ) Bearing Total BO, 5-1/2" 849 B1, 5-1/2" 1.703 Live Dead Snow Wind Roof Live Trlb. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf. Area (lb/ft^2) L 00-00-00 16-00-00 40 12 01-00-00 2 BeamO6 at bearing ... Conc. Pt. (Ibs) L 12-00-00 12-00-00 1,225 398 n/a Disclosure Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 5,677 ft-Ibs 53.4% 100% 1 12-00-00 be verified by anyone who would rely on End Shear 1,619 Ibs 41 % 100% 1 01-05-06 output as evidence of suitability for Total Load Defl. U432 (0.423'1 55.6% n/a 1 08-06-07 Particular application. Output here based Live Load Defl. U589 0.31" ( ) 61.1% n/a 2 08-08-07 code -accepted d design on building and properties and analysis methods. Max Defl. 0.423" 42.3% n/a 1 08-06-07 Installation of BOISE engineered wood Span / Depth 15.4 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes. To obtain Installation Guide Bearing Supports Dim. (L x W) Value Support Member Material or ask questions, please call BO Wall/Plate 5-1/2" x 1-314" 849 Ibs 20.8% 11.8% Spruce Pine Fir (800)232-0788 before installat oon.lnlnBC BC FRAMER®,AJ8 CALCOB1 Wail/Plate " 5-1/2 x 1-3/4 ° 1,703 Ibs 41.6 /0 ° 23.6 /o S race Pine Fir ALUOI P ALWOIST®, BC RIM BOARD , BCI® , BOISE GLULAMTM, SIMPLE FRAMING Notes SYSTEM®, VERSA -LAM®, VERSA -RIM n meets Code minimum (U240) Total load deflection criteria. Design PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSA-STUD®are Design meets Code minimum (U360) Live load deflection criteria. trademarks of Boise Cascade Wood Design meets arbitrary (1") Maximum total load deflection criteria. Products L.L.C. Calculations assume Member Is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8" were Ignored in the results. jaOF4f4S�c PAU' LW \'� n Page 1 of 1 /kv T%BolgeCascade Double 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beamll3eam08 Dry 11 span j No cantilevers j 0/12 slope Monday, October 06, 2014 BC CALC® Design Report Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Des1gns\Beam08 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company, Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 5143 Connection Connection Diagram Disclosure Compieteness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call a minimum = 2" C = 7-7/8" (800)232-0788 before Installation.WnBC b minimum = 3" d = 24" CALC®, BC FRAMERS,AJSTM, ", ALUOConnection BCRIMSIMPLE design assumes point load Is to loaded. For connection design of side -loaded 9 P P- 9 BOISE GLULSTO, FBOARD FRAMING BOISE GLULAM ,SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. SYSTEM®, VERSA -LAM®, VERSA -RIM Member has no side loads. PLUS®, VERSA -RIM®, Connectors are: 16d Sinker Nails VERSA -STRAND®, VERSA -STUN are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 "®Boise Cascade Double 2 x 8 SPF #2 Roof BeamlBeam03 Dry j 1 span j No cantilevers 1 7.5/12 slope Monday, October 06, 2014 BC CALC® Design Report Build 3272 Fite Name: BC 5143 Job Name: Parker Residence Description: Designs\Beam03 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: NLGA Misc: job 5143 Design meets Code minimum (U180) Total load deflection criteria. Disclosure Design meets Code minimum (L/240) Live load deflection criteria. Completeness and accuracy of input must Design meets arbitrary (1") Maximum total load deflection criteria. be verified by anyone who would rely on Calculations assume Member is Fully Braced. output as evidence of suitability for Design based on Dry Service Condition. particular application. Output here based a on building dd design The analysis of solid sawn wood members is in accordance with the NDS and is limited to the analysismethods. properties ann d a output shown above. All other support and design for these products, including but not Installation of BOISE engineered wood limited to notching, connections, installation, and engineer/architect certification is the products must be in accordance with responsibility of the projects design professional of record. current Installation Guide and applicable Deflections less than 1/8" were ignored in the results. building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation.ln%nBC CALC®, BC FRAMER®,AJSw, ALUOISTV . BC RIM BOARDTM, BUD, BOISE GLULAMTM, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 --+ Swanson Structural, Inc. Paul W. Swanson, P.E. 116 Forest Street Franklin, MA 02038 508-520-1333 October 6, 2014 Ned Parker 25 Valley Road West Yarmouth, MA 02673-5829 Subject: Massachusetts Code 8th Edition Wind Design: 110 mph Exposure C Addition to your home Dear Ned, I have completed my wind design for the subject project. I used the wind design pressures per ASCE7, Minimum Design Loads for Buildings and Other Structures. This is listed as an acceptable design method per the Massachusetts State Building Code, 8a' edition, in IRC section R 301.2.1.1. This analytical design approach is better suited to custom work than the Massachusetts Checklist. If you have any questions, please feel free to contact me. Sincerely, tHOFntq 9c o� PAULW. SWANSON C, STRUCTURAL ! Paul W. Swanson, P.E. 90 p o. 35334 �Q Swanson Structural, Inc. ,,,u FN Attachments: Wind design calculations Ref. 5143 T Swanson Structural, Inc_ 'Engineering Services commercial residential heavy timber Paul W. Swanson, P.E. 116 Forest Street Franklin, NIA 02038-2579 Phone 508-520-1333 Fax 508-520-1334 Pau r(a,SwansonStructural. com ( I I_IV/ P Q rLl,d �rf /.21 2..1. LA�Lv AC errSLSrI. •Z .219r ��L12;"12J) S � rE.M i I •' 2. ���L6rll � �2css�t� ''`f �� Mj -0 lYA SO; _C V . ou L�'V F Fn' Lo4P S to ��Yr �FN S OE SIH a wq ,l A p - ! 40ld �8_T • i �x-3' �2- I 9: 22 6,10- i I I I GsG3� i I I 'Zz44' 1'ZoN I 1111 - 6 / ! 1111170 8� (2 I - �S I S G 2 2 'L X 4-' t x� S' - I$ I ZO Q .41 �o 10 fill Le C 1 ?LG-I IG t SB LL I�5 U isl b 0.7 OS l8" /f" 6� G. I r N� > o 58;s ° ak • �4•. a Pe 4 iz I 1Y8 �ZG x n. _ fl t % z lr; f /L769�) I I L I ew S 2 yrs�' II D�2 bbd V io ISO 51VI0s CGS � � 20 z # 14 ok 1 gel°. %G I I I I Job Name Plulxm ADDi rn od Job Number L/7 3 Location 25 v4jj eY AD lvesr YA9mgy!A AM Sheet/ I of z Client Mrb PAR K � BQ p ! 46 Date l 6 1 4/ND. fl2.-)Bv7Ay AAM5: O)v r! 4 3 I. ®6olae Cascade BC CALCO Design Report Build 3272 Job Name: Parker Residence Address: 25 Valley Raod City, State, Zip: West Yarmouth, MA Customer. Parker, Ned Code reports: NLGA Single 2 x 10 SPF #2 Roof BeamlBearn01 Dry 11 span I No cantilevers 1 0/12 slope Monday, October 06, 2014 File Name: BC 5143 Description: Designs\Beam01 Specifier. Paul W. Swanson, P.E. Designer. Company: Swanson Structural, Inc. Misc: job 5143 Bo oMO-oo 81 Total Horizontal Product Length = 08-00-00 Reaction Summary (Down / Uplift) ( Ibs ) Bearing Total BO 405 81, 5-1/2" 700 Live Dead Snow Wind Roof Live Trlb. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Roof Unf. Area (lb/ft^2) L 04-00-00 08-00-00 15 30 04-00-00 2 Roof Trapezoidal (lb/ft) L 00-00-00 0 0 n/a 04-00-00 60 120 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 1,076 ft-Ibs 54.5% 115% 4 04-02-07 End Shear 475lbs 33.1% 115% 4 00-11-04 Total Load Defl. 1-/999 (0.077'1 n/a n/a 4 03-10-15 Live Load Defl. L1999 (0.05") n/a n/a 5 03-10-15 Max Defl. 0.077" n/a n/a 4 03-10-15 Span / Depth 9.7 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim. (L x W) Value Support Member Material BO Hanger 2"x 1-1/2" 405lbs n/a 31.8% Hanger B1 Wall/Plate 5-1/2" x 1-1/2" 700 Ibs 20% 20% Spruce Pine Fir Cautions For roof members with slope (1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope (1/2)/12 or less final design must account for Rain -on -Snow surcharge load. Notes Design meets Code minimum (L1180) Total load deflection criteria. Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. The analysis of solid sawn wood members is in accordance with the NDS and is limited to the output shown above. All other support and design for these products, Including but not limited to notching, connections, installation, and engineer/architect certification is the responsibility of the projects design professional of record. Deflections less than 1/8" were ignored in the results. ESN OF 1,4 PAULW gcti�\ SWANSO" m� STRUCTUPA� Page 1 of 2 ® 8olse.Cascade BC CALCS Design Report �_ Single 2 x 10 SPF #2 Dry 11 span j No cantilevers 10112 slope Roof BeamlBeam01 Monday, October 06, 2014 Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Deslgns\Beam01 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: NLGA Misc: job 5143 Disclosure Completeness and accuracy of Input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before Installation.lnlnBC CALC®, BC FRAMERS, AJSTM, ALUOISTV , BC RIM BOARD^', BCIS , BOISE GLULAM"', SIMPLE FRAMING SYSTEMS, VERSA -LAM®, VERSA -RIM PLUSS , VERSA -RIMS, VERSA -STRANDS, VERSA -STUDS are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 l.2 !<8o1sa Cascade Single 2 x 10 SPF #2 Roof BeamlBeam02 BC CALC® Design Report Build 3272 Job Name: Parker Residence Address: 25 Valley Raod City, State, Zip: West Yarmouth, MA Customer. Parker, Ned Code reports: NLGA Dry 11 span j No cantilevers j 5/12 slope Monday, October 06, 2014 File Name: BC 5143 Description: Designs\Beam02 Specifier. Paul W. Swanson, P.E. Designer. Company: Swanson Structural, Inc. Misc: job 5143 BO 06-00-00 B1 Total Horizontal Product Length = 06-00-00 Reaction Summary (Down / Uplift) (ibs ) Bearing Total BO, 5-1/2" 588 B1, 5-1/2" 287 Live Dead Snow Wind Roof LNe Trib. Load Summary Tag Description Load Type Ref. Start End 100%. 90%. 115% 160%" 125% 1 Valley Trapezoidal (lb/ft) L 00-00-00 97 18D n/a 06-00-00 0 0 n/a Disclosure Controls Summary Value %.Allowable Duration Case Location Completeness and accuracy of Input must Pos. Moment 491 ft-Ibs 24.9% 115% 4 02-07-09 be verified by anyone who would rely on End Shear 459 Ibs 31.9% 115% 4 00-05-08 output as evidence of suitability for Total Load Defl. U999 (0.02") n/a n/a 4 02-10-15 particular application. Output here based Live Load Defl. U999 (0.013") n/a n/a 5 02-10-15 m design on building code -a analysis properties ann d anallysis methods. Max Defl. 0.02" n/a n/a 4 02-10-15 Installation of BOISE engineered wood Span / Depth 6.8 n/a n/a 0 00-00-00 products must be In accordance with current Installation Guide and applicable %" Allow %Allow building codes. To obtain Installation Guide Bearing Supports Dim. (Lx W) Value Support Member Material or ask questions, please call BO Wall/Plate 5-1/2" x 1-1/2" 588 Ibs 16.8% 16.8% Spruce Pine Fir CALC D BC F before in,AJStTMn.M1nBC CALC®, BC FRAMER®,AJ8 61 Wall/Plate 5-1/2" x 1-1/2" 287lbs 8.2% 8.2% S nice Pine Fir TM P ALLJOIST®, BC RIM BOARD BCI®, BOISE GLULAMTm, SIMPLE FRAMING Horiz Length Product Length SYSTEM®, VERSA -LAM®, VERSA -RIM Slope and Cut Length Slope Fascia Depth PLUS®, VERSA -RIM®, Plumb Cut with Hanger to dbl. top plate 5/12 10" 06-00-00 06-09-14 VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Cascade Wood Products L.L.C. Notes Design meets Code minimum (1-1180) Total load deflection criteria. Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. DesigCalculations n based on Dry Service assume rConditiIs onmZN Braced. ��tyOF A14ss9c\ The analysis of solid sawn wood members is in accordance with the NOS and is limited to the PAUL W tiN output shown above. All other support and design for these products, including but not SWANSON limited to notching, connections, installation, and engineer/architect certification is the STRUCTURAL. y responsibility of the projects design professional of record. No. 353,34 Deflections less than 1/8" were ignored in the results. Q9oP`�O Page 1 of 1 L 2)�olae Cascade Nmlf Double 2 x 8 SPF #2 Roof Beamll3eam03 BC CALC® Design Report Build 3272 Job Name: Parker Residence Address: 25 Valley Raod City, State, Zip: West Yarmouth, MA Customer. Parker, Ned Code reports: NLGA Load Summary Dry I 1 span I No cantilevers 1 7.5/12 slope Monday, October 06, 2014 im File Name: BC 5143 Description: DesignskBeam03 Specifier. Paul W. Swanson, P.E. Designer. Company: Swanson Structural, Inc. Misc: Job 5143 Live Dead Snow Wind Roof Live Trib. Tao Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Roof Unf. Area (lb/ft^2) L 00-00-00 08-00-00 18 30 01-00-00 2 Dormer Unf. Area (lb/ft^2) L 00-00-00 04-00-00 18 30 02-06-00 3 Dormer Cheek Trapezoidal (lb/ft) L 00-00-00 47 n/a 04-00-00 0 n/a 4 Beam02 at bearing ... Cone. Pt. (Ibs) L 04-00-00 04-00-00 211 377 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 1,841 ft-Ibs 69.6% 115% 4 04-00-00 End Shear 860 Ibs 38.2% 115% 4 00-05-08 Total Load Defl. L1641 (0.159') 28.1% n/a 4 03-10-14 Live Load Defl. U999 (0.096") n/a n/a 5 03-10-14 Max Defl. 0.159" 15.9% n/a 4 03-10-14 Span / Depth 11.9 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim. (Lx W) Value Support Member Material OF SSq BO Wall/Plate 5-1/2" x 3" 967 Ibs 13.8% 13.8% Spruce Pine Fir B1 Wall/Plate 5-112" x 3" 631 Ibs 9% 9% Spruce Pine Fir o�� PAULW cs� SWANSON Horiz Length Product Length C) STRUCTURAL y Slope and Cut Length Slope Fascia Depth No.353 4 Plumb Cut with Hanger to dbl. top plate 7.5/12 8-1/2" 08-00-00 09-09-12 °q„ dr. 0� �Q Notes q Page 1 of 2 (P9ols4Cescade BC CALC® Design Report Double 2 x 12 SPF #2 Dry 11 span I No cantilevers 10112 slope Floor BeamlBeam09 Monday, October 06, 2014 Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: Designs\Beam09 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: NLGA Misc: job 5143 09-09-00 BO B1 Total Horizontal Product Length = 09-09-00 Reaction Summary (Down / Uplift) (ibs ) Bearing Total BO, 3" 791 B1, 3" 791 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb/ft112) L 00-00-00 09-09-00 40 12 01-00-00 2 Low Roof Unf. Area (lb/ft"2) L 00-00-00 09-09-00 15 30 03-00-00 Disclosure Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 1,782 ft-Ibs 33.6% 115% 3 04-10-08 be verified by anyone who would rely on End Shear 598 lbs 17.1 % 115% 3 01-02-04 output as evidence of suitability for Total Load Defl. U999 (0.057') n/a n/a 3 04-10-08 particular application. Output here based Live Load Defl. U999 (0.034") n/a n/a 6 04-10-08 on building code -accepted design properties and analysis methods. Max Defl. 0.057" n/a n/a 3 04-10-08 Installation of engineered wood SDepth Span / De p 10 n/a n/a 0 00-00-00 products must be n accordance with be In current Installation Guide and applicable %Allow %Allow building codes. To obtain Installation Guide Supports Bearing Supports Dim. (LBearing Dim. (L x�Value Support Member Member Materlal MaterlalSupport or ask questions, please call BO Post 3" x 3" 791 Ibs 12.1 % 20.7% Spruce Pine Fir (800)232-0788 before Installation.%n\nBC CALC®, BC FRAMER®,AJ3 B1 Post 3" x 3" 791 Ibs 12.1% 20.7% Spruce Pine Fir P ALWOIST®, BC RIM BOARD , BCI®, BOISE GLULAMTM, SIMPLE FRAMING Notes SYSTEM®, VERSA -LAM®, VERSA -RIM Design meets Code minimum ( U) 240 Total load deflection criteria. PLUS®, VERSA -RIM®, VERSA -STRAND®, VERSASTUD®are Design meets Code minimum (U360) Live load deflection criteria. trademarks of Boise Cascade wood Design meets arbitrary (1") Maximum total load deflection criteria. Products L.L.C. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. The analysis of solid sawn wood members is in accordance with the NDS and is limited to the output shown above. All other support and design for these products, including but not rr�No35334S limited to notching, connections, installation, and engineer/architect certification is the responsibility of the project's design professional of record. Deflections less than 1/8" were ignored in the results.Ll ; Page 1 of 1 ®polo; Cascade Single 11-7/8" AJS® 20 Joist1J01 MIM Dry 11 span I No cantilevers 1 0/12 slope Monday, October 06, 2014 BC CALC® Design Report 16 OCS j Repetitive I Glued & nailed construction Build 3272 File Name: BC 5143 Job Name: Parker Residence Description: DesignsUO1 Address: 25 Valley Raod Specifier. Paul W. Swanson, P.E. City, State, Zip: West Yarmouth, MA Designer. Customer. Parker, Ned Company: Swanson Structural, Inc. Code reports: ESR-1144 Misc: job 5143 BO, 4-1/4" B1, 4-1/4" Load Summary Tag Description 555 555 Load Type Live Ref. Start End 100%. Dead 90% Snow Wind Roof Live OCS 115%. 160% 125%. 1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 16-00-00 40 12 16 Disclosure Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 2,060ft-Ibs 46.8% 100% 1 08-00-00 be verified by anyone who would rely on End Reaction 555 Ibs 45.7% 100% 1 00-00-00 output as evidence of suitability for End Shear 530 Ibs 35.6% 100% 1 00-04-04 particular application. Output here based Total Load Defl. U866 (0.214") 27.7% n/a 1 08-00-00 on building code -accepted design Live Load Defl. U1,126 0.164" ( ) 42.6% n/a 2 08-00-00 properties and OISEanalysis methods. Installation of BISE engineered wood Max Defl. 0.214" 21.4% n/a 1 08-00-00 products must be in accordance with Span / Depth 15.6 n/a n/a 0 00-00-00 current Installation Guide and applicable building codes. To obtain Installation Guide %" Allow %Allow or ask questions, please call Bearing Supports Dim. (Lx W) Value Support Member Material (800)232-0788 before installation.lnlnBC BO Wall/Plate 4-1/4" x 2-1/2" 555 Ibs 12.3% 45.7% CALC®, BC FRAMER®, AJSTM, Spruce Pine Fir ALUOISM. BC RIM BOARDw, BCI0, B1 Wall/Plate 4-1/4" x 2-1/2" 555 Ibs 12.3% 45.7% Spruce Pine Fir BOISE GLULAMTM, SIMPLE FRAMING SYSTEMS, VERSA -LAM®, VERSA -RIM Vibration Summary PLUS®,VERSA-RIM®, Subfloor. 23/32" OSB, Glue + Nail Gypsum Ceiling: 5/8" VERSA -STRAND®, VERSA -STUD® are Strapping: None Bracing: None trademarks of Boise Cascade Wood Products L.L.C. Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. �tN OF ASS Calculations assume Member is Fully Braced. q Composite El value based on 23132" thick OSB sheathing glued and nailed to member. PAULW, ey Design based on Dry Service Condition. SWANSOtI ` Deflections less than 1/8" were ignored in the results. o STRUCTURA Page 1 of 1 Ok 28402 Ps340 =443522 09-25-2014 A 11221m TOWN OF YARMOUTH 4ARHOUTH TOWN CLERK BOARD OF APPEALS DECISION 114SEP4aH11:51 REC FILED WITH TOWN CLERK: September 4, 2014 PETITION NO: #4542 HEARING DATE: August 14, 2014 PETITIONER: Virginia K Parker PROPERTY: 25 Valley Road, West Yarmouth, MA Map & Lot #: 0022.56; Zoning District: R-25 Book/Page: 21322/326 MEMBERS PRESENT AND VOTING: Steven DeYoung, Chairman, Sean Igoe, Debra Martin, Richard Neitz and Bryant Palmer. Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register, the hearing opened and held on the date stated above. The Petitioner is Virginia Parker who seeks relief concerning her property located at 25 Valley Road, West Yarmouth, MA, property in an R-25 Zoning District. The relief sought is for a Special Permit under By-law § 104.3.2 to allow the removal of an existing shed and construction of a 16' x 33' garage. The garage, although larger in dimension, will be no closer to the abutting property side line than is the existing shed. No one spoke in opposition. The Board did have correspondence and did accept a letter during the meeting which was marked as an Exhibit. The Board was unanimous in its finding that the relief sought would result in no undue hazard, nuisance or congestion nor would it cause any substantial harm to the current or future character of the neighborhood or Town. Motion was made by Mr. Igoe, seconded by Mr. Neitz to approve the Petition without conditions which Motion was unanimously approved by the Board. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. This decision must be recorded at the Registry of Deeds and a copy forwarded to the Board of Appeals. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw, MGL c40A §9) Ste en DeYoung, irman 1 COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF APPEALS Appeal 94542 Date: September 25, 2014 Certificate of Granting of a Special Permit (General Laws Chapter 40A, section 11) The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: Virginia K Parker 25 Valley Road West Yarmouth, MA 02673 Affecting the rights of the owner with respect to land or buildings at: 25 Valley Road, West Yarmouth. Map & Lot#: 0022.56; Zoning District: R-25; Book/Page: 21322/326 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town Clerk that twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. S even DeYo hairman TOWN OF YARMO-UTH ►- _� Town 14 EE E 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Clerk a Telephone (508) 398-2231 Ext. 1285, Fax (508) 398-0836 CERTIFICATION OF TOWN CLERK I, Philip B. Gaudet, III, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals Decision #4542 that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. All appeals have been exhausted. BARNSTABLE REGISTRY OF DEEDS STRu',•, . jRAL . No. 35334- /OM/I s/44P-7- vewr C-4Le-vL4-V1vN PEM 'C5X -OZO74 SWanson Structural, Inc. 116 Forest Street Frank1h. MA 02038 33-W,4 14' - 10-01% . ; 2 cc? I i ACD /0/&/14 s&miw vew virm*6 A0 1 Dlql14 ADPWD Fizoo OrPTS, w Do 0 W+ Vi- r-LOOD 'MODCL wk P5,40- 57o /#vM,+1.L OM 7VP of P-T*- SILL "JO 54 POCP 7 - I'l A150VC* PmNj is 0 1+.DUD J67/6's 0 A.0p C AD' ;K rhAl PJL A"141c. 5t7 7, W. Milli MLATnl;- J -7 I&IOnsbp �i -M w- A I �1ASS UNIFO APPL IT TO DO GASFITTING ACHUSETTS RM ICATION FOR PERM (Print or T a Mass. Oat .. ` yPeJrmit # Building Locations ofvRoad Owners Name 1'(iwaird LI B'( iflenyType of Occupancy en FIOL New ❑ Renovation ❑ r Replacement Plans Submitted: Yes❑ No ❑ =MMIMMIMIN ME mom 0 1M ME ON MIMMINIMMIMERNME M1 No mom �mo�uo iMEN 000 ! ENiO�i'RINEEN on ME mom iiniinio�i Installing Company Name Soso 5Check one: Certificate Address S`]�LA\A X Corporation OC. ❑ Partnership Business Telephone_ 3t IB "%i Ol ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter S r�iMES O. OE>~o26T" INSURANCE COVERAGE: 1 have a cure 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 O I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with an pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By T e of Ucense: Title Plumber gnature o tensed lumber or as Fitter slitter v City/Town Journeyman Ueense Number _� — 3 9,2 6 iePP N r . r ri 1 t p IurM 41 r 1 4: I 7 v � .v: r is v Irl II .r :..r . {. ��'. �. ...'F.,.! I v .. .. r �'t: v .. • '� .. .. h';'.r ie ., � 4.• r r .. t L - ' 0 FINAL INSPECTION BELOW FOR OFFICE USE ONLY SKETCHES PROGRESS INSPECTION FEE .. ' NO. APPLICATION FOR PERMIT TO DO CASFITTIHG 7m PERMIT GRANTED DATE 19 GAS INSPECTOR FIELLQ COPY BUILDING PERMIT DATE 5a 2M PERMIT NO. _ 40mOM APPLICANT. Parimr 39 ftpd=cv& Wbre1m, mh (NO.) (STREET) (CONTR'S LICENSE) ���� ���, Ala= NUMBER OF PERMIT TO iliV (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) --25 Pd. w. Y. ZNG OOSTR CTI-2S (NO.) (STREET) v BETWEEN AND m m - (CROSS STREET) (CROSS STREET) m SUBDIVISION 22/56 LOT A 1 2 BLOT ]R SIZE ;' U m BUILDING IS TO BE. FT. WIDE BY FT. LONG BY ` FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION Z 5-B nn .. i TO TYPE i� USE GROUP BASEMENT WALLS OR FOUNDATION K (TYPEI O REMARKS: = �LEII4ALQ*iQ AREA OR VOL,UME ESTIMATED COST $ low,00 FEEMIT 25M - _ (CUBIC/ fS .QUAR �E FEET) ir. paJ�[ r .� ■mt Dr. inn OWNER _ ADDRESS BUILDING DEPT. �j J INSPECTION RECORD DATE NOTE PROGRESS CORRECTIONS AND REMARKS INSPECTOR Of {0 C • MATT/Kn[[{ ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1116 Route 28 • Yarmouth, i11A 02664-4492 Tel: (508) 398-2231 x261 .• Fax: (508) 398-2365 �( Office Use Only Permit No.6�Datekip Permit Fee $ Deposit Rec'd. $ Date 1 t Net Due ��yp Planning Board Information Plan Type Endorsement Date Recording Date Plan No. Other Assessors Department Information: dap Lof 2, .'iap S t O/d New 1.4 Property Dimensions: Lot Area (sf)Frontage (it) Lot Coverage This Section for Office Use Only Building Permit Number: Date Issued: Signature: ���K� '� �/ Certificate of Occupancy is is not required Building Official Date Section 1 - Site Information I Use Group: R-4 Type: 5-B 1.1 Property Address: S U 01�., Qa 1.2 Zoning Information: R a SJ C !—f-� Zoning District Proposed Use u.la.z► %,a 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 3 0 "1o' 1.4 Water Supply (M.O.L. e. 40. S 34) ublic Private 1.5 Flood Zone Information: Comments: Zone: L9 � BFE: �— Section 2 - Property Ownership/Authorized Agent 2 1, pwner of Record: I� R..oeIC. W. oN k- ^- v Nt (<, Pazkelt- . (v{tb Klan. 0 106 1, Na a (print) Mailing Address ,� - ��3 -�yG, gesso Slgnature41 Telephone 2.2 Aut razed Agent: Name (print) Mailing Address Signature Telephone In MAY 2 5 ZOOO Li Section 3 - Construction Services 3.1 Licensed Construction Supervisor. Not Applicable ❑ License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor. Company Name Not Applicable ❑ License Number Address Signature Telephone Expiration Date 9 - 15 - 99 1 of 2 OVER u Section 4 - Workers' Compensation Insurance Affidavit (M.G.L. c. 152 S 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 No Section 5 - Description of Proposed Work (check all applicable) New Construction I No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations Ed I Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief escription of Proposed Work: c ' a .J yo Costs Estimated Cost (Dollars) to be Check Below completed by permit applicant ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval c(if applicable) .-*- t9 To be Completed When for Building Permit Section 6 - Estimated Construction Item 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1+2+3+4+5) 7. Total Square Ft. (new houses & additions) Section 7a - Owner Authorization - Owner's Agent or Contractor Applies 1 le- . ati /c- , as owner of the subject property hereby authorize awa2t> An_keAt-- to act on my nalf, in all matters r I to work authorized by this building permit application. Signature Owner Date Section - Owner/Authorized Agent Declaration I, , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print name Signature of Owner/Agent Date 9.15-99 2 of 2 TOWNO JL L I 1.1 " .� x r Y u cl BUILDING IILI'ARTMENT r BUILDING PERMIT APPLICATION SIGN OFF � "130 Applic: V g Permit No.: Address: k R� Tel. No.: 7M - °�a`t Date Filed: Bldg. Site Location: a $— J A k� Rc-� Map No.: " Lot No.: `O 'At trees The following information outlines the procedural steps required to obtain a permit to build. alter. or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments: RESIDENTIAL AND /OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COINDIISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams. Ponds, Rivers, Oceans, Bogs, Bays, Alarshland. Etc. HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations: i.e.. Requirements for Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection: i.e., Smoke Detectors, Sprinkler Systems, Etc. ---------------------------------------- The following Departments must sign off, in the respective order, prior to building inspector issuing the required building permit: REVIEWED BY: t,r WATER DEPARTMENT: DATE: NIA: 2. ENGINEERING DEPAR \LENT: DATE: NIA: ON: CONSERVATIDATE: N/A: 4. HEALTH DEPARTMENT: DATE: G - �"Op N /A: 5. NIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: i. FIRE DEPARTMENT: DATE: N'A: PLEASE NOTE All stumps and/or brush must be disposed of at an approved site. COMMENTS: F.'99 Applicant Signature \ Date TOWN OF YARMOUTH 1146110UTE28 SOUTH 1'ARNIOtTTH NLISSACHUSETTS02664-4451 Telephone (508)398.2231. Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRIC.aL. GA.S PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CAIR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at.t/ (�IN 'ork Address �� u �` R2 �tou is to be disposed of at the following location/I�' , : t 45 P: / Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth. MA 02664 503-393-2231 ext. 260 PLEASE PRINT / DATE: J u N t. ao o O JOB LOCATION: �A HOMEOWNER LICENSE EXEMPTION a �- V4(j NAME STREET ADDRESS SE ION OF TOWN VHOMEOWNER" I/1R�-f u�• ►�a�J(Q, ) ci'a SSS � � NAME HOME PHONE ( WO PHONE 4PRESENT MAILING ADDRESS 'Y46 - al`10 W. bA-4-1, P-vv-;� atit W- CO/ 0 9 t' 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 109.1.1) 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 109.1.1) 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. 60MEOWNER"S SIGNATURE W-( as APPROVAL OF BUILDING OFFICIAL 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 Y Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by C r 1, of t Mass. General Laws and that my signature on this permit application waives this requirement. i Check one: Sig Cate of wner or Owner's Agent Owner) Agent hhemeoHnrlicexcmp �N The Commonwealth of Massachusetts Department of Industrial Accidents offtso/MresUpsd»s 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit 2 `�1 I am a homeowecr performing all work myself. I am a sole proprietor _nd ha%e no one working in any capacity O 1 am an employer pro%iding workers' compensation for my employees working on this job. company name address - city, ohone M• insur•tnce en oolicv e 0 I am a sole proprietor.:eneral contractor. or homeowner (circle one) and have hired the contractors listed below %%ho ha%e the follostina %%orkers' ;ompensation polices: vn address: cirs ohone to: u insur•tnce co.--noliey comnanv name - Failure to secure c =-2-9c a required under Section 25A of MGL 152 east Ind to the imposition of criminal penalties of a time stp to S1.5M.00 sod/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and it nee of SI00.00 a day against me. t ooderstastd tbst s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. Ild hereby cr • u der r r p ins a d prrtaJlJrs ojpe►jury that the injorntatfon provided ab_ov-e/is true and carted qivnintrr name ) pall Ae/f phone N % %�`� s�7 official use oral% do not write in this area to be completed by city or town official ciry or town, YARMOUTI _ permit/license r n6uilding Department (31.1censiog Board O check if immediate response is required 261 [3Seleetmen's Office ONeaith Department contact person: phone M: _ i508j 398-2231 est. r,Other rf. Be0 3 14 ►1 U Sugzestcd Affidavit for Home Improvement Contractor Pcrmlt Application *For omee L'se Only NAME Or CITYrTOWN Permit Na Dote AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application `tGL a IS:A reamrrs that the'rrconstruction. alteration. rrnnvation. rroatr..1merntzsuon. rnnver"n. tr.^rrrrmr^r. removal. de ^ni unn. nreonstrvennn rf an addmon to anv rrrct song r*sr+rr�ceurned hutldtne cnntatntnr st lust nne but nra mnre Inan tnur ewrut^^ units •••r to nrv-tLrn wmei �r soucrnt to suen resteener nr nuddtn� be done w rccut:tra mntraaots, wttn ecrtatn otcepttons. afoot wttn Me, rqutrementt c .st. cost �yoo, e� "type of Work: A-bh At- L ext t 'Address of Work as u ro��J Ran UJ�� `�'�"•'"Au� `-Owner ;Fame: U t ari r ^� r A �•C YAQ) (p!t" ate of Permit Application:'�'`�-� I hereby certih- that: Rceistration is not required for the following rcason(s): _Work excluded by law _Job under SI.000 Building not owncr-occupied v6 ner pulling own permit _Other (specify) Notice is hcrcby given that: OWINERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGIS i RED CONTRACTORS FOR APPLICABLE HOME IMPROVTNIENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTI' FUND UNDER .%IGL c. 1421%. Signed under penalties of perjury. I hc:cb: apply for a permit as the agent of the owner. Date Contractor Name Rccistrat►on ,No. OR: �i�n�lthstaadlnc :hc abbO%'C ncc. ! hcrcby appl a ncrmt: as the owner of the above prnpcny: ✓�i - �- D 0 1/ (J •t- 0%% Narrit i PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) 40 Well jg � gas I I(lat................ft. rear) Abuthor's � Name Abutbor's Got # �`1 o Name Lot #57 REAR JARD If this is a =ner lot, If this Barite in name � j CIO • . • . •'ft• corner 1 3f street. N� I� write in name of jy I yi' �d a other street. LY • SIDE YAR y HOUSE SIDE YARD FTO f SEI"` BA K I 40. I / f I (lots ....9od ..........fte frontage) a S Vg 6 DA (NAME OF STREET) Info .9ation Supplied by MARK NORTH POINT Massachusetts neparfnfent of fmiIMMi tal Protectlon Town of Yarmouth Wetland By -Law Bureau of Resource Protection — Wetlands Chapter 143 WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §4 D General Information From: YARMOUTH Commman cawasw 1. Applicant Virginia K. Parker AtL" offtm Afa M Rmpurs 19 Brookmont Drive AWMAdmar Wilbraham Coy 00 MA 01095 san roCode 2. Property Owner. SAME AS ABOVE NM of Pmp&V Oww (rrdrnams aamVp1mV MMVAddw Of fowr 3. Title and Final Revision Date of Plans and Other Documents: Sketch of property showing 'proposed addition. SUN roCO& 1 Determination \ Pursuant to the authority of MAL c.131, §40, the YARMOUTH Caarrndoe Comm(s&w has considered your Request for a Determination of Applicability, with Its supporting documentation, and has made the following Determination regarding: 25 Vallev Road sarer)1ddrar West Yarmouth 02673 Cdy/rowr Lp CO* 22 56 AumnUafti Prrrtl" DEP Afa=ehdseft DBparmteat d EWIVMVenbl Protectlon Town of Yarmouth wetland By-r aw Bureau of Resource Protectlon — Wetlands Chapter 143 WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection ActM.G.L C. 131, §40 U Determinatlon (cont.) The following Detemdnadon(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 Intend) has been received from the Issuing authority (Le„ conservation commission or the Department of Environmental Protection). 1. The area described on the plan(s) referenced above, which includes all or part of the area described in the Request, is an area subject to protection under the Act. Therefore, any removing, filling, dredging, or altering of that area requires the fling of a Notice of Intent. ❑ 2 The delineations of the boundaries of the resource areas listed directly below, described on the plan(s) referenced above, which includes all or part of the area described in the Request, 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 Determina- tion is valid. However, the boundaries of resource area not listed directly above are pg1 confirmed by this Deterrrdna- ton, 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 plan(s) and document(s) referenced above, which includes all or part of the work described in the Request, is within an area subject to Protection under the Act and will remove, fin, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. C 4. The work described on plan(s) and document(s) referenced above, which includes all or part of the work described In the Request, 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 7 S. The area and/or work described on plan(s) and documerrt(s) referenced above, which includes all or part of the work described in the Request, is subject to review and approval by nbmra,Nimidvydy pursuant to the following wetlands law, bylaw, or ordinance (name and citation of law). ❑ 6. The following area and/or work, If any, is subject to municipal bylaw but D4S subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on plans and documents referenced above, which includes all or part of the work described in the Request, the applicant must consider the following alternatives (Refer to the Wetlands Regulations at 10.58(4)c. for more Information about the scope of alternative 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. C 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. C Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Massachasetts Depatfinent of Environmental Proteet/on - Town of Yarmouth Wetland By -Law Bureau of Resource Protecdon — Wetlands Chapter 143 WPA Form 2 - Determination of Applicability .. Massachusetts Wetlands Protection Act M.G.L c. 1311§40 U Determination (cont.) Negative Determination Note: No further action under the Wetlands Protection Act Is required by the applicant However, If the Department of Environmental Protection is requested to Issue a Supersed- ing 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 Depart - merit 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. G 2 The work described in the Request is within an area subject to protection under the Act, but will not remove, fiA, 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 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 underthe Act 7 S. The area described in the Request is subject to protection under the Act Since the work described therein meets the requirements forthe following exemption, as specified in the Act and regulations, no Notice of Intent is required: EWOMYty ❑ 6. The area and/or work described in the Request is not subject to review and approval by N"ofAfiet ay pursuant to a municipal wetlands law, ordinance, or bylaw, (name and citation of bylaw). Authorization This Dete i ati st b I This Determination is Issued to the applicant and delivered as follows: by hand delivery on one XXXby certf led mail, return receipt requested on May 2�, 2000 Do This Determination is valid for three yeais 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. rn n on mu e s lined by a majority of the conservation commission. A copy must be sent to the appropriate Department of Environmental Protection regional office (see appendix A) and the property owner (if different from the applicant). 05-18-00 om U Massachusetts Deparbffeat of lFRV%rVMVeBUI Protection Town of Yarmouth Wetland By -Law Bureau of Resource Protection — Wetlands Chapter 143 WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protectlon Act M.G.L. C. 131, §40 U Appeals The applicant, owner, any person aggrieved by this Determina- tion, 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 to issue a Superseding Determina- tion 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 Appendix E 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 bylaw, and not on the Massachusetts Wetlands Protectlon Act or regulations, the Department of Environmental Protection has no appellate Jurisdiction. 1 Jo, Z 1?I T. CAI► IT �SPAc��S .y y,t P.T FL �.�cH�c•��Q i o � � �• i 9A 0 :S'e L• � ._ �a.,S�na.��-. (��t�. a �� �•.... X, 7- • th �. It rip �/_ •• » �r , t D. Cb n MASSACHUSETTS UNI (Print or Type) TOWN OF i Ww PERMIT TO DO PLUMBING ate 1 19 E% ermit !— #7_� wner's _ Name 4Az4,,?d Type of Occupancy: New ❑ Renovation IR Replacement ❑ Plans FIXTURES Submitted: Yes ❑ No❑ �om00000�o�'nCnCn ��nnnnono�ononn�� (Print or Type) Installing Company NamePLCheck One: Certificate Corp. Address p k `� ❑ Partnership C ell aPllO Firm/Company Business Telephoner�2?,.rS'-o?� Name of Licensed Plumber I hereby certify that all of Vie details and information I have submilted for entered) hr abave appl jinn nee True and acc cater to the best of lily knowledge and that all plumbing work and installations perlormed under Permit issued for this application will be in compliance with all pertinent pro- visions of the Massachusetts State Plumbing Code and Chapter 142 of the Ceneral Laws. qtl e City/Town: APPROVED (OFFICE USE ONLY) Signature of icensed Plu er Tge of Plumbing License License Number Master ❑ Journeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES �'P FEE 1 NO._ APPLICATION FOR PERMIT TO DO PLUMBING rf �%*7Yf NAME i TYPE OF BUILDING LOCATION OF BUILDING wI PLUMBER 1 C� PERMIT GRANTED DATE 1$:;2L UY81FT Ng INSP CTOR PROGRESS INSPECTIONS pe/-2 3 -p Town of Yarmouth PLUMBING PERMIT OMoe of the Plumb Irupe cr, So th Yarmouth ` a 3 19 This is to certify that �r has PC=fission to i for in building on Street, Village of in accordance with an application on file in this office, and sub ect to the provisions cC the Ordinances relating to t}�e,�Stpyte Plumbing Code in the Town of Y ou No. �� jj'� Fco $ ` -Plumbing Inspector 12fd(Y2014 SlipGen- Portal Hone Document Category Map -Block Number Street Number Street Name Department Parcel ID Backfile Batch Scan Document? Additional Naming Info Index Operator Date - Time Town of Yarmouth Template [Building Dept] Slipsheet Identifier [sg145931 Building Permits 022.56 0025 VALLEY RD Building 1910 No Operator, Yarmscan 2014-12-30 - 12:25 httpJAaserflche12/S1ipGW 1/1 Section # Final Inspection Provlslons Plans Verified Value Field Verified 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• 402.2.E I ; ❑Steel ❑ Steel ' :❑Not Observable ; [Fill' ❑Not Applicable 303.1.1.1, ;Ceiling insulation installed per ; .❑Complies i Requirement will be met. 303.2 :manufacturer's instructions. �01)oes Not IFI211 Blown Insulation marked every t ❑Not Observable ; 300 ftl. } , ❑Not Applicable 402.2.3 :Vented attics with air permeable ; ❑Complies ; [F122]1 ; insulation Include baffle adjacent ❑Does Not to soffit and eave vents that i Observable ;extends over Insulation. ?❑Not ❑Not Applicable 402.2.4 ;Attic access hatch and door R-_ R-_ ❑Complies [FI3]1 :Insulation aR-value of the ❑Does Not adjacent assembly. �ONot Observable ❑Not Applicable 402.4.1.2 :Blower door test @ 50 Pa. <-5 ACH 50 =_ ACH 50 =_ ❑Complies ; [FI17]1 ;ach in Climate Zones 1-2, and []Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ; ❑Not Applicable 403.2.2 ; Duct tightness test result of <=4 ; dm/100 cfm/100 ❑Complies (F14]1 dm/100 ft2 across the system or ; ft= ❑Does Not j <-3 dm/100 ft2 without air ❑Not Observable handler @ 25 Pa. For rough -in tests, verification may need to ; ;❑Not Applicable ; occur during Framing Inspection. 403.2.2.1 !Air handler leakage designated ; ❑Complies (F12411 ; by manufacturer at <=2% of "❑Does Not design air flow. I❑Not Observable , ❑Not Applicable 403.1.1 Programmable thermostats ZIComplies ; (FIg]1 ; Installed on forced air furnaces. =01)oes Not .AJ ; ;❑Not Observable ' j ;❑Not Applicable 403.1.2 ; Heat pump thermostat installed ❑Complies ; [1`I10]= on heat pumps. �01)oes Not ❑Not Observable i c❑Not Applicable 403.4.1 ; Circulating service hot water i 6❑Complies [Fill] systems have automatic or 1 I❑Does Not J ;accessible manual controls. Observable t❑Not ❑Not Applicable 403.5.1 ;All mechanical ventilation system 1 ;❑Complies ; [FI25]' fans not part of tested and listed f ❑Does Not HVAC equipment meet efficacy j ❑Not Observable I and air flow limits. ❑Not Applicable ; 404.1 ;75%of lamps in permanent ;❑Complies ; (FI611 :fixtures or 75% of permanent ❑Does Not 19 :fixtures have high efficacy lamps. ; I ❑Not Observable ; Does not apply to low -voltage lighting. ; ; ;❑Not Applicable ; 111 High Impact Merl) 12 1 Medium Impact (Tier 2) 13 ILow Impact (Tier 3) Project Title: Garage Addition Report date: 10/24/14 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\11086 Parker REV.rck Page 7 of 8 Information and Instructions w: Misszchu3Cm; Gcocral Laws chapter 152 requires all employ&a to provide wotimrs' wmpensawn. for their empiayea. pmsuaat to tuis sb=tc, an emp,#M is de5med as .cvcry person in the =wicn of awd= tanner ROY co=ad of hire, cq=ss or implied, oral or wri cn." Am axplayw is defined as "ace b&Yidu4 Partnership, usociaboni Corporation or other legal catity, or any two or mare in a joint cotmkok and bcln&g the legal motives of a doeesaed cmPWM at the r=cei.er ar trtrstes of a iadivW=k Pelt xnh'P Uocistioa a other kpl cntit)y empkyb* =ploys Now"W the owner of a dwelling Mime having Dot mots thm tht=s spstfineaht and who rc ddla &Icb6 a oQ the Va t of dye dwelling boon of another wbo employs pasoas to do..jhM=Da; cons=dw or repsk wort an such dweTmg ham or oa the gruuada or bmlding appttrta:ams thrssao sball not beause of =k employmcat be dermed to be as emplaW MGL. chapter LA 125C(6) also stases that "rnrr state w fecal lkcmda; agaer ska with" i the lus=scs er reoewot of a Iknee or permit to operate a bedaen or to can't -ad b1551111p Ice the asoaoawelft fr a9 applicant w1w here sot proiocei saeptable eddeses of compll stx Wilk the tessera cetec cep rsgNkW Additiooa>ty, MGL ch ptes 152,12M stelae "Neitbw the camcmwcg& nor ear of its Poimcal subdivW= A&a cute iwo my tmatrad for the pcc&cro see of pabiie wort until =cptabk evkk= of eampHw= with the;nnm aoe of this chapter have beta ptzsmsed to dot g arttboaty." Appaaab , plea fM out the wmpa mdM affidzvit oompletaiy, by checidnS the born that apply to your s —dw sad, if oecnsary, supply ssb-=ac> z) asma(a), adkc*ca) and pbow numbs(s) alum with tb= cerWkate(z) Ofbw than the mzurs=r- Lis led Liability Compamcs U.LQ cc 1 W'tad Liability Psrmashipe UM wilt no employees mrmixsa cc paw an at mquimd to = c=vc=adm Wmw2 ce. If an LLC or UP does have empkyesy a policy is aequisc& Be advised that d& afdn it may be subs to the Deputarat of Dial Accidents for boa of ic - cova:is- Abe be nab to sibs and daft tM atadaTtL The afBd%Tk dooM bard-, Ito the city ar to - that the aPpiiczdm foe the p®t a litxaae is being rcgoested, mt the Department of Indeasrial A=Weats. Sbnald you hmrs ear quntima rrpudiztg the law cc if you ass ri E, i I to obtain a wartoaa' compenudoa Pole-T9 pies" on the De mu=zt at the number lisaed belay SdPa ured compeuin should eats their aelf-, 1kno ::amber an the appeo ..a= ime- - - - - Ctty or Tema Ottsdaie Please ba sus that the of 5&Yit is complete and printed k&ly. T e Dgwtmaat ban provided i space at the bosons of the atfidatrit far you to fill out is the event the office of Investigations has to cased you receding the aPplicanL Please be sus to SII in the pcanWHteaae :lumber which will be teed as a ref rcacs aombet» In addidw m W iaa char tenet submit rmttipit pelt appticstioae is my given yes, aced only submit tree a�datrit iodieatiag wasat po&-y in=sgtioa (if ttwc=7) and u nd a "Job Sift Mhesa" the applicant strouW wnte'39 loatiam m ----(aq CC tows).• A copy of the affidavit that here bees Oflk tr:tamped tx wwrlmd by the dq or town mar be provided to the appacaat tie ptmof tbst i valid affidavit is an fik for liters permits a ne mes. A craw alEdavit mast be filled out each yeas~ Where a brae owner cc cid= is obainiag a Brame a P=ck act miskd to a" butiaiss or co"90adsl vcnhrro (Lt. a dog ticcme or peauit to bum leaves cue.) said; an-s is NOT required to complee this affdavit The OtEcs of Investigations would ir%e'tc thank you is ad rme. for your cooperation and should you have any goestiom, pkan do not haitate to gitrs us a alL Tire &psctmmes address, telepboas sad fees tambctr The Corn Mvealth of Massachusetts Depaiment of Indu3trial AccidmtS oft a of Iaresdptlen 600 Washington Stud Boston, MA 02111 TeL 11617-727-4900 cd 406 or 1-977-MASSAFB Fax S 617-727-7749 Revised t t-22-06 www.rnass.gov/die