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0088 CHEOH ROAD
�� �/����� 2� �� __ ___ _____ ______ _____ __- ___ _ ___ _ _-_ i i �I �.�o�. .. - -- - - �- i Ac-i Town of Barnstable RECEIPT " "ASM` 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit (Dvi Application No: TB-17-3703 Date Recieved: 10/25/2017 I I ff Job Location: 88 CHEOH ROAD,COTUIT Permit For: Building-Shed-Residential-200 sf and under Contractor's Name: SALT SPRAY SHEDS State Lic. No: 179394 Address: 20 NEW HAVEN AVENUE, MARSTONS Applicant Phone: (508)428-5280 MILLS, MA 02648 (Home)Owner's Name: NAGEL, BERNARD MICHAEL& LISA Phone: (508)428-5280 ABRAHAMSON (Home)Owner's Address: 88 CHEOH ROAD, COTUIT, MA 02635 Work Description: 8 ft x 14 ft shed Total Value Of Work To Be Performed: $3,600.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Bernard Nagel 10/25/2017 (508)428-5280 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $3,600.00 Date Paid Amount Paid I Check#or CC# ? Pay Type 10/25/2017 $35.00 Paypal Pa al Total Permit Fee: $35.00 yp A. Total Permit Fee Paid: $35.00 THIS IS NOT A PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A Map Parcel INS Application # Health Division Date Issued d , Conservation Division plication Fee Planning Dept. �� ••. 10�0 ' Fee Date Definitive Plan Approved by Planning Board �'� �l/? Historic - OKH _ Preservation / Hyannis Project Street Address SE L_-6t,50* Rd Village G 0 1U IT Owner M 01ALL Al N EL_ Address SANF Telephone S09 -�o�'R `D ok Permit Request r-wm 13 zm ax w f f r-km i h Room — l3 p poo q—i3 ri- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District R Flood Plain Groundwater Overlay Project Valuation `IS,(�c3D a°D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family '�L Two Family ❑ Multi-Family (# units) Age of Existing Structure lgi_�L) Historic House: ❑Yes QLNo On Old King's Highway: ❑Yes X No Basement Type: ❑ Full ❑ Crawl qaWalkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)�r0 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric (Other Central Air: %Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S���F�C � � Telephone Number 17q Address l j�1LGE4) ST License # 0-7 Y mtuwwr AA ox-)r Home Improvement Contractor# N gj7a- Email J,ea(g) CA-9A0me_Rff )e1.com Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION# c DATE ISSUED , r MAP/PARCEL NO. — ADDRESS `'° _ VILLAGE OWNER,.. DATE OF INSPECTION: FOUNDATION FRAME (� INSULATION �,•a!2' FIREPLACE, y ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL t. FINAL BUILDING DATE CLOSED OUT 'ASSOCIATION PLAN NO. s I ' _ The Conwwnwealth ofMassachusetts Deparhnent of IndustnalAcadents 1 Congress Street,Suite 100 Boston;MA 02114-2017 www mussgov/dia Workers'Compensation Insurance Affidavit:Bwlders/Contractors/Electridaus/Plumbers. TO BE FIZED WiL THE 1'ERMd 3NG AUTHORrfY. Applicant Information n� Please Print IxeiblY Name(Business/OrganizationlindMdual): �) � bJ�u 119 6 Address: -�H �5 1LL-�Ek) ST- City/State/Zip: YkP6 4 NA7 A% OA7�- Phone#: -7.7 y 3 6�4 Are you an employer?Check the appropriate bau Type of project(required): I.O I am a empIoyerwith employoev(fun a33d/orpart4h3-J* 7. []-New Construction - - - 2 W.Mn a sole gcorida;orparinertb4iondbErvc no employees waddug far me in• S. K"Clmg any capacity.[No condone'camp-—tequued_] 9. Del 3.[]l am a homeowner doing 4 wady mysd£[No viodm&camp.i64rII8aGe required]t 10❑Buil Beti iding nn a [] addition 4.❑I an a homeowner and will he hiring conhmtors to conduct all wodr on my property. I wrll ensure that all contractors eithcr have wo&c&comparmtion insurance or axe sole 11.❑Electrical repairs or additions proprietors with no employccs 12.0 Phmlbing repass or additions 5.❑I am a genial contactor and I have hired the sub-cantracturs listed on Ifie attached sheet 13❑hoof repairs These sub-rnnfractars have employees and bave wa�camp.ina+,mn 1 6.0 We are a corpoxahon and its officers bave execzised their rigid of exemptirm per MGL a 14.Q Oilier M§1(4),and we have no employees.[No worlds'comp.insurance mq#ed.] *Airy app that chodo box 91 most also fill ardthe section below shawmgiheir workers'compeer on policy ration t Hmneowners who s*m*this affidavit indicating they are doing aU work and thcn huo outside contractors must snbmrt a new affidavit indicating such. =Gontrecbmrs that check this box must attached an additional shy showing the rye of the sub-conhadms and state wlxther or not these entities have employees-If the sub coahrac6ors have employees,they mast provide their wmi=s'comp.policy mmrber. I urn an employer that is providing workers'compensation insurance for ray employees. Below is the poUry and job site information. hmumice Company Name: Policy#or Self-ins.I.ic.# Expiration Date: Job Site Address: City/Statemp: CO TU I) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to semwe coverage as iegnitsd im,d MQ,a 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of lay-est lions of the DIA for fi ance coverage verification. I do hereby Cz the airs mud penalties ofperjury that the information provided above is true and correct Si Date: 7 Ph e#: r;gclam use only. Do not write in this area,to be completed by city or town olftciaL City or Town: PermWUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability•Partnerships(LL,P)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.•Be-advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit fur you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information Cif necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to completeJbis affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. '1406 or 1=877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia L�/�r�,nrn�n�imr�rl/�n/'Gjjnuac�are� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 4 SOME fMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 149773 Type: Office of Consumer Affairs and Business Regulation expiration: 2/22/2018 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 JEFFREY WRAGG JEFFREY WRAGG 54 EILEEN STREET YARMOUTHPORT,MA 02675 Undersecretary Not/i sh ' ithout ignature tl f , Massachusetts Department of Public Safety_ Board of Building Regulations and Standards License: CS-075746 Construction Supervisor JEFFREY L WRAGG y 54 EILEEN ST. YARMOUTH PORT MA 02fi75� Expiration: Commissioner 09/20/2017 Town of Barnstable Regulatory Services mnssA�E a Richard V.Scali,Director i879 �� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using_A Builder as Owner of the subject property, r _ hereby authorize F W• A to act on my behalf, in all matters relative to work authorized by this building pemrit application for: ClIeDtf R04Z, (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspe tions are pe ormed and accepted.. Signature of Owner Sign e Ap can Print Name. Print Name Date Q n- 1 3 Bowers, Edwin From: Paul Rhude <prhude@cotuitfire.org> Sent: Wednesday, September 20, 2017 2:53 PM To: Bowers, Edwin Subject: 88 Cheoh Rd Inspection Hi Ed, L88 Cheoh-Rd Cotuif%%passed fire inspection for finished basement. Thanks Paul Paul'Rhude, Chief Cotuit Fire , 64 High St. Po Box 1632 Cotuit, MA 02635 (508)428-2210 Office (508)274-6086 Cell . 1 27 2016 09:10AM Tupper Construction Co. 15087785010 page 1 r?S�) TUPPER CONSTRUCTION CO.LLc 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WM.T JPPERCO.COM Date: 1` o Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on j�/(p has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. 99 Sincerely, Richard Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel . Application # 1 139 Health Division Date Issued -� 3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis bwa lei 5/1k/17/1,fp Project Street Address G� Village 0,6AW; Owner fa- CC f® Address AY 07&A U Telephone Permit Request •.f / � dl beird Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �✓ � �¢v Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family LJ,— Two Family ❑ Multi-Family (# units) Age of Existing Structure . Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No r Basement Type: O Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area ((s .ft / 7 0 BUILDINUEP . Number of Baths: Full: existing 12 new Half: existing new Number of Bedrooms: 1- existing _new MAY 0 4 2016 Total Room Count (not including baths): existing new Tn�Jrst{�ilooAo r ,ow�t Heat Type and Fuel: ffGas ❑ Oil ❑ Electric ❑ Other + Central Air: ®'S'es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: \� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 12 0QQ P/Z_. Telephone Number :5 "7 7e J Address License # QHome Improvement Contractor# Worker's Compensation # "CSZ�S�l��0/1�Is� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l uQAtt1� �.J SIGNATURE DATE � / 3 AO FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED, MAP/PARCEL NO. _ y. ADDRESS - ' - VILLAGE - OWNER . DATE OF INSPECTION: - FRAME FINSULATION,t r ,v , . ,)L ` FIREPLACE ,fie - { ELECTRICAL: ROUGH FINAL - - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL, FINAL BUILDING DATE CLOSED OUT - - ASSOC IATIONTLAN.NO. ' r` AC�40R CERTIFICATE OF LIABILITY INSURANCE aAia� M1a Y" 25 - - 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 REP0MSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the temis and conditions of the policy,certain policies may require an endorsement A Statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(e). PRODUCER o-ACT Lora FitzGerald Southeastern Insurance Agency, Inc. PHONE q134-(508)997-6061 �� (508)990-2731 439 State Rd. IL Ifitz@southeasternins.com P.O. Box 19398 �v INSURERS AFFORDING COVERAGE 1 NAIC>r North Dartmouth MB► 02747 INSURERA Arbella PrOtOCtion Insurance 141360 INSURED INSURER a]Boston Insurance Brokeracre Inc Tupper Construction Co LLC INSURER C 546A Higgins Crowell Road INSURER0: { INSURER E: West Yarmouth Hh 02673 1 INSURERF: COVERAGES CERTIFICATE NUMBER2015-2016-1 REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE wyo POLICY NUMSOR Pol Y I NMIp LIMITS % COMMERMAL GENERAL LIABILITY I EACH OCCURRENCE S 1,000,000 A T CLAJIS'MADE 7OCCUR RIMS(El I S 100,000 9S20045208 11/1/2015 11/1/2016 MEOEXp An are arson)_S 5,000 PERSONALBADVINJURY IS 1,000,000 I GENL AGGREGATE WAIT APPLIES PER: GENERAL AGGREGATE t S 2,000,000 1% POLICY C JECT C LOC PRODUCTS-COMP/OP AGG 6 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE S 1,000,000 tFa maddadl _ A ANY AUTO BODILY INJURY(Par parson) S ALL AUTOS OWNED 8,AUTOSSSCHEDULED 1020009389 12/1/2015 12/1/2016 BOOILY INJURY(Per acadent)1 S I R 10RED AUTOS 8'AUTO ON SINNED I PP OPER e DAMAGE 1 S I 1 R ( Uninsured mowst BI5 li ' {S 2SO,000 __-J UMBRELLA LIAR OCCUR i EACH OCCURRENCE $ A I EXCESS LUUB CLAIMS•►MOE !i DEC T T 4600050368 11/1/2015 11/1/2016'AGGREGATE IS WORKERS COMPENSATION EA AND EMPLOYERS'LIBILI ATY PSEARTUTEYIN ANY PROPRIETORPARTNER/EXECUTIVE OFFICER44EMBER EXCLUDED? F—I NIA 1 ( E.L.EACH ACCIDENT Is 1,000,000 13 ((Mandatmy In NH) W=500569301201.5A 10/3/2015 10/3/2016 E.L DISEASE-EA EMPLOYE -S ff It yes,desclbe tuber - - i DESCRIPTION OF OPERATIONS hebw E.L.DISEASE-POLICY LIMIT S 1,009,000 DESCRIPTION OF OPERATIONS I LOCATIONS VENICLES(ACORD 101.AOdlt7onal Reaueks ScbWNa,awy be anaeMd V mwe apace Is repulnd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For informational purposes only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tupper Construction CO.,LLC ACCORDANCE WITH THE POLICY PROVISIONS. 546A Higgins Crowell Road W Yarmouth, 141E 02673 AUTHORIZED REPRESENTATIVE Lcra FitzGerald/MEN! ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS02619D14n11 i � C-%�1?- ��Jlr•�1-�a�12rr��<rlt� a�fG���1%JJtxC'�c�s�fl.1 j 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 178434 Type: LLC Expiration: 4/16/2018 Tr# 41MI TUPPER CONSTRUCTION CO, LLC. RICHARD TUPPER --- 546 A HIGGINS CROWALL RD — - i W. YARMOUTH, MA 02673 -- --- - ----- -• -� Update Address and return card.Mark reason for change. SCA 1 a zau-osrn [ Address ; Renewal D Employment L Lost Card Office of Consumer Af iirs A Business Regatadoo License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration; 178434 Type; Office of Consumer Affairs and Business Regulation Expiration: 4/1612018 LLC lop -Sulte S170 TUPPER CONSTRUCTION CO,LLC. RICHARD TUPPER 546 A HIGGINS CROWELL RD - W.YARMOUTH,MA 02873 Undersecretary Not without signature - BUILDING PERFORMANCE INSTITUTE, INC 107 Hennes Road,Suite 210 Malta,NY 12020 (877)274-1274 www.bpl.org t Richard Tupper Bat Iw:6040M ME REVERSE ME FAR DEMNATIM AND EXPIRATION DATES) Massachusetts-Department of Public Safety Unrestricted-Buildings Of any use group which 9-Board of.8uilding Regulations and Standards contain less than 35,000 cubic feet(991m )of Cunitru.twn Super kiir enclosed space. License: CS-069058 .r.� Richrd S Tupper,- ' 546 Alums Crcf6Vt81 1 West Yarmouthili1A � 1 Failure to possess a current edition tithe Massachusetts State Building Code is cause for revocation of this license. r,,�,,..dS,I.�. •' i% Ekpiration Far OPSticeruinglnfarmationvlsR: wwwm=.Gv/0pS Cornrmsioner 12131*016 r The Commonwealth of Massachusetts Department of IndustrialAccidents } Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): TUPPER CONSTRUCTION CO LLC Address:546A HIGGINS CROWELL RD City/State/Zip:WEST YARMOUTH MA02673 Phone #:508-778-0111 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 10 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Ro if repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:AEIC Policy#or Self-ins.ye? Laic. #:WCC5000y5�59301201115�A,,f Expiration Date: 10/3/16 i Job Site Address: chwh / C J City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins ee-coverage verification. I do hereby certify un r t pains nd en Ities of perjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DIE Town of Darnstable Regulatory Services " g Richard V.Scali,Director a�� Building Division Tom Perry,BtWding Commissioner 200 Main Street,llyannis,MA 02601 v►-ww.town.barnsMbte-ma.us Office: 508-862-4039 Fax: 508-i 90-6230 Property Owner Must Complete and Sign This Section If UsiM.ABuilder I, Lisa Abrahamson NAroEt- _ _ ,as Owner of the subject pros city hereby aurhori7e tfirk P� aS�Y'Jc-�dd to act on my behalf, in all matters relative to wuthorized by this building permit application for: 88 Cheoh Road Cotuit MA 02635 (Addsess of fob) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled orutiliced before fence is installed and all final inspections are performed and accepted. L Signatum of Owner Signature of Applicant ZI�4 )�A66e- Print dame Print Name 4 Date Q:FORMS:O%V',N ERPFsiMISSIONPOOLS I PROJECT:' -NAME: ADDRESS: PERflt# PERMIT DATE: LARGE ROLLED PLAITS ARE .INO sOT C Data entered in MAPS program.on: ;:.:q/tivpfiles/fon=hichive.: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel aa ol�0 Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address &oA Village C-110-Aa T Owner /1/1 !Gc ,r-Asa Na e Address Telephone V 7- 076 O Permit Request /vim6;VJWUe770A*) GViivPJAJS 9►-Z)aaY5 Nv h%-NAt7C L ri67) 1U /�Gc�J l�cc�S .TW X) f� s k�na 1/� �!1u1 ry - lQcc & 3r wInntJ ecr.�r>n <s J c�-1 ou � F Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total nevu`� Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su porting"ocur4ntation. Dwelling Type: Single Family 9---' Two Family ❑ Multi-Family (# units) r� Age cif Existing Structure 30!�t✓s Historic House: ❑Yes No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing o�2 new Half: existing new Number of Bedrooms: 02 xistin _new Total Room Count (not including baths): existing �5_ new First Floor Room Count Heat Type and Fuel: [9Gas ❑ Oil ❑ Electric ❑ Other Central Air: �Yes ❑ No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:.❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C -s L�Oev--SeIephone Number 944 73 Address 31 ACe4 IM_&J DY • License # 100-2 bop 9 Home Improvement Contractor# /6,5200K Email Worker's Compensation # Gr`UBo1966/�/� ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CS;.AVNg�=-A , ' GVI�ST� �i i'✓�2v �� ` G�t�T� SIGNATURE DATE r FOR OFFICIAL USE ONLY ;> APPLICATION# 1 DATE ISSUED' r -MAP/PARCEL NO. 7 ADDRESS VILLAGE OWNER i I DATE OF INSPECTION: s L f FOUNDATION ° ...FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. i Town ®f Barnstable �F fNE 1p� Regulatory Services �p o Richard V. Scali, Director * A Building Division MUMSPAHLE, BARNSTABI,E 9 MASS. 0 was uu-oi`an'�`iia.w`ON1sr'wx"°sr'wa 1639. �0 'Thomas Perry, CBO 1639-2014 A'E01/0r a Building CommissionerSD� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 December 9, 2014 C&J Construction Services LLC Attn: Charles Hunt 31 Kensington Dr. Sandwich, MA. 02563 RE: 88 Cheoh Rd., Cotuit, Map: 019 Parcel: 142 Dear Mr. Hunt, This letter is in response to application number 201407025 submitted to obtain a building permit for the above referenced address. Unfortunately, the application can not be approved at this time for the following reasons: 1) Construction documents are incomplete. (Details not included for ledger and beam support attachments. Details not included for lateral resistance.) 2) 8" footings are not sufficient. 3) Deck design requires engineering. (Three foot cantilever of supporting beam.) Please provide updated construction documents addressing the above items and please do not hesitate to contact this office with any questions. ti Respectfully, Vol- J fr L. LG Local Inspector i effrey.lauzon(a)town.barnstable.ma.us (508) 862-4034 0 ,��►�)�y The Commonweakh of Massachusetts Depanfinent of Industrial Accidents Office of Invesfigadons 600 Washington Stmet Boston,MA 02111 ttwm amass govldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name Musineafiftmi w&div Lidual): C .T �A ,5?YUC`7QkJ Address: 3 f ge-01 S(0 q � - City/StatdZip: c-/-k 10q- F'/- 5fC73 Are you an employer?Check the appropriate box: T project 4_ am a general contractor and I Type of P ro'] ( = I.�am a employer v I❑ g 6. ❑New construction employees(full and/or pm"=).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ?. ship and have no employees These sub-contractors have 9. ❑Demolition working for me in any capacity. employees and have worlmrs' 9. ❑Building addition [No wodm s'comp.insurance comp'i surance.i required-] 5_ ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No worioers'comp. tight of exemption per MGL 12.❑Roof repairs ins tnce required.]T c.152,§1(4�and we have no employees.[No wodws' 13-❑Other comp-insurance required.] •any app>i�t that checks boa C ran also sir out the section below showing their wodea'otumpensatim policy inbrMstian T Homeoa+a®s wbo submit this at3adavit indicating they are doing,aA aad and then hire oo de conttactms— submit anew affidavit indicatmg such. z damicturs that check this ban most attached as additional sheet showing the name of the sub-oaitiFacton and st a whether or mat those entities line employees. If the sub-contactors have ems,they nmst provide their mockers'comp.Policy mmaber- I am an employer thatbsprovidbig wor'krers'coarpensadon insmrance for my engz&Wees. Below is Htepolicy and job site information. Insurance Company Name: Policy#or Self-ins.lic_#: (o / L) g o-Z E l/ 1p 5Lgi/i a n Dater /-S Job Site Address: YS eA e,!� U'" City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL tw 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Imrestigations of the DIA for insurance coverage verification. I do hereby eert4 thepains and aft ies of that the information pror4ded above is hne and correct (� c / Date: Phone#: Qfficiat ruse only. Do not write in this area,to be completed by city or town officgat City or Town: PerrmtlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 Rightfax N2-1 11/7/2014 7:02 :30 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE111Q71 O/YYY1� T. IFICATE 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. TEAS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE E CERTIFICATE HOLDER. IMPORTANT:If the certlflcete holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the erns and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER CONTACT NAME: UNITED INS AGCY INC PHONE FAX PO BOX 1013 (AIC,No,Ext): (A/C,No): E-MAIL BUZZARDS BAY,MA 02532 ADDRESS: 28JBG INSURERS)AFFORDING COVERAGE NAIC aY INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY C&J CONSTRUCTION SERVICES LLC INSURER B: INSURER C: INSURER O: 31 KENSINGTON DR INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS is To CERTIFY THAT THE POLICES 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 WAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED"MEIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAWS. NM App SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMWD%YYYY) (MW NYYYY) LWT& GENERAL LIABILITY CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE OCCUR. REMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL&ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE S POLICY PROJECT❑LOC RODUCTS-COMP/OP AGG $ rALL OBILE LIABILITY COMBINED SINGLE $ NY AUTO LIMIT(Ea accident) OWNED AUTOS BODILY INJURY $ CHEDULEAUTOS (Per person) BODILY INJURY $ RED AUTOS (Per accident) ON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-2E196677-14 OS/0712014 0507/2015 X LIMITS ANY PROPERITORIPARTNERIEXECUTIVE D WA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Miumigary In NH) E.L.DISEASE EA EMPLOYEE $ 1,000,000 It yes,describe under E.L.DISEASE-POLICY LIMB $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTR=ONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION CHARLES HUNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL 8 DELIV 31 KENSINGTON DRIVE IN ACCORDANCE WITH THE POLICY PRO AUTHORIZED REPRESENTATIVE SANDWICH,MA 02563 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1OW2010 ACORD COR r g s reserved. i i OEM Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165004 Type: LLC Expiration: 12/10/2015 Tr# 247234 C&J HUNT CONSTRUCTION SERVICE$ LL . CHARLES HUNT ', > 31 KENSINGTON DR. SANDWICH, MA 02563 Update Address and return card.Mark reason for change. 8CA 1 v 20M-05/11 / " Address Renewal Employment Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only _� = OME IMPROVEMENT CONTRACTOR r before the expiration date. If found return to: egistration: c165004: Type: t Office of Consumer Affairs and Business Regulation piration 1it10/2'015 LLC 10 Park Plaza-Suite 5170 In 14 Boston ,MA 02116 C&J HUNT CONSTRUCTION SERVICES LLC CHARLES HUNT '• 31 KENSINGTON DRY`; ' <t SANDWICH,MA 02563 Undersecreta ry ' Not valid without s nature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supcn`isor License: CS-102829 a 1 CHARLES J HUNG •- 31 KENSINGTONDR1VE SANDWICH MA=0256y ' Expiration Commissioner 06/26/2015 • BeBxsuBM 30. flown of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barostable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, d-4,5q /►'a!3 6-/ ,as Owner of the subject property hereby authorize 04il"A.7 to act on my behalf, in all matters relative to work authorized by this building permit application for: S8 Cher �017zu tNa (Address of Job) CT 2Y !`7f Signature of Owner Jate Lic.A Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAEVIN_DIBuilding ChangeslEXPRESS PERM rREXPRESS.doc Revised 061313 L , From: Lisa Nagel lisalunagel@gmail.com Subject: Fwd:Construction Affidavit Date: September 29,2014 at 6:07 AM To: Lisa lisanagell @me.com I Sent from my Pad Begin forwarded message: From: CJHuntServices@aol.com Date: September 27, 2014 at 12:38:02 PM CDT To: lisalunagel@amail.com Subject: Construction Affidavit Hello Lisa, Received your permit from the building department yesterday.They are holding the approval because I did not get the permission affidavit signed. Did not realize it was needed for an express permit. It attached below and I will re-submit Monday. The building department is aware that we have been working on your house for sometime and they have given me verbal approval since it has to be inspected. Please sign and email back ASAP. , Thanks for the Opportunity, CFiarles-J.-Hunt--- ----_- C&J Hunt Construction Services LLC Saltwater Woodworks LLC PH:(508)681-8673' Email-cihuntservicesla.aol.com www.cihuntconstruction.com www.saltwaterwoodworks.biz .:. •�va�`y .R q t 40 5J8 — - 85 718 32114 , . . . ' Color for kitchen to be Brilliant Iw 5 9D 114 L I I j p p tilt drawer front I ,,U, t 34112 4 ~• 10 6 T ash pullout O 7!, y . , Z:ij 35 561 a •2*-12 IM-- ---16 32 23 5J8 2. 21/2 130 112— Kitchen - Wall 1 30 50 114 50114 50 114 50114 50 114 50114 9D 114 c ry silveMare ti div er dividers ae T Y Hal bhl� Bread && er r 16 7� 14 16 19 ys puliQut trays ,'f pull geCfrays O r r I —41114 9 30 9-- -21114 20 , 130 112 Kitchen - Wall 1 Technical Evaluation Report. TM FastenMaster LedgerLokTm Ledger Board Fasteners TER No. 1203-03 for Use in Deck Ledger Applications OMG, Inc. Issue Date: March 30, 2012 d/b/a/ FastenMaster Updated: December 18, 2013 153 Bowles Road Agawam, Massachusetts,01001 413/789-0252 fastenm aster.com mguthrie olyfast.com DIVISION:06 00 00—WOOD, PLASTICS,AND COMPOSITES Section: 06 05 23—Wood, Plastic, and Composite Fastenings Section: 06 15 00—Wood Decking Section: 06 1100—Wood Framing 1. Products Evaluated: 1.1. Ledgerl-okT"° Ledger Board Fastener. 1.2. 1/2"galvanized lag screw for comparative, equivalency and code compliance purposes' 2. Applicable Codes and Standards:2 2.1. 2006, 2009 and 2012 International Residential Code(IRC) 2.2. 2006, 2009 and 2012 International Building Code(IBC) See IRC Section R104.11 and IBC Section 104.11. Y Unless otherwise noted,code references are from the 2012 versions of the codes.This product is also approved for use with the 2000 and 2003 versions of the IBC and IRC and the standards referenced therein. Dd'is a Professional Engineering Approved Source [}R QzM The IBC defines: . APPROVED SOURCE— An independent person,firm or corporation,approved by the building oft Jal,who is competent and experienced in the application of engineering principles to materials,methods or systems analyses.' DrXs building construction professionals meet the competency requirements as defined in the IBC and can seal their work.DrJ is regularly engaged in conducting and providing i engineering evaluations of single-element and full-scale building systems tests.This TER is developed from test reports complying with IBC Section 104.11.1 Research reports,which states,'Supporting data,where necessary to assist in the approval of materials or assemblies not specifically provided for in this code,shall consist of valid research reports from approved sources! I Technical Evaluation Report(TER) I Performance Evaluation: 3.1. LedgerLok Ledger Board Fasteners were evaluated to determine their ability to provide code complying attachment of deck ledger boards to the building structure. 3.2. For conventionally framed buildings, the ledger is required to be attached to the band joist3 in accordance with IRC Section R502.2.24 or IBC Section 1604.8.3 as applicable. IRC Table R502.2.2.1 is included on the next page for reference. JOIST SPAN 6'and less 6'1"t0 8' 8'1"to 10' I 10'1"to 12' I 12'1"to 14' 14'1"to 16' 161"to 18' Connection details On-center spacing of fasteners°,° V,inch dimneler lag screw with j5/„inch 30 23 lS 15 13 11 10 maximum sheathing' V,inch diameter bolt with 15/32 inch maximum 36 36 34 29 24 21 19 Sheathing 4,inch diameter bolt with 151,,inch maximum sheathing and V,inch stacked washers" 36 36 29 24 21 IS 16 1. Deck Live Load=40 psf,deck dead load=10 pst IRC Table R502.2.2.1:Fastener Spacing for a Southern Pine or Hem-fir Deck Ledger &a 2"Nominal Solid-Sawn Spruce-Pine-Fir Band Joists 3.2.1. Where a band joist is not used, as in some truss installations, an engineered design is required. See Appendix A for additional code requirements for ledger attachments. 3.3. Ultimate connection capacities and deflections of typical ledger board connections were match tested and evaluated pursuant to the provisions of the IRC and IBC. See Appendix B for a description of testing methods. 4. Product Description and Materials: 0.610 H•.010 - 1701.163 .295L306 .227/.229 (0.202)MINOR 7.30 TPI REFERENCE TABLEMli FOR APPROPRATE JJJIJJD�� .HEAD MARKING THREADLENGTH. 5I16'HEX .0681.073 PART LENGTH Rrgure t:LedgerLok Ledger Board Fasteners 4.1. LedgerLok fasteners are manufactured with carbon steel grade 1022 or 1OB21 wire conforming to ASTM A510 with a minimum ultimate tensile strength of 60 ksi. 3 The term'band joist°is used throughout this report.Other regionally used terms that are synonymous with band joist include:rim board,band board,header board and header joist. 4 All code references in this report are to the 2009 versions of the IBC and W.The 20121RC section for the ledger application is R507.2. 5 See Appendix A for full details and Table footnotes. TFR Nn 1gm-m Pang 9 of 19 I Technical Evaluation Report(TER) 4.2. LedgerLok fasteners are manufactured using a standard cold-formed process followed by a heat-treating process. [Allowable bending yield and critical dimensions are found in Figure 1 and Table 1.1 4.2.1. LedgerLok fastener heads area 5/16"hex drive with a built-in oversized washer. 4.2.2. LedgerLok fasteners have a gimlet point. 4.2.3. The following LedgerLok fasteners were evaluated for this Technical Evaluation Report(TER). Fastener Fastener Head 1 Length of Unthreaded Shank Minor Thread Allowable Bending Name Designation Marking Length Thread2 Diameter (Root)Diameter Yield(psir LedgerLok FMLL358 F3.6 3-5/8" 2" 0.228" 0.202" 200,700 Berle. -_r�005� F 5.4 5" — 3 1. Measured from the underside of the head to the bottom of the tip. 2. Includes tip;see Figure 1. 3. Determined in accordance with methods specified in ASTM D 1575,based on minor thread diameter using a 5%offset of the load displacement curves developed from bending tests. Table 1:Fastener Designation for the LedgerLok Fasteners Evaluated in this TER t 4.3. The fasteners have a proprietary galvanized and epoxy coating, which provides corrosion protection that exceeds that provided by code approved hot-dipped galvanized coatings meeting ASTM A153(IBC Section 2304.9.56 and IRC Section 317.37). 4.3.1. Fasteners are approved for use in exterior conditions and in pressure-treated wood, including ground contact ACQ. The proprietary coating has been tested and found to exceed the corrosion protection provided by code approved hot-clipped galvanized coatings meeting ASTM Al53(IBC Section 2304.9.58 and IRC Section 317.39). 4.4. Fasteners are approved for use in fire-retardant-treated lumber, provided the conditions set forth by the fire- retardant-treated lumber manufacturer are met, including appropriate strength reductions. 4.5. In-plant quality control procedures, under which the LedgerLok fasteners are manufactured, are audited through an inspection process performed by an approved agency10. 5. Applications: 5.1. LedgerLok Ledger Board Fasteners are designed specifically for attaching the deck ledger to the rim joist of a building in accordance with IRC Section R502.2.2 and IBC Section 1604.8.3. 5.2. The 2009 IRC provides prescriptive fastener spacing for the attachment of a deck ledger to a rim joist with 1/2' diameter lag screws or through bolts as shown in IRC Table R502.2.2.1. 5.3. Table 2 provides the LedgerLok fastener spacing required to provide performance at least equivalent to the lag screws found in IRC Table R502.2.2.1 in accordance with IRC Sections R104.11 and R502.2, IBC Sections 104.11 and 1604.8.3, and in accordance with generally accepted engineering practice. 5.3.1. Table 2 provides LedgerLok fastener spacing for items found in IRC Table 502.2.2.1, as well as a wider range of materials commonly used for rim joists. 5.3.1.1. In addition, an alternate loading condition (i.e., deck live load =60 psf, deck dead load = 10 psf) required by some jurisdictions is shown. 8 I8C Section 2304.9.5 Fasteners in preservative-treated and fire-retardant-treated wood.Fasteners for preservative treated and fire-retardant-treated wood shall be of hot dipped zinc-coated galvanized steel,stainless steel,silicon bronze or cropper.The coating weights for zinc-coated fasteners shall be in accordance with ASTM A153... r R317.3 Fasteners and connectors in contact with preservative-treated and fire-retardant-treated wood.Fasteners and connectors in contact with preservative-treated wood and fire-retardant-treated wood shall be in accordance with this section.The coating weights for zinc-coated fasteners shall be in accordance with ASTM A153. 818C Section 2304.9.5 Fasteners in preservative-treated and fire-retardant4reated wood.Fasteners for preservative treated and fire-retardant-treated wood shall be of hot dipped zinc-coated galvanized steel,stainless steel,silicon bronze or copper.The coating weights for zinc-coated fasteners shall be in accordance with ASTM A153... 9 R317.3 Fasteners and connectors in contact with preservative-treated and fire-retardant-treated wood.Fasteners and connectors in contact with preservative-treated wood and fire-retardant4reated wood shall be in accordance with this section.The coating weights for zinc-coated fasteners shall be in accordance with ASTM A153. t8 IBC Section 1702 APPROVED AGENCY.An established and recognized agency regularly engaged in conducting tests or furnishing inspection services,when such agency has been approved. TFR No 1gm-ni PanP l of 19 i Technical Evaluation Report(TER) v Loading 2x Nominal Rim Maximum Deck Joist Spans Condition Ledger Joist Up to 6' 1 Up to 8' 1 Up to 10' 1 Up to 12' 1 Up to 14' 1 Up to 16' 1 Up to 18' (Live Load,psf) Species Material Maximum On-Center Spacing of LedgerLok Ledger Board Fasteners(inches) HFISPF 2x Nominal Sawn Lumber 20 15 12 10 8 7 6 40 1"min EWP 25 19 _ 15 12 10 9 8 DFISP Nominal Sawn Lumber 1,t2_4M 0&18= 0914 12 10 9 8 1"min EWP 25 1 12 10 9 8 HF/SPF 2x Nominal Sawn Lumber 14 11 8 7 6 5 4 60 1"min EWP 18 13 10 9 7 6 6 DF/SP Nominal Sawn Lumber 17 13 10 8 7 6 5 1"min EWP 18 13 10 9 7 6 6 1.Based on load duration of 1.0.Spacing may be adjusted by the applicable load duration as specked in NDS 20015. 2.Fasteners are required to have full thread penetration into the main member.Excess fastener length extending beyond the main member is not reflected in the table above. 3.Solid sawn band joists shall be HF,SPF,DF-L or SP species. 4.Fastener spacing is based on tested loads.The design values use the lesser of a'/s'deflection or a factor of safety equivalent to or greater than that of the code compliant lag screw application as defined in Figure 2. 5.A maximum%'structural sheathing may be installed between the ledger and the band joist. 6.Table values assume 10 psf dead load. Table 2:LedgerLok Fastener Spacing for Items in IRC Table 502.2.2.1 &Other Materials&Loading Conditions 5.4. e'en-jnstaflein� cordance w ffit_e s acir>g"requtrements ofLedger ok'LedQe_r Bard Fas en rs r_ovalde=equt.�alenf�'erformance-to'�009�RC-�abie-R'B02'2'2� 6. Installation: 6.1. Choose a 3 3/8'or 5" LedgerLok Ledger Board Fastener so that the threads fully engage the rim material and the fastener tip extends beyond the back face of the rim material when fully seated against the installed ledger. 6.2. Using a high-torque, 1/2"variable-speed drill (18V if cordless), drive the fasteners through the ledger and sheathing. Continue into the rim joist until the built-in washer head is drawn firm and flush to the ledger board. Do not overdrive. 6.3. Figure 2 shows a detail of the LedgerLok Ledger Board Fastener deck connection, including minimum edge and end distances. exterior sheathing existing stud wall threshold carefully flashed and r caulked to prevent water intrusion existing 2x_band joist continuous flashing or 1"minimum extending past joist EWP rim board hanger I i 2"min. deck joist , 1 5/8"min. i 5"max. joist hanger 2x_floor joist 2"min. wood 1-joist, � Or MPCWT :� • r < LedgerLok ledger board fasteners Min.edge distance=2" ' Min.end distance=3 3/4" existing ` foundation wall 2x_ledger board:must be greater then or equal to the depth of the deck joist and no greater than the depth of the band joist. Figure 2:LedgerLok Ledger Board Fastener Deck Connection TFR No 1 gm-m Pana 4 of 19 Technical Evaluation Report(rER) 6.4. For applications outside the scope of this TER, an engineered design is required. 7. Test and Engineering Substantiating Data: 7.1. Testing conducted by SBCRI for OMG; SBCRI-12-0101; Final report date: March 23, 2012. 7.2. DCA 6, Prescriptive Residential Wood Deck Construction Guide; AF&PA; 2010. 7.3. Proprietary testing conducted by Washington State University for OMG; Final report date: August 4, 2005. 7.4. FastenMaster Technical Bulletin; LedgerLok Ledger Board Fastener, 2011. 7.5. IMES, ESR-1078, Reissued: January 1, 2012. 7.6. Some information contained herein is the result of testing and/or data analysis by other sources, which DrJ relies on to be accurate as it undertakes its engineering analysis. 7.6.1. DrJ does not assume responsibility for the accuracy of data provided by testing facilities, but relies on each testing agency's accuracy and accepted engineering procedures, experience, and good technical judgment. 7.7. Where appropriate, DrJ relies on the derivation of design values, which"have been codified into law through the codes and standards(e.g., IRC, WFCM, IBC, SDPWS, etc.), to undertake the review of test data that is comparative or shows equivalency to an intended end-use application. 7.7.1. DrJ does not assume responsibility for the accuracy of any code-adopted design values but relies upon their accuracy for engineering evaluation. 7.7.2. DrJ also relies on the fact that manufacturers of code-adopted products stand behind the legally established design values that have been created by the associations that publish code-defined design values for a given commodity product. 7.7.3. DrJ evaluates all equivalency testing and related analysis using this code-defined engineering foundation. 8. Findings: 8.1. When used in accordance with this TER and the manufacturer's installation instructions, FastenMaster LedgerLok Ledger Board Fasteners are a suitable alternative to the requirements of the IRC Section R502.2.2 and IBC Section 1604.8.3. 9. Conditions of Use: 9.1. LedgerLok fasteners covered by this TER shall be installed in accordance with this report and the manufacturer's installation instructions. 9.2. LedgerLok fastener spacing shall not exceed Table 2 for code compliance and the installation conditions considered. 9.3. For conditions not covered in this TER, connections shall be designed in accordance with generally accepted engineering practice. 9.4. Manufacturer's installation instructions shall be followed as provided in Section 6 and at fastenmaster.com/details/product/ledaerlok-ledger-board-fastener.htm1. 9.5. LedgerLok fasteners are produced by OMG, Inc.'s facility located in Agawam, Massachusetts. 9.6. LedgerLok fasteners are produced under a quality control program subject to periodic inspections in accordance with IBC Section 1703.5.2. 10. Identification: 10.1'. The fasteners are identified by the designation"LedgerLok rm" on the packaging. The head of each fastener is marked with an°F"followed by a number corresponding to the length of the fastener. 10.2. The packaging shall include OMG's name and address, fastener size, third-party inspection agency, ICC-ES Report number and TER number. ' 10.3. Additional technical information can be found at fastenm aster,com. TFR No 1 9m_o� PaoA 5 of 19 I Technical Evaluation Report(TER) 11. Review Schedule: 11.1. This TER is subject to periodic review and revision. 11.2. For information on the current status of this report, contact DrJ. Responsibility Statement The information contained herein is a product, engineering or building code compliance research report performed in accordance with the referenced building codes, testing and/or analysis through the use of accepted engineering procedures, experience and good technical judgment. Product, design and code compliance quality control is the responsibility of the referenced company.Consult the referenced company for the proper detailing and application for the intended purpose. Consult your local jurisdiction or design professional to assure compliance with the local building code. DrJ (dpengineering.ora) research reports I?JT. are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by DrJ,express or implied,as to any finding or other matter in this report or as to any product covered by this report. TFR Nn 19nn-n*i Panes 6 of 19 a F O'R T E O MEMBER REPORT Level,Boor Rash ern PASSED 3 piece(s)2 x 10 Southem Pine No. i Overall Length: 12' 0 0 V 1 UP U T 10 3/4° L'J Al locations are measured from ttie outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual(rp Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(lbs) 6336 @ 7 11 1/2" 8899(3.50") Passed(71%) — 1.0 D+0.75 L+0.75 S(All Spans) Member Type:Rush Beam Shear(lbs) 2846 @ 7'1/2" 5585 Passed(51%) 1.15 1.0 D+0.75 L+0.75 S(All Spares) Building the:Residential Moment(Fhibs) -5749 @ 7'11 1/2" 6457 Passed(89%) 1.15 1.0 D+0.75 L+0.75 S(All Spars) Building Code:IBC Live Load Defl.(in) 0.210 @ 12' 0.269 Passed(L/231) -- 1.0 D+0.75 L+,0.75 S(Alt Spans) Design Methodology:ASD Total Load Dell.(in) 0.229 @ 12' 0.404 Passed(1-1211) - 1.0 D+0.75 L+0.75 S(Alt Spans) Deflection criteria:LL(L/360)and TL(1./240). Overhang deflection criteria:U.(21./360)and TL(21./240). Bracing(Lu):All compression edges(top and bottom)must be braced at 10'5 718"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Applicable calculations are based on NDS 2005 methodology. sewing t.ength I oadsto Supports(as) supIollft Tatat Available Required Dead o snow TotalLive Aoceraori� 1-Hanger on 9 1/4"SPF beam 1.50" Hanger' 1.50" 417 1738/ 1135 3290/-395 See note' 2-Column-SPF 3.50" 3.50" 2.49" 1256 3870 2903 8029 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. •At hanger supports,the Total Bean g lone lion is equal to the width of the material that is supporting the hanger •t See Connector grid bdrnv for addiiia al ufformahon and/or requuemenl& Connector.Simpson 9t -Tte Connectors Support Model Seat Length Top Nails Face Nails Member Nails Accessories 1-Face Mount Hanger Connector not found N/A N/A N/A N/A Tributary Dead Floor Live Snow Loads Lo=bon Width (ago) (1.00) (1.15) comments 1-Uniform(PS'F) o to 12 10'Sr` 12o 4D-0 30.0 Local Srxm Weyerhaeuser Notes SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser e)gmsly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.the of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte software Operator Job Notes 12/5/2014 11:21:26 AM David McLean 88 CHEOH ROAD Forte v4.6,Design Engine:V6.1.1.5 David A McLean COTUIT,MA (508)740-5807 dmcl@aol.com Page 1 of 1 /y 6 ,AYE,¢Ii, .. 1• v . AI ^.1 .� ... f • SMOKE DETECTORS REVI€ ED - r ' _ BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE � _-__..__.___._..__.._.___.._. ..__._..._.___._._. . • BOTH SIGNATURES ARE REQUIRED FOR PERMITTING i I IMPORTANT- UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF i SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. IMPORTANT a ANY CONSTRUCTION THAT INCREASES LIVING SPACE -- BEYOND 1200 SQ..FT. PER LEVEL MAY REQUIRE THE INSTALLATION OF ADDITIONAL SMOKE DETECTORS. _ NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. . U V► N C��b� N I fJ� tn:�,.;le I Ki.TLKEi�%1 ;-------: i 3 I tilrn,� N I ii ti t� ' t << 3a LW Ft P 15(WP Li ue _ ( i ;.. _.............._._.._.._...... 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