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0137 HORSESHOE LANE
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"�a 1�tz ri-"'Ai I,,::�.,i . �w,;, I , ,f , . ,'I, jr ��_j,';(` .19 :If 111.1 I "IYY _ � .1, if I� �, " Ttoi I I_ �4 ,_ I 11 - ft �- I _ I We , , ,,, , Q "%,q,.,. ,e. _ — �I _1 i, :v , . . , 1. I , , � _ ,r#,,, . 1�� ,,, a .It, zI � 4� I _ I I 1. I 1. Town of Barnstabl e Building x - , F m �- _ ui Post'Th�s Card So That it is Visible From theStreet Approved Plans'Must be Retained on,Wand this Card Must.be Kept EAR.w$1'e1ULr. .. _. _ �.. _r F � ; Posted Until Finallnspection-Has Been'Made .£ = eri111� Certificate'.'of Occupancy is Required,such Building skull Not be Occupied until a Final'I" pection has been made. �) Permit NO. B-20-263 Applicant Name: SACKS, MICHAEL S&TOBEY C Approvals Date Issued: 03/10/2020 Current Use: Structure PermitY�Type: Building-Addition/Alteration- Residential Expiration Date: 09/10/2020 Foundation: Location: 137 HORSESHOE LANE, CENTERVILLE Map/Lot: 207-125 Zoning District: RC Sheathing: Owner on Record: SACKS, MICHAEL S&TOBEY C Contractor Name t Framing: 1 Address: 6 AMELIA WAY Contractor License 2 I , Est. Project Cost: $50,000.00 MEDWAY, MA 02053 Chimney: Description: addition of new master bedroom(approx)300 sq.-ft no bath. Permit Fee: $305.00 Iiii Insulation: addition of enw open deck, modification of existing deck to 3 Fee Paid: $305.00 season room(roof structure and screens. new access fro "kitchen t -Date , 4 3/10/2020 - Final: to dinign area (proposed is currently master bedroom) laundry to be brought to 1st floor Plumbing/Gas Project Review Req: apllication in front drawer. large plan set at JC desk _ Rough Plumbing: Building Official a Final;Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized-by this permit is commenced within six months after iissuance. All work authorized by this permit shall conform to the approved application'and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access reet or road and shall be maintained open for public'inspection for the entire duration of the Final Gas: work until the completion of the same. i ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire�Officials are provided on;this permit. Minimum of Five Call Inspections Required for All Construction Work c ;- Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection L 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy -Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 2L�y -+; Final: µ� liation N APP umber. . : .. ............................... 4KABIL PmritFee........ 0 ...... . ...........Other Fee. ... ' Q3)U�f yo2�' Total Fee Paid. I......... ........ .................... ............... TOWN OF BARNSTABLE Permit Approval by.................................(h........................... BUILDING PERMIT i APPLICATION Mep.. a24.7: ... ........para: /.. 5...................... Section 1,=Owner's Information and Project Location IProject Address l 3 1 ey*S=S 0 L.F} NE Village • (2eoy7S/2V14e ` Owners Name C� WED Owners Legal Address + MAR 1 1 2020 City .b l!m ✓ State V19- A �.. Owners Cell #K&4ZYa5 ` E-mail J9AfK6,A/2��9L Section 2-Use of Structure Use Group CuTrlmercial Structure over 35,000 a tc, feet• 1CD • i r"'! '`. ,^.!il1T�1Ct111f'.under 35,000ete M Family Dwellin Section 3 ICyiv, o°: a ° nit ❑ New Construction ❑ y Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarin Rebuild ❑ Deck' Addition Apartment ❑ Sprinkler SYstem R' ❑ Retaining wall ❑" Solar P Renovation ❑- Pool [] In f Other—Specify [:::�Se:c�tioin�- W�®rk Description o cv: mill 110 �� 2a o rc � .vi 2t�x? oS �s Cu22�iv� �r Tact undated: i 1/I_S/20i R Application Number. ......... ..................... ...... . Section 5—Detail Cast of Proposed Construction p v Square;Footage of Project 6t Age of Stricture Dig Safe Number iMi" lNCJ 7� r #Of Bedrooms Existing_ Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method (] MA Checklist[� WFCM Checklist Design Section b-Project.Specifics T . [� g [] Oil Tank StorageY Smoke De �. Lectors lum FI Gas f.1 Fire Suppression ❑ Heating System masonry Chimney I�Addi��edroom Water Supply _ Public ❑ Private Sewage Disposal Q`-MuniN:Lpa z- QOn Site Historic District ti /11 0 n' Old Kings:Highway Debris Disposal Facility: I am'using a crane,C yes No Section ;' Flood Zone I , Flood Zone Designation L^ Within or adjacent to a wetland,coastal bank? Yes 0 No [� Section 8 Zoning Information h Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage '.#of Dwelling Units(on site) _ Setbacks Front Yard Required_proposed Rear Yard Required Proposed Side Yard Required_____`_Proposed Has thism � Property had relief from the.Zo . Board in the past? ❑ Yes No Last updated:11/15/2018 z APPlicationNumber...............,:............... ...... Section 9 Construction.Supervisor Name Telephone Number. Address City State Zi License Number License Type Expirati ate Contractors Email Cell # I understand my responsibilities under the rules and regulatio r Licensed Construction Supervisor m accordance with 780 CMR the Massachusetts State Building Code. con res, .I undcrs a construction inspection procedu specific inspections and documentation required by 780 CMR and the To Barnstable.Attach a copy of your license. Signature Dite Section 10—Home Improvement Contractor, Name TM?eohone Number Address City S Zip Registration Number I understand my responsibilities under the rules and r€gd a .ne in vement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I and : ::?:<: :,,r r';;aetifln inspection procedures;,specfic inspections and documentation required by 780 CMR and the of Bim,,`a::io Attach a copy of youreH.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: iYl I C ht ti 15(— _ry C.KL Q Telephone Numbe4&D8),R S y ~a?g Tg Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with.780 CMR the Massaichusetts State Building Code. 1 understand the construction inspection procedures,specific inspections and documentation required by_780 CMR and the To of Barnstable, Signature Date APPLICANT SIGNATURE Signature r ,.4r'_z'r1- Date Print Name i C 14 d Fi-- i9Ck9 Telephone Number SOf- E-mail permit to: 2C L 9R779 vn J9l C_ . _ m lAd undated:i t i s/2Q1.9 } �< Section 12 Department Sign-Offs Health Department Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I as owner of the..subject'property hereby authorize L tbqnjWrA Iftlee-7- 2 to act on my behalf,in all , matters relative to work authorized by this building permit application for: �� (Address of job) Signature of Owner date r Print Name Last updated; 1 111 5/20 1 8 r ' Town;of;Barnstable Bllilding Department 'Brian Florence CBO ! II Building Commissioner... NAM 200 Main Street, Hyannis,MA.02601 ►� www.town.barnstsble:ma.us Office: 508-862-4038 Fax: Sl?8-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: D1 — 'r25 - c9_0 JOB LOCATION ( 1-1012 S C—Sr'I'`'De- number street village HOMEOWNER": c�ACR. — name home phone.N work phone N ,,//�� CURRENT MAILING ADDRESS: /'^f; W`�7 UY—" WO 2en)93 cig1town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OFIiOMFOWNER 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 dwelling,attached or detached structures accessory to such,use andlor.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 2grformed under the building permit._(Section-109.1,1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures.and requirements and that he/she will comply with said procedures and requirements, !`� Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or largerwill be required to comply with the State Building Code Section 127.0 Construction Control: HOMEOWNER'S'EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner`shall act as supervisor." Many homeowners who use-this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed-person as[t would with a licensed. f Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner cirtify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a--form currently used by Several towns. You may care to amend and adopt such a formlcertification for.use in your community: i. .. l The Commonwealth ofMassachusetts Department of IndustrlalAeeiden& Office efinvesdgatdorrs 600 Washington Street Boston,MA 02111 www.marssgovIdia Workers' Compensation Insurance Affidavit:Bulders/ContractorsAEleeWeians!Plumbers Apnlieant Information Please Print Legiw- Name(Businmorgantzador&dividualL)•_ Address: Lai fT M S l<S H61,5 Z�- / ` City/Stata/Zi : ( ®t re?z✓/_ ez e, Phone#: Are you an employer?Check the appropriate box: 1•❑ I am a employer with- 4. I am a general contractor and I Type of prolect;(requft,ed): employees(full and/or part-time-),* have hired the sub-contractors 6. ❑New'emstruction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ®•Remodeling ship and have no employees 'liege have g, Demolition working for me in any capacity, employees and have workers' [No workers'comp.inane comp.insurance 3 , 1 9. ❑Building addition requilr l S. We are a corporation and its 16.0 Electriaal repairs or additions 3. I am a homeowner doing all work officers have 0=cised their , (]ply. burg r epah or additions myself[No workers'.comp. right of exemption per P.dCpL I1 irtstn 12.(�Roof repairs. , anm required.]t c. 152,§1(4),and 1,ve.have no employees. 13.0 Other comp.insuranck, ,ri ter *Any Vpllawt that ehacks box 41 mast also a out the section be showing rh c o c er i„c i nfs Policy t Hortreowoers.who ML submit this affidavf indicating they am doing all work Rod then bv.o: ,c i:_+n, •,nisi snbinit a n4esv adl3davit indicating suck ;Contractors that heck this box mast attached an additional sheet showing the nano.T)f L,k—3 c s and state whether or not those enwes have e+ 10Yees. If the sub-contmaon have employan,dY n=P,vide their worm.-s com;v,P:M,y.a;irc,a:n I am an employer that isproviding workers'compensation insurance for tM eMployees. Below is thepo&ty and job site Informadom lnswance.Company Name: Policy#or Self-ins.Lie.#: Expiration Date: l Job Site Address: (:tty/StateJZtp. Attach a copy of the workers'compensation pollcy aration page(showing the policy number and Failure to secure coverage as required under.Sectf A of MOL c.152 can lead to the' osition of capiraiion date). fine up to$1,500.00 and/or one-year impriso t as well as civil penalties of a I of to$Z50,00 a Penalties in the foam of a STOP WORK ORDER and a fine up day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby el'under the pdvs and penaMa of that tlye.mfo> u ion prov ed ab fs d ue S, �. a and coned Phone M. d r - F cial use only. Do not write in this area,tb be eompketed by do or town o icki or Town: permit/Gfcease.# IS Authority(circle one): I. oard of Health Z.Bnr7dfng Department 1 City/Town Clerk 4.Electrical Inspector 5.Plumbing r ther Inspeact Person: Phone#: ® NEW AMMON a s _ s _ T Barnstable Bldg. Dept. -_ . = _ g � « P� Approved by: g aE � Go 7 Permit#.�ZJ Z.G FERN, ;�s A. . NSW AbbrTM FRONT ELEVATION $$ _ - a fill p � Y 6 p �l I 89P o � LEFT ELEVATION RIGW ELEVATION i y � oan �aoo oonmN Z a®i 0' Scale: 1/4'=1'0' ,,- bate: 12-23 19 - - ' - SCANNED tq evisians: r MAR 11 2020 IE w r P 4 J I � i REAR ELEVATION Page: 1 OF 3 •NTiGM TO SIBYOATVt R0.Y1Y000 .3Mr W2 DRMft 6IIT."J&A TWS O EIOI JOIST TO WAM WNECTM © ! -FT W2 LEDGER:D¢Smi HOUSE N 2 O JOWNANG91SE,O JOWEND }5 S .."m mM06.YBtf END Q to j -3W 3UB0.00AGLUED ANDNADED AY3 OTl Go OWT.F&JWATTON B SIsmzmhIOriTS FQWH rom Q3P y DM IR * �d ti6 Z' DUST. - Q z EIaST. 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YTu.•—.l DasTcea D Ttwoax �T*VPOPX 1AOOF D o I - Page: 2 OF 3 AV24HEAbEkSDDTTWN TVP.0 SYSTEM CD -22�0IHEADER NEW WDaOWI, MM -2dORAFT1RS BNEw JTIDa *AIL I RAFTERS O IA°OC ATTACHED ro WALL MTe LR.STES W ' •T/1-LI'WtK RIDBE BEW MLM OOILTN. . 11EBB UNpEA83DEBF$-OC: . -2x 4ASULATDOH STOP etOCIM*O EAVES -D— o- PERIENU AAN 22 BLOCKM POC S BAYS nn^^ AA66�� BD 2N FROM&%E -14 SRAiDS O 18.00 •ur SPEATNDAR �V � d 8 i WPLHRWFI 6Di85Y lm UbdON AOEA BEAM ATTACHED TO AAANPOSTB./SJMPSONIOST CAPS SPAJNE TBD BY OWNRJSOWNFANE S -Lm CEM:W JOJBTS B.TN°OC •W RAFTERS O IS°OC ATTADED TO - IEAM REAM MDSA TES 0 -b00PXWeBOARb. COUARTES • 'B UM9L>mE B ISTOC 2RA MFRO R2A RLOOONG I'OC Q O 2 BAVS L4ATZM BARLE -txDC51AAT20N SLOP BLOLT7T7'NRB EAYFS -LT DEATH \�N�E ms ROOF FRAME QoL = LLS WALLSYSTEM E%1NOOR FD'IISWS m CA O( -2A/46 16'OC.SV*E BOTTOM 4"WCSICDYAEB7014AT04 AM DOUBW TO MTES E==*ODLRSES.TM AND COIgI 6i �O FW SHEATHM TOM OF FILOOR STO TM P AStl1EED�W T•� 1'LIIl OFWWAU&ATeR/M�6 -AU NEW TRLM TO BE AM TO MATQI r N.YWOOREKES B BANE EID BUT"DETADS �Ie: 1/4R a fl'O' I OQ -2K"AM2JA=3TU051)F. •ASMATROOFDEB TO M DA ATM EIDSTD BeAOIEMCP NEW*WQXY#DOOR PATOOERALE A$NEEDED OVER ISO SA{Ep Q: 12-23-19 HEADERS FELT MLE N WATER AND AUM.DW qI��� EWE O BAVES Revislum: -DJTALL ALL FLASK"OR A%ANUFKTIIPFAS RECDMMEND.ATD" TR.3LA2ATON -EEW DEC@B RD BY OWNER -MFZBER8WSDC 71MBNEW WALLS WAM R-U' DECE SY5m •Mt R W O NEW FLOOR SYSTEM -PT JOLSTS B I6-OC .5RAY FOAM DCMRATWNONM -WTUWORQTEDBTRTN"MTE$ ROOF SYSTEM dY91TRAFLESO BEAOIJOSSTTOBEAMOOWECRON LTDERWWQFSMEATM •ALdOLEDM:EIRSTVW HMSEW - JOJSTMANBERSB UMJOLSTEM •ALOORDAOBANEDO -becam RDB Whe CROSS SECTYON FLOOR SYSTD -FTQ•u JOLSTSBI6TDCdL BLCC2DPR FOLfDATJCPISYSTEM O9�DTIOMTO5UN'OATIJ2'FTR.YWODO -WMPMSOBEDROOMAWTWN - -31PT2g2CPOMWBRTRAD3.T TIES DCSTAUED PER MANFATIMEPS . OEACHJOJSTTOSEAMOONECRON VISRUCTUM -FT 242 LEVAN O EIMSTDi MOUSE M -bP60/Elt5O OERADDTpJ J"bU RIM O SA EACH JOIITBD DASTAU$PER M~ATWER3 FTDd2PJMOEARFFM �RLWTZ S •7N'31BPLOON El1ED AD NA6ED Page: 3 OF 3 I� A From: carter,jerr Sent: Friday, February 21, 2020 10:34 AM To: mark@soldcapecod.com' Subject: Permit/Application:TB-20-263 at 137 HORSESHOE LANE, CENTERVILLE,for Building - Addition/Alteration - Residential Good morning, Please be advised that we are currently reviewing your building permit request for 137 Horseshoe Lane. We have to deny your request at this time until further information is provided. Provide the following for our continued review: 1) R107.2 Plot plan -Provide a certified plot plan showing the location of the proposed project and distances from the property line to verify setbacks. 2) R107 Construction Documents-Provide a structural framing plan by a registered design professional with a "wet stamp"that details structural and load requirements as set by 780 CMR. 3) N1100.1 Energy efficiency-provide documentation that the project being proposed meets or exceeds the requirements for 2015 IECC as amended by 780 CMR. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof with the State Building Code Appeals Board within forty-five (45)days of this notice in accordance with MGL 143 c. 100 and 780 CMR. Feel free to contact me directly if there are any questions regarding the above requests._ OUIL ING DEPT. Respectfully, MAR 0 9 2020 Jeff Carter Local Inspector TOWN OF,BARNSTABLE Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 ti --9 lowdfafC-6 . Gl�Z C/�EC/L /�raeffeb - Ck'C-121b-la -Ge_S TP Dd®tiJ B ir F-a&1nc-1) *10ze W/ A/,67LG S - /v a 1— op.,- q� 1 RO Owl �►DDr raN�C, % jl�riP�oN C1� � 9L� C,9,2,vFiA?,f 19rvb I.eat undatesd; i 11'1 32D 1 R I�y� - 37i3 ` - _- ��a -�- --. �-..a. =Tcrav+ hotmctt co FF Boise Cascade Double 1-3/4" x 14" VERSA-LAM®2.0 3100 SP PASSED RB01 (Roof Beam) BWALC®Member Report Dry 11 span I No cant. / March 4,2020 10:28:39 Build 7555 Job name: File name: Address: 37 Horseshoe Ln Description: ? City, State,Zip: Barnsatble, MA, 02630 Specifier: Boise T, Customer: Hansen Designer: Stefan Richman�J Code reports: ESR-1040 Company: Mid Cape Home Centers 0 12 ,8-04-00 x 61 B2 Total Horizontal Product Length=18-04-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B 1, 5-1/2" 1449/0 2636/0 B2, 3-1/2" 1423/0 2589/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start. End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 18-04-00 Top 14 00-00-00 1 Ridge Beam Unf.Area(lb/ft2) L 00-00-00 18-04-00 Top 15 30 09-06-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 17313 ft-Ibs 51.9% 115% 4 09-03-00 End Shear 3368 Ibs 31.5% 115% 4 01-07-08 Total Load Deflection U348 (0.611") 51.7% n\a 4 09-03-00 Live Load Deflection U539(0.394") 44.5% n\a 5 09-03-00 Max Defl. 0.611" 61.1% n\a 4 09-03-00 Span/Depth 15.2 $u %Allow %Allow Bearing pportS Dim.(LxW) Value Support Member Material B1 Wall/Plate 5-1/2"x 3-1/2" 4086 Ibs n\a 28.3% Unspecified B2 Wall/Plate 3-1/2"x 3-1/2" 4012 Ibs, n\a 43.7% Unspecified 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 (U180)Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is based on IBC 2009. Design based on Dry Service Condition. Page 1 of 2 ' I Boise Cascade Double 1-3/4" X 14" VERSA-LAM®2.0 3100 SP PASSED r RB01 (Roof Beam) BCZCALC®Member Report Dry 1 span I No cant. March 4,2020 10:28:39 Build 7555 Job name: File name: Address: 37 Horseshoe Ln Description: City, State,Zip: Barnsatble, MA, 02630 Specifier: Boise Customer: Hansen Designer: Stefan Richman Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member d a c •� • a minimum=2" c= 10" b minimum=2-1/2" d=24" Bolts are assumed to be Grade A307 or Grade 2 or higher. Connectors are: 1/2 in. Staggered Through Bolt Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade 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. BC CALCO,BC FRAMER®,AJS-, ALLJOIST®,BC RIM BOARD-,BCI®, BOISE GLULAM-,BC FloorValue®, VERSA-LAW,VERSA-RIM PLUS®, Page 2 of 2 a r1R� �. AW.0 Guide to Wood Construction_in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Check Compliance 1.1 SCOPE Wind Speed (3-sec.gust)......................................................:.......... ................................................110 mph WindExposure Category.................................................................. .........................................::.............:....B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) I stories 5 2 stories _ ✓ RoofPitch ..........................................................................(Fig 2) ........................................... Gh <_ 12:12 MeanRoof Height ....................................................:..........(Fig 2)...................................................13 ft _<33' ✓ BuildingWidth,W...............................................................(Fig3 � Building Length, L ..............................................................(Fig 3).................................................R ft 5 80' Building Aspect Ratio(L/W) ............................I..........:.......(Fig 4)...................:...............:.............0.95 5 3:1 r/ Nominal Height of Tallest O enin z —T� 9 P g .............................:.....(Fig 4)................................................ '-6'8' 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2).:'.............................................................. 2.1 FOUNDATION -DIpmONi) PtC-/LS oTrncrte.b Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................................:........................................................:.......................... �i9Concrete Masonry................................................................... ....::.....................................:.................. 9 2.2 ANCHORAGE TO FOUNDATION1'3 (�(!� 6� ®0 7' 15&W �D/neCi- 7-p Q/W-% 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only ✓ .Bolt Spacing-general ................................. (Table 4)..................................... .... . 31D in. Bolt Spacing from endfjoint of plate ............................(Fig 5)..................................... in. <_6"-12" ✓ Bolt Embedment-concrete........................................(Fig 5)..........:.......................... in.,7" 2............ N 7,4 Bolt Embedment-masonry.........................................(Fig 5).......................... ................: in.z 15" N Plate Washer...............................................................(Fig 5)...............................................>_3"x 3"x'/a" 3.1 FLOORS Floor framing member spans checked ...............................(per'780 CMR Chapter 55) .t9.'!.<!/C. ...11...z�...J I/ Maximum Floor Opening Dimension..........:........................(Fig 6)................................. .............. ft_ 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6).........................:............. Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.......:........(Fig 7)................................:..................._ft <_d ✓, Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall....:...........(Fig 8).... .... ......�. ... ...... ft '5 d t/ Floor Bracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)... Floor Sheathing Thickness ............. ......... ...............I........(per 780 CMR Chapter 55).......... in. Floor Sheathing Fastening..........:........ .. ...... .... . .. ..... ....(Table 2)..._d nails at�in edge/�in"neld 4.1 WALLS Wall Height i q Loadbearingwalls.......:.............................. ......... . ..:..(Fig 10 and Table 5 ft 5 10' ✓( .9 ).................'. Non-Loadbearing walls................................................(Fig 10 and Table 5)...........................I ft <_20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... in. 5 24"6.6. Wall Story Offsets ........................................................(Figs 7&8)...........................................�ft <_d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls................................................ (Table 5).. ....................2x ft in. Non-Loadbearing walls.................................... ... ...(Table 5).. ...................: 2x�-_-2_ft in. 771. Gable End Wall Bracing / .Full Height Endwall Studs............................................(Fig 10) . ............. ...:........ ✓ / WSP Attic Floor Length:..............................................(Fig 11).... :........ ........................ ft 20/3 Gypsum Ceiling Length(if WSP not used)..................(Fig 11)............................................_ft z 0.9W and 2 x 4 Continuous Lateral Brace@ 6 ft. o.c. .. (Fig 11).......:............ ..... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)......................................kz ft Splice Connection(no. of 16d common nails).............(Table 6)........................................................... AWC Guide to K'ood Construction in High Wind Areas: 110 inph Wind Zone c Massachusetts Checklist for Compliance (780 CMR 5301.2.1..1)` Loadbearing Wall Connections Lateral (no.of 16d common nails)...............................(Tables 7)...........................Z)�......7*-- Non-Loadbearing Wall Connections Lateral (no. of 16d common nails)...............................(Table 8).............................��.... •.'j K! i� Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................. 7 ft P' in.<_ 11' ✓ Sill Plate Spans ........................................................(Table 9)..................................—ft—in.<_11' Full Height Studs (no.of studs)...................................(Table 9)......................................................... _(� ✓, Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Tpble 9) Header Spans.............................................................(Table 9)...................................Zft O in.<_12' SillPlate Spans...............................................:...........(Table 9)...................................—ft—in.<_12" Full Height Studs(no.of studs).....................................(Table 9)........................................................ v Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................. 568 !/ SheathingType.............................................(note 4)......................................................& ✓ Ed a Nail Spacing able 10 or note 4 if less ....................... in. Field Nail Spacing .........................................(Table 10).................................................�in. .i Shear Connection (no.of 16d common nails)(Table 10)........................................................ ✓ Percent Full-Height Sheathing.......................(Table 10)..................................................../00% ✓ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L , . <_ Nominal Height of Tallest Opening2...................................................................... 6'8" SheathingType.............................................(note 4)...................................................... Z-L— Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................... in. FieldNail Spacing.....................:...................(Table.11)................................................... in. .� Shear Connection(no.of 16d common nails)(Table 11)...................................................... . — ✓ Percent Full Height Sheathing.......................(Table 11)..................................................../P % ✓ 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)..................... ✓ Wall Cladding Rated for Wind Speed?............ 5.1 ROOFS ✓ Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ..................................................(Figure 19).............j2fft<_smaller of 2'or U3 ✓ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12). . . &e,..jWiffA.....W.! 5...U= plf Lateral......................................:......(Table L= plf y. Shear..............................................(Table 12).............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13).C.ol,�r�l2 ..rl.t �.T= plf _AZ Gable Rake Outlooker.........................................(Figure 20)............._ft<_smaller of 2'or U2 • Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. ✓ Lateral(no.of 16d common nails)...(Table 14)............................ ..........L= lb. ✓ Roof Sheathing Type....................................................(per 780 CMR Chapters 58 anq,59) ..5.9 e�,IDX, ............................................. din.z 7/16"WSP ✓ Roof Sheathing Thickness........................ TTTT���� Roof Sheathing Fastening...........................................(Table 2).......................................................... ✓ Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. ` AWC Guide to Wood Construction,in High Wind Arens: 110 mph Wind Zone Massachusetts Checklist for Compliance (7s0 Cnvz 5301.2.1.1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect.Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows; i. Panels shall be installed with strength axis parallel to studs. . ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. f' iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower,panel shall bemade to band joist and lower attachment mad_a to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered of 3 inches on center per figures below:Vertical'and Horizontal Nailing for Panel Attachment "WHEN THIS EDGE RESTS ON FAAh1ING USE 8d NAX3 - AT6b.c. t 11 11 41 i I 11 11 1 ' 11 11 11 II 11 11 1 11' 11 I1-- 1 11 Il _ K m +i ii a ' . II d fl if �• 1 11 1,0D I L 11 N 1 II � Il 11 I! 11 If IU 1 1 1 Q 11 i t W 1 If 11 I I V I I 1 1 ~ t II 11 tl 7s 1 - H t 1 II 11 1I 1 11 ... .11 Ilf.-r - DOUBLE EDGE ` NAILSPACM I t PANEt �.. See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 inph Wind Zone Massachusetts Cheddist for Compliance (780 CD1115301.2.LI)' 1 ��F 1 z= 1 t, r 1 I 1 � Ed I t I I 1 1 • Q W 1 Ij + FRAMING MEMBERS i r i EDGE NI ERMEDIAT£ 1 1 , , 1 I � s•GAIN. 1 1 e STAGGERED J*MK WNL PATTERN PANEL PANEL EDGE DOUBLE NAIL EDGE SPAMG DUAL Detail Vertical and Horizontal Nailing for Panel Attachment Y , S . 0 ® 0 0 ® o I DIVISION: 3100 00-EARTHWORK SECTION: 3160 00—SPECIAL FOUNDATIONS AND LOAD-BEARING ELEMENTS REPORT HOLDER: PIN FOUNDATIONS, INC. EVALUATION SUBJECT: DIAMOND PIER® DP-50 & DP-75 FOR BEARING PIN PIERS ICC ICC ICC PMG LISTED , IS "2014 Recipient of Prestigious Western States Seismic Policy Council man (WSSPQ Award in Excellence" ° I CI A Subsidiary of coDEoe Cauocre ICC-ES Evaluation Reports 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 ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. ISQAEC 17085 C.M.'fl.BWY flow Copyright° 2018 ICC Evaluation Service, LLC. All rights reserved. i ES Most Widely Acc . IMES Evaluation Report ESR-1895 Reissued December 2018 This report is subject to renewal December 2019. www.icc-es.org 1 (800)423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION:3100 00-EARTHWORK 3.2.2 Precast Galvanized Steel Anchor Bolt: The Section:3160 00-Special Foundations and Load- galvanized steel anchor bolt that is precast into the center Bearing Elements of the toy of the DP-50 concrete head measures a minimum /2 inch (12.7 mm) in diameter and complies with REPORT HOLDER: ASTM A307 as Grade A. The galvanized steel anchor bolt that is precast into the center of the top of the DP-75 PIN FOUNDATIONS,INC. concrete head measures a minimum 5/8 inch (15.9 mm) in diameter and complies with ASTM A307 as Grade A. EVALUATION SUBJECT: 3.2.3 Steel Bearing Pins: The four steel bearing pins DIAMOND PIER® DP-50 & DP-75 FOR BEARING PIN supplied with each pier are made of Type E, Grade A PIERS (electric-resistance-welded), Schedule 40, galvanized steel pipe complying with ASTM A53. For the DP-50, pins have 1.0 EVALUATION SCOPE a nominal 1-inch diameter [1.315-inch (33.4 mm) outside diameter; 0.133-inch nominal wall thickness]; and have Compliance with the following codes: a minimum nominal length of 36 inches (914 mm) or 2015, 2012, 2009 and 2006 International Residential 50 inches (1270 mm). For the DP-75 the pins have a Code®(IRC) nominal 1-114 inch diameter [1.66-inch (42.2 mm) outside diameter with a 0.140 nominal wall thickness]; and have a Property evaluated: minimum nominal length of 50 inches. Structural 4.0 DESIGN AND INSTALLATION 2.0 USES 4.1 Design: The Diamond Pier DP-50 and DID-75 bearing pin piers When installed in accordance with this report in minimum are used as foundations for the support of gravity loads allowable 1500 psf (71.8 kPa) soils per IRC Table for exterior decks, including covered decks, elevated R401.4.1, the DP-50 bearing pin pier with 36 inch walkways, stairway construction and accessory structures (915 mm) pins provides a 1.8 square foot (0.17 m2) as defined in the IRC. The bearing pin piers are permitted bearing area for supporting gravity loads; the DP-50 for use in any of the weathering classifications defined in bearing pin pier with 50 inch (1270 mm) pins provides a IRC Figure R301.2(3). 2.4 square foot (0.23 m2) bearing area for supporting. 3.0 DESCRIPTION gravity loads; and the DP-75 bearing pin pier with 50 inch (1270 mm) pins provides a 2.8 square foot (0.26 m2) 3.1 General: bearing area for supporting gravity loads. The bearing pin piers consist of a factory-fabricated, pre- When installed in accordance with this report in cast, diamond-shaped concrete head that has a galvanized minimum allowable 2000 psf (95.8 kPa) soils per IRC steel anchor bolt precast into the center of the top of the Table R401.4.1, the DP-50 bearing pin pier with 36-inch head; and galvanized steel bearing pins which are jobsite- (915 mm) pins provides a 1.8-square-foot (0.17 m2) installed through holes precast in the head, and driven into bearing area for supporting gravity loads; the DP-50 the underlying soil. See Figure 1. bearing pin pier with 50-inch (1270 mm) pins provides a 3.2 Materials: 2.2-square-foot (0.20 m2) bearing area for supporting gravity loads; and the DP-75 bearing pin pier with 50-inch 3.2.1 Concrete Head: The DP-50 concrete head (1270 mm) pins provides a' 3.2-square-foot (0.30 m2) measures 10 inches (254 mm) by 10 inches (254 mm) by bearing area for supporting gravity loads. 11 inches (279 mm) tall, weighs approximately 50 pounds (22.7 kg), and is formed from air-entrained, normal-weight• 4.2 Installation: concrete. The DP-75 concrete head measures 11 inches The site soil is prepared by digging a hole with a conical (279 mm) by 11 inches (279 mm) by 12 inches (305 mm) shape, approximately the shape of the base of the tall, weighs approximately 75 pounds (34.0 kg), and is concrete headand slightly deeper than the pier itself, formed from air-entrained, normal-weight concrete. The leaving loose soils directly below the head. The head is air-entrained concrete has a minimum compressive positioned in the hole to its midpoint, and braced as strength of 5500 psi (37.9 MPa) at 28 days, and a total air needed to plumb.- The bearing pins must then be slid content (percent by volume of concrete) of not less than through the holes in the concrete head, and driven into the 5 percent nor more than 7 percent, in accordance with IRC soil as recommended in the Pin Foundations published Section R402.2. installation instructions, leaving 3/4 inch (19.1 mm) of the /CC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed t as an endorsement of the subject of the report or a recommendation for its use.There is no HOarranty by ICC Evaluation Service,LLC,express or implied,as to any finding or other matter in this report,or as to any product covered by the report. m Copyright 0 2018 ICC Evaluation Service,LLC. All rights reserved. Page 1 of 2. i ESR-1895 1 Mdst Widely Accepted and Trusted Page 2 of 2 pin protruding from the upper surface of the pier. Once the 5.5 The bearing capacity of the site soil must be dead loads have been applied to the pier, the length of the determined in accordance with IRC Table R401.4.1. If protruding bearing pin must be verified and adjusted as presumptive soil capacity cannot be assumed in necessary to 3/4 inch (19.1 mm). The exposed end of the accordance with the IRC Table R401.4.1, the code bearing pins must then be capped and sealed as official may request a soils report. recommended in the Pin Foundations published installation 5.6 The capacity of the bearing pin piers to resist lateral instructions. The minimum spacing of the installed bearing and/or uplift loads was not evaluated for this report. pin piers is 3 feet(0.91 m)on center. 5.0 CONDITIONS OF USE 5.7 Use of the bearing pin piers where soil constituents, The Diamond Pier DP-50 and DP-75 bearing pin piers changing water levels or other factors indicate described in this report comply with, or are suitable possible deleterious effects on the pier foundation assembly, is beyond the scope of this report. alternatives to what is specified in the code indicated in Section 1.0 of this report, subject to the following 5.8 Use of the bearing pin piers is limited to structures conditions: regulated by the IRC. 5.1 The bearing pin piers must be installed in accordance 6.0 EVIDENCE SUBMITTED with the Pin Foundations, Inc. published installation Data in accordance with the [CC-ES Acceptance Criteria instructions, the IRC and this report. In the event of a for Bearing Pin Piers(AC336), dated June 2016. conflict between this report and the Pin Foundations, Inc. published installation instructions, this report 7.0 IDENTIFICATION governs. 7.1 Each pallet of Diamond Pier DP-50 and DP-75 5.2 Wood in contact with the concrete head and precast precast concrete heads is labeled with the Pin galvanized steel bolt must be protected against decay Foundations, Inc., name and address; the product and subterranean termites in accordance with 2015, name(Diamond Pier DP-50, or Diamond Pier DP-75); 2012 and 2009 IRC Sections R317 and R318, the evaluation report number (ESR-1895); the and 2006 IRC Sections R319 and R320, as manufacturing date and lot number; and the phrase, applicable. Compatibility of the concrete head and "For Use with One- and Two-Family Dwelling precast galvanized steel bolt with wood treatments Construction Only." not described in 2015, 2012 and 2009 IRC Sections R317 and R318; and 2006 IRC Sections R319 and Each bundle of bearing pins is labeled with the Pin R320, as applicable must be established based on a Foundations, Inc., name and address; the product current ICC-ES evaluation report on the wood name(Diamond Pier DP-50, or Diamond Pier DP-75); treatment. the evaluation report number (ESR-1895); and the phrase, "For Use with One- and Two-Family Dwelling 5.3 In areas requiring frost protection, exterior decks on Construction Only." bearing pin piers as described in Section 2.0 may be 'connected to and supported by a dwelling when 7.2 The report holder's contact information is the approved by the code official. See IRC Section following: R403.1.4.1, Exception 3, as applicable. PIN FOUNDATIONS,INC. 5.4 Frost protection for accessory structures defined by 4810 PT.FOSDICK DRIVE NW the IRC is beyond the scope of this report, except PMB 60 free-standing accessory structures constructed in GIG HARBOR,WASHINGTON 98335 accordance with IRC Section R403.1.4.1, Exceptions (253)858-8809 1 or 2,where frost protection is not required. www.pinfoundations.com Pd a Al /moo a. ,a FIGURE 1—DIAMOND PIER DP-50 and DP-75 I CHARLES D. BAKER GOVERNOR JOHN C.CHAPMAN Commonwealth of Massachusetts CONSUMERA FAIRS AND KARYN E. POLITO BUSINESS REGULATION LIEUTENANT GOVERNOR Division of Professional Licensure CHARLES BORSTEL JAY ASH Office of Public Safety and Inspections COMMISSIONER,DIVISION OF SECRETARY OF HOUSING AND PROFESSIONAL LICENSURE ECONOMIC DEVELOPMENT 1 Ashburtonl Place, Rm 1301 . Boston • Massachusetts • 02108 GUIDELINES FOR USE UNDER 780 CMR SECTIONS R104.11(RESIDENTIAL CODE) &104.11 COMMERCIAL\BASE CODE) ALTERNATIVE MATERIALS,DESIGN AND METHODS OF CONSTRUCTION&EQUIPMENT This document is issued to assist building code enforcement officials and other interested parties in determining whether or not Pin Foundations, Inc., DP-50 and DP-75 Diamond Pier Foundations, or similar systems, demonstrate compliance with the Massachusetts State Building Code, both Residential and Commercial\Base Volumes for use in the commonwealth. The information is presented in question and answer format for ease of understanding. This document is neither a blanket approval nor an endorsement of the referenced foundation systems. Rather, it is intended to present methodologies by which pin foundation systems, similar systems, or any alternative material or method, may be reviewed and approved by a building code enforcement official for code compliance. Question: Are Pin Foundations, Inc., DP-50 and DP-75 Diamond Pier Foundation Systems considered acceptable for use in accordance with 780 CMR (the Massachusetts State Building Code)? Answer: Yes. In explanation, 780 CMR Section R104.11 Alternative Materials, Design and Methods of Construction and Equipment states: "The provisions of 780 CMR are not intended to prevent the installation of any material or to prohibit any design or method of construction not specifically prescribed by 780 CMR, provided that any such alternative has been approved. An alternative material, design or method of construction shall be approved where the building official finds that the proposed design is-satisfactory and complies with the intent of the provisions of 780 CMR, and that the material, method or work offered is,for the purpose intended, at least the equivalent of that prescribed in 780 CMR in quality, strength, effectiveness,fire resistance, durability and safety". Section R104.11.1 Research Reports indicates that "Supporting data, where necessary to assist in the approval of materials or assemblies not specifically provided for in 780 CMR, shall consist of valid research reports from approved sources The International Code Council (ICC) has published Evaluation Services Report (ESR) 1895 specific to Pin Foundations, Inc., DP=50 and DP-75 Diamond Pier Foundation Systems for use as foundations to support gravity loads for exterior decks, including covered decks, elevated walkways, stairway construction and accessory structures in any weathering classifications as defined in,IRC Figure R301.2(3)..In general,the report indicates that the pin piers, which consist of a factory-fabricated, precast, diamond-shaped concrete head with a galvanized steel anchor bolt cast into the center and jobsite-installed galvanized steel bearing pins,are suitable for most conditions . . . when installed in accordance with this report in minimum allowable 1500 ps.f soils per IRC Table R401.4.1". ' 780 CMR Table R301.2 (1) establishes a frost'line depth of 48 inches and a severe weathering potential for Massachusetts. When installed in accordance with.ESR-1895,the pin footings provide adequate bearing area for ilft4) TELEPHONE: (617)727-3200 FAX: (617)727-5732 http://www.mass.gov/dps 1 -supporting gravity loads in compliance with the code. However, ESR-1895 is not a blanket approval of the product. Like any material used in the construction of a building, pin piers must be clearly detailed on plans and specifications submitted for permit as required by 780 CMR Section R107, identifying the type of system used,pin length and soils conditions. Ultimately,it is the responsibility of the building code enforcement official to determine that the product, as detailed,is satisfactory and complies with the intent of the code. In determining code compliance,the following conditions shall be considered. 1. Model DP-50 and DP-75 Diamond Pier foundations shall not be installed in Massachusetts with steel bearing pins of a length less than 50 inches. 2. Installation of Model DP-50 and DP-75 Diamond Pier foundations in Massachusetts shall conform to the supplied Pin Foundations Inc. published installation manual, the most recent version of the Residential Diamond Pier Load Chart,and ICC Evaluation Service Report(ESR) 1895. 3. Installation and use of the Model DP-50 and DP-75 Diamond Pier foundations in Massachusetts shall not be permitted in soil conditions that are not suited to support the system. (Please refer to the most recent version of the Residential Diamond Pier Load Chart.) 4. Installation and use of the Model DP-50 and DP-75 Diamond Pier foundations in Massachusetts shall not be permitted for structures with asymmetrical,rotational, overturning,or dynamic forces. (Please refer to section 2.0 of ICC-ES Report ESR-1895.) If all conditions are meant as herein specified, the building code enforcement official shall approve the use of Pin Foundations,Inc.,DP-50 and DP-75 Diamond Pier Foundation Systems under 780 CMR Section R104.11 with supporting documentation as required by 780 CMR Section R104.11.1 and identified below. Since pin foundation systems are pre-engineered, no further professional design services (RDP) are required for the submission of plans and\or specifications for use under the residential code. At minimum,supporting documentation shall include (supporting documentation should be stored with the building permit file): • ICC Acceptance Criteria for Bearing Pin Piers(AC336) • ICC-ES Report ESR-1895 (Diamond Pier DP-50&DP-75 for Bearing Pin Piers) For additional information as it relates to this product,please see refer to the following documentation available on-line. • Diamond Pier Foundation System: Code Compliance Information for Diamond Pier Foundations in the State of Michigan • Diamond Pier Foundation System: Code Compliance Information for Diamond Pier Foundations in the State of Minnesota • Residential Diamond Pier Load Chart(http://pinfoundations.com/) • Wisconsin Department of Safety and Professional Services: Industry Services Division - Wisconsin Building Product Evaluation (Product#201612-0) Question: What about other types and models of pin foundation systems for larger residential and\or other buildings designed under the Commercial\Base Code;are they acceptable for use in Massachusetts as well? REScheck Software Version 4.6.5 Compliance Certificate Project 137 Horshoe Lane Energy Code: 2015 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) " Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: . 37 Horseshoe Lane Barnstable, MA 02623 EEE Compliance: 7.2%Better Than Code Maximum UA: 69 Your UA: 64 The%Better or o"rse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Wall 1: Wood Frame, 16"D.C. 432 21.0 0.0 0.057 20 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 36 0.300 11 Door 1: Glass 38 0.300 11 Wall 2: Wood Frame, 16" D.C. 54 15.0 0.0 0.077 4 Ceiling 1: Cathedral Ceiling 370 38.0 0.0 0.027 10 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 324 39.3 0.0 0.026 8 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 1 of 9 REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate,table, a reference to that table is provided. Section Plans Verified Field'Verified .,~, Pre-Inspection/Plan Review Complies? ." Comments/Assumptions & Re .ID Value Value 103.1 ;Construction drawings and ,. ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the ;building envelope.Thermal " ��_ r ❑Not Observable 3 ❑Not A li envelope represented on pp'cable ;construction documents. 103.1, :Construction drawings and ❑Com lies 103.2, .documentation demonstrate (❑Does Not 403.7 ;energy code compliance for .;, <, �3 [PR3]1 'lighting and mechanical systems -]Not Observable (Systems serving multiple EINot Applicable dwelling units must demonstrate ` ;compliance with the IECC lCommercial Provisions. x 302 "Heating and cooling equipment is Heating: Heating: a❑Complies 403.7 (sized per ACCA Manual S based Btu/hr F Btu/hr ;❑Does Not [PR2Fv Gaon loads calculated per ACCA Cooling: a Cooling: 1 `e Manual J or other methods Btu/hr ° Btu/hr :[-]Not Observable approved by the code official. t 3❑Not Applicable a 3 Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 2 of 9 Section # Foundation Inspection Complies? Commennts/Assumptions ,&Req.;I' J, 363.2 1 A protective covering is installed to ;❑Complies [FO11]2 protect exposed exterior insulation ❑Does Not �> and extends a minimum of 6 in. below grade. 1❑Not Observable ❑Not Applicable 403.91 .�� Snow-and ice-melting system controls;❑Complies [FO12]2 linstalled. ❑Does Not ❑Not Observable F❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 3 of 9 Section Plans Verified Field Verified #" gaming/Rough-in Inspection Complies? Comments/Assumptions &" .ID Value Value ' 402.1.1, Glazing U-factor(area-weighted U- U- ;❑Complies ;see the Envelope Assemblies 402.3.1, 3average). t S ;❑Does Not table for values. 402.3.3, 402.5 F ;❑Not Observable [FR2]1 '❑Not Applicable s t 3 303.1.3 31 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance ,- � m❑Does Not t with the NFRC test procedure or ;taken from the default table. -]Not Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier " �� ❑Complies [FR23]1 'installed per manufacturer's I r []Does Not instructions. ;r& ,. �„ ❑Not Observable El Not Applicable 402.4.3 I Fenestration that is not site built ❑Complies [FR20]1 its listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC # ]❑Not Observable 1400 that do not exceed code ❑Not Applicable y }limits. � ;r t 1M1 3 402 4.5 1 IC-rated recessed lighting fixtures ❑Complies [FR16]2 isealed at housing/interior finish # j❑Does Not w . and labeled to indicate 152.0 cfm leakage at at 75 Pa. [E]Not Observable I❑Not Applicable 403.3.1 ;Supply and return ducts in attics , j; , ;,„ ❑Complies [FR12]1 (insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >= ; R-6 where < 3 inches. Supply and ❑Not Observable m �, ta.,, �� x return ducts in other portions o ❑Not Af pplicable the building insulated >= R 6 for ;diameter>= 3 inches and R-4.2 = .for< 3 inches in diameter. �' �r. r 403.3.5 ;Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not 3 ]❑Not Observable IE]Not Applicable 4034, HVAC piping conveying fluids R- R- ,❑Complies [Fil`7]2 'above 105°F or chilled fluids iElDoes Not below 55 9F are insulated to >_R- 33 i ;❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR24]1 piping. ❑Does Not { M❑Not Observable ; ❑Not Applicable 403 5.3 Hot water pipes are insulated to R- R- 3❑Complies [FR38j2 >_R 3. ❑Does Not ❑Not Observable ' ;❑Not Applicable 403 6' ' `Automatic or gravity dampers are ❑Complies [FR19)2 installed on all outdoor air ❑Does Not 3 r- intakes and exhausts. gab . 4 ❑Not Observable f❑Not Applicable Additional Comments/Assumptions: 11 High Impact (Tier 1) 111 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 4 of 9 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 ` Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 5 of 9 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies CommentslAssumptions „.� 30, '.i �All installed insulation is labeled ; � :� � -� �. ��" , ❑Complies [IN13]z J or the installed R-values ❑Does Not ; provided. ❑Not Observable 4❑Not Applicable j 402.1.1, Floor insulation R-value. R- R- ;❑Complies See the Envelope Assemblies 402.2.E i ❑ Wood ;❑ Wood UDoes Not a table for values. [IN1]1 Steel E❑ Steel ;❑Not Observable f ❑Not Applicable 303.2, !Floor insulation installed per ." ❑Complies 402.2.7 manufacturer's instructions and ❑Does Not [IN2]1 :in substantial contact with the 1 underside of the subfloor, or floor A; W,❑Not Observable .framing cavity insulation is in Not Applicable ;contact with the top side of = ;sheathing, or continuous ; insulation is installed on the . underside of floor framing and extends from the bottom to the b- top of all perimeter floor framing members. ; - 402.1.1, 1 Wall insulation R-value. If this is a;, R- R ;❑Complies :See the Envelope Assemblies 402.2.5, !!mass wall with at least 1/z of the 1❑ Wood ;❑ Wood :[]Does Not :table for values. 402.2.6 ;wall insulation on the wall [IN3]1 ;exterior,the exterior insulation =❑ Mass f❑ Mass ❑Not Observable requirement applies(FR10). ;❑ Steel $❑ Steel ;❑Not Applicable f f f I f f f 3 1 I 303.2 ;Wall insulation is installed per Complies [IN4]1 (manufacturer's instructions. _ ❑Does Not I ' j❑Not Observable R i❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 6 of 9 Section Final lns ectionProvisions r" . Plans Verified, Field Verified �� �� ' P Value Value Compiles? Comments/Assumptions . & Re .ID = 402.1.1, ;,Ceiling insulation R-value. R- R- l❑Complies ;See the Envelope Assemblies 402.2.1, ❑ Wood ;❑ Wood l❑Does Not 1 table for values. 402.2.2, 402.2.E ❑ Steel ;❑ Steel ;❑Not Observable 3 [Fill' ; ❑Not Applicable � 6 t 303.1.1.1, ;Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]' Blown insulation marked every ` 300 ft2. ❑Not Observable .p ❑Not Applicable 402.2.3 s Vented attics with air permeable ❑Complies [Fl22]2 insulation include baffle adjacent I❑Does Not to soffit and eave vents that :%� extends over insulation. ❑Not Observable ]ONot Applicable 402.2.4 ;Attic access hatch and door R- R ;❑Complies [FI3]' insulation >_R-value of the i ;❑Does Not ;adjacent assembly. s f❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 flComplies [FI17]' lach in Climate Zones 1-2, and ;❑Does Not <=3 ach in Climate Zones 3-8. l ;❑Not Observable ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]' ;cfm/100 ft2 across the system or l ft2 F ft2 ;❑Does Not l <=3 cfm/100 ft2 without air I handler @ 25 Pa. For rough-in l ;❑Not Observable ;tests,verification may need to l ;❑Not Applicable ;occur during Framing Inspection. E ; 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]' determine air leakage with 3 ft2 ft2 ;❑Does Not either: Rough-in test:Total leakage measured with a ;❑Not Observable pressure differential of 0.1 inch :❑Not Applicable w.g.across the system including f r ;the manufacturer's air handler ; ienclosure if installed at time of 1 ;test. Postconstruction test:Total l ' leakage measured with a pressure differential of 0.1 inch t w.g.across the entire system l l including the manufacturer's air l handler enclosure. 403.3.2.1 IAir handler leakage designated ❑Complies [FI24]' "by manufacturer at<=2%of r� J❑Does Not design air flow. ❑Not Observable ❑NotApplicable, 40.1. j Programmable thermostats ❑Complies (FI9]2 installed for control of primary ,.M ❑Does Not l 4heating and cooling systems and , - initially set by manufacturer to ❑Not Observable m code specifications. " ,� r ❑Not Applicable 40312 JHeat pump thermostat installed #❑Complies [FI10]21 on heat pumps. f ❑Does Not '' ' ''']❑Not Observable ❑Not Applicable l 403 5 3 "Circulating service hot water A Complies [Fill]? systems have automatic or r ❑Does Not Ai , ✓accessible manual controls. g❑Not Observable ; ., ❑Not Applicable 1 I High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 7 of 9 r Section Plans Verified Field Verified ,# Final Inspection Provisions u Value Value Complies? Comments/Assmptions &Re ID 403.6.1 All mechanical ventilation system 1� ❑Complies [FI25)2 Mans not part of tested and listed „ ❑Does Not HVAC equipment meet efficacy Nrs and air flow limits. #;h ❑Not Observable s ❑Not Applicable 403.2 Hot water boilers supplying heat El Complies ; [FI26]2 Ithrough one-or two-pipe heating I❑Does Not 'systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable temperature. 403:SAA Heated water circulation systems ❑Complies [F128]2 have a circulation pump.The I❑Does Not system return pipe is a dedicated ❑Not Observable " return pipe or a cold water supply vable o �a� • „ ❑Not Applicable er pipe. Gravity and thermos- a syphon circulation systems are 3 not present.Controls for „ circulating hot water system pumps start the pump with signal . for hot water demand within the occupancy. Controls l %& ,A automatically turn off the pump when water is in circulation loop ;is at set-point temperature and no demand for hot water exists. r- 4035`.1.2 Electric heat trace systems05, ❑Complies [F129)2 comply with IEEE 515.1 or UL ❑Does Not 515. Controls automatically - adjust the energy input to the 0 ❑Not Observable heat tracing to maintain the �` ,'" `' "❑Not Applicable desired water temperature in the a piping. 4015 2 Water distribution systems that ❑Complies [FI3012 have recirculation pumps that ❑Does Not pump water from a heated water supply pipe back to the heated ❑Not Observable „ water source through a colds , '� �� ��-`)❑Not Applicable water supply pipe have a demand recirculation water system. Pumps have controls l that manage operation of the Jr a pump and limit the temperature of the water entering the cold . water piping to 1049F. A 403t$.4 Drain water heat recovery units _❑Complies [FI31]2tested in accordance with CSA ' ❑Does Not B55.1. Potable water-side ;- pressure loss of drain water heat $❑Not Observable ; recovery units < 3 psi for ��' � ❑Not Applicable individual units connected to one or two showers. Potable water- , �, - ,)side pressure loss of drain water heat recovery units < 2 psi for individual units connected to ; three or more showers. 404.1 i 75%of lamps in permanent A ❑Complies (F16)1 'fixtures or 75%of permanent a ❑Does Not ;fixtures have high efficacy lamps. I Does not apply to low-voltage ❑Not Observable _ alighting. ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies (FI23]13 no continuous pilot light. ElDoes Not j ❑Not Observable ' r ❑Not Applicable j 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justin.gelinas\Desktop\37 Horseshoe Lane,.rck Page 8 of 9 Section, ' PlansVerified Field-Verified Flnai n"spectlon Provisions Compiles? Comments/Assumptions & Re .ID' Value Value ;t 401.3 Compliance certificate posted. ❑Complies [Fi712 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for , ❑Complies [FI18j3 !mechanical and water heating ;_ ❑Does Not systems have been provided. a '� ❑Not Observable ; J❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2. Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 37 Horshoe Lane Report date: 03/02/20 Data filename: C:\Users\justip.gelinas\Desktop\37 Horseshoe Lane,.rck Page 9 of 9 Effidency. Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 39.30 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): de.. Mau _r m Window 0.30 Door 0.30 Heating System: Cooling System: Water Heater: Name• Date: Comments �pF1NE Tp��p� Town of Barnstable BARNSTABLE. Regulatory Services Y MASS. 1639• Building Division prFO MA'S a, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice x Type of Inspection Location A-�S er- it Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: c �4 Please call: 50 -862-4038 f r re-inspection. Inspected by Date LQ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t 1 Map Parcel /c S Application # M CDV �� Health.Division Date Issued �J� Z- Conservation Division_ \lI Application Fee U Planning Dept. Permit Fee 634 Date Definitive Plan Approved by Planning Board i'a ?130I1Z Historic - OKH _ Preservation / Hyannis Project Street Address 1 &7 [76 rr>,�h ®C, Lcc.Y�'C— Village k c V i Owner M% CAA g --v0�1,A_ sc,�_t" Address Telephone Permit Request a ,L'e 1� a` af'es1�n a�po Vr_AA 5!4A VJ 0_0�_VA.Q JC V tnk 5,q)M LDCI\ tIUA)M QACI,)f� CL YY)OL Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new � Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 12/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) O Basement Unfinishe rea(sq.ft) Number of Baths: Full: existing ` new Half: existing new Number of Bedrooms: 3 existing\ new --a ZF Total Room Count (not including baths): existing new First Floor Room Count= ....2 :5 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 t© new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1r. 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 QaC'�,� 11M d Telephone Number Address ►M S License # Z-9 4 C� CkYv\o'rc— MNA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 16 s` SIGNATURE DATE k FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. ortVE Town of.Barnstable y Regulatory Services HAR1tsrABLE Thomas F. Geiler, Director MASS. i6yg. ��� Building Division a AtA Thomas Perry, CB0,Building Commissioner 200 Main Street, Hyanais,MA 02601= www.town.:barnstable.ma.us - i Office: 508-862-4038 Fax: 508-79&6230 PLAN REEV Owner: Map/Parcel: —10-7 f ZS Project Address 137 j)oR-WJ4o£ L.IJ Builder: The following items vvere noted on reviewing: d� J n a o� a� BD2a. kEl�� 5 MOKIE CO bETFjC7V2 Lk P&eAD fc /U CLJ A ELk 3}how a ON PL# rNS Rwr N oT Xtj' AP o��AId � k� '/® l--V L CA,t CULA-4 i 6 rJ S NOT 6KCL ; F i4l,� 7i'/q/l21 LF,r..Mrs Reviewed by: Date: 7 7hL - The Commonwealth of Massachusetts Department of Indiiitrial Accidents Office of Investigations 606 Washington Street Boston, MA 02111 n".mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLribly Name (Business/Organization/Individual): Address: City/State/Zip: o�Y1JD�C. Phone#:_ 5P& 3CP 2?7 Are you an employer?Chick the appropriate box: Type of project(required): 1.El am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction mployees(full and/or part-time). , 2. 1 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' insurance.$ 9: ❑Building addition comp.[No workers' comp.insurance P• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 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 and job site information Insurance Company Name: Ai1wi -k U CAU 'n6.11 Policy#or Self-ins. Lic.#: WW.QcR-1(Q 3 cc Expiration Date: Job Site Address:_ � kADfSex-V%cx ,rzI 1Y �L /StatZiP CnkrJe/ 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebycer ' nder the ai an penalties of perjury that the information provided above is true and correct; Signature: Dater 2 " 210\2 Phone#: �Q �r� 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 Cont#ct Person: Phone#: f Page 1 of 1 OqU r, `Town of Barnstable Regulatory Services anaB{AM t E Thomas F.Geller,Director °lEo i Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA'02601 - wwrv.town.barnstablo.ma.us Office: 508-8624038 Fax: 508-790-623t Property Owner Must Complete and Sign This Section If Using A Builder _14 r s ,as Owner of the subject plop" hereby authorize /I I!/� �t?�✓/��l��/D/US - to act on my behalf, in all matters relative to work authorized by this building permit. 13T glt-VS G� (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 inspections are performed and accepted.. Signature of Owner "atureoft r Is- Print Name Print Name Date 0:17ORMS:OWNFRPARM1SSIMPAM S 6nn19 http://ne l.attach.mail.ymail.com/us.fl 258.mail.yahoo ycoTn/ya/securedoWnload?mid=2%5f... 6/27/2012 I lassachusctts- Dclyartment of Public Safeo Boat of Building Re,,ulations anti Standat•tls r: Construction Supervisor License License: CS 92944 l 4> DEREK J TIMO t. 12 TECUMSEH RD . SAGAMORE BEACH, MA 02562 I F- Expiration: 4/19/2013 Tr#: 15827 n f \ Office of•co uin r aialA i en ss egu ahr"on HOME IMPROVEMENT CONTRACTOR Registration: .,,;;152227 Type: G f Expiration: :8/1.0/2012 DBA JL T CONSTRUCTION ' `0 73 - DEREK TIMOP? -0 12 TECUMSEH RDA,: SAGAMORE BEACHt`MA'<Q2562' Undersecretary A FVC Crcide to Wood Construction in High Whid Areas: 110 mph Wirid Zorie Massacliusetts Checklist for Compliance (780 CA1115301.2.1.1)i Check Compliance 1.1 SCOPE WindSpeed(3-sec. gust).......................................................:.......... ...........................:.....:.............. 110 mph Wind Exposure Category I .................................................................. .......................:................:....................B : Wind Exposure Category................Engineering Required For Entire Project'..:........................:............0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)_ stories _<2 stories RoofPitch...........:....................:............................................(Fig 2) ............................................ c' :512:12 Mean Roof Height ..............................................................(Fig 2)........::...........................:......:.... 2.ft 5 33' Building Width,W .......................:...:....::...:....:.:.......:.......:..(Fig 3)..........:....: .................. ' ft 5 80' Building Length, L ...................................................."...........(Fig 3).................................................. 5 BO' Building Aspect Ratio(L/W) ...............:....:.....:..:..........:.....:.(Fig 4):.........:..........:.:.....::....::.:.:........ �<_3:1 Nominal Height of Tallest Opening2 ....................................(Fiig 4)................................................V Oil s 6'8° 1.3 FRAMING CONNECTIONS General compliance with framing connections........ ........(Table 2)......:... ......... ...................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...............................................:.. .. :........ ..... ....:.... ..............:.... :. ....:......... / y . Concrete Masonry..................................................................... ..... ...:.................. ....... . .. . ............... 2.2.ANCHORAGE TO FOUNDATION"' - 5/8"Anchor Bolts,imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ............................. .........: (Table 4).......... .. __145in. Bolt Spacing from endfjoint of plate ...............a............(Fig 5).....:.....:. ...::.... .:........ in. 6"—12" Bolt Embedment—concrete................... .......(Fig 5)............. ..........A in.>_7' Bolt Embedment—masonry...... ............ (Fig 5).. ............ in.>_15 Plate Washer.......................................................... ...(Fig 5).... ................. .............. >3"x3"x,/" 3.1 FLOORS Floor-framing member spans checked .................... .........(per 780 CMR Chapter 55)................... ............. Maximum Floor Opening Dimension:.'...............::...:. ......:.(Fig 6)... Z ft:5 12' ....... ............ ........... . Full Height Wall Studs at Floor Openings less than 2 from Exterior Wall(Fig 6)..... ......... Maximum Floor Joist Setbacks / Supporting Loadbearing Walls or Shearwall...... .........(Fig 7)... ............................... .......:./ft 5 d Maximum Cantilevered Floor Joists { Supporting Loadbearing Walls or Shearwall........ ........(Fig 8)... ......... ..................... ........... ft _<d �✓ FloorBracin at Endwalls................g ........................:...........(Fig 9)................................................................... Floor Sheathing Type ........: ................ .......:...:..(per 780 CMR Chapter 55)........................ Floor Sheathing Thickness ... ....(per 780 CM Chapter 55)....:...................�in. Floor Sheathing Fastening.... :. ::.:(Table 2).. d nails at edge/min field 4.1 WALLS Wall Height ` Loadbearing walls ...(Fig 10 and Table 5) _ft <10, Non-Loadbearing walls....................................................(Fig 10 and Table 5)...........................=ft s 20' .....(Fig 10 and Table 5 Ib in.5 24"o.c. Wall Stud Spacing ............ .....:.:......... { g ).................. Wall Story Offsets ' ....................: .......................:..::..(Figs 7&8) .... .............. ..... < d. y 4.21 EXTERIOR WALLS' Wood Studs Loadbearing walls ......... ......... ......... ..................(Table 5)..............................2x�0- ft s in. _ Non-Loadbearing Walls .......: ..............................(Table 5).................................2x:6:, ft ' in. Gable End Wall Bracing' Full Height Endwall Studs ........(Fig 10)... ............ WSP•Attic Floor Length... fig ).: ?Fi 11 ......... ............... ft W/3 'Gypsum Ceiling Length(if WSP not used) :............:.(Fig 11)............_:......:...... -.......:..._ft_0.9W - and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).::.......................::................................. or 1 x 3 ceiling.furring strips @ 16":spacing min.with 2 x.4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate \ 4 Splice Length ............ ......... .............................(Fig 13 and Table 6)........ .. V Splice Connection (no.of 16d common nails)..............(Table 6).............................:.....:.. j A�VC Ci►i(le to l•Voorl Constiructioii iii Higli ld,'iizd Areas: 110 szpli l-Vind Zone Massachusetts Checklist for Compliance (7so C)RR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Ta le 9) Header Spans ..................:...... .......................(Table 9).................................. (oft in.5 11' Sill Plate Spans ........ ....................(Table 9).................................. (e ft in.5 1 V 4-. Full Height Studs (no. of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) / j Header Spans...................`..........................................(Table 9).................................. IS ft in.5 12' V Sill Plate Spans...........................................................(Table 9)...................................rXft in.<_ 12" Full Height Studs (no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension,W Norninaf Height of Tallest Opening2 ............................................................................... 5 6'8" 77 Sheathing Type.... ........................................(note 4)...........:.......................................... LP X Edge Nail Spacing.........................................(Table 10 or note 4 if less).....................:. in. Field Nail Spacing..........................................(Table 10)...................................`............ in. Shear Connection(no. of 16d common nails)(Table 10)......:............:........:......::.................._ Percent Full-Height Sheathing............:.......:...(Table 10)..................................................._% 5%Additional Sheathing for Wall with Opening > 6'8'(Design Concepts).................... Maximum Building Dimension, L t, ✓ Nominal Height of Tallest Opening 2........................................................................0 Sheathing Type........................................:.....(note 4).........: .... ....................................... (70 A4: Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................_3 in. Field Nail Spacing.......................................: (fable 11)..............................I............,.......(,Q in. Shear Connection(no. of 16d common nails)(Table 11) Percent Full-Height Sheathing.......................(Table 11)....................................................,AL% 5%Additional Sheathing for Wall with-Opening>6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .................:..................................(Figure 19) .............� ft 5 smaller of Tor V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 12)............................................U=_�!'_plf Lateral.............................................(Table 12).......::....................................L=�plf Shear...............................................(Table 12)............................................ Of - Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................. '--\-plf Gable Rake Outlooker.....................................:....(Figure 20) ............. ft 5 smaller of 2'or L/2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors / Uplift................................................ able 14 ......................U= \ lb. Lateral(no.of 16d common nails)...(Table 14).....................................:.L=_�S-Ib. Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness.....................................:..... ............................................. in:_>7/16"WSP Roof Sheathing Fastening:...........................................(Table 2).....................:................................... Notes: 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure'14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. ' Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-gr6de. i Y E e MEMBER REPORT Level,Floor.Flush Beam PASSED 2 piece(s) 13/4" x 11 7/8" 1.9E Microllam0 LVL Overall Length: 11'11" D �"- s.�,r7` ,....�..—s.•.. _ J .��^g man_ ti'�i, 35" a...c <: y All Dimensions Are Horizontal;Drawing is Conceptual ` s DesignResUitS` ? fi€ .:_iCca,ae�toe� ofiAtlowtuf 1)sL} Foa ;Corebiiiatioh(Patl�ern�x .. System:Eloor y Member Reaction(Ibs) 2175 @ 2" 3347 Passed(65%) -- 1.0 D+1.0 L(All Spans) member Type:Flush Beam Shear(Ibs) 1737 @ 1'3 3/8" 7897 Passed(22%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 6230 @ T 11 1/2" 17848 Passed(35%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.117 @ 5'11 1/2" 0.290 Passed(L/999+) -- 1.0 D+1.0 L(All Spans) Design methodology:ASD Total Load Defl.(in) 0.180 @ 5'11 1/2" 0.579 1 Passed(U771) -- 1.0 D+1.0 L(All Spans) Deflection criteria:LL(1.1480)and TL(1/240). Bracing(W):All compression edges(top and bottom)must be braced at 11'8 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. r 'j`' y � '-a-C�'.. aY BeBnOg igngttf3 _<� r, -Lodds,^fi0.5 ppbr��(Ibs)S„ k� r 3 1-Stud wall-SPF 3.50" 2.25" 1.50" 782 1430 2212 1 1/4"Rim Board 2-Stud wall-SPF 3.50" 2.25" 1.50" 782 1430 2212 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above It,bypassing the member being designed. LOad;i��,',• �-ioea6on. � ,i,-1l�fc��-;`�'��d� ,. .��sr Commert �,a;��� �=� 1-Uniform(PSF) 0 bo li'11" 12' 30.0 20.0 Residential-Living Areas /� # i dti, (Z�SUSTAINABLE FORESTRY INITIATIVE l Weyer aeyser�Notes x r � D' > ... —W _� �.. - „ Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly 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.Use 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 7l20/2012 8:48:22 AM Forte v3.5,Design Engine:V5.5.3.2 timo construction-37 horseshoe lane.4te y ( ) Page 1 of 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3 Map Parcel Application pz_ 6 Health Division Date Issued Conservation Division �� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board - ah (0/)911-3 Historic - OKH _ Preservation/ Hyannis - Project Street Address ! Village Owner ///e/`l 19FZ- 6RC oeS Address rnr��� 4-04 Telephone 3ok 5n— 7a;? -Permit Request L e.o-uA f r �i/' L� %� X 15- " bE� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D Construction Type_ /�J Lot Size Grandfathered: ❑Yes ❑ No If yes, attacZw, pporting�doc4,entation. 0 Dwelling Type: Single Family ,�' Two Family ❑ Multi-Family(# units) - Z' Z Age of Existing Structure /�� Historic House: ❑Yes ,�No On Old K,n�gls Highwpy: Les ,l No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) At Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 02 new Half: existing �- Number of Bedrooms: _3 existing new `=k 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 kNo 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 i Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Rok-, C.o uwcA\1V1 Telephone Number Address Ivy License # 0 1n')�1!t)\)V1S Home Improvement Contractor# Worker's Compensation # 06 56],>-€Y93 1Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE'��.,�� DATE j �. FOR OFFICIAL USE ONLY i . APPLICATION# DATE ISSUED c _ MAP/PARCEL NO. r - . # ADDRESS VILLAGE t OWNER 4 DATE OF INSPECTION: � r / -}FOUNDATION, FRAME r ` INSULATION ff ka k, FIREPLACE 5 ELECTRICAL: ROUGH FINAL ilk PLUMBING: ROUGH FINAL r r: GAS: ROUGH FINAL FINAL BUILDING ®►4 3 24 ;1 DATE CLOSED OUT ASSOCIATION PLAN NO. ,t , , M1; The Commonwealth of Massachusetts Department of.Industrial Accidents Office of Investigations ' 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): Address: i`i City/State/Zip: fy)A(�v s I-S q I• Phone#: 11 55`5 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 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 l 1.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' 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 and job site information.Insurance Company Name:yeL nn e W� Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 117 I'W 9-SE-5 its ,"`� City/State/Zip: Cc, `- 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$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby,c under the pains and penalties of perjury that the information provided above is true and correct. Signature: DateO— -7 Phone#: S-b q_ 71--j 93��" Official use only. Do not write in this area,to be completed by city or town official i 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#: Information and Instructions , ri 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( )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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 for 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(if 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable °4 Regulatory Services MASS. g Thomas F.Geiler,Director 6 bs Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1�'tk to act on my behalf, in all matters relative to work authorized by this building permit (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 inspections are performed and accepted. Ind Signature of Owner Signature of Applicant rule y4 -4 9.V-e,,eS Print Name Print Name Jam- -7 Date Q:FOR 4S:OWNERPERMISSIONPooLS 6n012 i s r Town of Barnstable y Regulatory Services t &A.RNSTABLE, « Thomas F.Geiler,Director Y MASS. 1639.��,�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax::508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ' JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. ` ` 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 dwelling,attached or detached structures accessory 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,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barn table Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption'are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed'persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forr /certification for use in your community. Q:forrns:homeexempt Jun. 6. 2013 4: 23PM William Palumbo Insurance No, 0903 P. 1 n1g11T:Y4,x b: 4j i y�j AM PAGE 2/002, Fax Server ti CERTIFICATE OF LIABILITY INSURANCE DATE th1NUDDna-- T TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFPIRMATNELY 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 REPRESENTATI ik AND THE E CATE HOLDER. IMPORTANT:II the cattiticale holder Is an ADDITIONAL INSURED,the pollcy(les)must be Bndo(sod. If SUBROGATION IS WAIVED,sub)ecl to the terms and conditions of the policy,certaln policies may require and endorsement. A statement on this certlflcalo does not confer rights to the cartlficale holder In lieu of such endorsemenl(s). PRODUCER CONTACT .�r...r.,._.� NAME: HUB IINT'PL NE LLC WILLIAM PHONE FAX 125 ROUTE 6A (A/C,No,Exq: (AIC,No): E.MAII, SANDIVICH,MA 02563 ADDRESS, 77XST INSURER(S)AFFOR61NO COVETtAGE NAlc fl INSURFrD INSURER AI TRAVELERS PROPERTY CASUALTY COMPANY OP ALOMCA ROLFE COXISTRUCTIOV INC INSURER 0: INSURER C: INSURER 0: 101 BOG ROAD RER E: A'LARSTONS MILLS,1AA 02643 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T11IS IS TO CERTIFY INAI THIJOCS U91FO 091.0W HAVE BEEN 133M70 THE INS UREO NAMM ABOVE FOA-THEfPOLICY PERIOD INDICATED. NOTWITH6TANDINO ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OYN15R DOCUMENT PATH RESPECT To WHICH YNIS CERTIFICATE MAY aI:ISSUED OR MAY PERTAIN-TIIBIHSURANCL AFFORb1=D 9Y THEPOLICIES DESCRIBED IIEALCIN IS SUBJECT TO ALL Tile TEAMS,EYCLUS(ONAAND CONDITIONS OF SUCII POLICI93. LII4T3 SHOWN hWY HAVE BEEN REDUCED I3Y PAID CLAIMS, WSR ADD SUR POLICYEFFOATE POLICYEXPOATE LTA, TYPr3 OP INSURANCE L R PoL1CY NUMBER (MheDOIYYYT) (FAIADD1Y" LINTS GENERAL LIABILITY EACHOCCURRI:NCE Ig COMMERCIAL GENERAL L IABILff1 CLAIMS MADE r7 OCCUR. A EMI ESES I RENTED $ MI Ea occwrerce) ,ED EXP(Any one person) $ RSONAL&ADV INJURY 3 ' Galt.AGGREGATE LIMIT APPLIES PER: 3FT15RAL AGGREGATE 3 POLICY Ej PROJECT LOC ODUCTS-COMPIOPAGG $ AUTOMOBILE LIABILITY COMB f.IED$INCLE S ANY AUTO LIMIT(Es aocidan() ALL OWIJED AUTOS BOMLY 1N 1JRY 5 SCHEDULE AUTOS IPaI person) HIRED AUTOS BODILY IhI�URY 5 h1O174V/PIED AUTOS (Per accl8anq PROPERTY DAMAGE $ (Per Eccidenl) UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE g DEDUCTIBLE 8 $a RETENTION SE gj A, Y✓ORKER'3 COMPENSATION AND X we sTA7ufpav OTI-f R EMPLOYEcR'S LIABILITY YIN U9.58724423.12 12/102012 12/1D2m umrrs=-`:, f ANY PROPER rTOWFN9TNERrXECUTNE r] NIA - E.L.EACH RC_CIoENT 4S 50QZ000 oPFICE=ANEu6�REXCLVOEO? I° I (hiengalory to N111 G.L.DISEASE-EA EMPLOYEE Uq 50.0?000 Y yea,deevi)x�e undo, 059CRIPTIO,N0POPERAT10NSmlow EL DISEASE-�OLICYLINIT, 3 %(.Y, DRSCIUPTION OF OPERATION SILOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS , e TEAS RRPLAC139 ANY PR►O$MTMCATH 133=TO THE CURTIFICATE HOLDBEL AFF'ECTJ1 10\VO$14?EZ5 COI a COXTRAOE- CERTIFICATE HOLDER CANCELLATION . TOW)NT OR BARNS`f ABLE SHOULD ANY OF THE ABOVE DESCRIBED,POLJCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 200 IUAL\1 ST IN ACCORDANC£\MTH THE POLICY PROVISIONS. AUTHORIZED REPRESENT�YVE H YAIVNLS,\4A 02601 ^"C „ Ar'^Pn'Ic r 'psI TM^^ D ^^�»z a^ I e•^^ICI marks o CO D 1998- 0 0 ORD CORPORA 10 , 911 flohls reserved. Rece Ive"Mime Jan, I 2013 VIT3AhWi f1'o, 01^. �/e�poawrrzoozcveaCC/a�C :Jaac/zcr�eG License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR egistration: e-1,28174 Type: Office of Consumer Affairs and Business Regulation s 10 Park Plaza-Suite 5170 xpi ration:E 3/4/2015- DBA Boston,MA 02116 MICHAEL C.ROLFE 1 r - MICHAEL ROLFE o`t- 7 141 BOG RD MARSTON MILLS, MA 02648 Undersecretary Not valid without signature Massachusetts -Department of Public Safety Boa�d.of Building n Regulations R ulation s and Sta ndards.. ards 'Construction Supe'l-visor License: CS-068855 "I , r rs MICHAEL RE 176 BOG RDA MARSTON 1 II,IS-KA, 0264 Fi Expiration Commissioner 04/29/2014 Jill SMOKE DETECTORS REVIEWE bed 7��, Ilving bed BUILDI DEPT. DAE _ ------------------------- own -3._T - —_ FIRE DEPARTMENT DATE' do BOTH SIGNATURES ARE REQUIRED FOR PERt►11TT1 G bed ketch porch bath N ! Y - AS BUILT m acue.w ra u � Q ® �J Iu LU lu EXISTING RIGHT ELEVATION w EXISTING FRONT ELEVATION ((� �.,.,..ra pr z o � ® r fQ El El EXISTING LEFT ELEVATION EXISTING REAR ELEVATION A5 VR l4� -- Naw Dec -t—vERIFr LocATION IN FteLD. PROPOSED LEFT ELEVATION - PROPOSED REAR ELEVATION m o BATHILI y bed e living � 9-e I wrmewa Z ������ � Feebn ledger b e%Ietllg b0% x 50' 4 4 w/}a"llrbmloc4 euew twm,e.wm Y-o" �� � .<• b' � Ieuw,� C 9 very IB"oc. omw.u° clo� clo. — ----_----- w f 2�10 fame typ. O down FLIIBN 13/4"z II LVL oWb well rjLt� BEAM ABOVv E NTB. �u $ D,IO°IS'—w/3/4 edvemec eubloor. `Q d ° catch exleling floe h°IgMs.R•90 fg Ireul. bed kitGh 4 NEW MASTER g floor bays.Preen eWb well from Bleb with, bath ?x6 pt,double In are of 3'R gid Poem I uul. - - reebn pl.plele W Slab wIl/2"thread rod and New kitchen r deer II'-11' eyebm.every B]"ec.C01 4'6 eV4a pi— from I pleb b ezletl j rjeble every Oc. O PROPOSED FLOORPLAN FRAME PLAN/NOTES e ° ecu.e w.is NEW a'x ter. w2N0 PT box Jclel pl.cbckleg. 4x4 p eU,AS 4 poet base. B' eorowbee w/blgroot be D�LK ,41 1,. 05/05/2006 14:35 FAX 4017843710 RISE .ENGINTERIN'G i 002 Town Of Barnstable permit#o?GY0401915-1 Eipires 6 tttonths from isme dare X-PRESS PERMIT Regulatory Services .Fee Thomas F.Geiler,Director MAY o 8 2006 Building Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE,. 200 Main Street,Hyannis,MA 02601 www-town,barnstable.ma.us Office: 508-862-4D38 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number '- (,-, 7 l;7.c5— Property Address- 137 Horseshoe Lane, Centerville i�Residential Value of work 5,530.00 h inimum fee of S25.00 for work under S6000.00 pwner's Name&Address 'lolly Ealli:nan 122 School Street:, Stoughton, MA 02072 Contractor's Name RISE Engineering Telephone Number 800-422-5365 Home Improvement Contractor License#(if applicable XX8JM 120979 Construction Supervisor's License#(if applicable) []Workmar's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance r The Preston Agency insurance Company Name g Y Workman's Comp.Policy# 02 WB NL0984 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping 1❑ ( pp g old shingles) All construction debris wt1]betaken to • ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side FA Replacement Windows, U-value -34 (maximum.44) •where required: Issuance of this permit does not exempt compliance with ocher town department regulations,i.e.Historic,Conservation,etc- *:t Note: Property Owne lust sign Propepty Owner Letter of Permission. Home Impro ment ContractqiFfLicense is required. iIGNATURIE: ' ?�Forrnsxxpmtrg :evise071405 w� PLRMII PAYMLNI RLCEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/08/06 TIME: 07:47 -------------------TOTALS----------- _ PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AHT CHANGEPLIED: 25.00 APPLICATION NUMBER: 20060251 PAYMENT METH: CHECK PAYMENT REF: 007127 i Town of Barnstable *Permit# 06,066as1 Expires 6 months from issue date Regulatory Services Fee dos, -- Thomas F.Geiler,Director . Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number o?6 7' IQ Property Address 137 Horseshoe Lane, Centerville [Residential Value of Work 5,550.00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Molly Hallinan 122 School Street, Stoughton, MA 02072 Contractor's Name RISE Engineering Telephone Number 800-422-5365 Home Improvement Contractor License#(if applicable) THROXX 120979 Construction Supervisor's License#(if applicable) [TWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance wa Insurance Company Name The Preston Agency Workman's Comp.Policy# 02 WB NL0984 Copy of Insurance Compliance Certificate must be on rile. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping: Going over existing layers of roof) ❑ Re-side ® Replacement Windows. U-Value •34 (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. 1 SIGNATURE: Q:Forms:expmtrg ` Revise071405 �FIME T Town of Barnstable Regulatory Services . + BARNSrABLE, ' v Mass. Thomas F. Geiler,Director ;p�"�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,�� , as Owner of the subject property hereby authorize RISE Engineering to act on my behalf, in all matters relative to work authorized by this building permit application for: 137 Horseshoe Lane, Centerville, MA '02632 (Address of Job) Signature of Owner Date Print Name Q:FORM&OWNERPERMISSION RI S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 72e�oam�csa�uuuerrlll� a��/uaaaaaGuoeQ2 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found.return to: ;r Registratlor►: 120979 Board of Building Regulations and Standards 3l25/2008 One Ashburton Place Rm 1301 4!> 1 Boston,Ma.02108. .} -�-Type PFtwate Corporation l5 THIELSCH ENG1 I STEPHEN HINE� t ; 1341 'ELMWOOD AVE` CRANSTON,R102910 Administrator Not valid without signature k . 401-784-3700 .800.422-5365 .fax 401-784-3710 A division-of hielkh'Engineering ' Federal 19a o5 o4osbzs 1341-Elmwood Avenue,Cranston,RI 02910 RI Contractor Registration No 8186 .(401)784-3700 MA Contractor Registration No 120979 "oil Ma CONTRACT RI S E Tmis CONTRACT IS ENTERED INTO BETWEEN RISE (a j ENGINEERING ANo.TNE CUSTOMER FOR WORK AS - ENGINEERING DESCRIBED BELOW CUSTOMER PHONEDATE-'. -1/02-1 0 STREET-, JOB NAME S e_3d CRY, STATE, AND ZIP CODE JOB LOCATION F JOB DESCRIPTION Grp G ►66 P e��� c61,c c All C(O ��l(f f r �d f4 -f .,J✓4 5 �1 . WE AGREE HEREBY TO FURNISH SERVICES - COMPLETE IN ACCORDANCE WITH ABOVE S ECIFICATIONS, FOR THE SUM OF '. a �/C"/},�. '1.'G1�r_ �l,` /`?/� fit/ �( /'�✓ i UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING,CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL. INTEREST OF I%WILL BE CHARGED MONTHLY ON ANY UNPAID BP4ANCE R O DAYS. SEE REVERSE.FORAMPORtANT INFORMATION ON GUARANTEES, RIGHT OF RECISION, SCHEDULING,AND CONTRACTOR REGISTRATION. DO N GN THIS CONTRACT IF THERE ARE ANY BLA !<,SPAJCES AUTHORIZED SI TI,iRE-RISE ENGINEERING n - CUSTOMER ACC TANCE Inc " DATE OF ACCEPTANCE N T ONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN ACCEPTANCE or CONTRACT-THE ABO E PRICES,5 ECIIICATIONS AND @ DITIONS ARE DAYS. - SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL Be MADE As ,in&nnvE RISE ENGINEERING AGREEMENT A division Of ThIQISCh Erlglrleerlrlg t THIS CONTRACT IS ENTERED BETWEEN RISE AND THE CONTRACTOR FOR WORK AS DESCRIBED BELOW 1341 Elmwood Avenue,Cranston,RI 02910 1 5 E (401)784-3700 FAX(401)784-3710 CASE 083207 Page 1 } IT IS AGREED THAT: CONTRACT DATE CONTRACTOR 0996 RISE window 03/24/2006 ADDRESS AUDITOR ' Bill Branton FOR THE CONSIDERATION NAMED HEREIN,SHALL PERFORM IN A FAITHFUL AND WORKMAN LIKE MANNER THE FOLLOWING WORK AT THE ADDRESS INDICATED BELOW: CLIENT NAME Molly Hallinan r 4 ` 'CASE ADDRESS 137 Horseshoe Lane 083207 Centerville, MA 02632 PROJECT NO HOME (508)292-4708 WORK (508)771-6827 X- RIS-81-06-4052 CELL FAX . FURNISH AND INSTALL: 04/10/2006 12:54:02 PM Install 9 White D2 Double hung replacement windows , all with 6/6 grids between the panes of glass Install 1 Triple double hung window with new exterior trim in Azek `,' Interior trim colonial primed pine - Contractor is responsible for all material delivered and installed in'connection with the above_ work. Any deviations from the above specifications must be authorized by RISE personnel: Contractor reaffirms the covenants set forth in its Application.for Participation.Violation of any such covenant is breach of this Contract. Contractor Shall indemnify-and hold harmless RISE, its employees and its agents from and against all claims,damages, losses and expenses, including but not limited to attorney's fees,arising out of or resulting from the performance of ' Contractor's work under this contract. ; RISE Authorized Signature Contractor Authorized Signature DATE DATE . . 04/10/2006 12:54:02 PM ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street s` Boston,MA 02111 , www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunabers Applicant Information Please Print Legibly Name (Business/Organization/individual): RISE Engineering ' Address: 1341 ELmwood:Avenue_'f City/State/Zip: . Cranstinn, .RI -02910 Phone#: 800-422-5365 Are you an employer? Check the-appropriate bog:. Type of project(required): © I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5• [:].We are a corporation and its 10.0 Electrical repairs or.additions required] officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself[No workers' comp. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other 1ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `• Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site formation isurance Company Name: The Prestmn Agency olicy#or Self-ins.Lic.#: 02 WB NL0984 Expiration Date: 4/1/07 )b Site Address: 137 Horseshoe Lane City/State/Zip: Centerville, MA 02632 .ttach a copy of the workers' compensation policy,declaration page(showing the policy number and expiration date). ailure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of ivestigations of the DIA for insurance coverage verification. , do hereby certify under th -ains and penalties of perjury that the.information provided above is true and correct i ature: Dater / (� hone#: ( - "7 7 b d 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#: ruvioncu urv%ut Vvt:m t5tvLm-t-uJtKJ= I�.G4" - "!5.J4 l3�IV ir~1YWL 1V V I ` J - SECURED,INATER TIGHT COVER TO SLOPE @ 2% MIN. 1• UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION l PROVIDE H.D.P.E- RISER w/COVER TO F.G. OVER F.G.(TYP OF 2) REMOVABLE WATERTIGHT RISER FINISHED GRADE TO WITHIN 6"OF FINISHED GRADE INSPECTION PORT WITH - METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FOUNDATION= 12.8'J: WITHIN 6 OF F.G. TANK EL.= 12,5± s:, ACCESS BOX TO WITHIN 3"OF ,�' DIA. OUTLET(S) ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. @ F.G. (ONE PER OUTER ROW) _ 2_ ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD / 9"MIN_ 2Q"MIN.ACCESS 36"MAX_ EL.11.T� COVER(TYP_OF 3) _ F HEALTH AND THE DESIGN ENGINEER. 3. 40"SCHEDULE 40 PVC PIPE WITH WATER TIG HT JOINTS SHALL EXISTING 4" 8E USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. SEWER plpE 2"PVC FORCE MAIN 36"MAX. 9"MIN. " _ TO DISTRIBUTION BOX 9"MIN. 36"MAX. TOP OF SAS/B.O. _ '�2,t�g' 4_ TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN - _ 2"DROP MiN_-V_-- -- - s- ( _ ELEVATION = 12. ' F ' 6" 3" 3 DROP MAX. 3" 9" _ t 49 OR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS M�.stos �,x _ - A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF - PROPOSED 4" - - _ a " y o \_10.25� T PVC OUT THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SCHEDULE 40 PVC 14 2"PVC TEE TO SAS 1.08' EX. INV. = i, (Np) 13" 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM_ O 0-+9 7.13 (TYP) 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" DIMENSION AS PER 6" ' i 7• LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO WIGGIN PRECAST CORP_ 12"MIN. , 12.00' 11 .41' laid flat 2.875'(34.5")� BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR 12. 0 ( } (STONELESS SYSTEM} INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING 0.50' POCASSET,MA 12.27+ (TYp-) ARD OF AND DESIGN (800)564-6774 6"CRUSHED STONE (NP•) 5'MIN_ 11.5' 8. ELEVAOTlONS BASEDVAL FROM OON AN APPROXHM.S.L DATUM OF ENGINEER,2.15'ESTABLISHED ON A STAKE AND 10.7' 1500 GAL. � J OVER MECHANICALLY COMPACTED BASE 25.0' TACK AS SHOWN ON PLAN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 22"ZABEL FILTER 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX EL,6,0' OVER MECHANICALLY 70 BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.- 6.3T THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE MODEL#A1801-4x22 AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY (GAS BAFFLE ON BOTTOM) COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. ", DISCREPANCIES TO THE DESIGN ENGINEER. PROPOSED 1500 / 500 GALLON TWO-COMPARTMENT SEPTIC TANK BIODIFFUSERS PROFILE BIODIFFUSER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE LENGTH 12'-2" WIDTH 6'-87 DEPTH 5'-8" CROSS SECTION VIEW STRUCTURES 1 �+ ARC 36 #3613BD BIODIFFUSERS I� 11_ NO DETERMINATION HAS EEN MADE A5 TO COMPLIANCE WITH DEEDED OR t TANK PROFILE D I STR I B TI ON BOX Q � ZONING REGULATIONS. OWNERIAPPLICANT IS TO OBTAIN SUCH SEPTIC C NOT TO SCALE NOT TO SCALE NOT TO SCALE DETERMINATION FROM APPROPRIATE AUTHORITY. NOTE: PUMP MUST BE EQUIPPED VTH A HIGH T PIT E INSTALL 1-1/4"PVC TO HOUSE. JOINTS TO BE MADE � . • . F � " _ '°"",. � . , �` � ��, `+ t , DATA 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS JSTRUCTION NOTES: LEVEL ALARM LOCATED IN THE GUIDING ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. WATERTIGHT.WIRE PUMP AND FLOATS TO SIIMPLEX SERVED WHICH IS POWERED BY A IRCUIT �. • ES MAGNETIC MARKING TAPE SHALL BE PLACED i a PERC NO. 13598 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING SYSTEM TO CONTROL PANEL No. 1-CC2 NEMA-1 MFG. HOOVER SEPARATE FROM THE CIRCUIT TO IE PUMP. , * + THEY SHALL WITHSTAND H-20 LOADING. ;LIRE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD INSTRUMENTS rk �:E ,� INSPECTOR: Donald Desmarais, R.S. x i 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. HOISTING CABLE 7 19 STAINLESS STEEL tt** EVALUATOR: Michael Pimentef, E.I.T. ALL PROPOSED WORK IS LOCATED OUTSIDE THE LIMITS OF ANY AQUIFER PROTECTION AREAS OR NEMA 4 JUNCTION BOX CORROSION RESISTANT& x 1/8"DIA.l 1,760 LB.TRENGTH ' " Q ,r � C.S.E. APPROVAL DATE: Ott. 1999 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND LIQUID-TIGHT CABLE CONNECTORS SUPPORTED '�'` - - o i UNSUITABLE MATERIAL. IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF UARINE WATERSHEDS. CONNECTORS SUPPORTED BY 1-'1/4'PVC CONDUIT, " . t ' _ DATE: April 6, 2012 LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN JOINTS TO BE MADE WATERTIGHT 2"BALL VALVE wJN10NS SCH. 80 PVC COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE_MATEftIAL_IN ,. .... .:Y GEORGE FtSHEF.O:MODEL NO. 560 �r TEST PIT#: 1--- - - - - - -- - - --- - - �- - - - - v ' ACCORDANCE WITH 310 CMR 15.255(3). { � - ELEV TOP= �1 _20' MAP 207 - " 2"SCH. 40 TO;-BOX . ( - : `�"�; � 3 �- 2' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN ELEV WATER= =6.37' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. LOT 123 o ALARM "SCH. 401.E wl CLEAN-OUT CAP +� { LOCUS S PERC RATE = 16. PROPOSED PROJECT IS LOCATED WITHIN: 1/4"WEEP HI.E IN DISCHARGE PIPE �' ASSESSORS MAP 207 LOT 125 MP ON o DEPTH OF PERC= � °'. � ' + �•- � OWNER OF RECORD: LESLtE W. GAY IMPERVIOUS 2"BALL CHECK ALVE SCH. 80 PVC 100 PROP.40 MIL. _ PUMP + •Q , TEXTURAL CLASS: 1 1 l GEOMEMBRANE LINER, - OFF P.S.I. FLOWMAT:MODEL No.208S +,- C FAO" TOP Et 12.49' t ��`'"" ADDRESS: 122 SCHOOL STREET BOT. EL=7.49' B0Yo 12x4 (2)WIDE ANGLE CONTROL FLOATS coo �- + + STOUGHTON MA 02072 ' `' q 2"SCH.40 PVC DICHARGE PIPE �" �' ,►�,� o"' 12.20' ' 073618 • -�- (BARNES ) �,� _ / PROP_TOTAL 20 ARC 36 12x4'x, _L 2x2' 1: PUMP ON/OFF 120 ACTIVATION ,,� _ FEMA FLOOD ZONE C X BARNES SE411 PUM 0.4 N.P., / 1�4� (#36136D}BIODIFFUSERS IN A -� 2: ALARM ACTIVATION � �- �-- ! --• -• �'. Fitt AS SHOWN ON COMMUNITY PANEL# 250001 000$D / 115 V,2" DISCHARGIPASSING # s,- FIELD CONFIGURATION (4 \\mac ,� +�1 .r . .. _ r' 17. PLAN REFERENCE: P_B. 140, PG_ 33 1-1 I2 SOLIDS OR EOAL �. ' �' '�`�`'' PROPOSED INSPECTION ,��tJ .�20 PROP. 1 (� GALLON �! � a •' Ur � r . 36" 9.20' PORT WITH ACCESS BOX r r D-SOX Iv ' ��,y a * r t �.°+ �i! „) � 18. DEED REFERENCE: DEED 800K 1442, PAGE 467 TO GRADE (TYP OF 2) �" { :. Y \ NOT TO SCALE r �• f ws� *� ' °� ;:t +► 19. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE_THIS PLAN IS TO BE USED ONLY FOR C-1 Andy L 1 SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF .l 12x6 ,; - o ,, 10Yr 5!6 THIS PLAN OTHER THAN ITS INTENDED PURPOSE. } ,, 2xl' - BUOYANCY CALCULATIONS � � �� ,.,.���# ... �_3 .,. . � � . EXIST_ LEACHING PIT TO BE y �� ---- -°+ r 70" - 70" - 5 3T `E5HGW � 0 LP = ..: - PARTMET SEPTIC TANK I �. xJ� _ \ .. .�. ... ,. ,. - .. PROPOSED 1 5001500 GAL.2 COM _N -' � � _ _ .-- .- _ -- _ . -- -- ----,•-----.... r�_ �_�.,...� -_ - - PUMPED AND FILED WITH (�� - 4 .....+ - ..vex _ . N 'WATER EL_-6.37 {� z . ;-. 1a x 70' r r^ �^n� -ry��•' ._.._.---... ..:J_....-___ .._._:_.�_-�_ � -: ---- ... . ?'� ..- - HIGH GROU D <,�, . ..�� .;t„� .� 78 5. -- -._ \�Li6JA��.JJ�iWt -F-i-r-�-•.2}��._ -->. - "- .---_- ' .,: ' -_ .t� ..' ,- .... � 1''d'.', �..['v' �: - �; _ --- - ,a - .� (5 ,'� - - \ TOP OF SEPTIC TANK EL._ 11.7' '�' � \ BOTTOM OF SEPTIC TANK EL. =6.0' �� _ , � � 3 � _ Coarse Sand 1 a . ' }i f WATER DISPLACED=(6.37'-6.0')x 12.17'x 67' =30 C.F. *' - -- ~, -' t -" C-2 t 2x4' .1 l'- ' "'• � �12x3' 2.5Y 6/fi TP 2 0 = ` ' WEIGHT OF DISPLACED WATER= 30 C.F. x(A LB/C.F. = 1,872 LBS (loose) -n� i. _ WEIGHT OF 1,5001500 GAL-2-COMPARTMET TANK=22,000 LBS nX 12xf2' 12x1' ,� �"'�° SOIL COVER=(12.5'- 11.7')x 12.17'x 6.67'=.5 C.F. _ LOCUS PLAN 100" Standing @ 100" CJ 3.87' fi 12x2' 3 �m js'� WEIGHT OF SOIL ABOVE TANK=65 C.F.x 1 i LB/C.F. = 7,150 LBS REMOVE ALL UNSUITABLE MATERIAL DOWN 0 22,000+7 150=28 150 LBS� 1 872 LBS; THEEFORE ACCEPTABLE n p, SCALE: 1"= 1000' 126" 1.70' 12x5' ti TO"C"SOIL(EL. 5'#}&REPLACE WITH CLEAN 2) �Z R` J COARSE SAND PER 310 CMR 15.255(3) (6 DESIGN DATA ,� 'BASED ON THE CAPE COD COMMISSION METHOD rn k EXIST. CESSPOOL(approx. location)TO BE PUMPED J INDEX TE WELL: MI r' & REMOVED IN ACCORDANCE WITH-TITLE 5 NUMBER OF BEDROOMS (DESIGN) 3 WATER-LEVEI.RANGEREADING: B 12x� MAP 207 DESIGN FLOW -110 GAUDAY/BEDROOMWATER WATER DEPTH READING: `8.16' r LOT 124 TOTAL DESIGN FLOW 330 GAUDAY WATER LEVEL DJJUEPTH DSITEMENNG TT: 2.5V 12 TP 1 �► a �. 'Cl -G B.H. 1 12x8' 12x5' DESIGN FLOW X 200 % = 660 GALIDAY LEGEND o2 , _ _-- � L�aS .�? 3 � g HC-1 TEST PIT' DATA - USE PROPOSED 1500/500 GALLON TWO-COIWIPARTMENT SEPTIC TANK -- - - 50 - - - EXISTING CONTOUR -o SAS GAS GAS PERC NO. 13598 GAS InIV-=10-T+ INSTALL 20 - 13" HIGH ARC 36 (#3613BD) BIODIFFUSERS INSPECTOR: Donald Desmarais, R.s. 5o PROPOSED SPOT GRADES �� k X PS/ HC-2 EVALUATOR: Michael Pimentet, E.I.T. r - PROPOSED CONTOUR l tC.S.E.A - . EXISTING GA SCREENED - SYSTEM CAPACITY - - - C S E AL DATE: GAS E S G S LINE APPROVAL Oct..19 9 .a .. _ #137 CO 1 r , PORCH STING r0 (TOTAL L.F. OF BIODIFFUSERS&COUPLINGS)(4.I3 SFILF)(0.74 GPD/SQ.I=T_)= GPD DATE: April 6, 2012 1,! W EXISTING WATER LINE 3 BEIDROOM c� (100.0')(4.8 SFILF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY TEST PIT#: 2 DWELLING ❑/H/W EXISTING OVERHEAD UTILITIES �cjr X TOF=13.6`_ ELEV TOP= 12.20' TOTALS: ELEV WATER= "6.3T TEST PIT LOCATION µ Pam_ fl TOTAL NUMBER OF BIODIFFUSERS: 20 TOTAL NUMBER OF COUPLINGS: 0 PERC RATE_ <2 min./inch O O O PROPOSED 1500/500 GALLON SEPTIC TANK TOTAL LEACHING AREA* 480.0 SQ_FT_ ----" TOTAL LEACHING CAPACITY: 355.2 GALJDAY DEPTH OF PERC= 56" -74" PROPOSED DISTRIBUTION BOX ,- m �'� TEXTURAL CLASS: 1 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE ONOTE: PROP. 2"SOLID SCHEDULE 40 PVC FORCE MAIN n 3� MAP 207 EFFECTIVE LEACHING AREA OF 4.80 SFILF OBTAINED FROM THE r-� y 4 DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 0" 12.20' PROPOSED 13"HIGH ARC 36(#3613BD)BIODIFFUSER rn LOT 126 "MODIFIED APPROVAL FOR GENERAL USE'ISSUED TO INFILTRATOR 11,490 S.F± ( Fill 1 SYSTEMS, INC., DATE OF ISSUANCE OCTOBER 3, 2003 LAST MODIFIED F � \ , MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. 24 10.20 REV. DATE BY APP'D. DESCRIPTION f✓ -� g ' A Loamy 10Yr312 d ` PROPOSED SEPTIC SYSTEM UPGRADE -t i�,F^;9s \- DOSING & STORAGE REQUIREMENTS 36" Loamy Sand 9 20' ¢ dJ/ PREPARED FOR: `� CAPEWIDE ENTERPRISES l� \ DESIGN FLOW: 330 GPD ' B 56" 10Yr 5/6 7 53 JOHN L. �( DOSING REQUIRED: 4 CYCLE I DAY -'�'` ivi LOCATED AT � ?� '�7• � � ti :16.11 _ Pere ..:_= �ESHGW�70" � 7 CHU .�II807 LL R 89 � 1 9 g3 i 41 330 GPD/4-82.5 GAUCYCL_E 70`� �3- 6 3 ' � - R'11 74 6.03 �G 137 HORSESHOE LANE 1 / s , °17'40"W \_ a / v`� DISTANCE REQUIRED BETWEEN PUMP :t r�.a` C'h�I,r 35.46' o & SWING TIES ON AND PUMP OFF FLOATS: CENTERVILLE O2G32 � 4 _--� -s"-12 -- -� �1�r EpG� 82.5 GALICYCLE -- 125 GAUFT = 0.66 FT/CYCLE C Medium-Coarse Sand ` 12- __ £ �� �� DESCRIPTION HC-1 HC-2 2.5Y 6/6 SCALE: 1 INCH = 10 FT. DATE: APRIL 19, 2012 Diy�!✓ ` W SEPTIC COVER IN (1) 27.6' 22 7' (USE 0.70 TO PROVIDE FOR BACKFLOW) \ •�'"'--� (loose) 0 5 10 2{l 40 FEET STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GAL. Uwe SEPTIC COVER OUT(2} 23.9' 28.9' STORAGE PROVIDED ABOVE WORKING LEVEL: 337.5 GAL. Standing a�100" p 3.87, 100 -•--- PREPARED BY: BIODIFFUSER CORNERS) 33.3' 38.3' RESERVED FOR BOARD OF HEALTH USE -~ � JC ENGINEERING, INC. 7K 126" 1.70' 2854 CRANBERRY HIGHWAY BIODIFFUSER CORNER4) 44.T 46.7i EAST WAREHAM, MA 02538 - SITE PLAN BIODIFFUSER CORNED) 53.5' 37.1 508.273.0377 SCALE: 1"= 10, BIODIFFUSER CORNERS) 44.4' 25.7' Drawn By: MCP Desianerl Rv"re I rn4_. 11 r I IOR N.-2184