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HomeMy WebLinkAboutBLD-23-001581 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 �� 508-398-2231 ext. 1261 Fax 508-398-0836 4.::..+ !� Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish r= I E a One-or Two-Family Dwelling ----- This Section For Official Use Only SEP 23 2022 Building Permit Number: 1Lb-23-00L,S 1 Date Applied: _ __ -}} / — : - ©ltlitDlNG DERCRTMENT I 1 �e�IS II-i , Building Official(Print Name) Signa re Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3 CL/ FFC'?e) t)T 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ii) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water pply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system >PJ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. wner'of Record: /;$C/CL/f gyvVei?S1.l/ 5 J,1ZMOUTh/ /n/V' C�-�6 e7 ame(Print) City,Stitt,ZIP 3 L.L1 fco2D 5/7 IN 2/Z/11e7/ No.and Street Telephone Email Address SECTION 3:DESCRIPTI OF PROPOSED 2(check all that apply) New Construction 0 Existing Building Owner-Occupied Repairs(s) 0 Alteration(s) V dition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: I— iS , !� f iEi�CYn : t�m. i•l ,C-IA i cn h AM- 5Y re/t-7 SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ i Z 3 L� 1. Building Permit Fee:$ 1 5-() Indicate how fee is determined: 2.Electrical $ EiStandard City/Town Application Fee �,70L� " 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 0 2. Other Fees: $--3 C 4.Mechanical (HVAC) $ / List: 5.Mechanical (Fire $ 4:0\ Suppression) Total All Fees:$ V / Check No. Check Amount: Amount: a' 6.Total Project Cost: $to ?3/) �'� ❑Paid in Full �Outstanding BalanceCash Due: �� n / \0 \\, SECTION 5: CONSTRUCTION SERVICES ' 5.1 Construction Supervisor License(CSL) /a /// O,/2 Z f 2023 /41,(l j) License Number Exprcation Datee Name of CSL Holder •• 1�rt� ie57- f/Lt. A7/L/e List CSL Type(see below) No.and Street Type Description x �S e/ 7?. /7 /fir' Unrestricted(Buildings up to 35,000 cu.ft.)) Ci /Town,State,ZIP ` ` Restricted 1Jc2 Family Dwelling Masonry RC Roofing Covering • WS Window and Siding �/J _ SF Solid Fuel Burning Appliances 7ge1051 a6?Jea¢iii/7- Win' 4/2� I Insulation Telephone Email address C/y7.4i� D Demolition 5.2 Registered Home Improvement Contractor(SIC) t CM- oe /?t (,4V7(J/1/S ts�`/� in Cgtnp Name oLHIC Regist t Nam HIC Registration Number Expiration Date Qo .>/9 rt- ,e4 No.and Street Email address Cd-A/IVA/ A- 7? /(105 -6 City own,State,DIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ❑ No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize '(/'j?t A 7//9 r/L)//. to act on my behalf,in all matters relative to work authorized b this building permit application. t Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to t st f my knowlecfge d understanding. • I Cif/ G/21(Y2. Print Owner's or Authorized Agent's Name(Electr is re) Dat NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" = Department of'Industrial Accidents g wino 1 Congress Street,Suite 100 R =t ?j= Boston,MA 02114-2017 www.mass.gov/dia 1,orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,/,0 k)r-A,, 770/(4-S Address: el), 2f UT/ City/Stan ip: 6hvive /99 Phone#: 77Vg/C5 7-re Are yo ,n employer?Check the appropriate box/ C2e)2j Type of project aired): I. I am a employer with 1 employees(full and/or part-time).* 7. ❑Ne onstruction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. emodeling any capacity.[No workers'comp. insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]r 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on property.mY l will t 0 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 25.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 Q Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no 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: G//(2/I Policy#or Self-ins.Lic.#: L/ Expiration Date: 5�2 L//2_023 Job Site Address: > C2/L'7-40✓f,1) S j City/State/Zip: S.l /'j/)C 1 h � Attach a copy of the workers' compensation policy declaration page(showing the policy numl and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year impris ent,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 vi tor. copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veri ation. .do hereb c ify r tl*e�pains nd penalti• . per'. that the information provided above is true and correct Signs 4_//.(4 Date: 47/ /210. _ Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# - Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: • oy" R 1 V vv lit U i 11 ti BUILDING DEPARTMENT 0 �`�� << _���,�• 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: 'Ve0/2 JOB LOCATION: .3 C1/fi�o22) Sr S. /11?4/MQU s a2 a- . AME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" ?/5 L/i -/01• /ZSJ/l/ 77 ti 2'2/t/ev NAME HOME PHONE _ WORK PHONE PRESENT MAILING ADDRESS c5 / yñ7in /i7 CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner--occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance ' ith the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned `homeowner' certifies that he / she unders . ds the Town of Yarmouth Building Department minimum inspection procedures and requirements and , at he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance 'Jolicy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves,pleas, indicate the type coverage by checking the appropriate box. A liability insurance policy, Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp §TOWN OF YARMOUTI3 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext..1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at ,5 o/pk-- 4 ) S j ,j /Ai 'zoX11 M/2 Work Address Is to be disposed of oat the following location: 60,... 1.61-Z/l/na-R0/ 09/0r0a l ®2dz/ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 11 , 150A. 9 .20eAi e of Application Dat Permit No. Sears, Tim From: Sears, Tim Sent: Thursday, September 29, 2022 2:44 PM To: prdavidguimaraes@gmail.com Cc: Slack, Christine Subject: 3 Clifford David, I have reviewed your application and there are some items needed. Health Department sign off 2. Ventilation calcs per section R303 or specs on air exchanger Please submit these items for review This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application fora permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231. Ext. 1259 mailto:tsears@varmouth.ma.us 1 ,I Property Location: 3 CLIFFORD ST MAP ID:50/57/// Bldg Name: State Use:1010 Vision ID:7462 Account#7462 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:03/07/2017 01:46 CONSTRUCTION DETAIL CONSTRUCTION DETAIL(CONTINUED) _ ______-_______, Element Cd. Ch. Description J Element I Cd. Ch. Description Style 01 Ranch Model 01 Residential UST 14 Grade 03 Average Stories 1 1 Story 8 4 1��, — 8 Occupancy 1 MIXED USE `""'"`"""���- Exterior Wall 1 14 Wood Shingle Code Description Percentage I 14 Exterior Wall 2 1010 SINGLE FAM MDL-01 100 FGR 14 Roof Structure 03 Gable/Hip 6 Roof Cover 03 Asph/F Gls/Cmp Interior Wall 1 05 Drywall/Sheet BAS 34 Q BAS Interior Wall 2 COST/MARKET VALUATION I UBM �Iv r 58 l& r n r10Qi1 16 (layoff. Heat Type 05 Hot Water AYB 1965 111��� -AC Type 01 None 94 Total Bedrooms 02 2 Bedrooms Dep Code 14 Total Bthrms 1 Remodel Rating Total Half Baths 0 Year Remodeled ( 9 14 Total Xtra Fixtrs Dep% t 0 ov, Lit u 1 Total Rooms Functional Obsinc I Bath Style 02 Average External Obslnc I 34 _ Kitchen Style 02 Modern Cost Trend Factor Condition %Complete Overall%Cond 0 �y��y� Apprais Val 01,300 41 `ors I E ! ,.. Dep%Ovr a +L"4 Dep Ovr Comment . iA ..-- 2.-,l ;-r "r Misc Imp Ow • � w �, ��'t �1 e� Misc Imp Ovr Comment �� % O. ♦ i ..4' '-� , COSt to Cure Ovr 1 t. ��trp, ' Cost to Cure Ovr Comment ØP f ti , ''_ i OB-OUTBUILDING& YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) Code Description Sabi Sub Descript L/BlUnits Unit Price Yr Gde D Rt Grd %Cnd Apr Value ~ .. d. FPL1 FIREPLACE 1 B 1 2,200.00 1985 1 100 1,500I'e y , 1. i . BUILDING SUB AREA SUMMARYSECTTON • a Code Description L_iving Area Gross Area EtI Area Unit Cost Undeprec. Value "' , .. , ' BAS First Floor 916 916; 916 115.58 105,869 "4 "r FGR Garage 0 308 123 46.16 14,216 UBM Basement,Unfinished 0 8161 163 23.09 18,839 UST Utility,Storage.l;nlinished 0 112 50 51.60 5,779 I I TtL Gros Liv/Lease Area: 916 2.152 1.252 144.702 Praperty Location:3 CLIFFORD ST MAP ID:50/57/// Bldg Name: State Use:1010 Visi n ID:7462 _Account#7462 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:03/07/2017 01:46 CURRENT OBWER TOPO, , UTILITIES --ySTRT✓ROAD LOCATION CURRENTASSESSMENT —� ANDERSON PRISCILLA M TR 1 Level 2 Public Water 1 Paved 2 Suburban Description Code Appraised Value Assessed Value PRJSCILLA M ANDERSON INV TRST 6 Septic 142 LONG POND DR RESIDNTL 1010 102,800 102,800 815 RES LAND 1010 92,800 92,800 YARMOUTH,MA l SOUTH YARMOUTH,MA 02664 SUPPLEMENTAL DATA Additional Owners: Other ID: 43/J038/// VOTE Y ISC 230 VOTE DATE11/07/1996 HANGES PRIVATE R(CLIFFORD ST-SY LAN N M BEINT VISION LAN R MBEI603C IP CODE 2664 IS ID: M 307815 824476 ASSOC PID# (MIST 195,600 — Total 195 600 RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE /u vA SALE PRICE V G - 1 PREVIOUS ASSESSMENTS OR� i ANDERSON PRISCILLA M TR 10412/242 09/30/1996 U I 0 Yr. !Code Assessed Value Yr. I Code Assessed Value Yr. !Code Assessed Value ROSENSTROM CURT S I 0 2016 1010 102,800 015 1010 91,9002014'1010 91,900 2016 1010 92,800 015 1010 92,8002014 1010 83,300 i I OTHER ASSESSMENTS Total: This signature acknowledges a visit b'Total: Oa Data - 175,200 EXEMPTIONS g y Collector or Assessor Year !Type t Description _ Amount 4 Code Description Number Amount Comm.Int. APPRAISED VALUE SUMMARY Total: Appraised Bldg.Value(Card) 101,300 ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 1,500, NBHD/SUB NBHD Name Street Index Name Tracing Batch Appraised OB(L)Value(Bldg) 0 0045/A Appraised Land Value(Bldg) 92,800 5 ROOMS —_—_. NOTES Special Land Value 0 NATURAL I/A Total Appraised Parcel Value 195,600 0230 Valuation Method: C Adjustment: 0 Net Total Appraised Parcel Value 195,600 BUILDING PERMIT RECORD VISIT/CHANGE HISTORY Permit ID Issue Date Type Description Amount Insp.Date %Comp Date Comp_ Comments Date Type IS_ ID Cd. Purpose/Result______864 12/02/1998 WS Wood Stove 500 1 100 12/02/1998 07/25/2015 LS 154 Field Review 01/01/2014 01 1 BH I CY CYCLICAL 2014 05/11/2004 JB 07 Measur/Inf/Dr Info taken 06/25/1994 MH 100 Measur+Listed • I 1 B /Use Use p LAND LINE VALUATIONTION SECTION Notes- Spec Specialc Pricing r c c Calc 1_Fact i Unit I. Acre C. ST. j U e # Code 1 Description Zone D Front Depth Units Price Factor' Factor Ids p v Adj. Unit Price Land Value 1 1010�INGLE FAM MDL-01 22,651 SF 4.10 1.0000 4 1.0000 1.000045 1.00 1.00 4.10 92,800 1 I 1 I Total Card Land Units: 0.52 AC Parcel Total Land Area:0.52 AC — a —------- Total Land Value: 92,8001 • 4 (fI f9 ry o co 46 o2. g(� s8 m a =D5 S c` -, im S'74 D y -• z j x 1C r» t. yy?ere i,l Cun �m�3.c .a.szoC t ne u c 2 $ r- x < -disv''ix i a,. Zr-40 at,,,, ?x m I .tom ci. co.gerr.t., - otz, a.: 3; m za oz f;z w T 1.... Y(i 2 a 1 N 4, 3.. F tJ • 7 3 O C 0 O O N vz mpq�Yg_A r 3 5 y T 4 7 @ 0 CI O]W S6Z '�*, ' ,S. ' ID O 0 A 0.7 tY. 2; Y_.Cg. a ri O S CA cC »d o.o' v� 7 z ...N .j r3sc 03 » Q �� ;-3 sms4 o O ", 8' ''IN,0, g rog -..1C�� ,`. scIa 7J ce, N.0 7. _, 5 1 V a Et va ; e m_V O y onto c 3111 - 8 3- ° z m a- r U.:..0 ... a 41= : ' = 1 a W iI Co.NJ a A+ Yi m o ` 14„. I i 1 I I I .r.; te:. TOWN OF YARMOUTH E`,tr�_ '- = #i HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: - (L✓/pcOiZ P sl,: Proposed Improvement: (fi i iL i S h l A!a in- OW i ,G id o r .-t--Z-t. Sn-5 e -e.st,i" tzD 6-e- vi e o b$ 1C -wt i L-'/ i?Qo, /-42,24-,Q 4c fi e,e t 4fit iA-7R`% Applicant: / C..- Tel. No.: 7 ✓ �"/c25W- PP �� l��j�Lt'�jg/l �dl/� I. �. 7 L n 6 Address: a)0 Cj - i i i mu i/?C _Date Filed: /Q 7- —2-2. **If you would like e- ail notification of sign off,please provide e-mail address: f�l i / /1�!(7(/l m�1 Z .S& 1)1 L. -c:OM. Owner Name: - /2/ . //i y9 A/L1Pe/?scAJ Owner Address: CL./1/01? i) S l , Owner Tel. No.: 7 71/ 2/2/Y q/ RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations;i.e , itze.irenptf V E D For Septage Disposal and other Public Health Activities. ---------------- Please submit three (3) copies of plans, to include: OCT 26 2022 E_1-7i DTLE oD (1.) Site Plan showing existing buildings, water OsationfaMENT and septic system location; t;`' ----- OCT 1 1 2022 (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (all existing and proposed) — Note:Floor plans not required for decks,sheds, windows,roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: r:A7\ --/V' DATE: /4-C71 ?--- PLEASE NOTE COMMENTS/CONDITIONS: H-uL € r< •^Nck- k ? 1-13e Vs , . J-6 ✓oe e=i`t-(c e G.,c.(( -r-r' 6 c v cS S c rd,/ da". • . C.!.:stil3 04- ......70,2 ...- ...... - \ ‘ . i 4 1 t A we 7., Ter .2glii' If) 1 fr-.. i 162-112b 04, 2 ii gn L jar, 1- , ... QQ PA-1,5 t :"`• ti gr.. . ..-- - . ....-c- . C-1=- --1-7„. 'k ' ... . - - . N ,-• I,0„,,, (--- v• s---.- 4,•,,,, • t 1 i--. Q.L (...; ,Q, (......., , . im CV E i c C \...) vc:) I - *--- '7.• ---\ I t --? E i i ? - ._. 1 C ... C('•••,. ..\-- ;% t •—. q.; -.- , 12.,Yr . <-..-.. 11 , % •"'"Ac `-----: C> (.." ..s. 1 , \\-..) -,) , L It — .. zt - - -- SS . _.- WLu SU V I5D ei,2 OCT 1 1 2022 IP Anderson, Pricilla HEALTH DEPT. 3 Clifford St ,� CONTRACT Customer Nan S Yarmouth, MA 02664 Customer Signature 7 : '•tuLt' ` !�l.if F�� ;i / . r / CWENS SKETCH Contract Date- 774-212-1491 774-810-2066 --- Sales Flepresentative ignature �'u CORNING . ATTACHMENT Customer Pho Contract Price j• ai 730 .L_I z,.. t [ �J//��I�/SrL�f s 9 Na •0 1� x: i. ` CID �rv1otu../ C v lie;-ec-ion I 044/04Vie> i /fj/Ni Sh i tita S yS re-p'1 I /nl . , ,i i n V C i?&E&I tiVP R 0 w att.S + ? -19 (6q-va 1 /ivSJG 'riat) l' 5`E-C I_ St`U J S rLat1 S 11 u c ti i 2 0 l_. i I . "cc xJ 24 / C ,167:s S 25 26 27 za. 2XL A-h1115i+zOiv6 D12GI ' cei' LIit .1� 1:L 29 i o!/ I ,0 / 31 3 33 N 35 NOTES: &/<711 /� J/ /7 V AA TY t/ T1 O/v •Each box equals one foot unless otherwise noted.This sketch is a good faith representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. ..A • Owens Corning Basement FinishingSystems CORNING < of New England Anderson,Pricilla 3 Clifford St Contractor / Agent Authorization From s Yarmouth, MA 02664 774-212-1491 774-810-2066 I, C Pr ( kei - tA'R, • authorize Owens Coming Basement Finishing Systems of Boston to sign the building permit application on my behalf, to perform the work at: 3 Cl.t CGrri 34--. Scu -h /ar tUi 1/114 , 6aa4 .. Home Owners Signature: 4, 471 lit-4-0,---- Date: V 17/01d- . Project Manager Signature: Date: 60 Shawmut Road • Canton, MA 02021 • Phone: 781-821-0060 • Fax: 781-821-8552 • www ocboston can ACORf DATE(MDDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE M/5/25/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SIp)pROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this :rtificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUC:R CONTACT NAME: Gordon Atlantic Insurance PHONE 306 Wasfrington Street (A/C.No,Eat):(781)659-2262 I Wc,Nof;(781)659-4725 Norwell, A 02061 A E-MAILRESS: INSURER(S)AFFORDING COVERAGE NAIL I INSURER A:American Fire and Casualty 24066 INSURED INSURER B:Green Mountain Insurance Company,Inc. 20680 Lux Renovations,LLC Dba Owens Corning Of New England INSURER C:The Ohio Casualty Insurance Company 24074 60 Shawmut Road INSURER D:Ohio Security Insurance Company 24082 Canton,MA 02021 iINSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE_ BEEN_REDUCED BY PAID CLAIMS. INSR I ,ADDCSUBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LTR SINSD WVD (J MIDD/YYYY) (MM/DD(YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 i CLAIMS-MADE X OCCUR BKA57350449 9/5/2021 9/5/2022 DAMAGEES IEa TO RENTEDnce} ; 100,000 J PREMIS occurre MED EXP(My one person) $ 15,000 PERSONAL&ADV INJURY 3 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEC7 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (lam BINEenDSINGLE UMR 3 1,000,000 — ANY AUTO 20041276 4/4/2022 4/4/2023 BODILY INJURY(Per parson)_ $ _ SCHEDULEDX •AUTOSONLY BODILY INJURY(Per accdent) $ _ X HIRED �( NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY _ AUTOS ONLY (Per accident) _ $ 1 $ C X UMBRELLA X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAMS-MADE US057350449 9/5/2021 9/5/2022 AGGREGATE 3 1,000,000 DED X I RETENTION$ 10,000 $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY �,IN STATUTE ER XWS57350449 5/24/20225/24/2023 1,000,000 PROPRIETOR/PARTNER:EXECUTIVE I E.L.EACH ACCIDENT $ (OryNR EXCLUDED Y N/A EL -S D4R A -EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below - EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For proposals and/or permits THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Lux Renovations,LLC dba Owens Corning of New England 60 Shawmut Rd - ---- --------------- Canton,MA 02021 AUTHORIZED REPRESENTATIVE Inert D add ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CONTRACT TO INSTALL OWENS CORNING6 BASEMENT WALL FINISHING SYSTEM Owens Corning"Basement Finishing Division(the Contractor)hereby submits this proposal to sell and install the Owens Corning*Basement Wall Finishing System and related items as described herein at the residential premises set forth below.This proposal shall not become a binding commitment unless and until it has been signed by the Contractor and the Customer. CONTRACTOR: Owens Corning*Basement Finishing System a division of LUX Renovations,LLC 60 Shawmut Road,Canton,MA 02021 r S Telephone#(781)821-0060 a Facsimile#(781)821-8552 Federal Tax ID#14-1855297 Mass.Home Improvement Contractor Reg.#137943 Date 8/13/2022 Customer: Customer name Pricilla Anderson Street address 3 Clifford Street City,State,ZIP South Yarmouth Ma.02664 Telephone 774-212-1491. 774-810-2066 This is a contract between the Contractor and the above named Customer to sell and install the Owens Coming"Basement Wall Finishing System and related items specified herein at the Customer's residential premises identified below: Installation premises: Street address Same City,State,ZIP Scope of work: Are sketches and/or specification sheets attached? 0 Yes* ❑No *All attachments are incorporated into and become a part of this contract. Permit fees are paid by the customer at the time of the Description of work/specifications: Project Manager's initial visit payable directly to the town. Finish basement space per attached contract sketch with Owens Corning Classic wall system including stud, insulation and moldings. Install Mohave ceiling tile with peak grid system. Install egress window and steel exit door. Install six panel doors as shown. Carpet withTopaz Berber including stairs. Replace one hopper window. Install complete electric package including outlets, LED lights,controls, switches, smoke/ co2. heat and thermostat, new 220 dryer line, new 100 amp service. Customer to provide check to town for building permit fee. Work schedule**: Approximate commencement date: 1/9/2023 Approximate completion date: 2/13/2023 **The proposed work schedule is approximate and subject to change. Contract price: Total contract price: $61,730 Deposit with order. $6,173 ❑Cash Ei Check# 179 Balance due: S 55,557 Terms: 0 Cash 0 Finance $0 Due on commencement(cash or check only,credit cards are not accepted) $0 Due after rough inspections(cash or check only,credit cards are not accepted) Due on completion(cash or check only,credit cards are not accepted) $55,557 Amount to be financed DO NOT SIGN THIS CONTRACT UNTIL ALL APPLICABLE BLANKS ARE COMPLETELY FILLED IN AND UNTIL YOU FIRST READ AND UNDERSTAND THE ENTIRE CONTRACT,INCLUDING ANY ADDENDUM ATTACHED HERETO,AS WELL AS ANY ATTACHED SKETCHES,MATERIAL LISTS OR THE LIKE, AND THE TERMS AND CONDITIONS ON THE BACK OF THIS CONTRACT DOCUMENT.YOU ARE ENTITLED TO A COMPLETE,FULLY EXECUTED COPY OF THIS CONTRACT AT THE TIME OF EXECUTION. Witness out hand(s)and seal(s)below on this 13th day of August 2022 LUX Renovations,LLC/Authorized Representative: Signature Dana Hooper PRINT Name&Tide DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Customer***: Customer Signature PRINT Name Customer Signature PRINT Name Contractor may have certain lien rights in the premises until the price is pad in full.You have the right to cancel this contract,without any penalty or obligation,at any time prior to midnight of the third business day after the date you signed this contract.See the notice of cancellation below for an explanation of this right. ***Customer acknowledges receipt of a true copy of this contract which was completely filled in prior to customer's execution hereof. N • • N 1 TERMS AND CONDITIONS GENERAL DESCRIPTION:By this contract,Customer agrees to purchase and Contractor agrees to sell and install the Owens Coming°Basement Wall Finishing System and related items identified on the first page of this contract in the above identified premises,for the stated total contract price arid according to the specifications and other provisions of the contract documents including(a)this contract form,(b)the Addendum,if and to the extent applicable,(c)any attached sketches,materials lists,floor plans,and/or specifications sheets. SCOPE OF WORK.Contractor shall be responsible to Customer to supply the Basement Wall Finishing System and related products and for the performance of the installation services,as required by the contract.All pairrtable surfaces installed as part of this contract will include finish paint.Existing stairwells will not be painted unless specified. PRICE.The Price owed by Customer is a lump-sum,turn key price,covering the Basement System and the labor necessary to install it.The Price assumes sound existing substructures,superstructures and points of attachments.The Price shall not indude the cost and reasonable profit,as determined by contractor, of having to provide(i)additional products or installation services as a result of defective substructures,superstructures,or points of attachments,and(ii)any additional goods or installation services beyond those originally specified in the contract which are requested or approved by the Customer and reflected in a change order signed by the customer and the contractor. PAYMENT.Payment of the price by Customer is due in full upon the terms set forth in this contract,but in no event later than completion of the work.In the event that the Contractor declares the project completed but the customer still has some reasonable"punch-list"items,it is agreed that the Customer may be entitled to withhold 5%of the total contract price until such items are completed. ENTIRE AGREEMENT/CHANGES.This contract accurately states the entire agreement between Customer and Contractor concerning the Basement System and the work and replaces and supersedes all prior agreements and understandings relating thereto,both oral and written.Any additions or changes to this contract must be in writing signed by the Customer and the Contractor. WARRANTY.Customer is entitled to the product warranty provided by Owens Coming'for the Basement Wall Finishing System as well as any other product warranty provided by a manufacturer of other goods or products comprising part of the Basement System installed under this contract Contractor will provide Customer with any such manufacturer consumer warranty information.Contractor warrants that the work will be performed by Contractor in a good and workmanlike manner.Contractor's warranty for the work shall extend for a period of two(2)years from the date the work is completed or for such greater period as may be required by applicable law governing consumer warranties for workmanship.Customer must give Contractor written notice within the warranty period of any warranty claim relating to the work.Customer agrees that its sole and exclusive remedy against Contractor for a warranty daim is reinstallation in a good and workmanlike manner,including the repair or replacement of any goods or product if and to the extent reasonably necessary to correct the defective work.Customer shall have no other remedy against Contractor for a Warranty claim,including without limitation remedy for loss or damage caused by normal wear and tear,loss or damage which has not been reasonably mitigated,loss or damage caused by intentional or negligent acts,loss or damage caused by acts of God,incidental or consequential damages for lost profits,sales,injuries to persons or property,or any other incidental or consequential damages. CONTRACTOR'S WARRANTY FOR THE WORK SHALL BE IN LIEU OF ANY OTHER WARRANTY EXPRESSED OR IMPLIED,INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABIUTY OR FITNESS FOR A PARTICULAR PURPOSE,IN CONNECTION WITH ANY WARRANTY CLAIM, CUSTOMER AGREES,AT NO COST TO THE CONTRACTOR,TO PREPARE THE PREMISES,INCLUDING THE REMOVAL AND REPLACEMENT OF FIXTURES INCIDENT TO THE REPAIR AREA,SO THAT CONTRACTOR CAN CORRECT THE DEFECTIVE WORK WITHOUT UNDUE DELAY. UCENSES,PERMITS,SAFETY RULES,BUILDING CODES,ZONING ORDINANCES,AND OTHER LAWS.Contractor shall be responsible to Customer for assuring that any and all licenses and/or building permits are obtained.Permit fees are not included in this contract,Customer will pay for permits directly to the town where the residence to be improved is located.If Customer obtains permits on his own,Customer will be precluded from daiming against certain state guaranty funds relating to home improvements.Contractor shall also be responsible to Customer that the contract shall be performed in compliance with all applicable safety rules and all existing building codes,zoning ordinances and other laws.If a change occurs to any applicable safety rule,building code, zoning ordinance or other law which required additional goods,products or installation services to perform the contract,Customer agrees to pay the cost and reasonable profit for such additional items and to execute a resulting change order or new replacement Contract as requested by Contractor. CUSTOMER'S WARRANTY AGAINST VIOLATION OF EASEMENTS,COVENANTS,AND THIRD PARTY RIGHTS.Customer warrants that performance of this contract by Contractor will not violate any existing real property easements,covenants,or rights of third parties holding an interest in the real property being improved. UNDISCLOSED CONDITIONS IN PREMISES:Customer represents and warrants that any defect or weakness in the Premises'structure,substructure, superstructure or points of attachment that might affect performance by Contractor has been specifically and fully disclosed and described in this contract. If any undisclosed defect or weakness is later discovered after performance of this contract has commenced and such defect or weakness makes additional goods,products,or installation services necessary,Customer agrees to pay the cost and reasonable profit for such additional items and to execute a resulting change order or new replacement contract as requested by Contractor. ARBITRATION.If Customer has any questions or complaints regarding the contract,Customer may contact the Contractor whose name and telephone number appear at the top to this contract.All disputes and claims between Customer and Contractor concerning this contract which any party believes cannot be resolved informally,including without limitation any warranty claims,shall be resolved by binding arbitration conducted by a single arbitrator under the auspices,rules and procedures of the American Arbitration Association and in accordance with applicable federal and state arbitration statutes.The arbitration shall be held in the city or county where the premises are located or in such other location as the parties may mutually agree.No discovery shall be allowed except as may be agreed to in writing by the parties.Either party may demand arbitration,and the arbitrators final award shall be issued within ninety(90)days after the service of the arbitration demand on the other party.It is agreed that all arbitration costs shall be borne by the party that does not prevail. REMEDY FOR BREACH.If Customer breaches this contract,Contractor shall be entitled to recover the greater of liquidated damages in the amount of 20%of the total contract price or such actual damages as the contractor may prove.Also,if Customer fails to pay the Price in accordance with this contract,Contractor shall be entitled to recover its legal costs,including reasonable attorneys fees,in connection with arbitrating,obtaining judgment on an arbitration award,or otherwise pursuing Customer for collection.In the event that the Contractor cancels this contract,a written notice will be sent within 30 days of contract date and all deposits or monies on account will be promptly refunded to the Customer. UNAVOIDABLE DELAY OR FAILURE IN PERFORMANCE EXCUSED.Any delay or failure by Contractor in performing this contract because of strike,fire, floods,acts of God,inability to obtain goods,or any other causes beyond the reasonable control of the Contractor shall be excused and shall not be breaches of this contract. MISCELLANEOUS.The contract shall be interpreted under and governed by the law of the state where the premises are located,without reference to its choice of law provisions.If any provision of this contract is contrary to any law to which it is subject,such lawful provision shall be ineffective without invalidating the other provisions which shall remain in full force and effect All home improvement contractors shall be registered,and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,MA 02108 Tel.(617)727-8598 MOLD RESISTANCE.Customer acknowledges that although the Owens Comings Basement Finishing Components are designed to resist the development of mold,they are not capable of preventing mold if the conditions for mold growth otherwise exist in the basement.Customer further understands that virtually all basements require dehumidification in order to maintain an appropriate humidity level,and that a failure to dehumidify could result in mold or mildew development in the completed area and upon the contents. By initialing here customer acknowledges that they have reviewed and understand the terms and conditions of this contract: Customer"P.M Customer NOTICE OF CANCELLATION -90 Date 8/13/2022 You may cancel this transaction,without any penalty or obligation,within three(3)business days from the above date. If you cancel,you will not be liable for any finance or other charges,and any security interest given by you,including any such interest arising by operation of law,becomes void upon such cancellation.In addition,any property traded in,any payments made by you under the contract of sale,and any negotiable instrument executed by you will be returned within twenty(20)business days following receipt by the Contractor of your cancellation notice.If you cancel, you must make available to the Contractor at your residence,in substantially as good condition as when you received,any goods delivered to you under this contract or sale or you may,if you wish,comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty(20)days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice to: Owens Coming®Basement Finishing Division 60 Shawmut Road,Canton,MA 02021 Phone:781-821-0060 Fax:781-821-8552 I hereby cancel this transaction. Date Customer's Signature I hereby acknowledge receipt of two copies of this Notice of Cancellation advising me of my right to cancel. 8/13/2022 Date Customer's Signature Date Customer's Signature Anderson,Pricilla 3 Clifford St CONTRACT Customer Nan S Yarmouth,MA 02664 Customer Signature- 2 L'' 14 '"�1 ' i.. k. CORNING .OWENS SKETCH Contract Dated 774-212-1491 774-810-2066 Sales Representative ignature ' ATTACHMENT Customer Pho _ Contract Price 4/,73 0 4 $ 7 t 0 10 It la 14 IS l0 17 10 19 80 21 at b A e q a q >@ at - 37 as y 37 a9 _ 41 q 1 N 10 49 47 40 n so 51 s: sa s, s st 57 se se a t _ .. .t.t 1ly1:: 2 i t 1 .__ svykpoe GO Di 7eGTt72 i eifuity /44V4,9-770 , (, , ' :vvs f71 �] /1/ 1=�i4'm't, let e /„. /i OG • .. . i - • f . _ . - 7. Exrsr,A4 LAeimx y rq-r1 ego- , ry v,1 G -7-t / =a. c Sr EVIE [ FR ULDIGAr *z P 79 ASVCERk�R�6K01V(19IfSSIONS DO i f f; tIEt1E THE OF.'.-$BUILT. , ZS 1` O�h% ? GE'JL!/!/L7 - _ . •/1 APPLICANT COMPLIANCE,FO►�THE f�ESFONStBILITY-, _ _ 30 31 a.F= � 32 33 _ -- — - __ fl�l4AlNG i o O CAL - NOTES: 'Each box equals one foot unless otherwise noted.This sketch is a good faith I representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. . .. sarmmymm„„„„,.+aww'ss!.„cm vgavettggw _ �.. =' ._.�..__i. �•-..-.ram-+.-.- f! . T; { • { j ... . t . t t ,V- .1" '�C c-,. , 1 1 tt • ' ,i } • .h t; ii 1 i i I-._ .� . Q • t12: r e i . o r Whisper Energy Recovery Ventilator FV-04VE1 VENTILATIONN Specification Submittal Data /Panasonic Ventilation Fan Two 4"ducts _ ice_ Description Grille: ,•111 ��. ` y • l �)'�f.;UL listed ceiling or wall mount Energy Recovery Attractive design using ABS material, ` ���) Ventilator provides a tempered air supply, •Attaches directly to housing with torsion ���\I humidity control,and a balanced amount of springs. i✓A exhaust to help maintain neutral pressure %C � `% throughout the home.Panasonic ERV shall Warranty: ��j �/ not be installed in a bathroom.Only one unit is •All Parts:3 Years from original purchase date. I • `'� d,� needed for a 1,750 sq.ft.2 bedroom home to Architectural Specifications: 1>,2•,d`/ meet the ASHRAE 62.2 ventilation requirement. ERV shall be ceiling or wall mount type with no Motor/Blower: less than 40 CFM on the exhaust port,30 CFM on the supply port,and no more than 0.8 sone •Fully enclosed AC condenser motor rated for as tested in accordance with HVI 915 and 916 continuous run. standards at 0.1 static pressure in inches water •Power rating shall be 120 volts and 60 Hz. gauge.Power consumption shall be no greater -------%.'/" i / •Two highly efficient blower wheels running on than 23 watts.Apparent Sensible Effectiveness single motor for lowerpower consumption and for heating shall be no less than 66%at 30 FV-04 VE1 Optional Exterior WTI Cap and Elbow Accessories 9 p (see next page) decreased noise. CFM net air flow under 32°F(0°C)as tested in •Motor equipped with thermal cut-off fuse accordance with CSA-C439.Total Recovery control. Effectiveness for cooling shall be no less than 36%at 29 CFM net air flow under 95°F(35°C). ERV Core Technology: Housing: The supply port damper shall close below 20°F •Indoor and outdoor air passes through •Rust proof paint,galvanized steel body. (-7°C)to prevent freezing of the core.The motor Panasonic's capillary core technology. •Dual 4"intake and exhaust ducts. shall be totally enclosed,AC condenser type This process tempers supply air while •Built in backdraft damper on exhaust duct. engineered to run continuously.Power rating transferring moisture and energy. shall be 120v/60Hz.Duct diameter shall be no •Built in Frost Prevention Mode prevents the •Filters on supply and exhaust air extend the less than 4".ERV can be used to comply with core from freezing.Frost Prevention Mode life of the ERV core. ASHRAE 62.2,LEED,IAP,California Title-24, is free of interaction and operates without •Expandable mounting bracket up to 16"on and WA Ventilation Code. intervention. center. Specifications: WhisperComfort FV-04VE1 o.so Air Volume Setting 40 CFM 20 CFM 10 CFM Static Pressure in inches w.g. 0.1 0.1 0.1 v 0.40 ,, FV-04VE1 y —(Exhaust) Exhaust Air Volume(CFM) 40 20 10 d ,,ti FV-04VE7 Supply Air Volume(CFM) 30 20 10 . 0.30 —(Supply) --•20 Feet Noise(sones) 0.8 <0.3 N/A —40 Feet Power Consumption(watts) 23 21 17 0.20 '�/ --60 Feet --80 Feet Speed(RPM) 1479 1292 1095 .17 100 Feet Current(amps) 0.15 0.10 0.09 0.10 ; „ Power Rating(V/Hz) 120/60 _ Apparent Sensible Effectiveness for Heating 66%at 30 CFM and 32°F(0°C) 0.00 0 10 20 30 40 50 60 Total Recovery Efficiency for Cooling 36%at 29 CFM and 95°F(35°C) Airflow(CFM) For complete Installation Instructions visit us.panasonic.com/ventfans Model Quantity Comments i Project: Location: Architect: Engineer: Contractor: Submitted by: Date: Panasonic Life Solutions Company of America IAO Division Two Riverfront Plaza Newark,NJ 07102 us.panasonic.com/ventfans c ut Panasonic IA020001 ST • Whisper Energy Recovery Ventilator FV-04VE1 VENTILATION FAN Specification Submittal Data /Panasonic Ventilation Fan (Continued) Optional Accessories Optional Exterior Wall Cap -4".- _7-41-.6%— 10 rilb 4110),11101110f 1 ...,...,... ,_......i -\ka i 7°''''' q 4-7..--.. Exterior Wall Cap FV-WCO4VE1 polypropylene wall cap with styrofoam adaptor allows both exhaust(from the right)and supply(from the left)airflow through a 5.5"-5.75"hole in the building envelope.The dividers inside the bottom portion of the Y shape chamber and the new wall cap help prevent cross contamination. Optional Elbow Exterior Wall Cap and Elbow Used Together 011110. 8 6"Dia. — a ^^ti+ 5�Dia. til.-- -3,4110, i y �K�wewve r 7: 7 ,. .„..,..,E.,,, w�v.„ s 1 Elbow FV-EBO4VE1 styrofoam elbow connects to the Y shaped adapter of the exterior wall cap to help simplify wall installation.The elbow also features double chambers for exhaust and supply air to help prevent cross contamination. Panasonic Life Solutions Company of America IAQ Division Two Riverfront Plaza Newark,NJ 07102 us.panasonic.com/ventfans cO Dt Panasonic IAQ20001ST