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Home My WebLink AboutBLD-23-005855 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of....•Y 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 i Massachusetts State Building Code,780 CMR �,,,,e Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: C V-Z3- 0(0Q55Date Applied: C 3 Building Official(Print Name) gnature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers RECEIVED 72 CAPTAIN CHASE ROAD SOUTH YARMOUTH 78 ii — 1.1 a Is this an accepted street?yes no Map Number Parcel Numbe APR 21 2023 1.3 Zoning Information: 1.4 Property Dimensions: Nf tJ R 40 RESIDENTAL SF 13,200 110 + Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) BUILDING U I LDi N G D E PA RTM E N T Y 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 20 32' 20 20/11.4 NO CHANGE 20' 48.5 NO CHANGE 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public El Private 0 —Zone: Outside Flood Zone? Municipal 0 On site disposal system IIII Check if yes® SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner`of Record: CATHERINE AND MARTHA SALMON TRS SOUTH YARMOUTH MA 02664 Name(Print) City,State,ZIP 72 CAPTAIN CHASE ROAD 781-534-3158 MARTHA.SALMON@HOTMAIL.COM No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction 0 I Existing Building Ci Owner-Occupied ® I Repairs(s) 0 Alteration(s) a ( Addition 0 Demolition 0 ! Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: BUILD AN ADDITION AT THE REAR OF THE EXISTING ONE CAR GARAGE TO CREATE A BEDROOM IN THE NEW ADDITION AND FULL BATHROOM AS PER PLAN SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) . 1.Building $ 140,000.00 1. Building Permit Fee:S -C.) Indicate how fee is determined: f 1,Standard City/Town Application Fee 2.Electrical $ 3.000.00 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 5,000.00 2. Other Fees: $ tO .(1 ''// 4.Mechanical (HVAC) $ 2,200.00 List: Lod LI.>J92._ 5.Mechanical (Fire ' Suppression) $ 1,000.00 Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 151,200 0 Paid in Full El Outstanding Balance Due: ti4 6 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) GARY GUSTAFSON CS-074640 1///29/2024 License Number Expiration Date Name of CSL Holder 8 SHORT WAY List CSL Type(see below) U No.and Street Type Description SANDWICH, MA 02563 U I Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1<t2 Family Dwelling M Masonry • RC I Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-648-9949 GARY@CAPIZZIHOME.COM I Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) CAPIZZI HOME IMPROVEMENT INC GARY GUSTAFSON 100740 06/22/2024 EEC Company Name or HIC Registrant Name HIC Registration Number Expiration Date 1645 NEWTOWN ROAD No.and Street COTUIT, MA 02635 508-648-0269 Email address City/Town,State,ZIP Permitting Jean Bowden 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 C1 No 0 . 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 SEE ATTACHED AUTHORIZATION FROM CONTRACT to act on my behalf,in all matters relative to work authorized by this building permit application. MARTHA AND CATHY SALMON Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. CHARY C;IISTAVSON CAPIZZI HOME IMPROVEMENT INC 04/20/2022 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (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.sov/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 1 Number of bedrooms 2 existing Number of bathrooms 2 existing Number of half/baths 0 Type of heating system gas Number of decks/porches 2 Type of cooling system central Enclosed 1 Open 1 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 5/1/23,9:07 AM Mail-Sears,Tim-Outlook 72 Capt. Chase Rd Sears, Tim <tsears@yarmouth.ma.us> Mon 5/1/2023 9:07 AM To:gary@capizzihome.com <gary@capizzihome.com> Gary, I have reviewed your application and there are some items needed. �3.�Health Department sign off(under review) 2. T e use of sonotubes for footings requires the plans be reviewed and stamped by a Registered iesign Professional. (see R403.1) `3j, Rescheck needs to be based on 2021 IECC V. Smoke/CO alarm required outside bedroom, Heat detector required in garage Please submit these items for review , �01 1)/1 \� t, ' \J9 -rC\ 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 for a 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_pyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQABz5HiXiLMtLgZETkR%2... 1/1 §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 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 CMIt- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 72 CAPTAIN CHASE ROAD SOUTH YARMOUTH Work Address Is to be disposed of oat the following location: TOWN OF YARMOUTH DISPOSAL AREA Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. CAPIZZI HOME IMPROVEMENT INC 04/16/2023 Signature of Application Date Permit No. Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I/WE, Cathy & Martha Salmon , OWN THE PROPERTY LOCATED AT 72 Captain Chase Road IN South Yarmouth, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: e, OWNER'S ADDRESS: 72 Captain Chase Road, South Yarmouth OWNER'S TELEPHONE: (781) 534-3158 (Cathy) LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: 4 .'- fr Common.,. Lre of Massachusetts Division of Occupational Licensure Board of Budding 12amlations and Standards Colista Wpervtsor ...., ..". , 1 CS-074640 -... 1-'''f A--;- Ktpires: 11/29/2024 GARY GUSTOSON ' --.,, 1,1 8 SHORT WAX SANDWICH NIA, '.4 a e• . LI 01. .4•4 I 1 ,...,••••,;.......4...., if THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT_CONTRACTOR expiration date. If found return to: TYP,,Ez Card Office of Consumer Affairs and Business Regulation RE118411 4' EMBrittiOn 1000 Washington Street -Suite 710 100740' 06/22/2024 Boston,MA 02118 CAPIZZI HOME IMPROVEMENT,INC. / GARY GUSTAFSON ' 1645 SANTUIT-NEWTOWN ROAD i.,,-4.*,.,/,'? ;;.,64#•4' COTUIT MA 02635 Undersecretary Not alid ithout signature 1 k4�x' its, TOWN OF VAR.NIOt+til 3.��(1" -- WATER DEPARTMENT 99 Rock Island Road Weq Yaromuth MA tt?ri? BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: 72 CAPTAIN CHASE ROAD WEST YARMOUTH PROPOSED WORK: COVERT THE GARAGE INTO A BEDROOM AND BATH WITH AN ADDITON OF 12.6 x 8"AT THE APPLICANT: CAPtZZI HOME IMPROVEMENT INC ADDRESS: 1645 NEWFOWN ROAD,GOTt1tT MA 02636 _ W_ TELPUONE: 508-640-0269 JEAN BOWDEN PERMIT COORDINATOR RESIDENTIAL AND;OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or existing location lingineering Department: Determines Compliance for Parking and Drainage C'onservaIion Commission: iktennines Compliance to Wetlands Act:i.e. If lots)border any type of wetlands.streams,ponds,rivers,ocean,hogs,boys,marshland, ETC... Ikalth Department: Determines Compliance to State and Town Regulations,i.e. requirements lirr Septage Disposal and other Public Health Actiriter Fire Department: Determines Compliance to State and Town wn Requirements for Personal Safety,Property Protections,i.c.Smoke Detectors,Sprinkler Systems,eic APPLICANT SIGNATURE 0411412023 DATE OFFICE USE;COII,NIEN S ON PERNIII APPROVAL OR DENIA1, REVIEt :D BY WATER DIVISION(SIGNATURE) ' A 3 DATE C :Y R� TOWN OF VAR_,, caWATER DEPARTMENT a:,; 4 99 Buck Island Rnad ""7-'1 1Vcct Ylrmouth. A1'\02 I ,;, � r h-ppaiune: 15t)t,'1 771-7921 • fav t I(It11 "I-7998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: 72 CAPTAIN CHASE ROAD WEST YARMOUTH PROPOSED WORK: COVERT THE GARAGE INTO A BEDROOM AND BATH WITH AN ADDITON OF 12.6 X 8"AT THE — REAR OF THE EXISTING GARAGE. APPLICANT: CAPI22I HOME IMPROVEMENT INC ADDRESS: 1645 NEWTOWN ROAD,COTUIT MA 02635 I ELPHONE: 508-648-0269 JEAN BOWDEN PERMIT COORDINATOR RESIDENTIAL AND/OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or existing location Engineering Department: Determines Compliance for Parkine and I)rainaee Conservation Commission: Determines Compliance to Wetlands Act: i.e. If lot(s)border any type of wetlands.streams,ponds,rivers,ocean,bogs,Drys,marshland, ETC... Health Department: Determines Compliance to State and Town Regulations, i.e. requirements Ii►r Scptage Disposal and other Public Health Activites Fire Department: Determines Compliance to State and Town Requirements for Personal Sali--ty,Properly Protections,i.e.Smoke Detectors,Sprinkler Systems,etc APPLICANT SIGNATURE f: DATE OFFICE USE:CONINIENTS ON PERMIT APPROVAL.OR DENIAL. it<gtfr-4-- 4 0 0 RE VIE% :D BY WATER ENVISION(SIGNATURE) DATE LOCUS / . LOCUS MAP G6/1;11 25' 50" W EN) S 77• RE6AR/GAP i EN P • o e o e o o a e a o o IZODd PROPOSED ADDITION PWEp ro DRWEWAy —' v—~i'Z I t�J PATIO ! , K • r----- DECK i w C a�9�---1--, � II I b _= � (� POOL b I 1 m q EXISTINS q — v / i 1 • Z \v\ \ \ S `ST''r WALL • LOT 1S v • 13,200.0±.FT. a 0.30±AG. 20 4, n .< e v e e e a e e a a B a 12DOd N77 25" 5d' E EXISTINS LOT COVERAGE SCALE: 1"=20' EXISTIIJB DWELLIN&, DECK 0: 20' 40' 60' 2,489.4±50FT o r 18 5% I il % PROPOSED LOT COVERAGE THE EXISTINS SEPTIC- EXISTNS DWELLING AND ADDITION SYSTEM SHOWN WAS I,590.Ii .FT. or 19.6% PLOTTED 15Y USINS THE SEPTIC. PLAN POUND FILED AT THE YARMOUTH WARD THE EXISTINS PWPI! INS SHOWN OF HEALTH. WAS LOCATED F)Y AN INSTRUMENT SURVEY ON 02/20/2023 AND A C CSS6 S MAP 78 PARCEL (00 EXISTS ON THE GROUND AS SHOWN. PLOT PLAN ,SN�r rs/ ,, t, Sth6WINS EXISTINS CONDITIONS a •. - S 72 CAPTAIN GIIASE *OD N 4 No.35031 YARMOUTt1, MACA 1USETTS (oFFe S\Or Q, 44c3uRVE'0 3(fS l23 &ANAL LAND 5LRVEYNS and PERMITTN5 N&. NA7Ei° oi5 PROFESSIONAL LAND SURVEYOR land surveyor,-engineer, r=,o h: Old Plymouth Rood, oon I e Peach,MA o02502 nn* Ph.(POP)y0p-5955 Email,conolaurveOlverfzonmet OLOW Gtp1AC: r7t 9-3 R E D E l V E D • TOWN OF YARMOUTH MAY 2 3 2023 HEALTH DEPARTMENT BUILDING DEPARTMENT By:-- RMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 72 CAPTAIN CHASE ROAD, SOUTH YARMOUTH AT THE REAR OF THE HOUSE ADDITION(12.6'X 8')TO CONVERT THE EXISTING GARAGE INTO A BEDROOM WITH 3 Proposed Improvement: WITH STORAGE AREA. Applicant: CAPIZZI HOME IMPROVEMENT INC Tel. No.:508-648-0269 Address: 1645 NEWTOWN ROAD COTUIT MA 02635 Date Filed: 04/25/2023 **lfyou would like e-mail notification of sign off,please provide e-mail address: PFRnnIT@CAPl77I InnnF�nnn Owner Name: MARTHA&CATHERINE SALMON TRS Owner Address: 72 CAPT CHASE ROAD SOUTH YARMOUTH MA 02664 Owner Tel. No.: 781-534-3158 CATHY RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: RECEIVED (1•) Site Plan showing existing buildings, water line location, and septic system location; APR `z 1 2023 ✓ (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (all existing and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; L)I' (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: COMMENTS/CONDITIONS: PLEASE NOTE ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 72 CAPTAIN CHASE ROAD SOUTH YARMOUTH Scope of Proposed Work: RENOVATION OF THE EXISTING GARAGE WITH AN ADDITION'AT REAR TO CREATE A BEDROOM AND FULL BATHROOM AND STORAGE Date: 04/16/2023 Based on the scope of work described above,the applicant is required to obtain approval sign- offs from the following departments as checked-of below: X Health Dept. —508-398-2231 ext. 1241 Conservation—508-398-2231 ext. 1288 k Water Dept. —99 Buck Island Road, 508-771-7921 NA Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 NA Engineering Dept.—508-398-2231 ext. 1250 Fire Dept.—Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: .5j APV/1 HOME IMPROVEMENT INC 14 20:_3 Applicant's Signature Date Rev.Jan. 2019 0 Generatedliance by REScheck-Web Software Comp Certificate Project 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Energy Code: 2018 IECC Location: South Yarmouth, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 72 CAPTAIN CHASE ROAD CAPIZZI HOMES S. YARMOUTH, MA 1645 SANTUIT-NEWTOWN ROAD COTUIT, MA 02635 508-428-9518 GARY@CAPIZZIHOME.COM Compliance: Passes using UA trade-off Compliance: 1.6%Better Than Code Maximum UA: 62 Your UA: 61 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies Gross Area Cavity Cont. Prop. Req. Prop. Req. Assembly °r R-Value R-Value U-Factor U-Factor UA UA Perimeter Ceiling: Flat Ceiling or Scissor Truss 264 49.0 0.0 0.026 0.026 7 7 Wall: Wood Frame, 16" o.c. 500 21.0 0.0 0.057 0.060 25 26 Door: Glass Door(over 50%glazing) 36 0.300 0.300 11 11 Window: Metal Frame w/Thermal Break 30 0.300 0.300 9 9 Floor:All-Wood Joist/Truss 264 30.0 0.0 0.033 0.033 9 9 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 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. G0,R..1 GosTAF'Jon Name-Title Signature Date y�� g ,2� Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Data filename: Page 1 of 9 0 REScheck Software Version : REScheck-Web Inspection Checklist Energy Code: 2018 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 # 1 Pre-Inspection/Plan Review Plans Verified Field Verified Complies? Comments/Assumptions & Req.ID I I Value Value 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the .0 building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for ❑Not Observable [PR3]1 lighting and mechanical systems. ,d, Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: ❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]z on loads calculated per ACCA Cooling: Cooling: Manual J or other methods ❑Not Observable Btu/hr Btu/hr ❑Not Ap plicable by the code official. Additional Comments/Assumptions: 1 High Impact(Tier 1) 12 Medium Impact(Tier 2) 3 Low Impact (Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Data filename: Page 2 of 9 Section Comments/Assumptions # Foundation Inspection Complies? & Req.ID _303.2.1 A protective covering is installed to ❑Complies [F011]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in, below ❑Not Observable grade. ❑Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies [F012]2 installed. ElDoes Not .,,; ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 1 High Impact(Tier 1) 2 I Medium Impact(Tier 2) ! 3 I Low Impact(Tier 3) Report date: 04/18/23 Project Title: 72 CAPTAIN CHASE ROAD, S.YARMOUTH, MA Page 3 of 9 Data filename: • Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID ._ 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3,3,402.5 ❑Not Observable [FR2] ❑Not Applicable FR2]1 b' 303.1.3 U-factors of fenestration products EComplies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or ❑Not Observable taken from the default table. ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable or has infiltration rates per NFRC 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm ❑Not Observable leakage at 75 Pa. ❑Not Applicable 403.3.1 Supply and return ducts in attics Complies [FR12]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >= pilot Observable 30, R-6 where < 3 inches. Supply and return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.2 Ducts,air handlers and filter ❑Complies [FR13]1 boxes are sealed with ❑Does Not joints/seams compliant with ❑Not Observable *' International Mechanical Code or International Residential Code, as ❑Not Applicable applicable. 403.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not [Not Observable ❑Not Applicable ❑Complies 403.4 HVAC piping conveying fluids R- R-[FR17]2 above 105 2F or chilled fluids ❑Does Not below 55 °F are insulated to >_R ❑Not Observable 3. ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR24]1 piping. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ❑Complies [FR18]2 >_R-3. ❑Does Not ['Not Observable ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ['Not Observable ❑Not Applicable , I I 1 High Impact(Tier 1) 12 I Medium Impact(Tier 2) 13 I Low Impact(Tier 3) date: 04/18/23 Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA ReportPage 4 of 9 Data filename: Additional Comments/Assumptions: 1 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Page 5 of 9 Data filename: Section I Plans Verified Field Verified Comp lies? Comments/Assumptions # Insulation Inspection Value Value p & Req.ID �__ 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable la, ❑Not Applicable 303.2, Floor insulation installed per ❑Complies 402.2.8 manufacturer's instructions and ❑Does Not [1N2]1 in substantial contact with the ❑Not Observable `Q, underside of the subfloor, or floor ❑Not Applicable framing cavity insulation is in 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 top of all perimeter floor framing members. 402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ['Not Observable [IN3]1 exterior, the exterior insulation ❑ Steel ❑ Steel ❑Not Applicable 34 requirement applies (FR10). 303.2 Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Data filename: Page 6 of 9 • ' Section i Plans Verified Field Verified # .Final Inspection Provisions Complies? Comments/Assumptions Value Value & Req.ID I I I — 402.1.1, Ceiling insulation R-value. R- R- EComplies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ❑Not Observable 402.2.E(Far ENot Applicable 303.1.1.1, Ceiling insulation installed per EComplies 303.2 manufacturer's instructions. ❑Does Not [FI2]1 Blown insulation marked every ENot Observable 300 ft2. ❑Not Applicable 402.2.3 Vented attics with air permeable EComplies [Fl22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that ['Not Observable extends over insulation. ENot Applicable 402.2.4 Attic access hatch and door R- R- EComplies [FI3]1 insulation R-value of the ❑Does Not adjacent assembly. ❑Not Observable ENot Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = EComplies [FI17]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [FI27]1 determine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total ENot Observable leakage measured with a pressure differential of 0.1 inch ❑Not Applicable w.g. across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g. across the entire system including the manufacturer's air handler enclosure. 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 '❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable handler @ 25 Pa. For rough-in tests, verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.2.1 Air handler leakage designated ❑Complies [FI24]1 by manufacturer at <=2%of ❑Does Not design air flow. ENot Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed for control of primary ❑Does Not heating and cooling systems and ENot Observable initially set by manufacturer to ENot Applicable code specifications. 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water EComplies [FI11]2 systems have automatic or EDoes Not accessible manual controls. ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Page 7of 9 Data filename: Section Plans Verified Field Verified ,Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID —._- 403.6.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy ❑Not Observable and air flow limits per Table ❑Not Applicable R403.6.1. 403.2 Hot water boilers supplying heat ❑Complies [F126]2 through one-or two-pipe heating ❑Does Not systems have outdoor setback ['Not Observable control to lower boiler water ❑Not Applicable temperature based on outdoor temperature. 403.5.1.1 Heated water circulation systems ❑Complies [F128]2 have a circulation pump.The LiDoes Not system return pipe is a dedicated [Not Observable return pipe or a cold water supply ❑Not Applicable pipe. Gravity and thermos- syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [F129]2 comply with IEEE 515.1 or UL ❑Does Not 515. Controls automatically ❑Not Observable adjust the energy input to the ❑Not Applicable heat tracing to maintain the desired water temperature in the piping. 403.5.2 Demand recirculation water ❑Complies [F130]2 systems have controls that ❑Does Not manage operation of the pump ❑Not Observable and limit the temperature of the ❑Not Applicable water entering the cold water piping to <= 104°F. 403.5.4 Drain water heat recovery units ❑Complies (F131)2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side ❑Not Observable pressure loss of drain water heat ❑Not Applicable recovery units < 3 psi for 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 90%or more of permanent ❑Complies [F16]' fixtures have high efficacy lamps. ❑Does Not [Not Observable ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies [F123]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [F17]2 ❑Does Not ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Data filename: Page 8 of 9 Section Plans Verified Field Verified # ,Final Inspection Provisions ° Value Value Complies? Comments/Assumptions & Req.ID 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ElDoes Not systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 72 CAPTAIN CHASE ROAD, S. YARMOUTH, MA Report date: 04/18/23 Data filename: Page 9 of 9 2018 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): Glass & Door Rating U-Factor SHGC Window 0.30 Door 0.30 Heating & Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: GA-Ay Gad on/ Date: o 'I ) /9 / 2-� Comments