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HomeMy WebLinkAboutBLDR-26-360 applicaiton RECEIVE ® r _______ `JL 16 2026 1 .,1 !L to(' � G� ONE & TWO FAMILY ONLY- BUILDING' P%ItMI Cr4t- i Town of Yarmouth Building Department ;'Og Y"44 ` 1146 Route 28,South Yarmouth,MA 02664-4492 14 - 0 508-398-2231 ext. 1261 Fax 508-398-0836 i1 ' •1 y Massachusetts State Building Code,780 CMR '� =_-�'' Building Permit Application To Construct, Repair, Renovate Or Demolish `�ti oRP ,by a One-or Two-Family Dwelling -�""„. This Section For Official Use Only Building Permit Number: FY-�1Z-`a-(0.-3 to() Date Applied: Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers V [o.Niel S 1.1 a Is this an acceptdd street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: It 55R 1Y 1-1 ifs 1,3 Zoning District Proposed Use Lot Area(sq ft) / Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 3o •(o.j 2.4:::. ZO•y zo BSI 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Public 0 Private 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: t� M Z. 7 Keisfiein � f�oZ.il Yyr� 0a ti Li Name(Print) City,State,ZIP No.and Street r Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 I Alteration(s) 0 I Addition Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify: �l Brief Description of Proposed Work': it c\ L3 x 3% ple�.5k'T� to11 e o w, r`S`` `A r"dh v I�T_L �n — caiN a E ` x i6 11n %yes ,Tt9 © Al A. li,v1�NCjey o`rect1 C C - 1 SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item (Labor and Materials) 1.Building $ 16060 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 19 'd 0 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ )3e,Q 0 2. Other Fees: $ 4.Mechanical (HVAC) $ t 0 0 d Q List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ t i/zoo© 0 Paid in Full 0 Outstanding Balance Due: 1 (i r SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) 5 l( 39 ? �le �, 1/1� � � f License Number Expirati n Date Name of CSL Holder List CSL Type (see below) Li 0 H 0 ‘mev'S KZ. No. and Street Type Description �1 U Unrestricted (Buildings up to 35,000 cu. ft.) +� AN L Lk*\A C,'2.,t.cs ?_5 R Restricted 1&2 Family Dwelling City/Town, State, ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address _ D Demolition 5.2 Registered Home Improvement Contractor (HIC) /531 ct /01644 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 14U i t- A,1. ' Cv frA 5 . 11C No. and Street Em address City/Town, State, ZIP 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 0 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_ 4,J; to act on my behalf, in all matters relative to work authorized by this building permit application. 1(65 \-ev\ 7 /iji02, L 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. �� ►rt 7 1 I Z 2, (c 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/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" The Commonwealth of Massachusetts _ Me Department of Industrial Accidents 2=-.. 9_�z ......._9 Office of Investigations =N61 M1 ..44=!' Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 °,, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): .-r 1 W t.-6,t Address: too OCV4Ve.J'h &c, - 1 .I City/State/Zip: kI„in ,\„5 u t76 A YV\ti C .. Phone#: 7S'1 D t1 L O 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-pf listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance. t required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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.❑ Other comp. insurance required.] *My 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. tContractors 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 far my employees. Below is the policy and job site information. Insurance Company Name: "\ci.EA 4/-)\. 1,\ 04.e.d r;t.a (-_)•-e ,-+-4) Policy#or Self-ins. Lic. #: Expiration Date: 4 / Z('x ti Job Site Address: C in ‘.sw y City/State/Zip: u e nm 0%,,,1/4N 1•'a Q 3 io?tq Attach a copy of the workers' compensation policy declaration page(showing the policy n mber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct. Si afore: -.. Date: -)/ L. I La 2 (c Phone#: (off. n 5`t Lam)20 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5EIPlumbing Inspector 6.0Other Contact Person: Phone#: .og Y.4\ TOWN OF YARMOUTH i' I Office of the Building Commissioner k.._. ..- = y 1146 Route 28, South Yarmouth, MA 02664 �R"°p"`°°skz 508-398-2231 ext. 1260 Fax 508-398-0836 DEMOLITION DEBRIS DISPOSAL APPLICATION Pursuant to M.G.L. c.40 §54 and 780 CMR Section 105.3.1 #4. I hereby certify that the debris Y.c)Len resulting u i /l tfrom the proposeddwork/demolition to be conducted at. 8 �"�v.wwrrN e tlWork Address Is to be disposed of at the following location: a o tnt Lk.4,1 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, §150A. K' -- , 7/11. tat.;14. Signature of Applicant Date Permit No. THE COMMONWEALTH OF MASSACHUSETTS Office HOMEof Co IMPROVE Aff} &Business Regulation ROVE rcONTRACTOR Y5 c tion (EVIN FAIR a: =`-- CEVIN J F AIR �-- 00 HOMERSDOCK - (ARMOUTHPORT,MA / z f Undersecretary Report Title:8 Denver addition Report Date:7/10/26,5:38 AM 10 of 11 l. Commonwealth of Massachusetts Construction Supervisor 1.l Division of Occupational Licensure Unrestricted - Buildings of any use group which contain less than --.. Board of Building Regulations and Standards 35,000 cubic feet (991 cubic meters) of enclosed space. C IT f' Cons l rvi or ' i' Aires: 0710112028 CS-094639 /, KEVIN J FAI �;, �� ,� , . �; 100 HOMER ' . t A i YARMOUTHI R � �' �� ...t 'LLSI(VA- ,' i Failure to possess a current edition of the Massachusetts State 'Pt r %., Building Code is cause for revocation of this license. Commissioner �e�� Contact OPSI: (617) 727-3200 or visit www.mass.gov/dpl/opsi Notes 1. Map 99 Parcel 58 Locus 2.) C220875 Zone R-40 C! 3.) LC Plan 31209-0 40,000 Sq. Ft. FeryttoY - 4) This Property is located in Zone II . 'O.)f`) 150' Frontage at- .s..0 1 ; 5 'F''' 5 in.) This Property is Flood Zone X 100' Width .4 4 - 5 1 Setbacks 9, t- 13 o c 0) fa v4. 56.41'V SIde 2tY 0 0. a Street Rear 20' Barkley L1.i.On R°°6 Maximum aldg Coverage 25% \ : COpe & Proposed 81dg Coverage: 13.7% Electric TronerniVineyardsS Existing 8idg Coverage 10 4% ion Line .. Easement Re91(2,2S- -. reni..e — ...— — _ — — _ .........„ — ........„ _ _ — .— YARMOUTH — — , MA I Proposed SITE LOCUS Lot 107 Addition -ii,,,,,.. 13.0' 20.4* 18, NOY TO SCALE 14,917± So Ft 2a' m,r, (.6 --,. i . n-r-i —1 "c'C' \\I .4:- Plot Plan ,..... ...... . ii,' Deck 1 TA i :177. ,c, Mop 99 For 31.5' i 00 Parcel 59 Map 99 '" ---r/MV/7777".7177/11/6711V/Rome) Z 1.1,77, \P,) proDosed Additon Parcel 57 House ii / i Located at ir / 8 Fenway A Knionate South Yarmouth, MA ,,„—.7., 13 0 rms Line r•—/4.'''''04‘...enutwialtEmw%5Wtqw, -- ,arazemtte4 1 , _ Prepared for: ,4.0 34.0 t.o I Kristen Brooks wf *0 -{-, .:I- Prepared by: I L)I 11 14. ST 1 1 .. N to ,.a to All Cape Septic and Survey 101 In in 618 Route 28 z 1 — I, I I L ° ° 01 J (r) West Yarmouth, MA 02673 1. ____ (50E1) 771-4200 1, Septic Shown/ 1 alicopeseptictmall,com I Per Asbuilt --- 115.63' S 74'02`20" Date: June 10, 2026 I GRAPHIC SCALE 1. p! iniiic.......1 --I. x) 0 is 20 .te NOTE: LOCATION OF UTILITIES IS APPROXIMATE AND ALL e ! UNDERGROUND AND OVERHEAD UTILITIES MUST BE Fen way DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT 4 AN.YrK, THIS INCLUDES, BUT NOT UNITED TO, QUESTS TO=sot, ANY PRIVATE UTILITY COMPANIES (40' Public Way) ( IN FEET ) AND THE LOCAL WATER DEPARTMENT. 1 Inch A, 20 ft. 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WAILIPDFID I--- � w11'"M9O' STUDY)LAUNDRY v.v"•�` .,.. ..m.A.•.AAam. > wrm.wmAm.am 1a.mi.w. Mak '� ✓� BX.FULL BASEMENT E .A...,:u..a.Awew..1 ......... .,lamaeDe.e:. ®w`w:lww.a o:: mwr.� ew..wa 4 •--wnr L` .�$ � Ilk ROM ��,*� � -...,M.BA79f I ;• 1 .01,1 e..ma.e..am...:�.....Twlirmitiii.rurnoirmotterr I » . u.Am°...":w� •`• m.. m.mlv.e:m . .._ a �•••we ave. ...n•. .ae.wa. ma.m w.m i ....... � HI I �rn w S R` M.BEDROOM w,.e.:... • wuauamMK.rwmio wa ..... r' w BEDRM i vu • MEND •' 1".1I .r.uw.uw yn.u•wr C._ _ T._r1: _._.._ _...__. i.:ilea"°e.?a • 1111 CUM.SPACE L { NN m.A woe nrv.m,�sm I at PARTIAL BASEMENT PLAN PARTIAL FLOOR PLAN ... LEWD SLTION erIS.`m'gr... .._.._ r.1ae•.ra 1 r.:. }OIR.............. mA1MALEWD. GF]l6SA1.SIRIICIIR.0 NVIfiS -' 1 {KIN . �'" .a,»a1rIr.Al�,..ka,1I.1o.TO1me1..11» .. a �r ..»Aaa» .am..a)..roro MSC lo•MIRVIN1140191C.Se �T ! I 1 I I I 1 t m - i:1.u1 A amc 1»m.w'...cwwMnal.ar __y Au,. . mr1 . v o.., Pa t1"Ix ••� •� i._ 1mmx. -`jl ! ! { .n.u.0 1, ..nlooe `°..w mi1P • LL Hama u • -- a.r em na. tr•OLMBIOrr--1 CRAWL SPACE AIM PIN va ii.riiiii•iiii••• M BATN M.BEDROOM y WIC. '.:.'- .n•. A:.o:...,.,..... pr:.wmro..y ®.r :NILw am.� mwc:..e: z.1_z...1. I I dz f I I I L z..zLI z.._L...�1..._k l...Lz ►iI .Am Akk i ..eu 'w CRAWL SPACE. ,1e... 1.Aw. 1: I rm:w. m....uem n�. .o v..:.... .—',:',..IJ -- - Al CD'S 6/30.026 ADDMON SEENWAYAD. S.1'ARMOUD(MA muuen..0 TMS, . I 1i L_ r I R -- DESIGN eAsmAN,9v,Wa: 9 t r + + a ,a Q I DAM __.. 3 E ll I 0 . 1 y-_--.__.- - OND -- Va' t r'�"r x f'Lp f ;i. FIRSTFLOORFRAMINGPLAN ROOF FRAMING PLAN ? rr------— rueur•r+ xuLLur : IX. i BA PROPOSED ELEVATION or Ms or-NT _...ial Mt AIMAD70.1111./.113 .�m.ep '' 1 e"1 f i"K .'"'''""'""7••!7tN"' I 4s I((II {[f .� .�.. :,rat maw: Fm ! f.i I S ,v -Ci J+I tiI r�i r J l ~wmw�a s...1 . ;1x1 f , .. a _ MM'.: .,-....".: ::—:;:-•,•'„•.".'.--. 'i 1 Lifir k?. _.tr4:,I Iaysug _.4Yr T . :1 OMMINiMMalliall wpi A w tom... VW I SHEET NO. FRONT ELEVATION RIGHT SIDE ELEVATION REAR ELEVATION A2 ruu r-r. iw .,r CD'S 6/30/2026 ADDMON 8 FENN/AY RR S.TAR/400110M — : TMS Mull, 1 ' DESIGN . . . .•• .6661.106.6 i i 'j ................... 1.6o j I ,O : .......... ....... EASIDA61,61.416612....................... (171)1061:611 i • tro.66466):Ad.k.:. , . •-• i•' I ,..--•-- . . 1 11 1_7 PPP H' FT- ' 4 , j1............. T DATE : LYING, [ I. . WalA04181110 A 1.• C , , t HAL • I ct, , GA!AGE i L ':_i .1.-. --°— •--- -°- , -ii'ai'. .••' Li—\ r ju--- f'-- I 1 : ' 1,4 I , ., a .• ..• . i COVERED PATIO is lea NI MOM , ctil N El) 6 1 EXISTING FIRST FLOOR PLAN EXISTING BASEMENT FLOOR PLAN .12141.-14. .1.6EDUr.t. -1 77 r''''''-k4k441kk4k44;%4444sit, .--- LIU „...„............_.... .... EXISTING FRONT ELEVATION EXISTING RIGHT SIDE ELEVATION MUlt W..' ,,,....,.....,,,. ...-' -.., --. , ,-- ---".........._...._.................._......_....„...„„.. ...._ __....„„..............—. „.. .,.,i ]d- _ _ _ pu . A3EXISTING REAR ELEVATION EXISTING LEFf SIDE ELEVATION EXISTING CONDITIONS IC.V,. roleur.o.r Tm �t Compliance Certificate Project Information Project Title: 8 Denver addition Energy Code: 2020 Massachusetts Base Energy Code Location: South Yarmouth,Massachusetts Construction Type: Single Family Project Type: Addition Project Sub Type: None Glazing Area: 7% Climate Zone: 5a(6137 HDD) Project No: 1905362 All Electric: false Is Renewable: false Has Battery: false Has Charger: false Has Heat Pump false Construction Site: Owner/Agent: Designer/Contractor: 8 Fenway st. Kevin Fair thomas Simkins S.Yarmouth,Massachusetts 02664 EASTHAM,Massachusetts 02642 60 Deerfield lane 7742090911 TMS Design tmsdesign@outlook.com EASTHAM,Massachusetts 02642 7742090911 tmsdesign@outlook.com Project Notes: Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 1 of 11 Envelope Assemblies Prop. Req. Assembly Gross Area or Cavity Cont. U- U- Prop. Req. Perimeter R-Value R-Value Factor/ Factor/ UA UA F-Factor F-Factor Ceiling:Flat Ceiling or 506 4f6.0 0.0 0.026 0.026 13 13 Scissor Truss Wall:Wood Frame,16" 760 21.0 0.0 0.057 0.060 40 42 o.c. Window:Vinyl Frame 53 0.290 0.300 15 16 Compliance: Passes using UA trade-off Coripliance:4.2%Better Than Code Max UA:71 Your UA:68 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. 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 2020 Massachusetts Base Energy Code requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name -Title Signature Date Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 2 of 11 so. Inspection Checklist Energy Code:2020 Massachusetts Base Energy Code Requirements: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. Pre-Inspection/Plan Review Section Plans Field Verified Verified k4 Rea.i0 •.c Inspeetion/Pldn Review Value Value Compiles? Comments/Assumptions , 103.1, Construction drawings and Complies 103.2 documentation demonstrate , y Does Not [PR1], energy code compliance for the .j . building envelope.Thermal y, omply envelope represented on y. (❑1 Not construction documents. Observable s „YA Not pplicable 103.1, Construction drawings and �F / 0 Complies 103.2, documentation demonstrate e 403.7 energy code compliance for toofvo Does Not [PR3]1 lighting and mechanical Comply systems.Systems serving oNot multiple dwelling units must f. Observable demonstrate Commercial Proevisionsith : '''' n Not Applicable Heating and cooling equipment Heating: Heating: !(j Complies is sized per ACCA Manual S Btu/hr Btu/hr { Does Not based on loads calculated per 100 ACCA Manual]or other methods ComPlY approved by the code official. Cooling: Cooling: ' Not Btu/hr Btu/hr servable _441 nNot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 4 4 • Medium Impact(Tier 2) Low Impact(Tier 3) Report litle: 8 Denver addition Report Date: 7/10/26, 5:38 AM 3 of 11 Foundation inspection Section # • q Foundation Inspection Complies? ConimentslAssumptions " d toDCon1Plies 303.2.1 A protective covering is and [Folly protect exposed exterior n extends a minimum of 6 in.below Does Not grade. Comply 1-1Not Observable • U Not Applicable 403.9 Snow-and ice-melting system controls U Complies [Fu12]2 nstalled. Does Not n Not laservable n Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 111 Low Impact(Tier 3) Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 4 of 11 Framing / Rau g in n ecti®n 7lectlon Plans Field __._„ ,___ _.__ # Framing I Rough-In Verified Verified &Rip ID t?spection. Value Vail Corplies? CommentslAssuere�tio s 402.4.1.1 Air barrier and thermal barrier "�" ,"" (j Complies [FR23]i installed per manufacturer's .; �y Does Not instructions. [] Comply []Not Observable Not : Applicable ',. % 402.4.3 Fenestration that is not site built ry a D Complies [FR20]1 is listed and labeled as meeting AAMA/WDMA/CSA ;sit ,,a2�ar I Does Na 101/I.S.2/A440 or has infiltration comply rates per NFRC 400 that do not y r, " flNot exceed code limits. 'y servable A Not llpItf pplicable ¢ IC-rated recessed lighting fixtures sealed at 0 Complies housing/interior fin€sh and Does Not �� labeled to indicate<_2.0 cfm :Ia lit�mply leakage at 75 Pa. 07' E:j Not 07' �4.,, servable a° J1 (�Not PPhcabIe 40 3.5' Building cavities are not used as a Q Complies [P)� ducts or plenums. Does Not I, �� o Not • - si servable (]Not A pplicable i.HVAC pipin conveying fluids Complies 3 above 105�F or chilled fluids I R= R�7 ?;below 55 4F are insulated to?R- .0 Does Not 3. ,.omply Not Observable kE:: Not f pplicable 403.4.1114' Protection of insulation on HVAC [FR24.1 piping. f� (�Complies �€�€ Does Not 11 Not a }: servable 4plicable Automatic or gravity dampers 3 `H, . `'(i Complies are installed on all outdoor airy intakes and exhausts,and each r €• C Does Na � €!dwelling unit of a residential "" � �,e�K "'Ill �' � omply buildin provided with (� continuously operating exhaust Not �[56servable w e, supply or balanced mechanical � � �� €, iliti' ventilation that has been site ` � �y Not verified to meet a minimum pplicable Ritii � , , airflow per Section R403.6 , , E ,i$ �� Additional Comments/Assumptions: 1 I1 l High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 5 of 11 Insulation Inspection section Req.ID insulation inspection Complies? Comments;'Assumptions ...�...�:.W .w....0. 3Q3.1 All installed insulation is labeled or the U Complies �lN13)z, installed R-values provided. Does Not Comply [Not observable El Not pplicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 1E4 Medium Impact(Tier 2) 3 ; Low Impact(Tier 3) Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 6 of 11 Final Inspection Provisions Section Plans Field # Verified Verified &Req.TD - Final inspection Provisions - Value Value Complies? Comments/Assumptions 403.1.2 Heat pump thermostat installed , J ill Complies [F 10]2 on heat pumps. Does Not Comply I Not 1 Observable i ]Not Applicable 403.5.1 Circulating service hot water Complies [F11.1 ? systems have automatic or Does Not accessible manual controls. Com Notply Observable ANot pplicable 40.3.6.1 All mechanical ventilation 'j Complies [F125p system fans not part of tested I and listed HVAC equipment (",Does Not meet efficacy and air flow limits omply 1 per Table R403.6.1. Not 1 Observable 1 ij Not Applicable 401.2 ,Hot water boilers supplying heat °']Compl es (FI�6) through one-or two-pipe Does Not heating systems have outdoor setback control to lower boiler Comply water temperature based on Not outdoor temperature. 66servable `1 Not Applicable .403.5.1.1 Heated water circulation (F128]z systems have a circulation Complies pump.The system return pipe is Does Not a dedicated return pipe or a Comply cold water supply pipe.Gravity —]Not and thermos-syphon circulation Observable 9 systems are not present. Controls for circulating hot 1 Not water system pumps start the Applicable 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 I Electric heat trace systems 11 Complies [Fl2[i]2 S comply with IEEE 515.1 or UL - 1 515.Controls automatically Does Not adjust the energy input to the Comply otwooli heat tracing to maintain the 111Not desired water temperature in Observable the piping. Not pplicable 403.5.2 `" -I Demand recirculation water r l Complies (F3012 1 systems have controls that manage operation of the pump Does Not and limit the temperature of the Comply water entering the cold water Not ; piping to<=1044F. Observable "1 Not Applicable t 403.5.4 Drain water heat recovery units �mm '']Complies [F131)2 tested in accordance with CSA B55.1.Potable water-side ri Does Not pressure loss of drain water Comply heat recovery units<3 psi for JJ Not individual units connected to Observable one or two showers.Potable water-side pressure loss of drain 91 Not water heat recovery units<2 Applicable psi for individual units connected to three or more showers. 3 I Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 7 of 11 rAi�t F'. :a �. Plans Field :` ..,.,;.; '.,'' »" '.„ •...:• Verified Verified Value Value Compl€es? comments/Assumptions 404.1 90%or more of permanent Complies [FI6]1 fixtures have high efficacy lamps. Does Not Comply Ej Not ` , `! servable 111 ( ]Not pplicable 4.1.1 Fuel gas lighting.systems have s "` Complies [FI23]� no continuous pilot light. jtr omply N ' :•, :r Not servable NA jiSpphcablL • „';; r All occu ancies re uired to 4 � ' Complies ,... "," ,, pp q x, of Q p. ro ,:- follow 780 CMR 51,00 must i n,r; ". a-: Does Not , '"" adhere to EV requirements in ❑ ""`'" " 780 CMR 1300.1(C405.10) ,;;, ;." Comply ,,iii (�Not `"` servable;« °' Not Applicable Compliance certificate posted. • , W ,U Complies r "„f;-- ",, ti,>. %'.,,:4 Does Not Comply , " Not ,�,>„%��'"� � .' frn Observable 'ev<, f» �` fNot „f r 3fY. ;;v ai u yam; fil.^ Applicable 36f„ +, ;-r>;;`,:W. Manufacturer manuals for Com lies t•t x,•:;„ mechanical and water heatingFt7 Does Not systems have been provided. I [ >, Comply 4,"ii,,, fl Not � .;<. ' servable InipaillfglrF:f�. ,.-:i ''„ 1ri Not %' Applicable 403.6.2 ?Installed performance of the 3° ``< Complies jFl32]; mechanical ventilation system f,- " , .y , :'y" ' O Does Not tested and verified by a HERS „-i Rater,HERS Rating Field ,r - N:y ,w: omply Inspector,or an applicable BPI u'%' '" - ,; -1,ia w'rt ❑Not Certified Professional,and t,v,"' Observable measured using a flow hood, " `• flow grid,or other airflow x . -; Not measuring device in accordance 3F M pplicable with either RESNET Standard ,l" " Chapter 8 or SNE Standard 5. 6^>,5,`> 403.6.3 Ventilation devices and ' Complies [FI33]3 equipment are tested and ; :'''- fr`" n Does Not certified by Air Movement and �, om I Control Association("AMCA")or �y��=,;;., y p y Home Ventilating InsetwleafekrigIo titute N'.'ry" Not l ( HVI")and the certification i" 'r1~i �;:,;, servable Wherei multiple tdupct sizes 'I, ' 'N'}' 0 Not � 'Ri Applicable and/or exterior hoods are '^." standard options,the minimum " size shall not be used. s<nF ' ;rri f f •403.6.4 Sound ratings for fans used for E € ,; `,y,' '.."' ' Complies [FI34I3 l whole building ventilation are ,;:�, „::1 rated at a maximum of one ` " Does Not -;r Bone. ;7r1 { s ,,>sar omply ; ," CR ØfP1servable• p.. E: u ;r01-yr, pplicable ems' ',,, 7',, 'fib: ,. Owner and the occupant of the �',` „ n': ,,„,p"', a"Tiat Complies 6°r` ,,,,,, ,,,,, dwelling unit provided with t `' p , Does Not Y+�� ,°<<�`" information on the ventilation t�b- design and systems installed, ;. ><,, omply :: ;gym" �' including instructions on the "€ °$ f Not proper operation and ` '' �j , ma•intenance of the ventilation '-,.. - ;` servable systems.Ventilation controls =r �', i' Not shall be labeled with regard to Applicable their function. `' ] i i Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 8 of 11 Section Plans Field #" 'ter€fled value Verified �Sr RegJD Final Inspection Provisions value 1/alue Complies? Comments/Assumptions 403.6.E All ventilation air inlets are Complies [=136j3 unobstructed and located a Does Not minimum of 10 feet from other vent openings that constitute omply *': ' ' ., , ( known contamination sources. Not Outdoor forced air inlets are servabie covered with rodent screens.A whole house mechanical —]Not ventilation system does not pplicable extract air from an unconditioned basement unless approved by a registered design professional.Where wall inlet or exhaust vents are<7 feet above finished grade in the.area of the venting an identificaton plate is permanently mounted y, ,r x,� ,., to >=8 feet above radeding at sy" `directly in line with the vent " terminal. , 402.4.1.2 Blower door test @ 50 Pa.<=5 ACH 50= ACH 50= (�Complies [FI17]' ach in Climate Zones 1-2,and 1 11 Does Not <=3 ach in CnOlY limate Zones 3-8. (�"o Doe IriNot ( servable ONot 1 Applicable 403.3.3 Ducts are pressure tested to 0 Complies [FI27]1 determine air leakage with either:Rough-in test:Total cfm/100 ft2 cfm/100 ft2 Does Not leakage measured with a .omply pressure differential of 0.1 inch ri Not w.g.across the system including Observable the manufacturer's air handler enclosure if installed at time of Not test.Postconstruction test:Total pplicable 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 Q Complies [FI4]1 <=4 cfm/100 ft2 across the system or,<=3 cfm/100 ft2 cfm/100 ftz cfm/100 ftz Does Not without ar handler @ 25 Pa.For .-omply rough-in tests,verification may Not need to occur during Framing �servable Inspection. fl Not pplicable of 403.3.2.1 Air handler leakage designated r 0 Complies [FI24]i e <d= Ax C Dos Not designbymanufactur air flow. r at 2 omply i�. .,,. ❑Note 1 � Not NObservable „ �� h� • pp cable Programmable thermostats � ,�� , ii)Complies installed for control of primary ::' heating and cooling systems " Does Not and initially set by manufacturer �' � ` �mply to code specifications. Not ' Observable ,/ i. - 1 s : _� �,€ Not c 'R Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3: Low Impact(Tier 3) Report Title: 8 Denver addition Report Date: 7/10/26, 5:38 AM 9 of 11 2 Massachusetts Energy Efficiency a ,Sulation Ratin• R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling/Roof 49.00 Ductwork(unconditioned spaces): Glass & Door Ratin• ', �s.;; , ;.U-Factor SHGC Window 0.29 0.31 Door 0.00 Skylight 0.00 Heatin• & Coolin• E•ul•ment Efficient Heating System: Cooling System: Water Heater: Signatures ; Name: Date: Comments: Report Title. 8 Denver addition Report Date: 7/10/26, 5:38 AM 11 of 11