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HomeMy WebLinkAbout0031 ROSE HILL f 31 a UPC 12543 No. 53LOR ® ST•CON HASTINGS,MN ii`-^^.>�� -.�. rr.�-�-�- .. .. _.�.�M. r.-...-;.-�-� �. - �. ,.y.+..+�,_ n+..,..•�...-+w+-......ws.+.+,�w�.•.�.,+.+...r.}•.— ^.r'r"'M,'i.:r`r`.:'w'M""°t.'�.j`�v*t.t^!c`,,.►-�s+...ry. !.A..+....,1+t ,y..�...,..r..1'3-:�s....�+�:+r•�-. -- - -ems a-.S;:.s:,:�m:cirn,.,�l�u��•.:a-.e.;_r�r�:%.c:;,-� s ��.e .r.._ ..._ - •- ��sC,..-._ �'�._'.","r-�- -=" - l7i!�=�;s--:b::a.��11'=- __ �4..�:�� _- � - -y�-=2eii✓V.e.4c��—a ''�",2�a.r`"'JF,e�'.. �r a'ti i 9 i // ./ o 4 •3 �i i 1 3 i 1 �T 2 1! ±8 S� 5 1� !N f' i y iy I ,a ly' 3 �.v - The Commonwealth of Massachuserts Department of Industrial Accidents ' == ONCe o/InsestigoOffs r 600 Washington Street 4 7- r Boston,Mass. OZlll ! Workers' Compensation Insurance ffi Affidavit name:�jii�i7��C�Bi�IT)Z{Q�•['aC�Qii�ii�/�������/������/���/������. name: 1 ' - location: / zo Ap_ city �� 1✓��dam' I ` � nhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole oronrietor and have no one working in any capacity %%% %//%%%////p/////%//%/%%//%////////o//////%%/%�%%%//%/%%/%/�%/%%%�/%%�/�i�%: ❑ I am an emplo}er providing workers' compensation for my employees working on this job. comnnnv name: address: city: nhone#• insurance co. nnlicvAl am a sole proprietor, general contractor, o homeowner circle one) and have hired the contractors listed below who hat e the follo«ing workers' compensation polices: company name• :.: ....... ...:.....:.:.::.... address: city: phone insnrnnce cn. 1 �e `J/`/'l ,-✓! t� L�J� pniicv# W / I' .... Y} ,�J.. t°:: iL::L3':;;:;:::. comnnnv name- O ;:.<:.:..:: :. .::.:.,:..:::.::•;>;:.::::.>::.. address: r O tu" city- // _ %iil�� nhone#- :.:•: ..:::;;. _::... insnrnnce co. ^.::;::../....�;.: .:. . oiiev# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one yeah'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cerrify un a pains an en ies of perjury that the information provided above is truce and correct Sienature I Date t — -� --7 - Print name /l�l19�11 cl lk r� � O M do not write in this area to be completed by city or town official permit/license# ❑Building Department ediate m onse is required ❑Lleensing Board p ❑Selectmen's OIHce ❑Health Department phone#; ❑Other (rrnaea 9,95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th:.: employees. As quoted from the "law", an employee is defined as every person in the service of another under any co= of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity,.or any two or more the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece:j•e: trustee of an individual, partnership, association or other legifentity, employing employees.'However the owner of a dwelling house having not more than three apartments and whoresides therein, or the occupant of the dwelling house of another who employs'persons to do maintenance, construction or repair work on such dwelling house or on the grounds c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew_ of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither.the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants -- Please.fill in the workers' compensation affidavit�completely, by checking the box that applies to your,situation and supplying company names, address and phone numbers along with a certificate of inc-irance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The'affdavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is compkete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the.event the Office-6f Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned fo the Department by mail;or FAX'unless'other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. , The Commonwealth Of Massachusetts Department of Industrial Accidents otflce of lmlesugatlons . 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext 406, 409 or 375 a *� TOWN OF BARNSTABLE 30 DAY TEMPORARY OCCUPANCY PERMIT IPARCEL ID 131 060 002 GEOBASE ID 35445 ADDRESS 31 ROSE HILL PHONE W BARNSTABLE ZIP — ILOT 4 BLOCK LOT SIZE IDBA .DEVELOPMENT DISTRICT WB 'PERMIT 43670 DESCRIPTION PERMIT TYPE B000 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: (BOND $.00 (CONSTRUCTION COSTS' $.00 I 756 ` CERTIFICATE OF OCCU�ANCY 1 PRIVATE PI * EBARNSI'ABLE, MASS" 039. . ED Mplx • BUILD 1 BY � :/� DATE ISSUED •01/18/2000 EXPIRATION DATE ' TOWN OF BARNSTABLE BUILDING PERMIT _ PARCEL ID 131 060 002 GEOBASE ID 35445 ' - F ADDRESS 31 ROSE HILL- , PHONE r" W BARNSTABLE ZIP - LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 38175 DESCRIPTION 28'X38'2ST CAPE/WING/2CAR UNDER(SEW#99-202) I PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $558.00 ®kIm BOND CONSTRUCTION COSTS $180,000.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE 0 ABLE. •' MARS. 639. Al Mid BUILD slo �o a BY DATE ISSUED 05/04/1999 EXPIRATION DATE ' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARCREPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 , 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT G s 2�— („—Z.p�� � BOARD OF HEALTH OTHER:' SITE PLAN REVIEW APPROVAL .L� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 436970 \�' � a�r n .f ... J^;.,% -�; ;;.1;�'�� -y oo � � � o� �� ,`OF,NE TO, The Town of Barnstable O� RARMS�LE. • Department of Health Safety and Environmental Services 039. °fEo�►.�., Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection y•!4 Location aoSe Permit Number Owner Builder O A.-I e 2_ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 2 e A Ce ((d<- �rz- n C©lM e(- - S -- x-c 2 "44 A— C , 0 Please call: 508-862-4038 for re-inspection. Inspected by Date • r e ! . l , . I • II � II ' I � 01 I , +-t7 - J p6Y� f S � F � I FME itl j j I � �• _�_ i i I 3 t • h C _ 11�yt-il �, ��• II kl 0 r i! li f � • '.o to ja ® � � - ` i 8 • off...\ + � 1 I , 1 ! Sb�d' ��G' � i�•-G` o-d 'I� l I j •_ + � 'C I l 1 I I! i _ $ . lk Lro i � I to �_� � I _—• �� T-,7. ! I ' ( I I � , q I 1 I i i I ' �� I •� - - it - - � � I I � � i ({ I � �—ytiLAl'�l�h,�i�f.:s• w. 1'�d 6 --3 I . �$`J` � � V Ci�►��c fi�SS 1 oQ r I 416 -1 I �i ..0 Vat• Y. �,; t' � n �\ n ��� q y �i�¢ 6. 1R t v T 21 T t qo- A Ik � a iNT .j'; Yi !' + 4k o Ix, u Xt 4L 40. i ` i �► tU A e b �f f l r 9fli i k till 9 o �� a r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 661'0 Permit# ., 3 B 4� Health Division - Z 0 Zl �C) l Date Issued Conservation Division 2- I ( L_ Fee - 5'5fs•Gc' Tax Collector &Anw EPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. VIRONMENTAL CODE AND Date Definitive PIa TOWN REGULATIONS r A pr ved b l r�ir �o rd `� - —� _ a _ n6e ' Historic-OKH Preservation/Hyannis Q r(� J Project Street Address __31 Pos-e- Y,U Village�(,�� n s> 14a Owner vi. K- _J n• CAt Address Jam L,.YL (n&6,8� Telephone s'se Permit Request S� e �� c�we CI1 v I.K. f0 �� Square feet: 1st floor: existing proposed � 2nd floor: existing proposed Total new Estimated Project Cost /tI® 060 - Zoning District - Flood Plain Groundwater Overlay Construction Type Lot Size �% 7�� Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -- Historic House: ❑Yes �dl\lo On Old King's Highway: XYes ❑No Basement Type: Null ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing "^ new Half:existing new Number of Bedrooms: existing new 4 Total Room Count(not including baths): existing new First Floor Room Count Hpat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: r�Yes ❑No Fireplaces: Existing New �- Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size t � i Attached garage:❑existing new size 24 Shed:O existing ❑new size Other: Is X t)PJt Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 'Commercial ❑Yes WNo If yes,site plan review# Current Use UJJCC&T- bi*JD Proposed Use BUILDER INFORMATION Name /�/�'� • C-1-OL1 GfZ Telephone Number Address a- (:15A rL,o - License# Home Improvement Contractor# ® g Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �O (SIGNATURE - DATE % -2 IZ i FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED' - MAP/PARCEL NO. - ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: 3 _ q FOUNDATION ,, Z� /9 _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL - GAS: - ROUGH--; = FINAL , FINAL BUILDING mn . DATE CLOSED OUT *r ro n �=t rr, ASSOCIATION PLAN NO. AS MAP 131 LOT 2 Re. oo• AS LOT 2 11 � A�- , II 11 11 ti� A� 111\ •J 0 AQ g o0 11 � G 00 PV i 0�. LOT 4 ���, LOT 5 w .AS LOT 60-2 aim _ 00 _ i C.e• S834704 T 179.00 FLOOD ZONE -"C" FOUNDATION CERTIFICATION RES ZONE.. -"RF"__ TO WN•BARNS TABLE SCALE-1"= 60 PL.REF 394 66 ELE V N/A I CERTIFY THAT THE ABOVE "" YANKEE SURVEY CONSULTANTS �N OF FOUNDATION IS L 0 CA TED ON y P. 0. BOX 265 THE GROUND AS SHOWN, AND OWL .4 : UNIT 1, 40B INDUSTRY ROAD IT'S POSITION�OES' _____ " o MMrMg ry CONFORM TO THE ZONING LA W Nm MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF ' , �� � r TEL. 428-0055 FAX 420-5553 BAR_NSTABLE_____ Kf�� ---- JOB PA UL A. MERITHEW DATE. 5126199 NUMBER51 FWD Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a " 1 9 9 g-- 041 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate bf Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Constructio 14 New B ilding ❑ Addition ❑ Alteration Indicate type of building House New ❑ Commercial ❑ Other 2 Exterior Painting: ❑ ��` "`►►► 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). G� TYPE OR PRINT LEGIBLY DATE _I —99 ADDRESS OF PROPOSED WORK �/� Rom �"'� �•f/��.�I�1- ASSESSORS MAP NO. OWNER -` �© ��+ ASSESSORS LOT NO. �2— HOME ADDRESS #��` 4454 40V�6 4J TEL. NO. 2� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across aw public street or way. (Attach additional sheet if necessary). rJ! 79 r`- EA AGENT OR CONTRACTOR At Tof CAM rnOTEL NO. 831�5!-'j N' ADDRESS 'Po' Pa0)C 1101 _ 9Q> taA _ t�7�N'Dwlc`�4�.rs O�Sro3 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). A" Drr.�k Signed Owner-Contractor-Agent Space below line for Committee use. Receive D r ZZO Th Certificate is hereby Da TO. WtL LO KIN 1 Approved ❑ IMPORT T: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. J„ Abutters to 31 Rose Hill Rd. { Map 131 Lot 60-2 } M131 L60-1 Mutrie, John & Janet 15 Rose Hill Rd West Barnstable MA 02668-1023 M131 L59 Brewer, Gary 131 South St. Hingham MA 02043-2423 M131 L2 Pinson, Margaret 245 Cedar St West Barnstable MA 02668-1023 "M131 Ll&5 Paster, Barry 431 Willow St West Barnstable MA 02668-1023 M130 L33 Kennedy, Joseph & Margaret 575 Willow St West Barnstable MA 02668-1023 Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION K/b SIDING TYPE &)It Cj ,COLOR F� .lyt4�to 6LL"�dP,E.( CHIMNEY TYPE ' COLOR ROOF MATERIAL_ 25:J W AftAk\q*CffCOLOR(Z. (,ckco PITCH WINDOWS') Pfti JM4 LjW0 COLOR W, kgZ'jF, SIZE . . TRIM COLOR .• . DOORS -4_jJ1E*iA. C� :'''COLORS ~• SHUTTERS COLORS GUTTERS I`&k1%;NA^4 . COLORS (� � DECKS MATERIALS ��o,.-�u�►ArL GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 t WEST BARNSTABLE PLAN REF 394166 ZONING.- "RF" M v ASSESSORS MAP 131 <rc yam, HOUSE N �CAULEY r NA.348ge Cl !L No.: tOt POND FSS/Oryq II I CERTIFY THAT THIS SURVEY AND PLAN WERE MAD 4 vW IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTRX OF LAND SVRVEYINC IN I MONWEALTH OF MASSACHUSETTS, I ��j�.'� t _° LOT 3 / loll �• Z 8 LOCUS PAUL A VERITHEW, PLS. DATE j ��, 'e5, �/ EXISTINC BENCHMAR f, / TOP OF CONCRETE 4,/; ( , /' y �r �\ ► '�, �` � 9�Op�� .'�' CONCRETE i BOUND W DISi / ' i r;� `� 4 0 <E1,� LOCUS MAP - . 4��. H 1 CO VER3 \ ELEV.=100.0'(f rSSUHED) �/' /' �, / b c'' Dc11A `� �y / o g f � � jcp Cop go s� : � SITE AND SEPTIC PLAN by �;.,s�. w�o . I 1 o�• I 0 �� ° PRO✓EC T L OCA TION 'Poe \ 1 W f c ,00�o� t ASSESSORS MAP 131160-2 \ ` � LOT 4 ROSE HILL WEST BARNSTABLE,, MA. \ \ ',- LOT 4 APPLICAPPLICANT'! }, -� 16• � AssEssORs -,' 3 Ke JO YCE o �� - —� _ \\ f LOT 60-2 ; WEST BARNSTABLE ..ii YAWEE SUR VE Y CONSUL TA N TS 100' OF-- I 1�c; - P. O. BOX ,265 UNIT 5, • 40B INDUSTRY ROAD i C.B. !� / � -� � Apo \ TP ,,� - .•• -... -._•� C{ \ \ 3� ` w-\ LOT 5 A�� MARSTONS MILLS, MA. 02648 619 \ _ � �y PH.•(508)428—0055 — FAX(508)420—555J 96- IN, OLD r ISCALE.- 1 =40 F�TE- 02104199 � o°\ SAND k �\ '9,' \ \ PIT i RE R V JOB NO. . 518-12 SHEET 1 OF 2 .u.._ v • .Wade'3 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION .Please print. • " DATE JOB. LOCATION Number Street address Section of town "HOMEOWNER" _ - ZE 3&1z Name Home phone Work phone PRESEICT MAILING ADDRESS �oL 1�5/4 - City town State Zip code The current exemption for "homeowners" was extended to include owner-occumi dwellings of six units 'or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to rf side, on which there is, or is intended to be, a one or two family dwelling attached or detached structures accessory to such use and/or farm structure: 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 Offic on a form acceptable to the Building Official, that he/she shall be respons_ for all such work performed under the building permit. (Section 109. 1. 1) he undersigned "homeowner" assumes responsibility for compliance with the uilding Code and other.'applicable codes, by-laws, rules and regulations. he undersigned "homeowner certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requirement nd that he/she will comp ith s id procedures and requirements. 1OMEOWNER'S SIGNATURE PROVAL OF -BUILDING OFFICIAL ote: Three. family 'dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which .a=buildin permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home 0, shall act as supervisor. " Many Home Owners who use this exemption .are unaware that they are assuminc the responsibilities •.of a supervisor (see Appendix Q, � Rules and Regulatior. for . licensing Construction Supervisors, Section 2. 15) . This lack of awarE often results in serious problems, particularly when the Home Owner hires unlicensed persons. . in ,this .case our. Board cannot proceed against the inlicensed person as -it would.with licensed Supervisor. The Home Owner- ac as supervisor is ultimately responsible. .: To ensure that the Home Owner is fully . aware of ,his/tier responsibilities , ^mmunities require, as part of the permit 'appli`cation, that the Home Owne_ . .rtify that he/.she understands the , responsibilities of a supervisor. On - .ist page of this issue is a form currently used by 'several towns. You ma: care to amend and adopt such a form/certification for use in your communit: Frn.ViOm Packaw for Oaa and Tw04Famity Reaideordd Eaddlap geared with Foadi Fade MAXVAUM M111T1M11M Glazing Glazing wing Wall floor tiaaemeac Slab R-rinfCoalf-B Aws' (J valuss lt�valusl &valaae Rrvala2 Wall � �I F�a� Ike tivalerae &vdaar 3"1 to 6500 HeadaR Degeee Dam Q l2Y• 0.40 31 13 19 10 6 Normal B 12% 032 30 19 19 -10 6 Normal S 12•b 030 31 13 19 10 6 93 AFUE T 15% 0.36 31 13 2S WA WA Normal U 13% 0A6 31 19 19 1 10 6 Normal V 13% 0.44 31 13 23 WA WA 13AFM W 15% 0.n 30 19 19 10 6 85 AFUE x 13% 032 31 13 25 WA WA Normal Y 13% 0.42 31 19 25 WA WA Normal t 12% 0.42 31 13 19 l0 6 "AFUE AAf a'/. 030 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY. I 12( o k r� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: _ �, / O 3. SQUARE FOOTAGE OF ALL GLAZING. 1z6 4. %GLAZING AREA(#3 DIVIDED BY#2): �/&p r Q ��`L j l�.3 0/0 S. SELECT PACKAGE(Q—AA-see chart above): cf NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-Corms-f980303a Footnotes to Table J5Z1b: ' Glaring area is the ratio of the area of the glaring assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gro::s wail area,expressed as a percentage. Up to 1%of the total glaring area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glaring area. =After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accdrdance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized taus construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19'requirement could be met-EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b.• 'The R-value requirements-are for unheated slabs.Add an additional R-2 for heated slabs. • If the building utilizes'electric resistance heating use compliance approach 3,4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day_mquirements of the closest city or town see Table J5.ZIa NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43