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HomeMy WebLinkAbout0025 LAKE DRIVE x 1� I•e�� �n f3 t '�,' 4 i�x� -0x t Ah'Sd f'•,�<p �i � A • ., .> " t h C- r.+,u, ���1.J ..t sr� ✓tzi � , w . � r ' r 1 9' ^a, k Z� , r P c a Town of Barnstable Building Post This Card So Thatit is Visible.IFrom the Street-A roved Plans Must be, ' pp Retained on lob and this Card Must be KeptSAMNSTABM � "ASS Posted Until Final Inspection Has Been Made. ��� �� %639 Where a Certificate of Occupancy is Required,-such Building"shall Not be Occupied until a Final,Inspection has been made. Permit No. B-20-809 Applicant Name: James McDonnell Approvals Date Issued: 04/13/2020 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 10/13/2020 Foundation: Location: 25 LAKE DRIVE,CENTERVILLE Map/Lot: 230-053 Zoning District: RD-1 Sheathing: Owner on Record: SMITH,TIMOTHY E Contractor Name:' ,JAMES E MCDONNELL Framing: 1 i Address: 183 EAST STREET Contractor License 2721 2 HINGHAM, MA 02043 " a, Est. Project Cost: $6,000.00 Chimney: ) Description: Supply and install all duct work associated with 2 central HVAC Permit Fee: $85.00 systems, 1 in the basement, 1 in the attic. l Insulation: I -Fee Pald:� ,S 85.00 Supply and install all duct work associated with;exhaust fans. Supply and install all duct work associated with hood exhaust,ifs Date. 4/13/2020 Final: necessary. Plumbing/Gas Project Review Req: Rough Plumbing: "- t,,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after;issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspection for the entire duration of the Final Gas: s work until the completion of the same. � e Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work:f' f` ' Service: 1.Foundation or Footing Rough: • 2.Sheathing Inspection E,�__....�..�„_..,�.°,�_...,..,,-�_.�.._�� ...._,...-....,•- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final': Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT L (}N �. Town of Barnstable Liillilg z Post This Card So That rt is<ni H s I3 ren M detreet Approved Plans Must be ReRetamed on lob and"this Ca"rd Muses-� R t be Kept Posted Until Final Inspect o, a e Pey�nllt c g l li . Where a Certificate, � "ma's Re u'ired,,such Buil e a of Occupancy i q ding shall Not Occupied until a Final"Inspection has been made'." Permit No. B-19-3678 Applicant Name: George Davis Approvals Date Issued: 12/09/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration.Date: 06/09/2020 Foundation: Location: 25 LAKE DRIVE,CENTERVILLE Map/Lot: 230-053 Zoning District: RD-1 Sheathing: Owner on Record: SMITH,TIMOTHY E Contractor Name ,GEORGE F DAVIS Framing: 1 Address: 183 EAST STREET Contractor License: CS=056130 2 HINGHAM, MA 02043 Est Project Cost: $524,600.00 Chimney: Description: *Note-this project was already assigned permit number 2019-412 ;` Permit Fee: $2,725.46 while working with the health department. ` Insulation: l Fee Paid," $2,725.46 Complete renovation of first and second floors "Add new front Final covered porch and deck. Replace roof,siding;windows,and doors. ° Date-, 12/9/2019 I b l Puming/Gas p .Project Review Req: SMOKE DETECTOR UPGRADE.REQUIRED � ��� �� ---r • `w Rough Plumbing:: .� Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws'and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for"public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Officials are provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work: ,_` Service: 1.Foundation or Footing _ Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT F40 AX` sF_eJT' Town of Barnstable REcEi � a " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-110 Date Recieved: 1/11/2018 Job Location: 25 LAKE DRIVE,CENTERVILLE Permit For: Building- Insulation-Residential Contractor's Name: Carl J Rebello State Lic. No: CS-084358 Address: Swansea, MA 02777 Applicant Phone: (508) 567-4109 (Home)Owner's Name: SMITH,TIMOTHY E Phone: (781)740-1028 (Home)Owner's Address: 183 EAST STREET, HINGHAM,MA 02043 Work Description: Insulation& AIr Sealing o s z z O uo Total Value Of Work To Be Performed: $15,315.00 w r" rsa Structure Size: 0.00 0.00 0.00` Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I.hereby certify that I am the owner of the property which is'the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute;regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Carl Rebello 1/11/2018 (508)567-4109 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $15,315.00 Date Paid € Amount Paid Check#or CC# Pay Type Total Permit Fee: $128.11 1/11/2018 $78.11 Paypal Paypal Total Permit Fee Paid: $128.11 1/11/2018 $50.00 Paypal Paypal „T S Permit# 'I'©vy ®f Barnstable - � Qy . ti Expires 6 mo iths rom issuet te Regulatory Services Fee BrtsrnBLE, ; Thomas F.Geiler,Director di+ss. °i �� Building Division !b/2'7�a8( o„,mot Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230, EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 'J` t'� tl C c� eri'1.-/t /c i,)t� residential Value of Work 6? GU(J Minimum fee of$25.60 for work under$6000.00 Owner's Name&Address. Jam. �ittC✓ey; l lhc� S5. Contractor's Name �(Z C,J 712(� Telephone Number G A 0 Z Z Home Improvement Contractor License#(if applicable) orkman's Compensation Insurance Check one: ❑ i am a sole proprietor X-PRESS PERMIT ❑ I the Homeowner OCT 2 20�8 have Worker's Compensation Insurance Insurance Company Name 1-OWN OF BA.RNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to v ❑Re-roof(not stripping. Going over existing layers of roof) r•. ❑ Re-side z o rsv E�"Replacement Windows/doors/sliders.U-Value (maximum.44) r� •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Histori ,Conserva ion,etc.cJ ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of th Home Improvement Contractors License is required. SIGNATUR E: Q:Forms:buildingpermits/express Revised 123I07 rt.z The Com oaawealth ofMassaehmsetts Department of Industrial Accidents Office ofr'Investigations 600 Washing-ton, Street ; - Boston,M4 02111 y www.. sass.gov/tiara Workers' Compensation Insurance Affidavit, Budders/Contir°actors/Electricinns/Piumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ! i Address: City/State/Zip: b, 6 C' ? >' Phone 4: ?` Z —Z z Are you an employer?Check the appropriate box: Type of project(required): 1.E� I am a employer with 6 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition and have workers' - working for me in any capacity. employees � 9. ❑Building addition [No workers' comp.insurance comp..insurance.1 _5_., e are.a,corporation and.its 10.❑Electrical repairs or additions ..._. .. ._...required.}.. __- ___ - __ .__ ❑ W ... . _. _..-rpra . .- ... -.. 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#I 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: l1 Policy#or Self-ins.Lic.#: C G%C'.5 Expiration Date: Job Site Address: 4q-5 L-Atc— dCrj1-�--itt,11 L City/State/Zip:, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for _'ce coverage verification.. I do hereby certify t ains and en ties of per at the information provided above is true and correct: Si ature• tom' Date: Phone#: 1-1c/ 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#: Boa, d or 8uilein�Rz,,yT -a _3i1 d:1TEll:i R �� rv-IZN d '��, ,:CT O R ,:, _��/y° 9�e�cistratdn: 146589 ExPiratian `515/2009 TYPP- Supplement Card NEWPRO OPERATING,LIC TOM PEACOCK ' - 26:CEDAR ST. W08URN, MA 01801 Administrator �'.' *, �%� l�C:i;;7.°G'i..•mil l�.�r�.�dr e!S ::d�:%'ci a ' Board of Building Regulations and Standards Construction Supervisor License yy >, z License:.CS 96093 Birthda,te:_ ..4/8l1965 • Expira,ioh 4/8f20.10 Tr# 96093 THOMAS PEACOCK.JR-: '. 38 OAKLAND AVENUE::;r SEEKONK, MA 02771 Commissioner 05/02/08 10:26 FAX 16177709,683 AMERICAN FIRST INSURANCE C]001 ------------- DATE(MWOUNYYY) OP1D rC 05/02/09 � � 6 ■��� �� �' ��� � �� � 6D ASA MAR OF 1NFORAflAT10N THIS CERTIFICATE 1S iDDucER ONLY ARID CONES RS NO Fl1GHTS UPON THE CERTIFICATE HOLDER.7HlS CERTIFICATE DOES NOT Af1A£ND,EXTEND OR snsrican Fiz'st Ins Ag®ncy gnC ALTER THE COVERA®E AFFORDED BY THE POLICIES BELOW, 22 Quincy Shore Dr Vs NAIL# I"th Quincy ym 02171 INSURERS AFFORDING COVERAGE ?hone: 617-770-9000 INSURER A- Arb®11a protection ins Co .-4SURE0 INSURER e: INSURER C: Newgro 111rati.ng LLC INSURER0' PO Box 2 901601 INsuRERE Woburn TAA COVERAGES T.IE POLICIES OF INSURANCE LIST D BELOW OF ANY BEEN TRACT OR OTHER DOCUMENT W RH PESPECT TO W HPCHITHIS CERTIFICATE MAY BE ISSUED OR IOD INUICATE-0. DING A`IY REQUIREMENT,TERM p!AY PERTAIN,THE INSURANCE OWN MEAAY By TME BEEN REDUCED DESCRIBED HEREIN is UU ED BY PAID CLAIMS.SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Of SUCH LIMITS ppUCIES.AGGREGATE LIMIT LTd NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO/YY DATE MM1DD EACH OCCURRENCE $ 1 v 0 0 0 r O O O GENERAL LLA541-rr' $ SO,COO_ A. ]( COMMERCIAL GENERAL LIABILITY 860000010649 01/01/O8 01/01/09 PREMISES Ea oneperso S 5,000 MEO D(P(�Y one Person) CLAIMS MADE ®OCCUR PERSONAL 6 ADV INJURY $1 i 0 00 v 00 0 GENERAL AGGREGATE S Ze 000/000 PRODUCTS-COMP/OPAGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' PRO- LOC COMBINED SINGLE LIMIT $ 1 OQ Q 000 POLICY AUTOMOBILELIAHILRY - 12/31/07 12/33/08 (Ea—lclenl) ANY AUTO 51037400001 BODILY INJURY $ ALL OW NED AUTOS (Per Person) X SCHEDULED AUTOS BODILY INJURY S X HIRED AUTOS (Per accident) g NON•OWNED.AUTOS $ PROPERTY DAMAGE. (Per accident) 1' AUTO ONLY-EA ACCIDENT $ GAgAGE,UABILITY EA ACC $ OTHER THAN .� 'ANY AUTO AUTO ONLY: -AGG $ • ' EACH OCCURRENCE $S a 0 0 0 r 0 0 0 EXCESSrUMoRELLALIABILITY AGGREGATE OCCUR S.5 v O00 v 000 }�' CLAIMS MADE 4600010709 01/0J/OS 01/O1/09 $ • S El DEDUCTIBLE_ S RETENTION $ X TORY LIMITS ER WOAkERS COMPENSATION AND E.L.EACH ACCIDENT $S 00 000 EMPLOYERS'uABIUTY . 90967005 05/D3/08 05/A1/09 p' -ANY PROPRIETOR/PARTNERrEXECUTIVE EL.DISEASE•EA EMPLOYE $5 D 0,000 OFF{CEA/MEMBEREXCLUDED? EL DISEASE POLICY LIMIT $500,000 p yyes,describe under SPE E.tAI.PROVISIONS bBloW OTHER - /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS DESGRlPTt01J OF OPERATiONB . pC CANCELLATION 'CERTIF{EATE'I-(OLUER SHOULD ANY OF THE ABOVE DESCRIBED POLtC1ES BE CANCELLED BEFORE THE EXPIRb,1( DATETHEFlEOE,FHE ISSUING 114sURER WILL ENDEAVORTOifiA1L 30 GAYSM'P.iTTEN AL NOTICE TO THE CESTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE 7C DO -I R O • INSURER,� spmc l S ACSENTS OR L� IMPOSE No.OBLIGATION OR LIABILITY OF AN � PDN THE INSURER, REPRESENTATIVES. AUTHORIZE I}REPRFSENTATNE 'Telco ?, s"F srEZt�C1��F3 CA ORPOR(A7EOt' AGORD Z5•(P-001tC€) Ne13-'08 15:22 FROM-Newpro-WheehngAve 1-781-932-0860 T-225 P001/002 F-879 CT Reg#0605216 A�rnw t RI Reg#26463 whdlift9drguwrior. L Corporate Neadduansla,26 Cedar St,Woburn,MA(P/0003l42.2211(F)761.933.9s28,www.newpro.com THIS CONTRACT MADE THE r;?I day of 20�betwe In A e ," / l .5o72;%1A (Home Owneraf (Home Phan) faumcen PRons) pf a� f�y/tC /%✓C 4P/I�orar//�i �/� �y���� (Audi-&) (thy) - fst ten 90) the"Owner"and NEWPRO Operating,LLC,'NEWPRO". The job address is a condom(n(um. NEWPRO hereby agrees that it writ for the consideration hereinafter mentioned,fum(Sh all labor and material necessary to install the following described work at the premises located at 2_5 2lbo; jo Address E-Merl) rpropmra use only TOTAL / Additional Model TOTAL Windows Purchased NEWPRO Work Number CASH G Window Color In: Out ow.*I^ Sliding Glass Doo, PRICE G. Capping Color b✓6,. e Steel pr or Securl boo p n: DEPOSIT OC Model Name Model Numbs s Sidelites WITH Doubte+kw(r—_ INewConatructioqtInit ORDER PioturaMNndriv Storm D BALANCE Casement bscure Glass DUE AT O G 2 L)te/3 Lite Slider Screens F4k: LILL INSTALL t3eylbo Please triplet, Roof n Customer understands that NEWPRO®does not CASH Gar do any palnting or staining. (e:when removing cal iter at InstatlstioA Awning or replacing Interior scope or Vkn) Hop NEWPRO®is not nesponalDle for conditions or Sha C(rcumetances beyond its control including con, Ft Other enaction resulting from or due tp ore.exlsting Bane etion form a'-s"ed at; uauon GRIDS conditions. DESCRIBE WORK; A1Gw 3 d` yr ., o' Zr s rX6, rcz, Woll 3 Est.Stan Date: r Od Customer understands this Is an'estimated date" Est.Comp.Date: G' a mroala u met underetanda all steel se.rlty doore will have a 3/4-aluminum threshold installed over exiat ng fteshold. It shall be the obligation of NEWPRO to obtain any and all pe-ft necessary under this agreement,as the Owner's Agent,The Owners who secure their own construction-relsted Oemllta,or deal with unregiatered Contractors will be exciuded from the guaranty fund provisions of MGLC,142A All Home Improvement Coritrectors and Subcontractors shall De registered by the Director and any Inquiries about a Contractor or Subcontractor relating to a registration should tie directed W. Director,Home Improvement Contractor ReglstmOon,One Ashburton PI,Room 1301,Boston,MA 02106,(6171727-9598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a lima acnedule of payments to be made under said contract and the amount of seen peyrnont stated in dollars,Including all finance chargea. The Retail Installment Sales Agreement shall Da Incorporated herein by relOrenoe, If the Owner is obtaining a revolving credit line to pay,In whole or in peR for the contract amount herein,the terms of the revolving line of credit Including interest rate and payment terms,shall be dearly eat Out on ft credit application.The portion of the credit application referencing a time schedule Of l/aymani,to Do made under this contract,end the amount of each payment stated in dollars,indurfing all finance Merges,shall be -incorporated heroin by reference. NEWPRO It represents that Willies Workmen's Compensation eno Public,Liability Insurance In(tits amount of$100.000-$300,000. If the Owner refuses to permit NEWPRO to Droosed with the work herein,or In the Gwent of any breach of the Owner of this egreoment,for any reason whatsoever shall muse the owner to pay NCWPRO a Burn of money equal to thirty-three and one-third percent of the price agreed to be paid,as liked, liquidated end ascenstrted damages,and not as a penalty,without further proof of 1089 or damage. NEWPIZO shall not be held liable In damages for delays in the oerfoml8noe Of this contract due to Causes beyond its reasonable control. Owner w9Rents Viat he is the owner of the properly on which the work is to be performed or that he Is otherwise euthori2eo on Oarielf of the owners to enter Into this agreement. This contract represents tho entire agreement between Owner and NEWPRO and Cannot Da changed except in writing signed Dy both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,tin aforesaid owners,certify that Immediately after the signing of the aforesaid agreement,a copy was furnished to us. You may cancel this agreement If It has been signed by a party thereto at it place other than an address of the seller,which may be his main office,or branch thereof,provided you notify seller In writing at his main office or branch by ordinary mall posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. (Saturday Is a legal business day). See the attached notice of cancellation form for an explanation of this right, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The owner has seen"Sample"warranties that will be provided by NEWPRO upon In4tallatio 3ampt warraannde vided to Owner. IN WITNESS WHERBOP,the pa lea have hersunto Signed their names this T'r soy of /� 2 EINS Signed M_ang Representative Printed Name Owns AeealAedi NEWP ling,LLC By `L Signed Owner CORPORATE OFFICE SHR£WS9URY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar St 151-153 Memorial Drive Business Pk 24 Minnesota Ave Woburn,MA 01801 Suite B-C Warwick.Rl 02888 (P)800-242-9974(Prom NE) Shrewsbury,MA 015e5 (P)800-3%3312(From NE) (F)70-932-0717 (0)80U6&0655(From NE) (P)401.732.1371 (F)50&442.9241 WHITE Branch Copy YELLOW: Customers Copy PINK File Copy GOLD; Flnance Copy vs.'s - - Iip508 vl! d'o,�sl•a 1' C; Jba 1 BN d L 7r "rJ,r 1 °�yC':sp�� F�I;✓tVrPd n page—�of ill.....aIll !'y E-MAILACDRESS . HOME PHONE MATE 9 WORK(CELL PHONE ADDRESS (Circle one) � /�f( w � BEST DAY TO INSTALL: M 1' W 'rhl F ciTY.STATE Ce rl�� M 1 1 ✓ (Ploose Circle one) PRODUCT SPECIALIST BRANCH: . ��[—:� ESTIMATED START DATE TOTAL#OF #OF DOORS WINDOW COLOR WINDOWS #OF©OW/SAYIGARDEN storm.Steal.Patio inelde/Outsldo CAP COLOR �� w � �lh► l� OPENING SIZE STOPS NO. STYLE W x H. U.I. LOCATION GRiDj SCR IN OUT ADDITIONS OPENING CUT �v@ 33�� ���� Sa G 3r✓t4 x �2c ' x c. 10? 0 , ?mot-1 x 2- C� l u 3 �I ► iral S G 3�` `zx lac% 'Y x L) 3to iN x Z- c, Z6) Z 62,1-t x Z x ZCi 7 ' kC r� -� rOt x ZG' 6� :-37 Cb x;?G) d 3G `� x 2 G ' J 't x�-C1 3 C�'�l x �CJ po ` > 3 x 3vi x Z c, x x x x x x x x Measurema x x ;pie4 srE� Inalals Date Crew Site Needed Time Frame to omplele joD Capping Type Special Installation Instructions: Directions to site: Re�IseC sr0+ y i .® Qualified: Highlightedin ' •g �Jv ® =oualllled In all zones NEWPRO MANUFACTURING ONFIRC , 'ka 3000 AWNING Cellular PVC frame, Triple glazed, . NationalFen%tadon Low E coating(e=0.034,S2&5), RalingCouncil® Argon/air filled DEV-K-24-00005 ENERGY PERFORMANCE RATINGS U-Factor(U.S.A-P) Solar Heat Gain Coefficient Om2O -i 025.R ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0Z37 71 L ctt for any specific use.Consult manufacturer s literature for other product performance intormaticn. www.nfrc.or 1 ENERGY STARo - � in a n­ qg10 4b 0 h =Qualified In all zones NEWPRO MANUFACTURING kaNFRC 3000 HORIZONTAL SLIDER Cellular PVC frame,Triple glazed, National Fenestration Low E coating (e=0.034, S2&5), �.RdngCouncil® Argon/air filled -0EV-K-21.00005 .ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient ® . 2 0 . 27 . ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0 'W40 . 67 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.NFRC does not recommend any product and does not warrant the suitability of any product for any specific use.Consult manufacturer's literature for other product performance information. www.nfrc.or