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HomeMy WebLinkAboutBldsm-20-000975 Commonwealth of Massachusetts Sheet Metal Permit Date: 08/13/2019 Permit# 8thS ill-Z 0_q rkS— Estimated Job Cost: $ 0 �v ,h Permit Fee: $ V Plans Submitted: YES El NO Plans Reviewed: YES ❑ NO n Business License# 612 Applicant License # 6717 Business Information: Property Owner/Job Location Information: Name: Braga Brothers, Inc. Name: Townsend Wells Street: 110 Breeds Hill Road, Unit 5 Street: 35 Amy Lane City/Town: Hyannis City/Town: Yarmouth Telephone: (508)827-4260 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES 0 NO ❑ Staff Initial J-1 /M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family 0 Multi-family ❑ Condo/Townhouses ❑ Other Commercial: Office ❑ Retail Industrial ❑ Educational fl Institutional ❑ Other ❑ Square Footage: under 10,000 sq. ft. IN over 10,000 sq. ft. ❑ Number of Stories: 1 Sheet metal work to be completed: New Work: ❑ Renovation: n HVAC I r l Metal Watershed Roofing Ti Kitchen Exhaust System❑ Metal Chimney/Vents n Air Balancing❑^ Provide detailed description of work to be done: Supply and install 60K BTU furnace with a 2.5 ton air conditioning to serve whole house with heating and cooling. 77/7/77/,.., g 7 r INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes ElNo❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy El Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent El Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By 'Master Title ❑ Master-Restricted City/Town DJoumeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted 6717 License Number: Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval The Commonwealth of Massachusetts . 4!t, Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Braga Brothers, Inc. Address:110 Breeds Hill Road, Unit 5 City/State/Zip:Hyannis/MA 02601 Phone#:(508)827-4260 Are you an employer?Check the appropriate box: Business Type(required): I.El I am a employer with 8 employees(full and/ 5. 0 Retail or part-time).* 6. 0 Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp. insurance required] 8. El Non-profit 3.❑ We are a corporation and its officers have exercised 9. 0 Entertainment their right of exemption per c. 152,§I(4),and we have 10.0 Manufacturing no employees.[No workers'comp.insurance required]** 11.❑Health Care 4.0 We are a non-profit organization,staffed by volunteers, with no employees. [No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Arbella Mutual Insurance Insurer's Address: 35 Amy Lane City/State/Zip: Yarmouth, MA 02675 Policy#or Self-ins.Lic.#422005277 Expiration Date:03/01/2020 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 i co e verification. I do hereby cer ' ,u the ' , and enalties of perjury that the information provided above is true and correct Signature: Date; 08/14/2019 Phone#:(508) 827-4260 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia A�o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 06/12/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gabriel DeSouza NAME: _ Murray&MacDonald Insurance Services,Inc. PHONE,Ext): (508)540-2400 FAX(A No): (508)289-4111 550 MacArthur Blvd. E-MAIL gabriel@riskadvice.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURER A: Arbella Protection Insurance 41360 INSURED INSURER B: Braga Bros.Inc. INSURER C: 110 Breeds Hill Rd INSURER D: Unit 5 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ 100,000 _ MED EXP(Any one person) $ 5,000 A 952005270403 03/01/2019 03/01/2020 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ri JECOT II LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Contractors Comm $ AUTOMOBILE LIABILITY GOMEINED-SINGLE LIMIT $ 1,000,000 _ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 1020052173 03/01/2019 03/01/2020 BODILY INJURY(Per accident) $ _^ AUTOS ONLY _^ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) Underinsured motorist BI $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB I I CLAIMS-MADE 4600065467 03/01/2019 03/01/2020 AGGREGATE $ DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE [7 N/A 4220052770 03 03/01/2019 03/01/2020 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 5/i!;fse.e_ t ctiVa i�� � I / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • Fold,Then Detach Along All Perforations :- �I.�; -- `+�. r ,+k .si yr,�' w - io .�. ... ..._ ..... '� �� I'I a "k 'a" " . g c � � , . } I�' 111101�F :mil * k a R tom$� ` � ©3. �r r�iiI41ll sG tk� r - a I tom. �sT�` l^y } a ,,ir �.. 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E- ITT >-4I ; 1 .II S ,p'` FAL 4 B BRAG-* I ,� r I. ,. k �Izl -`� >11 3REEDlN II } „ 74 14.3 —, STE'5# * gar s sotiti h HYANNIS,NIA 026 4k" '" ` w"I ` I 6717 >`t ,*, 08/28/2020 l . 's 526747 = ,LICENSE.NUMBER EXPIRATION DATE SERIAL NUMBER I: 1 Page 1 Residential Heat Loss and Heat Gain Calculation 8/12/2019 In accordance with ACCA Manual J Report Prepared By: Braga Bros. Plumbing & Heating For: Townsend Wells 35 Amy In Yarmouth Port, MA Design Conditions: Cape Cod Indoor: Outdoor: Summer temperature: 75 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 Relative humidity: 55 Summer grains of moisture: 100 Daily temperature range: High Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,806.3 sq.ft. 22,216 3,049 25,265 73,051 ( 2 tons ) First Floor 22,216 3,049 25,265 73,051 All Rooms 1,806 sq.ft. 22,216 3,049 25,265 73,051 Infiltration 1,589 1,899 3,488 15,217 -Tightness:Avg.; Winter ACH: .8 ; Summer ACH: .4 Duct 0 0 0 6,641 -Supply above 120; Enclosed in unheated space; R-6 People 5 1,500 1,150 2,650 0 Fireplace 0 0 0 1,907 -Best-combustion air from outdoors, glass doors, damper Floor 1,806.3 sq.ft. 0 0 0 20,288 -Over unheated basement; Hardwood or tile; No insulation N Wall 304 sq.ft. 372 0 372 1,970 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 24 sq.ft. 648 0 648 1,711 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Window(2) 12 sq.ft. 324 0 324 855 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. E Wall 227.5 sq.ft. 278 0 278 1,474 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 20 sq.ft. 1,700 0 1,700 1,426 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Window(2) 40 sq.ft. 3,400 0 3,400 2,851 r.--- .. . ...,., , • 4,.. -, :-::, -,,,, i . 0 . ; ;, \-• ' ,..,_ ; ,... ' 1 .."',) '••• .1 , ' ,,,,, ..,./ ...,' . 1 . I La,.....-;....•-*- - --- - ''-1- I -\ , . ...,............--....... . ,----.-__-) . „. -C31 i k ,.-- , . . / 1-1- . ., / , , _....::. . ; • I ; , f -c--.... t • , . . , „„.-.......„....... , . ...__ ., ‘,...... . 7 ';II ....... ! !-1---- . __. '.'\:,-. .1!,. ......_ .. .. _ up i .....I. , . _ -,-; V3--- 1 '''t• i \ 1 * C) ...,.. .