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HomeMy WebLinkAboutBldsm-23-004201 61...Im-23-vey20 Commonwealth of Massachusetts RECEIVED Sheet Metal Permit JAN 27 2023 S Date: 1/24/23 Permit# BUILDING DEPARTMENT sy: IEstimated Job Cost: $32,277.00 Permit Fee: $ Plans Submitted: YES NO V Plans Reviewed: YES NO Ci oj Business License# 801 Applicant License# 4323 d s Business Information: Property Owner/Job Location Information: Name: Coastal Mechanical Name: Michael and Sandra Lenzi Street: 21 L Fruean Ave Street: 15 Park Ave City/Town: South Yarmouth, MA 02664 City/Town: West Yarmouth, MA 02673 Telephone: 508-737-8747 ( Telephone: Photo I.D. required/ Copy of Photo I.D. attached: YES NO V LW 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 V Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft. Number of Stories: 3 Sheet metal work to be completed: New Work: V Renovation: HVAC V Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 3- Zones 1- York Gas Furnace 1- York Condensing Unit Venting of(4) Bathroom Fans, Dryer and Kitchen Hood Exhaust Supplies and Returns INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes® No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® 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 ❑ Signature of Owner or Owner's Agent By checking this box{],thereby 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 ' El /Master-Restricted B'B LL'2LJ City/Town U/� ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted Fee$ License Number: 4323 Check at www.mass.qov/dpl Inspector Signature of Permit Approval ti The Commonwealth of Massachusetts EiSt— Department of Industrial Accidents —f Office of Investigations M_�?r,_ - Lafayette City Center =-p�= 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): Coastal Mechanical Address:21 L Fruean Ave City/State/Zip:South Yarmouth, MA 02664 Phone#:508-737-8747 Are you an employer? Check the appropriate box: Type of project(required): I ID I am a employer with 40 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance? required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 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 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box N I must also fill out the section below showing their workers'compensation policy infonnation. 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: The Hilb Group of New England Policy#or Self-ins.Lic.#:WC 9099731 Expiration Date:12/31/2023 Job Site Address: 15 Park Avenue City/State/Zip: West Yarmouth, MA 02673 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tinder 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 certify under the p ' s and penalties of erjury that time information provided above is true and correct. Signature: Date: 01/24/2023 Phone#: 508-737-8747 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 3❑City/Town Clerk 4.0 Electrical Inspector 51=IPlumbing Inspector 6.❑Other Contact Person: Phone#: t A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/11/2023 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 Tina Reeves NAME: The Hilb Group New England,LLC PHONE (800)640-1620 FAX (A/C,No,Ext): (A/C,No): dba Dowling&O'Neil E-MAIL treeves@hilbgroup.com ADDRE973 lyannough Road INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURERA: Selective Insurance Group,Inc. INSURED INSURER B: Coastal Plumbing&Heating LLC INSURER C: 211 Fruean Way INSURER D: INSURER E: South Yarmouth MA 02664-1690 INSURER F: COVERAGES CERTIFICATE NUMBER: CL231424355 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NU BER (MM/DO/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 A S 2573428 12/31/2022 12/31/2023 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED A 9109656 12/31/2022 12/31/2023 BODILY INJURY(Per accident) $ AUTOS ONLY X HIRED X NUON-O ONLY ROPERTY DAMAGE $ AUTOS ONLY (Per accident) X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 - A EXCESS LIAB CLAIMS-MADE S 2573428 12/31/2022 12/31/2023 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE OTH- ER Y/N 1,000000 A ANY PROPRIETOR/PARTNER/EXECUTIVE N N 1 A WC 9099731 12/31/2022 12/31/2023 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended thecoverage provided by the policy provisions. 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 raPirft '� ,OP"r ., I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD RIGHT J SHORT FORM Entire House CLIMATROL HVAC DESIGNS Job:CL 591 1-13-2023 154 90 RFVER VISTA,DR.R tp7-NORM Fgd7 IAIIR.,FL 33917 Phone.50E::64-1,1L11 Exwi.YILLER61'IRCOE ICAr, C,;F/.All,CC:1e Project Information For: COASTAL PHC- LENZI 15 PARK AVE.,WEST YARMOUTH, MA Design Information Htg Outside db("F) Cig Infiltration Inside db 88 Method Simplified (°F) 70 75 Construction quality R,veraoe Design TD (=F) 60 13 Fireplaces r Daily range - M Inside humidity(%) - S0 Moisture difference(grfib) - 28 HEATING EQUIPMENT COOLING EQUIPMEtT Make Make 0 Trade Trade Efficiency 96.0 AFUE Efficiency 13.0 EER Heating input 0 Btuh Sensible cooling G Btuh Heating output 0 Btuh Latent cooling 0 Bsu Heating temperature rise 0 °F Total cooling 0 Btuh Actual heating fan 1650 ufrri Actual cooling fan 1650 cfrn Heating air flow factor 0.038 cfm/Btuh Cooling air flaw factor 0.038 c.t9 uiBtuwn Space ttterrrostat Load sensible heat ratio 88 % 3 ROOM NAME Area Htg load CIg load \ Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) ZONE 1 n p 768 17010 16992 653 r ZONE 2 n p 656 17250 21056 647 36D ZONE 3 n p 412 9728 9374 365 1836 43988 42938 1650 1650 Entire Hie d 3300 715 Ventilation air 43653 Epp, @ 1.00 RSM 5864 Latent cooling link TOTALS 49517 1650 1650 1836 47288 Printout certified by ACCA to meet all requirement's of Manual J 7th Ed. t��sot might"Sine R iciantial'"6.0,14 IiSF120180 Paag#1 y® enlsivii ghtson HVAC1CUMC►LCS.rar U is - • '''' , 1 1.,..) ., l'.i• ''.'. . ', , ... i, %.,. , ,'I I, RIGHT-J SHORT FORM ZONE 1 11 Itr CLIMATROL HVAC DESIGNS Job:CL 5S2 1-19-2023 15419 RIVER VISTA OR.D 107,NORTH FOR1 MYERS,FL 33917 Rhone 5t73 WI SUM imal1 MR I LliI{VACD4 SI,ati‘ftritAAB r"4 Project Information For: COASTAL PHC - LENZI 15 PARK AVE , WEST YARMOUTH, MA Design Information HIE! Clg Infiltration Outside db(OF) 10 88 Method Inside db(T Simplified) 70 75 Construction quality Design TD ('F) 60 13 Fireplaces Average Daily range M inside humidity (%) - 50 Moisture difference(or/lb) • 28 . • 4„... HEATING EQUIPMENT I COOLING EQUIPMENT Make n/a Make rile Trade n/a .,. Trade n/a / ....=. n/a n/a ,... n/a Efficiency Rea Efficiency n/a Heating input 0 Btuh 0 Btuh Sensible cooling ,,- Heating output 0 Btuh Latent cooling 0 Bton ° ,- Heating temperature rise 0 F Total cooling 0 Btu; 0 cfm Actual cooling fan 0 cfrn 0.000 cfmiBtul-i Actual heating fan Cooling air flow factor 0.000 cfm/I3tuh Heating air flow factor Space thermostat n/a Load sensible heat ratio 0 3/0 Clg AVF ROOM NAME Area Htg load Gig load Htg AVF (ft2) (Btuh) (Btuh) (cfm) (cfrn KITCHEN 168 2943 4701 110 181 ENTRY 120 2725 2548 102 98 LIVING-DINING 480 11342 9744 425 374 ZONE 1 n p 768 17010 1 16992 638 '653 o 1 0 Ventilation air Equip. @ 1.00 RSM Latent cooling ti _ 169922237 i9229 ' 638 653 TOTALS 768 17010 1 ,o 2023,imvig lom:oci page 2 Printout certified by ACCA to meet all rwluirerift,. 4.s Of Man J 7th Ed. iEdni 5A).14 RSR20700 ft Rkilit Suite Res Attot cvvitmynDocgurnillentts54WCPrightsoft FIVAC\CLIMCALCS,rsr d .., -<;i- - - 1y0117 s+ i 1 i I '. `l, i f a,f I i , {{ ,I l 11 , , lY R� RIGHT11 SHORT FORM t ZONE 2 1 : E §: CLIMATROL HVAC DESIGNS Job:CL 599 1-19-2023 atk ,,( Fl,7."3'S7 F''tq�t+®636{-51'� [mW 41iLk9t41V1CryERIpry L._CGW fk ,. r l ,,, i f t �1:till: . - Project Information ,,461#i ; For. COASTAL PHC-LENZI I 4 .( 15 PARK AVE.,WEST�'ARMt UTH,MA § ' ' 't Design Information ` ,i, Outside db(°F) `!F Gig Infiltration � , zL 1 A. Inside 1 7(�F� aa Method Sim�if�i "_ ' Design TLA(�'F) 70 75 Construction quality i F' lit 60 13 Fireplaces Q t}' Aver ti fj fee q Dt< e - Ad xt s rm humidity(%) - 50 .> z. Molsiu-e difference(gr.ldi 28 el t° ' <E1 rr , 1 HEATING EQUIPMENT COOLING EQUIPMENT ) Make hie Make r a r 1,: ','' Ti raia Trade ilia .,:1 rta n;a of .I. .4 WS U Efficiency nra Efficiency rite ,. 4, '- t inp 0 Btuh Sensible cooling 0 Btun cc 1 - , Het- � 0 Btuh Latent cooling 0 Btu . Heating(..,t.�.,srt ature rise 0 `F Total cooling 0 Stun �' i < 'i lilt Actual s ling fan *" 0 cfm Actual cooling fan 0 cfrn ;fir Heating air flow facto 0.000 cfrn/Btuh Cooling air flow factor 0.000 cfrniBtuh Space thermostat riie Load sensible heat ratio 0 `�C 1, ROOM NAME Area Htg load Cig load Htg AVF Clg AVF (ft ) (Btuh) (Btuh) (cfm) (cfm) X+• °,„r't BED 1 192 4948 8413 186 323 . , BATH 1 88 1801 1410 68 5 ', BED 2 176 5724 7764 215 2S8 BATH 2 56 766 +, 335 29 13 STAIR 2 144 4011 3135 150 120 i• w5 _- ZONE 2 n p 17250 21056 647 809 t r 1 0 0 Ventilation air 21056 Equip, r 1.00 RSM Latent coding 1812 TOTALS 656 1 17250 22868 647 809 TO Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 2623-Jan-19'10.37.0 �' WPIgh'7tsa ft Right-State Aes�enti�TMb 5. .14 RSR2Q78r1 Page C•'Ay DoeurrteritS Wrghtso',t HVACiCUtMCALCS.rsr 0 a r r'iti _ '- +S^.}Xri r 1 -X yKe `' .s''.;".'hs x - r ;r-J.a. 4 '..kka . s t F .. ;:°"r �"X :s n..T"! JCea'.« S. '_• _ e� s,'..'4w.' 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T --1 1. i . - . 3- `"� -. a '#cam -� ;�#'� 3 a --r - ''��--�� # r asap- .- - . . __.. :... .k - �x :.,.1w. ._._ R.' -. tl€.i' Iasi; _":' ''.i4 4 ��:�' ';I: ,__:�.Y f Ltr, ax i x-, ,,e,,,- .. ,,d t !* RIGHT-J SHORT FORM 0 _______--...........iaiaratiatamoutilign.:.. notasimainte :tvist, ,i NM ', ri 0,41'''''' ZONE.3 CLIMATROL HVAC DESIGNS Job:CL599 1-19-2023 15410 RIVER VISTA DR.R 107,NORTH r-CRT MYERS.FL 33917 Phcru:500 304-5195 Emaf.MILI,ERHVtCDESIr3NqOVIIMAIL CCAm Project Information For: COASTAL PHC-LENZI 15 PARK AVF.,WEST YARMOUTH, MA Design Information lg Outside db CT) 10 C 88 Method Infiltration Simplified Inside db CF) 70 75 Construction quality Average Design TD (`F) 60 13 Fireplaces 0 Daily range - M Inside humidity(%) - 50 Moisture difference(gr/lb) - 28 HEATING EQUIPMENT COOUNG EQUIPMENT Make n/a Make Na Trade n/a 1 Trade rife n/a nfa n/a Efficiency n/a Efficiency Na Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Stub Latent cooling 0 Stun Heating temperature rise 0 °F Total cooling 0 Btuh Actual heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfmiBtuh Space thermostat n/a Load sensible heat ratio 0 % ROOM NAME Area Htg load CIg load Htg AVF \ ':::-, -:-: Clg AVF iik (ft2) (Btuh) (Stun) (dill) (cfm) 012. 3526 4698 132 181 ` " 168 ; , BED 3 BATH 3 84 648 260 24 10 "" STAIR 3 160 5553 4416 208 170a. . 412 9728 9374 365 360 ZONE 3 n p0 d , . Ventilation air 9374 Equip. @ 1.00 RSM 877 Latent cooling _- _-- - <:' TOTALS 412 9728 10251 3 360 , ,r Printout certified by ACCA to meet all requirements of Manual J 7th Ed. V1/1"1 i� C� "M-S'ita Residential"'5.0.14 RSR20780 a � Ark' C:PJ►1y DOCUn ntsWinghisatt HVACICLIAICALCS.rar s z_r �_ mac'-+c "' ^- �r_-- --�_ - - - - - - - COM O ` E LTH-1 OF 1: AASSACIH SET I<. 1 W.1ON DF OOCUPA' ONA_ tIH.OENSURE r BOARDOF SHEET METALWORKERS t\ ISSUES THE FOLLOWING LICENSE \ F BUSINESS c",a RQBERT D WOODBURY COASTAL PLUMBING AND HEATING LLC 299 WHITES PATH Nz SOUTH YARMOUTH,MA 02664-1214 801 03/01/2024 192570 t, C€MSE :..BtitV a?9.-IiIATt�'t��► (- ...COMMONW A3 T H OF JOAS AC USI 'S DIVISION FV.000.AV[ONAL LICE1010.00.k6 BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE W' MASTER UNRESTRICTED a ROBERT D WOODBURY cs 21 L FRUEAN WAY SOUTH YARMOUTH,MA 02664-1671 �'z w o 4323 04/28/2024 192770 UCEtNSE NUMBER z j(ptRA'(CONDA :.. SBFl Nt91�tBER • - a