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HomeMy WebLinkAboutBLDSM-23-003353 RED '► SHEET METAL PERMIT DEC 2022 Commonwealth of Massachusetts ei-{ , Town of Yarmouth Building Department By _- ..__ —1 1146 Route 28, South Yarmouth, MA 02664-4492 Date: )a-1dti Nab Permit#: a(rl�'[1')-23— Estimated Job Cos . $ le(of 0 Permit Fee: $ Plans Submitted: YES/NO Plans Reviewed: YES/NO Business License# 3618 Application License# 611.3( Business Information Property Owner/Job Location Information Name: 66- �' i.11 "� t Name: 1�d, Street: L' j e f/ ;S Street: 2 k J' O V- ( , City/Town: liktgfin,VUS City/Town: `/1 og/ Drt Telephone: bb-`�,4/0-2,881 Telephone: 6 '' — /7 ) 0 Photo I.D. required/Copy of Photo I.D. attached: YES/ NO Staff Initial: 1-1 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 Multi-family_ Condo/Townhouses_ Other Commercial: Office_Retail Industrial_ Educational Institutional Other Square Footage: under 10,000 sq.ft. t7 over 10,000 sq. ft. Number of stories: Sheet metal work to be completed: New work t/ ttenovation: ,HVAC: 1/ Metal Watershed Roofing:_ Kitchen Exhaust System: Metal Chimney/Vents:_Air Balancing:_ Provide detailed description of work to be done: INSURANCE COVERAGE: I have a current liability insura ce 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:at 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 here 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 installation 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. inspections shall be called for prior to insulation installation. Duct inspection required prior to insulation installation: Yes No Progress Inspections Date: Comments: Final Inspections Date: Comments: Typ/e of license: By: V Master Title: Master-Restricted 'l` Signature of Licen 'e'Ir` - City/Town: Journeyperson Permit#: Journeyperson-Restricted License Number: 6435 Fee: $ Check at www.mass.gov/dpl I` Inspector Signature of Permit'(` of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations (tt Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name:Bourque Heating & Cooling Co., Inc. Address:1199 Pitcher's Way City/State/Zip:Hyannis, MA 02601 Phone #:508-790-2887 ?tie you an employer? Check the appropriate box: Business Type(required): 1.[i I am a employer with 10 employees (full and, 5. —1 Retail or part-time).* 6. ❑ 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. Non-profit 3.❑ We are a corporation and its officers have exercised 9. Entertainment their right of exemption per c. 152, §1(4),and we have 10.— Manufacturing no employees. [No workers' comp. insurance required]** 4.❑ We are a non-profit organization, staffed by volunteers, 11.E Health Care with no employees. [No workers' comp. insurance req.] 12.0 Other HVAC sales/service *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:Associated Industries of MA-ARWC Insurer's Address:54 Third Ave, PO Box 4070 Cit'./State/Zip: Burlington, MA 01803 Poi y#or Self-ins. Lic. #173568 Expiration Date:10/01/2022 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§ 25A of MGL c. 1 52 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office o'Investigations of the DIA for insurance coverage verification. I do hereby certify, under the pains and penalties of perjury that the information provided above is true and correct. Signature: -r - /,1 Uz_.c,) Date: 9/30/2021 Phone#: 508-790-2887 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): I f Board of Health 2.0 Building Department 30 City/Town Clerk 4.El Licensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov'dia • e I . _ ,. — •ti s. „ A A DATE(MMIDDIYYYY) /Y CERTIFICATE OF LIABILITY INSURANCE 09/26/2022 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 Jenn Harney NAME: Leonard InN trance Agency,Inc PHONE Extg (508)428-6921 FAX No): (508)420-5406 683 Main Street E-MAIL enn leonarda encyenn@leonarda .com ADDRESS: ) g y Suite B INSURERS)AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURER A: Hartford Underwriters Ins Co. 30104 INSURED INSURER B: Hartford ACC&Indemnity Co. 22357 Bourque Heating&Cooling Co.,Inc. INSURER C: Associated Ind.Of MA-ARWC 26158 INSURER D: PO Box 770 INSURER E: Marstons Mills MA 02648-0770 INSURER F: COVERAGES CERTIFICATE NUMBER: 22-23 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMSESO(Ea occurrence) $ 1,000,000 u MED EXP(Any one person) $ 10,000 A 08SBAANOY24 10/01/2022 10/01/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 O-HER: DBPCL $ 50,000 AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) - $ B OWNED X SCHEDULED 08UECBC0923 10/01/2022 10/01/2023 BODILY INJURY(Per accident) $ kU'OSONLY /� AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY (Per accident) PIP-Basic $ 8,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION I STATUTE I I EORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? N N/A WCC-500-5025836-2022A 10/01/2022 10/01/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFIC/JE 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 Rte 28 AUTHORIZED REPRESENTATIVE S Yarmouth MA 02664 f 0 • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD fi AcHusT 'S DRIVER'S LICENSE 110 05/22/2018 ` '.580732 1 I25120273 5 OS12511960 a s BOURQUE ��Sw ROBERT GERALD P € r 14 CROOKED CARTWAY . . '^ MARSTONS MILLS,MA4 189E ax it ct 3`•09" ;� �. ��oar4srmm�e 2cv azmmm DIVISION OF PROFESSIONAL LICENSURE BOARD OP SHEET METALWORKERS ISSUES THE FOLLOWNG LICENSE BUSINESS ROBERT G BOURQUE BOURQUE HEATING AND COOLING CO INC 141 PO BOX 770 \�' MARSTONS MILLS,MA 02648 `` 0 398 05/25/2023 28644 '' LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER IM4ON L +F AC DIVISION OF OCCUPATIONAL LICENSURE BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE w MASTER-UNRESTRICTED v.- ROBERT G BOURQUE 14 CROOKED CARTWAY MARSTONS MILLS,MA 02648-1008 -... w C\74- 6435 05/2812024 256638 „,i \ Project Summary Job: HDG 1022-010 1 ry Date: October 19,2022 t, x of"�°`GROUP HVAC First FI By: y awF�rvrn'.�°°_�,,: Joseph Hartle Hartley Design Group 1130 S Marjorie Ave,Milliken,CO 80543 Phone:(970)587-8937 Project Information For: Lavori Residence 97 Pheasant Cove Cir,Yarmouthport,MA 02675 Notes: Rich Bryant Cape Associates Desi• Information Weather: Barrstable Municipal,MA,US Winter Design Conditions Summer Design Conditions Outside db 15 °F Outside db 85 °F Inside db 70 °F Inside db 75 °F Design TD 55 °F Design TD 10 °F Daily range L Relative humidity 50 % Moisture difference 30 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 15698 Btuh Structure 11568 Btuh Ducts 1631 Btuh Ducts 392 Btuh Central vent(43 cfrn) 2596 Btuh Central vent(43 c.ftu) 476 Btuh Outside air Outside air Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 19925 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 12436 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 0 Structure 1289 Btuh Ducts 640 Btuh Central vent(43 c,frn) 877 Btuh Heating Cooling Outside air Area(ft2) 1332 1332 Equipment latent load 2806 Btuh Volume(ft') 10253 10253 Air changes/hour 0.26 0.14 Equipment Total Load(Sen+Lat) 15242 Btuh Equiv.AVF(Lf ti) 45 24 Req.total capacity at 0.82 SHR 1.3 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency OAFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual airflow 525 cfm Actual airflow 525 Grill Air flow factor 0.030 cfm/Btuh Air flow factor 0.044 c,friiBtuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.82 Calculations approved byACCA to meet all requirements of Manual J 8th Ed.- wrigt�tsoft'” 2022-Oct-2011:04:50 C <.,,,,,..u,. ....,.„� . 1!! Right-Suite®Universal 2022 22.0.05 RSU10614 Pagel C:\HDG\Website\Oct 2022\1022-010 Lavori\Lavori.rup Ca lc=MJ8 Front Door faces:SE Job: HDG 1022-010 _ '. Project Summary Date: October 19,2022 °''�,tvdMAC"''''_�$ HVAC Second FI By: Joseph Hartley HART.EY.QESIC Jose h Hartley Design Group 1130 S Marjorie Ave,Milliken,CO 80543 Phone:(970)587-8937 Project Information For: Lavori Residence 97 Pheasant Cove Cir,Yarmouthport,MA 02675 Notes: Rich Bryant Cape Associates Desi•n Information Weather: Barnstable Municipal,MA,US Winter Design Conditions Summer Design Conditions Outside db 15 °F Outside db 85 °F Inside db 70 °F Inside db 75 °F Design TD 55 °F Design TD 10 °F Daily range L Relative humidity 50 % Moisture difference 30 grub Heating Summary Sensible Cooling Equipment Load Sizing Structure 9656 Btuh Structure 6743 Btuh Ducts 3556 Btuh Ducts 3079 Btuh Central vent(24 cfm) 1467 Btuh Central vent(24 cfm) 269 Btuh Outside air Outside air Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 14679 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 10091 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 0 Structure 389 Btuh Ducts 537 Btuh Central vent(24 dui) 495 Btuh Heating Cooling Outside air Area(ft2) 947 947 Equipment latent load 1422 Btuh Volume(ft3) 7104 7104 Air changes/hour 0.30 0.16 Equipment Total Load(Sen+Lat) 11513 Btuh Equiv.AVF(cfm) 36 19 Req.total capacity at 0.88 SHR 1.0 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency OAFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual airflow 525 cfm Actual airflow 525 cfm Air flow factor 0.040 cfm/Btuh Air flow factor 0.053 LfrnBtuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.88 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. t ri Wg ti tsoft" Right-Suite®Universal 2022 22.0.05 RSU10614 2022-Oct-2011:04:50 2 Page 2 AC C:WDG\Website\Oct 2022\1022-010 Lavori\Lavori.rup Calc=MJ8 Front Door faces:SE N First Floor /fir \ - 8 a Bath 0 -:.�. Bedroom 1 - i� MECH� Foyer/Living , rnerN Dn..ng ��' rizi IIIIIIINIIIIIIIII Jncona,coal �Yl Gallery/Stair ,� i s - Betlroom 2 Bath 3 Ban 2 oat I Job#: HDG 1022-010 Hartley Design Group Scale:1:100 Performed by Joseph Hartley for: Page 1 Lavon Residence 1130 S Marjorie Ave RightSute®Universal2022 97 Pheasant Cove Cr Milliken,CO 80543 22.0.05 RSU10614 Yarrnouthport,MA 02675 Phone:(970)587-8937 2022-Oct-20 11 05:06 ...2022\1022-010 Lavon\Lavon.rup 'k stir Second Floor z.._ — i IPlay Room N tied 3l Office 1181111111 i_ SAC 5a.h 4 Rleep Rbok t Eath E Job#: HDG 1022-010 Hartley Design Group Scale:1:100 Performed by Joseph Hartley for: Page 2 Lavon Residence 1130 S Marjorie Ave Right-Suite®Universal 2022 97 Pheasant Cove Cir Milken,CO 80543 22.0.05 RSU10614 Yannouthport,MA 02675 Phone:(970)587-8937 2022-Oct 2011:05:06 ...2022\1022-010 Lavor#Lavon.rup ,,, 1- 1 iv ----). ,. ..,„, 4. A (g, : 1 I )..)a i i e 508-790-2887 (TEL) 508-771-9696 (FAX) 12/12/2022 To Whom It May Concern: Enclosed is a permit application along with a check and self addressed envelope so that the permit may be mailed back to Bourque Heating & Cooling Co., Inc. Please feel free to contact our office at 508-790-2887 if you have any questions. Thank you Lise Bourque Offices: Mailing: 1199 Pitchers Way PO Box 770 Hyannis, MA 02601 Marstons Mills, MA 02648 7 : J --- - - _ _ _ _ - - -