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HomeMy WebLinkAboutBLDSM-23-001303 RECEIVED SHEET METAL PERMIT [ EP 0 6 2022 + i Commonwealth of Massachusetts BuILEC Town of Yarmouth Building Department 1146 Route 28, South Yarmouth, MA 02664-4492 Date: Permit#: SL,II SIY1-2.3 -(fib 130. Estimated Job Cost: $ /ai 5 �) •(,� Permit Fee: $ , 11 ou17LI Plans Submitted: YES/NO Plans Reviewed: YES/ NO Business License# yt6 Application License# 6- 3‘ Business Information Property Owner/Job Location Information [Name: r i,`u` uc, 44, "1-3vvi t Name: 1.20- YQo lit Street: is l:6'3j~i i s Street: ' / 0 U L City/Town: City/Town: /ary w )d r Telephone: Liqo'2.8 81 Telephone: l7 g -56 i(-X 3? Photo I.D. required/Copy of Photo I.D. attached: Y /NO Staff Initial: J-1 M T 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. over 10,000 sq.ft. Number of stories: Sheet metal work to be completed: New work VRenovation:—HVAC: ✓Metal Watershed Roofing:__^ Kitchen Exhaust System: Metal Chimney/Vents:i_Air Balancing:! Provide detailed description of work to be done: v1 c. a(\ia-vri. z_ec M&I s ci f i/ 6/1-a(✓ C � �`S��C Lc �J � tA 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: A liability insurance policy /Other type of indemnity Bond OWNER'S INSURANCE WAIVER:I am aware that the licensee does noYhave 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 here4 "y 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 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: �_ I Final Inspections Date: Comments: Type of license: By: Master Title: Master-Restricted 'l`Signature of Licene� City/Town: Journeyperson Permit#: Journeyperson-Restricted License Number: c7 Fee: $ Check at www.mass.gov/dpl lT 5. /� ,� Il Inspector Signature of Permit t of Permit Approval MASS.< U E D LENSES mmiER 0512212018 S56580732 �' 25/2023 25/1960 CLASS 0$T EATS NONE BOURQUE ROBERT GERALD 14 CROOKED CARTWAY MARSTONS MILLS,MA 02648,1008 BRa 05/25;51 i" 6L'?SP<TAM1B Rev Dbl+".72F45 BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE ' BUSINESS . ROBERT G BOURQUE ) BOURQUE HEATING AND COOLING CO INC PO BOX 770 MARSTONS MILLS,MA 02648 398 05125/2023 28644 COMMONWEALTH OFix '° ITS .. . Bay,. SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE MASTER-UNRESTRICTED ROBERT G BOURQUE 14 CROOKED CARTWAY MARSTONS MILLS.MA 02648-1008 6435 0512812024 256638 `` ® ACORD► CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 09/30/2021 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 Debi James NAME: Leonard Insurance Agency,Inc PHONE (508)428-6921 FAX (508)420-5406 INC.No,Ext): {ANC,No): 683 Main Street E•MAIL debi@leonardagency.com ADDRESS: _ Suite B INSURER(S)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.&B&L Equipment INSURER C: Hartford Insurance Group 00914 PO Box 770 INSURER 0: Associated Ind.Of MA-ARWC 26158 INSURER E: Marstons Mills MA 02648-0770 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 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 ADOL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 CLAIMS-MADE X OCCUR PREMISES(Es occurrence) $ MED EXP(Any one Verson) $ 10,000 A O8SBAANOY24 10/01/2021 10/01/2022 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY X PROT LOC PRODUCTS-COMP.'OPAGG $ 2,000,000 JEC S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AtJTO BODILY INJURY(Per person) S . OWNED X SCHEDULED O8UECBC0923 10/01/2021 10/01/2022 BODILY INJURY(Per accident) $ B AUTOS ONLY AUTOS © HIRED XI NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY (Per accident) PIP-Basic $ 8,000 IIUMBRELLA LIAR -X OCCUR EACH OCCURRENCE $ 3,000,000 C EXCESS LIAB CLAIMS-MADE 08 SBA ANOY24 10/01/2021 10/01/2022 AGGREGATE S 3,000,000 DED RETENTION$ 10.000 $ WORKERS COMPENSATION PER OIH- STATUTE ER AND EMPLOYERS'LIABILITY Y/N 1 ANY PROPRIETOR'PARTNERr EXECUTIVE NIA 173568 1 O/01/2021 1 OiO112O22 E.L.EACH ACCIDENT $ , , D OFFIOERIMEMBEH 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 Data Breach-Defense&Liability OBSBAANOY24 10/01/2021 10/01/2022 Limit $50,000 A Coverage DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) HVAC Installer in MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth 1146 Rte 28 AUTHORIZED REPRESENTATIVE S Yarmouth MA 02664 �`' r„t — { ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD , , The Commonwealth of Massachusetts Department of Industrial Accidents t Office of Investigations tom. � Lafayette City Center 7„ 2 Avenue de Lafayette, Boston, .WA 02111-1750 '—,'4' `. 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 Are you an employer? Check the appropriate box: Business Type (required): 1.L I am a employer with 10 employees (full and/ '. L Retail — or part-time).* 6. 0 Restaurant/Bar./Eating Establishment 2.L 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] (— Non profit 3.L We are a corporation and its officers have exercised 9. [— Entertainment their right of exemption per c. 152, §1(4),and we have 10.0'Manufacturing no employees. [No workers' comp. insurance required] * 1 1.E Health Care 4.E We are a non-profit organization, staffed by volunteers, HVAC sales/service with no employees. [No workers' comp. insurance req.] 12•1W 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 oreanization should check box#1. I am an employer that is providing workers'compensation insurance for miry employees. Below is the policy information. Insurance Company Name:Associated Industries of MA -ARWC Insurer's Address:54 Third Ave, PO Box 4070 City/State/Zip: Burlington, MA 01803 Policy#or Self ins. Lie. #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. 152 can lead to the imposition of criminal penalties of a fine up to SS1,500.00 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 of 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. `x- `^ 9/30/2021 Signature: ..-f,A...E /) C> ..-t Date: 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): 1.1:Board of Health 20 Building Department 3.DCity/Town Clerk 4.0Licensing Board 5.0 Selectmen's Office 6.❑Other Contact Person: Phone#: w w.mass.gov°'dia Page 1 Residential Heat Loss and Heat Gain Calculation 8/17/2022 In accordance with ACCA Manual J Report Prepared By: Snow and Jones, Inc. Yarmouth Branch For: Bourque Heating & Cooling 56 North Rd (Estevan Landim ) Yarmouth, MA Design Conditions: Yarmouth Indoor: Outdoor: Summer temperature: 70 Summer temperature: 95 Winter temperature: 70 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 91 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,475 sq.ft. 27,710 5,021 32,731 47,727 (2.5 tons) First Floor 27 710 5,021 32,731 47,727 Kitchen 156 sq.ft. 4,866 940 5,806 6,491 Living Room 289 sq.ft. 8,459 1,565 10,024 16,025 Hall 33 sq.ft. 141 0 141 310 Bathroom 63 sq.ft. 1,265 144 1,409 2,049 Bab Bedroom 108 sift. 3 054 ,0 Y q 614 3,668 5,023 Bedroom 150 sq.ft. 4,448 807 5,255 7,078 Basement 676 sq.ft._ 5 477 951 6,428 10,751 Whole House 1,475 sq.ft. 27,710 5,021 32,731 47,727 (2.5 tons ) l I HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences.