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HomeMy WebLinkAbout0040 FIFTH AVENUE (HYANNIS) yo +;�-t� i� � —� - Duct Leakage Test Form Customer Information- Test CoIIdlt GM Dalm Namw Address: . sty: �►9c�:�s� -- . -`�® Pbone: �` ���. 7�, " `/.S` O FloorArea(iw: rC Ya- EM2l: System Airflow coop sip(mffik Z"i-ran Bur7diaQ Address•r:f from abgm Primay Location of stnect PdMwy Location of Comments- _ i (�R700 Total Le AMe-Test Dew Press Outside Leakage Test Depress Press Test Pressuae: ___..-._(Pa) Test Press= ON) Baselnne Dana Press+ue(optimal): (Pa) Duct Flow Ring Fan Press Flow Dad Flow Bing Fan Press F Flow Press. a Tr�talied cfm Press. Iasfatled a End _lay � a.S FsnA[ode3t5N it�esults: OotsideLestmge(c6m): FanModdMi. ICQ Ootdde Leakage as% Syshm Aaflow: Results• Oatside Leakage as Total Leaiaw(cfonk Floor Area TSp� as% SO eat r T Leakep as% Ftoor Area: 0-Mul toe, ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel `:'Application # Health:Division Date IssuedLl L Conservation Division - Application Fee -MY Planning Dept. Permit Fee "7� L6 Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address VillageA ass c0r;77 Owner bYe-f- Addresses 0 Tiir" Avg. Telephone &te) '7 ZF- 1/6-0Z. Permit Request Ate ' ✓Rr-m,'# NGcv 1) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family- I Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full J%Crawl ❑Walkout ❑Other ` ' cj Basement Finished Area (sq.ft.) Basement Unfinished Area'((sq.ft) 71 Number of Baths: Full: existing / new Half: existing - newzgg Number of Bedrooms: Z^ existing new h _ .r Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: 14 Yes ❑ No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER-OR HOMEOWNER) - Name ®Ayr`Q P'1162C, Telephone Number Address /7 )PcQ License #Sh-e_a,4/ekf :9 t��- y�n2o✓J 44—, 6-ZC, Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE t��,C DATE r FOR OFFICIAL USE ONLY A ` t, AlOPLICATION# DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE 1 i OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION W FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL JNAL BUILDING` . DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations U9 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers Co mpensation ensation Insurance Affidavit: Build r P e s/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name (Business/Organization/Individuai):r)gwio rq6eV/0— Address:?0, (, jr 1/77 a Z66`( City/State/Zip: o ,mil � Phone #: /&J-7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ru 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 working for me in any capacity, employees and have workers' comp. insurance.$ 9. ❑Building addition [No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ P Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other/VGw Ak,4 comp.insurance required.] *Any applicant that checks box#1 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 insurance coverage verification. I do hereby cer ' er the pains and penalties of perjury that the information provided above is true and correct. Si ature: C - Date: Phone#: -r6 g-- W0-1 s 7 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#: ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/28/2011 PRODUCER 508.997.6061 FAX 508.990.2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 439 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 North Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED DAVID C MUNROE DBA , INSURERA: Merchants Insurance Group MUNROE HEATING & INSURER a: AEIC_ __ T 135 MID TECH DRIVE I _ INSURER C: _ W YARMOUTH, MA 02673-2586 INSURERD: i INSURER E: I COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR G1DD'ly� TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR)NSR DATE MM/DO/YYYY DATE MMIDD/YYYY LIMITS GENERAL LIABILITY ROPI0442S1 12/01/2011 12/01/2012 EACH OCCURRENCE Is 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence s 100,000 CLAIMS MADE X OCCUR — —I MED EXP(Any one person) S 15,000 A ' r I j PERSONAL IL ADV INJURY +S_ 1,000,000 _ _ I GENERAL AGGREGATE I S 2,000,000 I GEN•L AGGREGATE LIMIT APPLIES PER:I I PRODUCTS_COMPIOP AGG I S Z,000,000 (� PRO- i j POLICY' JECT r LOC 'AUTOMOBILE LIABILITY —1 COMBINED SINGLE LIMB I i ANY AUTO I (Ea accident) j S ! I !ALL OWNED AUTOS I r— BODILY INJURY SCHEDULED AUTOS (Per person) I S HIRED AUTOS BODILY INJURY j NON-OWNED AUTOS (Per accident) --� PROPERTY DAMAGE S I (Per accident) { II i GARAGE LIABILITY f I AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC i S - 1 I OTHER THAN j i I AUTO ONLY: - AGG`S i EXCESS/UMBRELLA LIABILITY I CUP9136803 12/01/2011 12/01/2012 (EACH OCCURRENCE S 1,000,000 X ;OCCUR CLAIMS MADE i I AGGREGATE I S 1,000,000 r- A I � I S--- I DEDUCTIBLE --I j S X : RETENTION S 10,000 — --- S WORKERS COMPENSATION _ X WC SAT - 1 T - AND EMPLOYERS'LIABILITY --�TORY LIMITS ER —_____ _ j ANY PROPRIETORIPARTNER/EXECUTIVE Y/N I WCC5009561012011 1O/22/2011 10/22/2012 E.L. ACH ACCIDENT is 1,000,000 B ;OFFICERIMEMBER EXCLUDED? i ----- ---_ .. --- _ (Mandatory in NH) TD C MUNROE IS COVERED i E.L DISEASE-EA EMPLOYEES 1,000,000 .If yes•describe under ------------------- — SPECIAL PROVISIONS below j j E.L.DISEASE-POLICY LIMIT'S 1,000,000 i OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE-ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Robert & Beverly Dyer IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Sth Avenue REPRESENTATIVES. West Hyannisport, 'MA 02672 AUTHORIZED REPRESENTATIVE I Scott Lowe ACORD 26(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CO.MMONWEALTH OF MASSAC�IUSETT ` SHEET METAL WORKERS AS A MA STER UNRESTRICTED 1SySU S/THE AB UE;LICENSE f0 , - DAVrID C `MONR:OE 17 CIRCUIT R;D NO'RTH V � I WEST YARMOUTH M'A 0`2G73 36(� 11569 03/28/13 _ 8I16 v EXPIRATIONLICENSE N 0. . t David C. Munroe P.O. BOX 1177 SouthYarmouth, MA 02664 ( 508 ) 771-2814 (508) 400-1657 NAME : ROBERT& BEVERLY DYER ADDRESS : FIFTH AVENUE t WEST HYANNISPORT MASS 02672 PHONE : 508-778-4802 We are pleased to quote you on the following heating and air-conditioning system options. IPo First Floor OPTION#1 (3§000 btu tq9est unit) Remove old floor unit patch floor and install unfinished oak,:P- Tjo/y flooring in area. ($400/$500) Includes all gas&electric needed for unit. We will follow all state and local codes and pul all prmits required. TOTAL COST$4350.00 OPTION#2 Supply and install new Trane 97%2 stage multi speed furnace. Cleo supply indoor a/c coil for future a/c 6 TOTAL COST$ 7350.00 OPTION#2 IS ELIGIBLE FOR A$800.00 REBATE ��S"Cy NZEMT ADD OUTDOOR UNIT AT THIS TIME ADD$1600.00 TO CONTRACT. A 3 s C 1Z f ue v;� -- rn/ E � j Acceptance signatu � Date 1 Q.d P 5� 7�� 31-7y . i Optional accessories Air Filtration options Space guard high efficiency air filter-add $225.00 DUST FIGHTER FILTER-add$225.00 Humidifier-add$625.00 Trion electronic air cleaner-add$650.00 Steam humidifier-add $900.00 A Acceptance signature Date System Notes 1-Duct system will be fabricated from,galvanized sheet metal and all supply air ducts insulated with fiberglass insulation with vapor barrier. 2-Branch ducts will be of insulated flexible duct. 3-All refrigeration piping will be done using dehydrated ACR copper. 4-Air-conditioning condensing unit will be installed on exterior of building within 50 ft. of indoor coil.Any further there will be an extra charge for copper lineset. 5- 6-First floor air handler or furnace will be IQ*Ounted on basement floor. 7- ms a ed in a is w lQ Vey ' 8-Munroe's HVAC will be paid in full when our work is complete. < 9-This proposal may be withdrawn by us'if not accepted within 15 days. 10-Job will not be scheduled until deposit is received. L � 11-Gas and Electric included t uOcL I- �( -'��`�%1—r 12-all other notes on last page. Warranty: 1-All material will be of high quality and will be promtly installed in a neat workman like manner. 2-All workmanship by Munroe's HVAC will be covered by 2 year workmanship warranty. d Payment Schedule: Q50:91% eposit %on completion ' A-1I "- TERMS; DUE UPON COMPLETION I HAVE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL RETAIN THE RIGHT TO ALL EQUIPMENT OR MATERIAL FURNISHED UNTIL FINAL&COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE EQUIPMENT AND MATERIAL. If the above quoted prices are acceptable to you please sign, date and return the enclosed copy of this proposal.along with a check for the required amount signifying your acceptance. Thank you for choosing Munroe's HVAC for all your heating and cooling needs. We look forward to working with you in the near future. If you have any questions please call me at (508)400- 1657 Sincerely, DCM David Munroe