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HomeMy WebLinkAboutHeat Pump 2014 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2014-0125 Date: 25lu1-1 Map/Lot:_0a3/ooj-006 Owner ID: 5555000 Project Location: 16 PODURGIEL LANE Unit: Job Description: Inst 111-24K DucJtessJiesit-Qump Sv-ste n Owner Nam .L lliedmevelofinent LLC Tenant Name N/A Careof: _42.Wothinaton Street Mystic, CT 06355- Telephone: .18.601362:1- 824 Applicant Name fir Inc. Telephone: (2031315-0323 DBA: Lic/Reg Type S1 _ Lic/Reg N 391442 171 Short 6P ch Road Exp Date: 31-Aua_L4 Branford CT 06405- [`emQetrcti6n__ak.t. Permit Fees Constwt ton Infornnntion Building Value: S0.00 Building Fee: Sg QO_- Use Group: IRC Plumbing Value: MOO_ Plumbing Fee: SQLDQ_ Code: 2005 State Building Code Mechanical Valu 55.964.00 Mechanical Fe 52.2110_ Electrical Value: SQ.00 Electrical Fee: SO.,00 Construction Type IRC Total Value: $5A64_00 Penalty Fee: SQ,OO Permit Code: R5 C of 0 Fee: mon Comment Plan Review Fe 5110n_ State Ed Fee: S1.55_ Total Fee Paid: $73.55 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing d❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation d❑ Certificate of Approval ❑ Certificate of Occupancy J3uildina Official's Aonroval:�Lf -• Town of Montville Buildinq Department 310 Norwich-New London Tpke. Tel, 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (Y1, cl4 -L( Type of Work Occupancy Type Permit Type Ei New Construction . Single Family 0 Building ❑Addition 0 Two-Family ❑ Plumbing Alteration 0 Townhouse 1S1 Mechanical ❑Accessory Structure p Electrical CRS11: Property Address: i ]�2 oAkAi .0 1 F (Number)b1 I (Street) (Unit) Job Description: :(J.) Ci-1\ 1-Ss,•lin n L. v,c"�l�s S k r- pt,,rniCI s s rfi 44 k Owner: Li-4f\ 3el A rz_rZ Q►.t x- Address: ..,14p, &Id Gr i2 7 r c I L City: LAN CA5 t.'t I' _ State:e> NIA. Zip Code: CSL, Telephone(.}6O)_3‘7: Z F3 aq wwwwwwm�w rrr�ww�,Applicant: ORA: A 2 _LA"C , / Address: 7 1 3 iio/Z 1- 6¢iq.0 1 kJ City: (3(LA►J' Stat -v?JJ, Zip Code: O6 Telephone('x.03)3 I S - U 3.2'3 Contractors -Complete the Following: License Type: S H License No.:3 j I z/y� Expiration Date: --31 L L/ I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and Anther attest that the=posed wort is auti1ojjred by the owner in fee encLthat I am authorized to make application Thr a perm(t for such work as described above. l Owner/Agent Sjnature: /e/I /(1,e6 "7, 4-9 --f 1Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: /3 5; 9 f✓4, �" Mechanical Fee: Electrical Value: • Electrical Fee: Total Value: Penalty Fee: _ C of 0 Fee; Plan Review Fee: State Ed Fee: Total Fee; ovise6 August 23,2007 Town of Montville Building Department File Receipt Date: 24-Jul-14 ReceiptNo: 9576 Received From: Connecticut Permit Services Job Address: 16 Podurgiel Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $73.55 State Check: $1.55 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0,00 Fire Check: #0.00 Fire Credit: $0.00 Construction Value: $5,964.00 Demolition Value: $0.00 CheckNo: 8919 Received By: Carmen Kneeland 3{ Address: 16 Podurgiel Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished - SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ $ AMENITIES Kitchen EA $ - $ $ Full Bathroom EA $ $ Half-Bathroom EA $ $ • GARAGE Detached - SF $ 71.53 $ - $ MECHANICAL Warm-Air n Y/N $ Hot Water n Y/N $ Electric n Y/N Air Conditioning n Y/N $ $ ELECTRICAL SERVICE Upgrade Amps $ _ Subpanel EA $ 699.00 Gen Set $ EA $ 3,850.00 $ g 8 SOLID FUEL BURNING APPLIANCES " Prefab Metal Fireplace P EA $ 6,497.70 $ Masonry w/1fireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ Wood Stove,free standing EA $ 2,692.25 $ - f' Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - ;" Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - POOLS&HOT TUBS i Hot Tub EA $ 8,016.25 $ Inground Pool EA $ $ 31,550.00 $ $ Above Ground Round EA $ 6,299.46 $ - $ ,. Above Ground Oval EA $ 7,019.75 $ - Pool Heater $ EA $ 8,984.25 $ - $ z- Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS ! w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ r RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ Skylights EA $ 1,051.10 $ 'e. Doors,Exterior EA $ 601.50 $ Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ t MISCELLANEOUS CALCULATIONS ri $ 5,964.00 TOTALS $ $ $ 5,964.00 $ - t'` PERMIT FEE CALCULATIONS }- , Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 5,964.00 $ 72.00 t Electrical y $ - $ Working before Permit Issuance n Certificate of Occupancy Fee $ Plan Review Fee $ _ State Education Fee $ 1.55 TOTALS $ 5,964.00 $ 73.55 Figures are based on the 2006 RS Means Residential Cost Data Town,of Montville Juildinq Department CONSTRUCTION PERMIT APPROVAL A•.lica t is res•o s'b e o obtainin• a of the re•wired a••,ovals. No •e it will be iss ed until all the e•uired si• atures arc obtai ked. i IL Rid c.A Property •ddress 4�15�ra ' , erect 43S' pvtry 5 Vi i; Job Description ` I I Required Department Permit Issuance Approval Approval • Tax Collector -�-' ,. / / u_`'`2-' 7/-2-q-J `f Signature/date Comments: Planning & Zoning << eg si:' Signature/dat 9 Comments: 1111 Fire Marshal I I - n 1(2. -` 1L 4 Signature/date Comments: ❑ Health Department Required forproperties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: O WPCA, Operations W_he�R_equjred by_WACA Signature/date Comments: ❑ Department of Public Works required when proioct includes s Signature/date Comments: ❑ Montville Police Department • Required for all permits EXCEPT ono and ttyo family resldentiet Signature!date Comments: • (� State Dept. of Transportation Required for Structures over 100,000 sg.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operatiop required—per CGS 14311 Signature/date Building Department Review Complete Signature/data 11 pnseiMay 23,21377 Ilk License S1 391442 RING. Heating & Air Conditioning 171 Short Beach Rd. Branford, CT 06405 Phone (203) 315-0323 Fax (203) 315-0344 DATE: ATTN: Town Building Inspector RE: PERMIT AUTHORIZATION LETTER Dear Sirs: In accordance with Public Act 91-95, this letter serves as written authorization and notification that Connecticut Permit Services, Inc. and it's employees and agents have the authority to represent us in the procurement of permits and pertinent documentation on our behalf. This letter or a photocopy thereof may be regarded by any building official as it's authority to recognize Connecticut Permit Services„ Inc. as our authorized Agent to sign on our behalf applications for permits and any other related documents that may be required by you, and we agree that,for all purposes,we and not Connecticut Permit Services, or it's employees and agents shall be deemed to be the signer of any such applications and related documents. Project Type: .ESS fRA- eumr 39 re-\ Location: $ ' Sc► Al2/20)...) Lo an 4+‘..ae`l 1 Lr LJ.L,c c c , Inc CC„�u • (S60 ) 34)1 - 18 au Authorized A2ent Connecticut Permit Services,Inc. . (J 11x13 W \\5 Service Agent Name Very truly yours, t)., ,57-3 9/- License Signature Printed'Name& License Number Air Inc. . 71 So Beech RO - /( Mechanical Permit Request Fora Branford, CT 06405 ' „y4L 203 15-0323 Phone • =" it ' . MC. Date or Request: -1/it f I-( `. :�:': bra) \ Date Needed: _ 203,316-0344 Fax Llecitiiag&f AiV C ont1ut1®niing Project Start Date: Type of Work to Be Performed: in._ 'c'i I A I• . R-) (I(PC; ' '' ) C-S . 4q Total Cost of Job: ' ' :51i(LS{.. (C) - Contract w/Homeowner Signature Arta hed?(YYes\ No The submission of this Permit Request Form in any manner including but not limited to facsimile,electronically or by,postal service,does hereby authorize CT Permit Services, Inc, and its employees and agents, to apply for and procure this permit on your company's behalf Your submiss.ion of this Permit Request Form further means that you understand and agree that you are liable to reimburse us any municipal cost involved in the procurement of this permit,together with our Permit Service Fee.in the event that you notify CT Permit Services that you wish to Cancel this Permit Request form,you agree to reimburse and pay CT Permit Services for any and all costs incurred by GOFOR pertaining to the processing and procurement of this Permit Request, along with a Cancellation Fee of twee five(S25). No Cancellation Fee will be applied if your Cancellation request is received within the first forty-eight hours after original receipt of this Permit Request. (Residential Commercial: Contractor Job#: /L{- Ci))0 MultiFamily: 2 3 4 Customer Name: I )c { { ._)t_, t 0 'y,,,,.<-, . Customer Address: /67 /117)(4( t.('e,i••=c-' 1 tre i'W Address of Work: (if different than above) --1 City: (,r n(( .;V) i re ST C7 Zip O(;'m..3i Telephone: : L- 3C-7 `-7 S--4-`4 HEATING(Fill out entirely and attach paperwork AC (sketch of home with plot lines and pad OIL TANK(sketch of home with pad location In including Signed Contract,Heat Loss,Comb Air Calc.) location must be attached) relation to heat source must be attached) 1 Type of Heater Boiler Furnace Basic:Info Basic Info _ Fuel Type Oil Gas New/Replacement }'')f,' cOfdiLocation I—_ Conversion? Yes No Make PO k-hL.t`I ;. , New Location k Direct Vent Yes No Modell# ra'��,L fi. ,.LI i(A Capacity Make. Size ,Q i.) IC Mode!'#` BTU per hour Capacity Type of Refrigerant Location Type of Condensing,(Unit Temp.inside Fan Capacity CFM ALARM SYSTEM Temp Outside Type of Heat Pump Burglar Temp of Boiler Water/PSI No.of Zones Fire Total Net Load L Sq Ft to be cooled Carbon Monoxide Unit Rating I Temperature inside • Number of Rooms Replace Sheathing 1 Temperature Outside i Location of Box Fan Rating / Motor's Horse Power Heat Loss Attached / Yes \ No Comb Air Calc Sheet Yes No PLEASE NOTE: In order to process your Permit Application in a timely manner,please make sure that all applicable supporting documentation is submitted with your Request. Please be aware that a separate Chimney Liner Statement may be required from you by the Town Building Inspector. By Signing below,the Contractor understands and agrees that the information contained heron is true to the best of their knowledge. Printed Name: (,f)C?10,e_ -k(( tytt,..� Signature: J Date: '7/(:)._( if(.( 171 Short Beach Rd.Branford,CT 06405 ��f\1/l/ Work Order Phone:203-315-0323 Fax 203-315-0344 - !� Job#:_ Email: Installation Date: / ! aimail@comcast net AIIRMtea Website: eww.airinchvac.com License S1 391442 Heating & Air Conditioning Customer name: BOTH A Sc.//-AR o r./r Date: ��f 4- Street address of Job location. /6 Pd(�v,\Cr/1.:-;--L Ln/ City,State,Zip 1)AfC.1 Vt L LA,: - t v C 38 Z Comfort Consultant: J'v,.r/I— -2 03 3 y3 /z 7 PrimaryQ.J� phone: 6 - O 7 ',F2 y Other phone: Billing address(if different): City,State,Zip Email: OUTSIDE YOUR HOME: INSIDE YOUR HOME: 14 Replacement P ew Installation t. Replacement ❑Add-on AC t! ew Installation ❑ Add-on Air Conditioner 1,1'-!eat Pump $- 1 ❑ Furnace ❑Bailer ❑Natural Gas ❑LP 0011 ❑ Hybrid System (Heat Pump with Fossil Fuel Backup) ❑ Boiler Accessories ❑ Condensing Unit ❑ Package Unit ❑ Water Heater ❑Natural Gas OLP 10011 ❑indirect a1Z'410-A Refrigerant ❑R-22 Refrige nt 0 On-Demand Wale r ❑Natural Gas OLP al,Efficiency Rating £4i`f al td AA. Efficiency Rating eLA4"ys%ARONG - f-AxvS PO Ur'Condenser Pad 0 Heat Pump Stand ❑ Evaporator Coil it Handler ❑ lectric Heat kw ❑ New weatherproof disco nett&electrical whip ❑ Variable Speed Blower ❑ECM Blower Electrical Wiring Vrornexisting 0 New from Panel ❑ Thermostat ❑ Digital 0 Programmable� ❑ I�Ductless Remote ❑Wifi t> t-" i-"n`'0 1-e-'' ❑ Necessary Fuel Piping ONatural Gas DLP ❑Oil INCLUDED IN YOUR INSTALLATION: Refrigerant Piping ❑ se existing Qw Line Set ✓ All labor&Taxes Electrical WiringFrom existing ❑New from Panel ✓ Obtaining necessary permits' 0 Media Air Cleaner ❑ EAC ❑ UV Light ✓ Clean up during work and upon completion V Remove existing equipment from premises 0 Central Humidification ❑ Power 0 Bypass CI Steam ✓ Check entire system for proper operation,safety and efficiency ❑ Chimney Liner ❑Stainless Steel ❑Aluminum ✓ Shoe covers,mats and drop cloths to be used as necessary 0 PVC Vent 0 Metal Flue 0 Use existing ✓ Criminal Background check on all employees ✓ Licensed by the CT Dept.of Consumer Protection 1rlmary Drain Piping ❑ Condensate Pump ✓ We carry full Liability Insurance ❑ Secondary Emergency Drain Pan OSafety Float Switch ✓ p1-fOting 7,00ling Maintenance for Dl year aelyears ❑ Duct Modifications(Specify Below) 0 WARRANTIES&GUARANTEES: ❑ External Foil Faced Fiberglass Insulation ✓ Installers will take all necessary precautions to protect cus- 0 Zoning(Specify Below) tamer's property,such as lawn,shrubbery,carpeting,walls and ❑ door frames. ✓ Customer will-be treated with respect and courtesy at all times. Special Notes: ✓ Installation will meet or exceed existing codes. ✓ Allrployees will be in company uni rmA . Jis/ -71, E.goa rt Net-) /�f tt j PO 15ropy✓/' ✓ year(s)Parts year(s)Labor a`�V /3.11U H- C cPyfa 2� • ✓ 1--- year(s)Compressor year(s)Heat Exchanger N f/.. � ✓ Warranty calls receive our highest priority scheduling. I '\C' .�- - 0d C. (..--v I) /->^/ ' c NI / Syatemte)must be maintained by Alrino.annually far equipment warranties to p C_ FQIY�T4-- E CCZC7'z, f remain in efu 4, f1. -rEQj err-- ,T�x L� ✓ SATISFACTION GUARANTEED Lir/Y..4-— 0 e-C,e -!>t,1 — ❑ 3 day Right of Rescission explained. Customer Initials: D "� .' -d 10 If you wish to cancel this agreement,you must call your comfort consultant / — A within 3 days after the acceptance date of this work order. S Lo-$ Credit Card# /AA 3-'{ Expiration Date / I "�� Swlpggg Card Here> #CN 3 00 R y viol y�, I� / ❑*The Customer is reopen ible to schedule the Final Inspection ��^ with their town official. Permit# GLf /--baJ /i000' 47 4v2 i rrf74-1✓v We propose to furnish complete,as specified above,for the sum of: 6 L/ . 'Teel Total:$ tel s.,0,, -_ " CKinancing 7! w" / Dub j.....::.?-......." Buyer heresy declares that buyer own ent holds me to property in which mer- chandise la being helms&and hes Payment terms: legal authority to order the work outlined above.The Seller retain,we to all metelets and property listed Balance Due Upon Completion of Work$ herein Lind! payments hove been mode In full.Accounts not pee within —thirty days or nolioe of invoice are in r default and a late payment charge /4 computed by a 'pedod.c rate'of 1 Company signature: Date: ! l 1 f' ins per month air!be added.Buyer ----egress to any reasonable attorney or collection fees maned by Seller in Customer acceptance: ` ` Date: ! / t(' securing payment for this contract i 'tilt . ama. HEATING & COOLING LOAD CALCULATION Name Date / / Address Consultant City St Zip Ph: H W Job Address Job Ph: L X W = Total Sq/ft Ceiling Height L X W = Total Sq/ft Ceiling Height Construction: []Loose X 1.2 [ [Average X 1:10 [ ]Tight x 1 • Cooling Design: Inside 73°F Outside 90°F Heatin Desi n: Inside 70°F Outside 7°F Column A TYPES OF EXPOSURE AREA Fact BTU FACT BTU SQ.FT. 20 Deg TO HEAT GAIN 75 Deg TO HEAT LOSS Windows&Glass Doors 1O 7 Double Pane>> 1 Windows&Glass Doors ``,, / Single Pane» 85 ' Other Doors IA In -1.5 (3 50 .a.1 ko.a. _ Net Exposed Walls:Brick-Frame 7 20 W 1.5" Insulation Sheath 5 15 1.5"-2"Insulation 3 10 3.5"Insulation 111-2w \\16I 3 3 3 6 J 8"Masonry-Plain or Plastered 10 40 Above Grade(Include CR Space) Slab Floor-Basement-Crawl (L+W)X 2 //� ZA , 3 �r •" O Ceiling-No Insulation 13 45 R 7(2"Insulation) 4 _ 8 R 11(4"Insulation) 2.5 5 ^ R 19(6"Insulation) bl 1 2 • , 31 1. 4 CL 4 "' R 24(10"Insulation) 1.5 3 R33(15"Insulation) 1 2 ' • _ • Under Unconditioned Room(New Insulation) 3 20 %Si•` Glass ��������1� "'(Factors Do Not include duct gain factors or loss) +== FACING NO SHADES S.., 1 AWNINGS ,,,;- NORTH 8431 42. Lt 1 &1 S 2 Factors/running feet exposed wall .s3. .. • E OR W 89 • 31 ..- '=-.?:e SE OR SW 78 IC= 31 -_. Basement 130 SOUTH 48 liallr 31 —6 1„ '3 . \O _ Crawl 60 IIIIIIV SKYLIGHTS sq ft 100 _ Heat Runs in Slab Amount of Kitchens \ 1200 11.-V a 1"Edge Insulation 35 Amount of Bedrooms 600 1 ZS 00 2"Ed e Insulation 25 Subtotals 3 \ 1 Li 0• Duct Galn&Loss / % (for ductwork in unconditioned space only) 1.1 �� 1.15 ����/��`/��j�,j� Total Sensible Gain&Loss / 1 2..‘9 (� Total Output> 3 3 Q 2 1 Latent&Infiltration Gain 1 3 � r �, ! 2.Infiltration lass / I (C Q� 80%AFUE=1,N 85%AFUE=1.15 Op 1p 90%AFUE=1.10 95%AFUE=1.05 Refer to Construction for multiplier(use for Heat&AC)» +t� 1%5 . 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I -St .......,.. . :::•;,-.. , WAYNE R ERA SN OW , .--...... ., 10 OLD INW5 ..-.__. ,fliR ,i-:451- _J.; VI':, ; ; . ..._.•-• ;>:•5.--1:$ i EAST:•firaiY1L-.--; ':•T.'''. 6512 ,'-'i.-7-.' 1 rc:-... :-.•.„ .-.•%i I ".:::!•:.! .2,7-t-•,1:ii z 1 **4',....'•••: .--1•K-.'''i I p•ed .4-',1), :Iskill.b. t-D‘kr.) v-?:.--: :.14fe"--',) ;int-, .--'-:.*, i'i•;:lit, I •:mi-A „:L,c) .„-, L>yriii:,-: • has been certified by the Ir6arbin- e•U'iof-U----ongTt7:m el,Protection as a licensed. ill P••t1.ke.i:sfti-t. _4. t..v, 1 HATING, PIPING .' , ITED CONTRACTOR ! ..'t:•:,::t:lis:::r:;.1 e--- ----.- .1.c7,- ---;---z......,-----.,' • . .....,-4. -.----- I ..3.w, .•,.., 1 • r.Q-,---- ----. ,•_14m) •/ ,:V....-. R.:01-4 i 1 .f.g."..,. Licen . --- se-it;1-5 71.7'-e -u.ka'f:'1.1391442-S1 7.40 ,.1.•P., k•••:.;,,.• . t -- • 1 ?... •.'::'•.4.(:.;". i t ,i__...„. Effective: 09/01/2013 . 1 'i4t---• , -4-1- Aut....! . '...-•-5.----:, ; I :.e.'%';: 1 • . . - • "f-t- I t--- -.4•:::•:;:i1:. 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' :.•....• a . .. ... : :-1. ... A f. c * • LIG.I REG N Qv 1 .....-•':•' VEGTIVETT:'-:,..,.1.: EXPIRES ., .2 .„-r: %iv,. ' • T.-1:PG.0391.4.fii, 11.:f:i•71;:0.91111/;g0111.11::uit•..408/31/2014 • •:.;•.•:',1,' ;:•••• • t • • ,..„ ...121-'704: ppllEp., :".z.-.., .,.-:- .-- .... - •.,.{ . _ . • . _ . • ii.4.---_ _ _,_..... • _ . . z:‘ 01-15-'14 11:03 FROM- T-587 P0001/0001 F-670 14.-----' ctK I !H AI I b L!- LIMBILI I Y II45UKANUt L0111512014 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 0Y 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 en ADDITIGNA+ INSURED,the poltcy((es1 must 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 rInhts to the ' certificate holder in fleu•ut such endorsement s. _ PRODUCER NA ie" Lori Alldredge The Pawson Group — Pt}C No Ed:2O3.315.3417 c No:203451-5077 31 Business Park Drive Awl Josephfl CT esaDS AOOREss:10ria�pawson,ccm Joseph DandasI INSURERS)aPoROIN6 COVERAGE NALc f INSURER A:WeSCO Insurance Co INSURED Air, Inc. INSURERS:StarttetIris Ca#40045,«..^ - ________ • 171 Short Beach Rd INSURERC: ( - Branford,CT 06405 INSURER°• --- INSURERE: . INSURERF: - COVERAGES CERTIFICATE NUMBER: 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 ARO c NOITIONs OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �1y f�.1N��y t ry.• , LI Y EXP ��7i� TYPEOFINSURANCE H�f1L*I.M POLICVNUM.BER MMJOD x11 ML D MIMIIMElf GENERAL LIABILITY I EACH OCCURRENCE 5 1,000,00' •-1 I 75an �EY6'Rl'NYr iS- - ----- A I X I COMMERCIPL GENERAL LIABILIW JFF108171600 01/1512014101115,2015 I PREMISES(Ea eeeurtenee) s 100,000 - _ CIAIMSMADE [ c]OCCUR I I MEo EXP(Any one_pereon) 5 _..........___10,00' I I I I PER5ORpJ a rv)v INJURY- $ 1,000,00' I II GENERAL AGGR_EGATE - 5_._______2,000,00' GENL AGGREGATE LIMITAPPLIES PER: y PRODUCTS•COMP/OPAGG 5 2,000,00' POLICY TO l fr a I l Lac5 AUTOMOBILE LIABILITv E C N INGL.t M I (Eesalaenl S 1'000'00' A ©Ar4KAUro IIIVPP108171600 01/1512014 01/1512015 BODILY INJURY(Per parson) S ii GOWNED BAWLED BODILY INJURY(Per eceldonl) $ III HIRED AUTOS AUTO�0 iPcRACCIDtMj f ■ 5 X UMBRELLALEAS ? OCCUR ( EACH OCCURRENCE ^_- $_.__ 1, 0,0 0' I"' � 00 A EXCESSLIAS I CLAIMS-MAGE 10428E4495 01/1512014 0111512015IAGGREGATE 5 1,000,00' • 050 n RE(E.S'T:ON S 10000! ., t a WORKERS COMPENSATIONWCSTATU- 0 AND EMPLOYERS'LIABILDY X TORY(IMITR FE B .i PROPRIET04R'ARTNEFtP rEXEC .1VE YIN BNUWC0122771 10111512014 01/1512015 E.L.EACIIACCI5EAT 5 500,000, OFFICER/MEMBEREXCLUDED N/A I (Mandatory In NHl I E.L.DISEASE-EAEMPLOYEE S 500,000 I ! IfLias dee::ibcurdc: ELOISEASE-POLICYLIMIT S 500,000 DESdRIPTION OF OPERATIONS Wow . . A Property WPP108171600 01(1512014 01/1512015 Building 312,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (Attach ACORO 101,Additional Rcma'k:Schedule',if mere space is required) , CERTIFICATE HOLDER CANCELLATION .- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN ACCORDANGE WITH THE POLICY PROVISIONS. AUTHORIZE°REPRESENTATIVE Joseph Dendas ©1980-2010 ACORD CORPORATION. All rights reserved. n i•i.nn nr,n,++nlfR% Thn ACORD name end lotto ere registored marks of ACORD