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42-060 wh BP- 2010 -0466 GIs #: COMMONWEALTH OF MASSACHUSETTS �ci CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0466 Project # JS- 2010 - 000644 E st. Cost: $10000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: C Class: Contractor: License: I TscGroup: MANCHESTER HOME IMPROVEMENT 047828 Lot Size (s ft.): Owner: NATHAN JOHN C/O JOHN L NATHAN TRUST Zon inTSR Applicant: MANCHESTER HOME IMPROVEMENT AT: 840 WESTHAMPTON RD - UNIT E Applicant Address: Phone: Insurance: 209 ROGERS AVE (413) 733 -4689 WEST SPRINGFIELDMA01089 ISSUED ON. 1012912009 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD WHEELCHAIR PLATFORM LIFT TO EXISTING PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector l ! nderground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/29/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo File # BP- 2010 -0466 APPLICANT /CONTACT PERSON MANCHESTER HOME IMPROVEMENT ADDRESS /PHONE 209 ROGERS AVE WEST SPRINGFIELD (413) 733 -4689 PROPERTY LOCATION 840 WESTHAMPTON RD - UNIT E MAP 42 PARCEL 060 000 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction: ADD WHEELCHAIR PLATFORM LIFT TO EXISTING PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 047828 3 sets of Plans / Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project ______Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building O icial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. r Department use only City of Northampton Status of Permit: n '� Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability CCU J S oom 100 Water/Well Availability ,'V ampton, MA 01060 Two Sets of Structural Plans phdt1e 413- 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This section to be completed by office ` � 0 iz1101b Uxx ii- E Map Lot Unit b 16 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record ti P. o, d X &A-s -r tt,� saN_ M�. o t o 2-7 Name (Print) Current Mailing Address: ` ice � I � - 57 q -1 0 1 `I ori. K (3 5r3y - Y Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Onl Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg & paved p arking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO Q IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) t� Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding [0] Other [a Brief Description of Proposed Work: A'Dbb'I n% (:-� N tli� r k t,� #--fi ~b f4Q S Alteration of existing bedroom Yes _� " No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes _v No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Jy "" Other b. Number of rooms in each family unit: 3 Number of Bathrooms j c. Is there a garage attached? AZ d. Proposed Square footage of new construction. D Aik Dimensions e. Number of stories? �— f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction Lv�t i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? t✓ Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature o wner Date I, as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print,,,,IVame I eYA i C j z.. y 4 e �! Signature of Owner gent Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder 95 A - v - k 1V c C 4-f— $ `Fr-iL C_ -S `( - 7 Z License Number Address Expiration Date l -? 3 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ iv36`dz Company Name Registration Number MAPC14tstgrz- 0 AMC -- r-M fa-0JC writ - � ?/ / /U Address — I Expiration Date -10 � A -ft,25 AU W. � fnl -iklt l WIS! Telephone Ht3)13 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov /dia - Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 1,;V .dJL�( At.(,,� SM.NL L6 A AA AA1C4 -+&-S b FA k - o ,c t6- '- Address: - `1 dQ-0 6 4x- S kc� , C�uB� City /State /Zip: test sr �; tip F-r �•t , : _ Phone. #: y (3 - 77 3 �( ( - J e1 a-,& Are you an employer? Check the appropriate box: Type of project (required): 1: 9�4 La n empieyer 4. F� I am a general contractor and I 6 F� New construction employees (full and/or part- time).* have hired the sub- contractors 2. �I am a sole proprietor or partner - listed on the attached sheet. 7. [remodeling ship and have no PnTloyees These sub - contractors have g. 0 Demolition _ aci h ave workers' working for me in any capacity. ty. employees and h $ , 9. -EJ Building - addition [No workers' comp. insurance comp. msurance. required -] 5. We are a corporation and its 10.0 Electrical repairs or additions officers have�exercised their 3. ❑ I am a homeowner doing all work 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. D Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insuran requited.] *Any applicant that checks box #1 mist 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. lam 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 S ite Ad 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 certify under the pains and penalties of perjury that the information provided above &-true and_correcz _ Si tare: _ _ __ -ate: Phone #: - r - Official use only. Do not write in this area, to be completed by city or town offciaL Ciiy or T own: Permi t/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 #- Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for. the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the_�yor c�mnencatrnn affirfiavir �pmpl3c_by_Glg_bexe sit33ation if -- -- - - - necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insuran Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or.partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, apolicy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation, policy, please call the Department at the number listed below. Self - insured companies should enter their self - insuran license number on the appropriate line. City or Town Officials Please be sure.that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write - ".`all locations in (city"or town)." A copy : of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner br citizen is obtaining_a license or permit not related t6.anybusiness or-commercial venture (i.e. a dog: license or permit to burn leaves etc.) said person is NOT re quired to complete this affidavit, ' The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please du not,hesitate tntv€_us call. _ T1ie I7epaihnentIs address, telephone-and fax number. '_The Co=onwealth of Massachusetts Department Of hidustdal Accidents Office of Inve gations - 600 Washington Street 13oston, MA 02111 Tel. # 617- 727 -4900 ext 406 or 1- 877- MASSAFE Revised 11 -22 -06 Fax # 61 7- 727 -7749 wwv.mass.govfdia CD .� `} ts co > C te a° �• ' ,� 33 M co £ �O LU �b tr mN y K p 1 p � Z b O � aci 0) � w . �. Vm w z i S X. a _ 0 .Z cjn- 31VAa - Ul JC W r � - A�V l A O � ii 6 i.9 V% ~ n 1 Z 0 > N U '' a a ' �: �' ' • ' . . do Q� C M rn a c. 2 �' \A r t \q £ O LLI (a er m N . N Y N f t _ �_ - ..__...__ _ ` g yJl AL o 1 - - ,i 5 o i� I I ' - � a AO i o ef (n r-a ACORD CERTIFICATE OF LIABILITY INSURANCE io /os /20 9' PRODUCER (413)733 -3553 FAX (413)733 -1808 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bombard Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1225 Sumner Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Springfield, MA 01118 INSURERS AFFORDING COVERAGE NAIC # INSURED BARRY MANCHESTER DBA INSURERA: National Grange Mutual 14788 MANCHESTER HOME IMPROVEMENTS INSURER B: 209 ROGERS AVENUE INSURER C: WEST SPRINGFIELD, MA 01089 INSURER D: INSURER E: 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. LTR INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MPB87529 01/21/2009 01/21/2010 EACH OCCURRENCE $ S00,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ S00, CLAIMS MADE FX OCCUR MED EXP (Any one person) $ 10, A PERSONAL & ADV INJURY $ 500, GENERAL AGGREGATE $ 1,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000, POLICY M PRO ECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND I WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Home Improvement Contractor; E: John Nathan, 840 Westhampton Road, Unit E, Florence, MA C ERTIFICATE HOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Home City Housing 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, John Young BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5 Northampton Ave OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Springfield, MA 01109 AUTHORIZED REPRESENTATIVE i ` �•� Ernest Bates, Sr. /BATGLl C � ACORD 25 (2001/08) FAX: (413) 736 -9919 ©ACORD CORPORATION 1988 AIAC's Vertical Home Lift PL- 45/72* ANS w /Standard ANSI Options 24-1/2" Tower Width I x.7 r Platform Solid Sides Call/ Tower Key Lock Control Send t ieiglit w /Emergency Stop Switch PL -72 1 Height of Solid 60 „ Sides) & 36 Tower Platform Hei fht Gate P1Atform Gate PL -45 (Must Specify Hinge) Length Length o f 48" of Lift �0„ Platform w/ Ramp in Out Position 32 Width of Platform 48" Overall Width of Lift Note: Tower is NOT reversable MAC'S PL -45 platform lifting height is 45" maximum *MAC's PL -72 platform lifting height is 72" maximum ANSI lift options include: Call/Send Switches, Emergency Stop, Solid Sides, Safety Pan, Upper Landing Gate (not shown) & Platform Gate w /G.A,L. Interlocks for both. All dimensions are the same its except for tower height 2715 Seaboard Ln. • Long Beach, CA 90805 -3751 • (562) 6345962 • Fax (562) 634 -4120 • Web Site: httpJ/www.ma(slift.com MAC's Vertical Home Lift PL -45172 Specifications Powder Coat Finish Prep, Primer, & Powder Coat Process 1. 3 Stage wash, soapy water, clear water, and Iron Phosphate which is applied to parts. 2. Parts are inspected and scuffed 3. Epoxy Primer is applied 4. Parts are baked at 250 degrees for 15 minutes 5. Parts are inspected and scuffed if needed 6. Huebert O'Brian Powder -TGIC Polyester 7. Mixed with Paint, Color Almond PFT- 500 -S8 8. Powder Coat is applied and baked at 400 degrees for 30 minutes 9. Parts are inspected and scuffed if needed Safety Devices The unit shall have the following safety features for protection of users and the general public: ♦ Upper and lower limit switches ♦ Instant Reverse Motor ♦ Powered with 110 volt AC current, by 1/2 HP motor, 6.4 Amp ♦ Grounded electrical system ♦ Heavy duty worm drive gear box with heavy duty #50 lifting chain ♦ Automatic access ramp ♦ 36" guard rails on non -enter and exit sides of platform ♦ Non -Skid platform and access ramp surface ♦ Key -lock control ♦ Switching & Control system 24 VAC low voltage current Installation The contractor shall do all work and supply all materials necessary for the complete installation. It is the intent of this specification to outline broadly the equipment required but not to cover the details of design and construction. Maintenance Maintenance of the vertical platform lift unit shall consist of regular cleaning of the unit, protection of the painted surface of the unit. Warranty Unit shall have one ( 1 ) year limited warranty on the basic unit and electrical system with a two ( 2 ) year warranty of drive train components. Note: ♦ This specification has been written to assist you and your consumer in preparing an accurate and detailed description for specifying a vertical platform lift. All or part of this specification may be reproduced. Additional technical information is available from our Product Engineering Department. 2715 Seaboard Ln. • Long Beach, CA 90805 -3751 • (562) 634 -5962 • Fax (562) 634.4120 • Web Site: httpj&vww..macslift.com I'YP III I I I I III i MAC's Lift Gate Inc. MAC's Vertical Home Lift PL -45172 ANSI Specifications Description of Product The product described herein, manufactured by Mac's Lift Gate Inc., Long Beach, CA, is a precision vertical platform lifting device consisting of a machine tower with lifting platform, selected and dimensioned to provide adequate lifting height to suit the residential building requirement. The lift can be used indoors and outdoors to vertically transport a wheelchair user or otherwise mobility- impaired person, up and over a low -rise barrier created by stairs, thus creating access to or within the building. The lift when configured with appropriate options can meet the ANSI A17.1 Part XX, Section 2100 codes, as it relates to residential applications. Quality Assurance Manufacturing: A company with not less the thirty eight ( 38 ) years of experience in the design, fabrication and installation of specialized lifting equipment for handicapped and geriatric consumers should supply the lift. Performance Requirements: The unit shall be assembled and prewired (less optional equipment and necessary gates) and manufactured with adequate lifting and load capacity for application described elsewhere in this specification. The unit shall be easy to operate by the user or attendant, and shall be capable of functioning in all weather conditions. The unit shall have the capacity to lift up to 500 lbs. to the desired lifting height up to a maximum lift height of six ( 6 ) feet. Composition of Materials: Machine tower: 14 gage cold rolled steel. Base frame: 11/2" square x 3/16" Structural steel tubing. Lift weldment: 11/2" x 3" x.188" wall structure steel tubing. Tower cap: 10 gage cold rolled steel plate Side Guard Panels: 20 gage cold rolled steel sheet panel, 1" square x .120" & .083" gauge steel tubing (frame). Platform: 14 gage cold rolled steel plate with slip resistance surface. Access ramp: 11 gage steel plate with slip resistance surface. Electrical box: 16 gage galvanized steel Switch box: Hi- impact A.B.S. Thermoplastic instrument case. Limitations: Vertical platform lift shall operate both indoors and out, and must be anchored on a level, 4" thick, 3500 psi reinforced concrete surface or pad. Electrical System Wiring: The unit shall be pre -wired by manufacturer with exterior grade thermoplastic coated wiring. Extension Cord, 14 gage UL -CSA approved is recommended if power source is not within three (3) feet of Machine tower. Machine may also be wired using water proof conduit. 2715 Seaboard Ln. • Long Beach, CA 90805 -3751 • (562) 634-5962 • Fax (562) 634 -4120 • Web Site: httP: /AVWW.macslift.com MAC's vertical Lift Platform & Gate Specification Form 90 DEGREE PLATFORM w /SOLID SIDES & GATE or 90 DEGREE ANSI SYSTEM & GATES (Indicate by circling desired platform /gate arrangement) LEFT TOWER RIGHT Solid Side S 0 1 i Ground d S LEFT HAND HINGE ON i OUT SIDE HAND RAIL d e Porch LEFT TOWER RIGHT S Solid Side 0 1 i d Ground S d RIGHT HAND HINGE ON e OUTSIDE HAND RAIL Porch 90 DEGREE UPPER LANDING GATE (Indicate by circling desired gate arrangement) Left Hand 90 Degree Right Hand 90 Degree Upper' Landing Gate Upper Landing Gate Porch Porch 2715 Seaboard Ln. • Long Beach, CA 90805.3751 • (562) 6345962 • Fax (562) 6344120 • Web Site: http:/Av wvmacslift.corn License or registration valid for individul use only before the expiration date. if found return to: Boar o u ►ag u a o an n ar Board of Building Regulations and Standards ; HOME IMPROVEMENT CONTRACTOR One Ashburton Place Rm 1301 Reglatratlow 103682 Boston, Ma. 02108 Expiration: 719/2010 Trig 284636 TyWs 013A MANCHESTER HOW IMPROVEMENT Barry Manchester No valid without signature 209 Rogers Avenue West Springfield, MA 01089 Administrator �'d�of��uiWing Kegulat�iooi aad tao ar � 00 - 35,000 cf enclosed 'space Construction Supervisor License JA - Masonry only I Uc�gnso: CS 47828 1G - 1 2 Family Homes - —\ _ 010 Tr# 19267 Failure to possess a current edition of the Massachusetts State Building Code I. is cause for revocation of this license. BARRY L MANC L- 209 ROGERS W SPRINGFIELD, MA 01ii89' Comminiooer