44-052 (3) F,
03/14/2012 17:05 4132479924 AAR114 MORIN PAGE 03/06
-..
-Y/S4VAC''*iiidftio.ht4i*0,,01104040:tiliri*Ni.,.;;;.i,11..%-..1::;13;:. •: '. ! '"?: - ..",., :2.• ... i ..'''. • .7 :! 1
VValib..Air '-• • • :,- . . .. • _.*•.•......, :. •,'.. • ....••• ........:;• ..• :.: .....- .:••,......; .g .:',....14:4,.:2;•;: ••...:. '....'",..:::. • :•••...- '...•••:•-, : '.. ... • ::... ' . • 'pia,* meow %or uit.
ya ceurn,t4kalsal"••• -' .: .:. • st ..,;.::::•,..::::•:?'..:•:'.., • ',... 'iiO31 1 _7:•••:••• , :.•••••. - :::':••• - •••.......: ..:.•,,' .,..•,,,,, .!.: -•::•: .•,..• - . ... - : : • •.....-- .... • • - - • .. !age 2
I
Project powers second floor unit !Company: morin
Client: !Representative:
Address: Address:
City: City:
Phone: Phone:
Fox: Fax
Comment:
. .
Crisaggiipiitik::::•.:•.:. :.:,:::...: :,:.....-;,:•.•••. •••••••••L•',.! :;... '*:!•• :." ;•.‘ 7 :••••2•!:•-: :• ‘, -..•• ::•": • .. ••,...: ::... • .. : .
......,.....,,...,•.,:ift. : i.7.:::•_: ,,:..; •.,,,•:•::•:-...5 ':•••••*::::-.: • ;..i......'..-.f.,:.•,: .2,-..- - .: s • ." ' :.• •.• : ••• 1 ':-. •
Project Name: powers it.corid floor unit
Reference City: Westovel AFB, Massachusetts
Daily Temperature Range: Medium
' Latitude: 49 Degrees 1
Elevation: 50 Feet
Altitude Factor, 0.998
Elevation Sensible Adj. Factor. 1.000
Elevotion Total Adj. Factor: 1 .onn
Elevation Heating Adj. Factor: 1.000
Outdoor Outdoor Indoor indoot Grains
DryBulb WetBILD RetHum. Dry Bulb Difference
VVinter: 0 N/A N/A 7 N/A
Summer: 95 67 50% 7 -6
...
' 7 •:_„,.1.r.5;; '.'-'-f :!:-: ..1.:::•;;;•:•=:.•-e. .:1' :'....*•'',..:•: .
-.• *.•;::. :,' , ••••• : •• ••• , .
,..„.„„ ..:. ?"....4Ff n: . :k.:7‘; - !': ' ''• ....4 ....:,":•:;:::: -.' •••••••.:•1'.... . ...•'.:1.7•:•••••••' '..'..'!..:.:_r ...• • .
I
Total Building Supply CFM: 2,112 f CFM per square foot 1.026
' Square feet of room area: 2,058 , are feet per ton: 409.932
:-.14640jiiii44*-7i:-...:t■,‘.'fi:;:-,;.'.::•••••'•:,••:::,:,:;'):.-'::•'.:7•••••-•..„7=1.';',.:.,ic:•z'H:•,:•-!-..,.-i-i...2.1?;:.Y.-2,7.: '.': '.:::::-.:- .1:1:1.5-. e.:....! ;.v.!;--.: '',:::. -.::::::- ..i'...:-.:- 7.: ; • . :: ::,::;. : ' ;......:-.; -,.:. . , • .'• ... • .
....',... ;..., --. r.IV '. '' 31 )•.' • •."•i:L :7. :n.f.''% ... :::, . '. . . .• ..
Total healing required with outside air: 64,106 Btuh 64.106 MBH
Total sensible gain: 46,388 Btuh • 99 %
Total latent gain: 318 Btuh -, %
TOWl cooling required with outside air: 46.706 Btuh. 3.892 - • s (based on sensible + latent)
6.020 r • ns (based on 77% sensible capacity)
Ititsww :,..:•••••: - :i.. N .: . c.'.: - - - ,-.".:.;';'§% . ..sf?!.c't .. .is . ; -1/4...1 :',ii .;.Wr : ;I - .: ..'::: :--;:::::...t.:..,::. ::..: : • •. ,;::: ... • ..'. - •
...!=s,.. -1A...:::',...: t - . .L21: - ..'":. - i:il......FA.:::::::-.L.V.: 4.1 ?-1, 4- : 7, "*'• ;:,' : '-'..---: ::::::',, :.' .. :*' -f": '... 'H.& ...;: ....... : : ... ;':'. . • : ' : •
Calculations are based on 7th edition of ACCA Manual J. ,
-
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads. L\ 133
\ 0
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Tuesday, February 14, 2012
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03/14/2012 17:05 4132479924 AARON MORIN PAGE 06/06
�,1 - : , - = - ttateris a fiewtopinsnt
11M ,
. - .lYMDrtM11t
• �-D1S0l:
.:','; !OP •
.. /y{ ., . a _ .moo ...• ., jy��. : •. _:. ,.,µ.
iovrtl•Load %$diflIt'u�, .. Re►potts;r ..•_.' .,.: h , .4•.::::, •. , : - .
1!i Ail. R t'oiid•Summary'. •'r .
Htg Htg Run Run CIg Gig Clg Zone Clg Air
Room Area Sens Nom Duct Duct Sens Lat Nom Adj • Adj Sys
No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM
--Zone 1-
1 Living Room 380 10,241 133 4-6 495 8,537 -77 389 1.05 408 389
2 Hail/toilet 91 4,303 56 1 -5 589 1,765 -31 80 1.00 80 80
3 Kitchen/pantry 221 2,581 33 2 4/0 4,049 585 184 1.18 215 184
4 Dining Room 203 6,092 79 2-4 648 2,484 -59 113 1.00 113 113
5 North Solarium 170 16,342 213 6-6 468 12,104 -170 551 1.00 551 551
11CH
Zone 1 Subtotal 1045 39,539 514 28,939 248 1,318 1,367 1,318
- -Zone 2--
6 Master 264 3,808 50 1-5 540 1.616 -30 74 1.00 74 74
Bedroom
7 Guest Room 186 2,501 33 1 554 1,062 -17 48 1.00 48 48
8 Laundry/bath 176 395 5 1-5 485 1,452 300 66 1.00 66 66
Hall
9 Den/hall 99 409 5 1-4 109 208 0 9 1.00 9 9
10 South 288 17,454 227 6-6 507 13,111 -183 597 1.35 806 597
ittz'Ar
Zone 2 Subtotal . -. 1013 _•___ 24,567 ... 320 __._-_.17,449 __... 70 _ 795 -_---_ - 1,004 795
S-y m 1 Totals 2058 64,108 634 46,388 318 2,112 2,371 2,112
*Main Trunk Size: 20x16 in. ,
'Main Trunk velocity constraints were not met due to duct schedule limitations.
Main Trunk Air Velocity = 1.018 Feat/Minute
• .ih. .:. .:.....:: '...q .. '....L.. ' .._ �... .. . >: : _.si . •. i;:r.M+•. .... .. ... . tit >.:•.....LK... a.. ..... .. a __... _.. _. ..
Cooling Sensible /Latent Sensible Latent Total
_ _ _ Tons _ - - Split Btuh Btuh Btuh
Net Required: _ 3.892 99%/1% -- 46,388 1.5... 46,706
Recommended: 5.020 77 %/23% 46,388 13,856 60,244
Tue$dBy, February 14.2012
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03114/2012 17:05 4132479924 AARON MORIN PAGE 04/06
PEP 3
IfiTbtiiipt; O +tbO' t : �: .
�. ,. - ..:.•:...: is :...r,, ..._.�..._ .v.. 7 .i....., _ ,...,.....,_....._,�..__... , .. ..,
Miscelt siiliiiio*Pro1+E10. .3i: °`_ •
Project File Name: MOR1N- POWERS
S tsth M ult'.•Da' .. • : ,
• = ;;
yyF.. ,
Outdoor Outdoor Indoor Indoor Grains
—System 1 -- Dry Bulb Wat 130 Rel.Huj Or Dulb Difference
Winter: 0 N/A N/A 72 N/A
Summer: 95 57 50% /3 -
1i t : ::.` • ...
,(12,, Eroiection oftc, No,, Prpfection Offset
1 3 1 8 0 0
2 5 0 7 0 0
3 4 0.5 8 0 0
4 0 0 9 0 0
5 0 0 10 0 0
.. ..r: ir. ^ . •. _.•r.:�r1. - .H t -
Runouts Main Trunk
Duct Material: Flexible Duct Galvanized Steel
Roughness Factor_ 0,010000 0.000300
Pressure Drop: 0.1000 In.wg/100 Ft. 0.1000 In,wgl100 Ft
Minimum Velocity: 450.0 Ft./Minute 850.0 Ft-lMinute
Maximum Velocity: 750.0 Ft./Minute 900.0 Ft./Minute
Minimum Height: 0 Inches 0 Inches
Maximum Height: 0 Inches 0 Inches
01 f
Winter Su mer
Infiltration: 0.900 AC/Hr 0.400 ACfflr
Volume of Conditioned Space: &40abti Cu. Ft. X 20886 Cu.F4.
18,779 Cu,Ft.tHr 8,346 Cu,FtJHr
X • 0.0167 X Q0167
Total Building Infiltration: 313 CFM 139 CFM
Total Building Ventilation: 0 CFM 0 CFM
-- -tam '—
infiltration & Ventilation Sensible Gain Multiplier: 24.16 . a (1.10 X 0.998 X 22.00 Summer Temp_ Difference)
Infiltration & Ventilation Latent Gain Multiplier: - 4.19 = (0.88 X 0.998 X -06.18 Grains Difference)
Infiltration & Ventilation Sensible Loss Multiplier: 79.06 = (1.10 X 0.998 X 72.00 Winter Temp. Diffuronee)
Tuesday. February 14,2012
.
03/14/2012 17:05 4132479924 AARON NEIRIN PAGE 05/06
,..
,1114WiciAiiitaiitileffetagleVaaleiediftP/P4Winte-Ptioriaa f, . ,.;' : : •'... . Rawavemirwoovipsopment, km
MA OieOl 43-2U12 Pe 4
.otatia..ijoina:.000iiiiiO30.,i2i.oEis- i..:-1.
::.„:,:;:::,.:!,,:,..:::: :,.,.: ,.. .:: ,,: .,..?.•■••••::: 1 : :: . . - -.:
• . ..::::::.:7. ', ••• ;: :1.,... _: •:; - ', ".! • : ... - )t:''.,:•S■4':. f' : ::i • '..:: '''" .r:11 •- ' ' . .' " _..:', .. .
Component Area Seri. Let. Sen. Total
Description Quan Loss Gain Gain Gain
- - -
3D Window Doublo Pone Low Emit Wood Frame 555 14,430 0 24.207 24.207
8P Glass Door Double Low e Wood Frame 112 2,912 0 3,117 3,117
11A Door Metal Fiberglass Core 21 892 0 317 317
12H Wall H-18 + 112" Gypsum Board(R-0.5) 1,397 0,030 0 2,145 2,145
16H Ceiling R-38 Insulation 1,913 3,580 0 2,287 2,287
19E Floor Over BasementtEncl Crawl Hardwood + R-30 621 827 0 0 0
. .
Subtotals for structure: 4,819 28,677 0 32,073 32,073
Active People: 0 0 0 0 0
Inactive People: 0 0 0 0 0
Appliances: 0 0 900 2,200 3,100
Lighting: 300 0 0 1,023 1,023
Ductwork: 0 10,665 0 7,731 7,731
Infiltration: Winter CFM: 313.0, Summer CFM: 139.1 688 24,744 -582 3,361 2,779
Ventilation: Winter CFM : 0.0, Summer CFM: 0.0 00 . 0 0 0
Sensible Gain Total: 46,388
Temperature Swing Multiplier. . ..... X1.00
. ___ __ .
' Building lloatiFfotais: 84,106 318 48,388 40,700
.._ .
' Ofiegkt " ::...:•:.:- ; 1 . , :.!2:: !.:H.:,...- .., - , ;.! .': ....,•,.. .:' ,. „.
:, L :; ":‘ •'. 'f .,. : : ;T : ': : ::: :'..: ! ..,,:• '• ' '' -.: •''' - ' ';F':: •;: '...::: 1 :: .
' Total Building Supply CFM: 2,112 CFM per square foot: 1.026
Square feet of room area: 2,058 Square feet per ton: 409.932
7 riiiordiiiikl:Aiettiiii;:ric,:4 ; : , :t , :.,U , !irt i ::::::,, i •,:; : ;•••,.,.::, : ...., : : :-, , •., .
z:...,::-::' . .. 1 . . : '., . ;: ...::::..... ? 1 .,,• :• ''' ...:
Total heating required with outside air: 64,106 Btuh 64.108 MBH
Total sensible gain: 48,388 Btuh 99 %
Total latent gain: 318 Btuh 1 %
Total cooling required with outside Fair 4€3,708 Btuh 3.892 Tons (based on sensible + latent)
5.020 Tons (based on 77% sensible capacity)
--- - •
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
. ... .. . . . . .. ... :_____.. . . .. .
Tuesday, February 14, 2012
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03/14/2012 17:05 4132479924 AARON MORIN PAGE 02/06
POWERS SEC ai ND FLOOR UNIT
HVAC LO D ANALYSIS
for
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Prepared By
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03/14/2012 17:05 4132479924 AARON MORIN PAGE 01/06
AMT; 1441" t‘‘.." •
140 West Street
West Hatt%eld, MA 0108$
413 - 427 -1416 Ceil Aaron Morin Sheetmetal
413- 247 -9924 Fax
asmsheeirnetaI @live.com
RECEIVED
MAR 16 2012
DEPT. OF BUILDING INSPECTIONS
NOHTHAMPfON, MA 01060
Tom ' ue„ . it 'r Fran: Aaron Morin
Faxi cg 7 (2 _ Papaw 6 fo
Phones Dates
-o ItiroRoJeincei
A l •. 11- • or 01 r ' ; L "
br ' ?- yam► 4''f 7
V ( Cat 1 1 1 10-/i-
4:1 . Yor .` K/'1
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I
Information and Instructions •
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensati 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 ofpublic work until acceptable evidence of compliance with the insurance
requirements of this chapter `have been presented to the contracting authonty."
.- - -._ — Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary,- supply - sub- contractor(s) names ),- address(es) and phone - number(s) along _ with their _certificate(s)_of_
insurance. 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 T .T P does have
employees, a policy 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- insurance 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
oldie 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 as 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 or citizen is obtaining a license or permit not related to any business or commercial venture
(i:e: a dog license or permit to bum leaves etc.) said person is NOT required 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 do not hesitate to give us a call. •
The Department's address, telephone and fax number.
The Commonwealth of MRssachusetts
Department of Industrial Accidents
Office of Iiitvestigations
- --600--Washington-Street _
Boston, MA 02111
Tel # 617- 727 -4900 ext 406 or 1- 877- MASSAFE
Revised 4-24-07 Fax # 617- 727 -7749
www.mass.gov /dia
The Commonwealth of Massachusetts
!, - Department of Industrial Accidents
• Office of Investigations
600 Washington Street
R. e ti j
— = - Boston, MA 02111
T$� www.mass.govIdia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): 4Z 4 f S ' C-
Address: //O L✓G�S� , S > �
City /State /Zip: '11Y' (:Lj* /7cgO$g. Phone #: yl3 .. .' 677 - SSO
Are you an employer? Check the appropriate box: Type of project (required):
1. El am a employer with I- 4. [] I am a general contractor and I 6. New construction
employees (full and/or part-time).* have hired the sub - contractors
al Tam a -sole proprietor or-partner - --
listed on th . attached sheet. 7. ❑ Remodeling
ship and have no employees These sub - contractors have g, ['Demolition
workin for me in any capacity. employees and have workers'
g Y c P h'• :__ 9. ❑ Building addition
[No workers'. comp insurance comp rnsurance 10. Electrical repairs
require 5. We area corporation and its rep or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. o workers' com right of exemption per MGL _ ... _ .. .
._.. y p - P 12.D Roof repairs
insurance required.] t c. 152, §1(4), and we have no ,
. NO workers' 13: �ther j c%.c /74(7c‘. employees.
comp: insurance required.)
*Any applicant that checks box #1 must also fill out the section below showing their workeis? compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and they hire outside contractors must submit a new affidavit indicating such.
CContractors that check this box must attached an additional sheet showing the mane 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. p _ ( /
Insurance Company Name: /4&1
(& T i B/�C:� l /`- /144 \ � . C. t
Policy # or Self-ins. Lic. #: / `C� ? C� /� Expiration Date: 3 3
Job Site Address: / �� - 7
7"'✓ -7?Ge 1C ( City /State/Zip:1 /
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 lire violator...B.e..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 er a pains an penalties ofper,/ury that the info
nformation provided above is true and correct
Si I. , ature: 4421M/Illow Date.
Phone #: 7 r3 Dc-(7- c� SRS c .��..:._ � ._ 4 / / /
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 #:
. ,
,
COMMONWEALTH OF MASSACHUSETTS : - _-k___ • _ - _-- _ - - __ ___ ____
, . ...
DIVISION OF PROFESSIONAL LICENSURE — BOARD OF ' f r
SHEET METAL WORKERS' '' , : ,,,, V., ,,,.
, thk
AS A' MASTER-UNRESTRICTED :H ''- :=,, _iv+ cf• M,1, . - ;
. ' ISSUES THE ABOVE LICENSE TO: 9a END 4.1 NUMBER
k N OWE $19852961
,-, •,.. ,,
_.
AAREtt4 S MORIN 10.44 - 1 a,71
140
5 SEX PA ' 16 , t, ' ill
.., .. : WEST ST - „,.- 1___•t• i.".t.
.
- :' -,i•
HATFIELD MA 0 1 0 8 8-9 50 :-...._
74 i 8 140 WEST ST
, .
- - -
533 10/28/13 64680 i 1 44 DD 10-18-2010 Rev 07.15.2009 W HATFIELD MA °1°88415°°
I
IP
5
' • ' LICENSE NO. EXPIRATION DATE SERIAL NO. I s
_..../
•
_ .
INSURANCE COVERAGE:
I have a current liahllify insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes u' No ❑
If you have checked Yes, indicate the ty e of coverage by checking the appropriate box below:
A liability insurance policy Other tYP e of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee rintc nnf have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waivPs this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑, 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 installations 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.
Duct inspection required prior to insulation installation: YES NO
PrAgress TncrPrtinnc
Date CommPnfs
Final Inc/wet
nate rnmrrierits
rT-yppe of License:
B y L� Master
Title
❑ Master - Restricted
City/Town ❑Joumeyperson
Signature of Licensee
Permit #
❑J �5-33 ourneyperson- Restricted License Number:
Fee $ ❑
Check at www macc gnv/cip(
Inspector Signature of Permit Approval
`` ,.., v ..: Commonwealth of Massachusetts
MAR 1 4 2012 City Of Northampton
_ /, Sheet Metal Permit permit # 6
Estimated Job Cost: $ 40 • .6 .----- �� Permit Fee: $ �� � 0
Plans Submitted: YES NO 1/ Plans Reviewed: YES NO
Business License # 90- 009 6 S Applicant License # 53 3
Business Information: // Property Owner / Job Location Information:
Name: /y 4 ✓Zonh St - fil dal Name: tin 5Aeeha-ek
Street: No (,, eS' 5 .f Street: / lc9,fe-Ace_ ea-a -L
City /Town: ("kV f `JA, f j , /d / 0( gQ CityITowli: Fl o (Y� L�� / ac, 0O� -
Telephone: 1113 — a ti -0550 Telephone:
Photo I.D. required / Copy of Photo I.D. attached: YES NO
Staff Initial
J -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. _ over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: v Renovation:
HVAC V Metal Watershed Roofmg Kitchen Exhaust System
Metal Chimney / Vents Air Balancing
Provide detailed description of work to be done:
s o h n a l . vie 4A) l , in -d cpc, l
5 e(t-f- s-l„ 1,.,,. -i-k - di„,-(--(„„ r Ir•
Fees with Building Permit: $25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit $6.00 per $1000
Minimum fees for jobs without Building Permit $50.00 Residential, $100.00 Commercial
File # SM- 2012 -0026
APPLICANT /CONTACT PERSON AARON MORIN /�
ADDRESS/PHONE 140 WEST ST (413) 247 -0550 0 C _ QQ 17 y J
PROPERTY LOCATION 1140 FLORENCE RD �: 7 V
MAP 44 PARCEL 052 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid X0 0
Typeof Construction: INSTALL HEATING & COOLING SPLIT SYS W /DUCT WORK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved 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
Sign• re of Building Official 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 the Office of
Planning & Development for more information.
1140 FLORENCE RD SM- 2012 -0026
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: '8443 Boa- MT'ti
Ma p 44
r I -_,■Witl \
Block: 1052 SHEETMETAL PERMIT
Lot 001 ,sc,
Permit: SHEETMETAL s r�M ��%
.,AENToo,
Category SHEETMETAL
Permit # SM- 2012 -0026 PERMISSION IS HEREBY GRANTED TO:
'Project # JS- 2012- 000377
'Est. Cost: $8,500.00 Contractor: License: Expires:
Fee Charged: $25.00 AARON MORIN
Balance Due: $.00 Owner: SHEEHAN JOHN G
# of Fixtures: Applicant: AARON MORIN
DigSafe # AT: 1140 FLORENCE RD
UseGroup
ConstClass I
ISSUED ON: 16- Mar -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALL HEATING & COOLING SPLIT SYS W /DUCT WORK
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC- 2012- 004194 14- Mar -12 1293 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :Ihasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.
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