25C-178 (12) Page 1 Residential Heat Loss and Heat Gain Calculation 1/2/2013
In accordance with ACCA Manual J
Report Prepared By: - •
Premier Supply Group
For SKM/DJ BUTLER CONST
117 NORTH
NORTHAMPTON, MA 01060
Design Conditions: NORTHAMPTON
Indoor. Outdoor.
Summer temperature: 68 Summer temperature: 95 ,
Winter temperature: 74 Winter temperature: -10
Relative humidity: 50 Summer grains of moisture: 88
Daily temperature range: High
Building Component Sensible Latent Total Total
Gain Gain Heat Gain Heat Loss
(BTUH) (BTUH) (BTUH) (BTUH)
Whole House 1,760 sq.fL 17,724 3,582 21,306 60,905
(2 tons)
First Floor 10,404 1,970 12,374 40,329
Bedroom 1 140 sq.ft. 1,787 358 2,145 7,161
Bedroom 2 140 sq.ft. 1,557 239 1,796 5,063
Bedroom 3 120 sq.ft. 1,904 299 2,203 5,473
Bathroom full 36 sq.ft. 1,242 239 1,481 3,807
Bathroom half 15 sq.ft. 0 0 0 197
Kitchen 120 sq.ft. 811 119 930 4,101
Living Room/Dining 400 sq.ft. 2,418 358 2,776 10,353
Entry Foyer 50 sq.ft. 685 358 1,043 4,174
Second Floor 7,321 1,611 8,932 20,578
Living Room 225 sq.ft. 2,555 597 3,152 7,154
Bedroom 2 168 sq.ft. 1,212 179 1,391 2,635
Bathroom full 50 sq.ft. 635 119 754 1,926
Entry Foyer 80 sq.ft. 765 358 1,123 3,640
Bedroom 1 120 sq.ft. 1,354 239 1,593 3,465
Kitchen 96 sq.ft. 800 119 919 1,758
Whole House 1,760 sq.fL 17,724 3,582 21,306 60,905
(2 tons)
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.
i
J �
7
r�
f
L Ids
(Ail
b abed 9b�o-G9�-EZ� 2u14eaH 12utgwnTd stneQ wuav : 11 U102 90 ^oN
COOS 'DNIIVHH KdH 6M 8bZ 805 XVd 6C:8T CTOZ/LO/ZO
Nov 06 2012 11 : 48AM Davis Plumbing. & H"acing 413-2G7-0246 page 3
NS1
L,1 k1i-l.
� 7
NOW*I
r �
! ns x jz,
I _
1 �.
�I
ZOOZ 'ONIIVaH WdH 66b1 M 902 XVJ 6C:8T CTOZ/LO/ZO
Mov 06 2012 11 : 48AM Davis Plumbing Ba Heating 413-267-0246 page 7
QUOTATION
Pr=er Supply Group Order N=ber
372 Puco Road 2080037
Springfield,MA 01119 Order Date page
413-782-5262 11/5/2012 14:15:01 1 of 1
BM"To: Ship To:
DAVIS PLUMBING AND HEATING DAVIS PLUrarNG AND HEATING
26 PALWA RUAD 26 PALWR RD
MONSON,MA O 1057 MONSON,MA 01057
413-7W-0246
Customer ID: 6571
Nunder SYtI Ratite Taker
177 NORTH ST TERRYR
area
heani ID Prd�Y pries
vderad UOAdf Ilex�o IJeseripAors
Castunwr Note: PO IS RE UMD ON ALL ORDER$
2,0 2.0 EA (001)GOOMAN GMVM960603BX AW
96%MOD V-SPEED 60b&M !I
2.0 2.0 EA (002)GOOMAN CAP71824B6
1.5-2.0 TON CASED COIL
2.0 2.0 EA (003)GOOMAN TX2N4A
TXV VALVE R4 10A f.S/10 TON
2.0 2.0 EA (004)GOOMAN GSX130241,0•
2.0 TON 13 SE1rR CONDENSETZ
110 1.0 EA (005)DIVTEC 6-HK3060
H109 RJSS AM PAN
1.0 1.0 EA (006)DIVTEC CC-1 MW AW
COND FLOAT SWITCH
2.0 2.0 EA (007)DIVTEC EL3232-2
32 X 32 X 21ILT"I E CONDEN90R PAD
8.0 8.0 EA (008)DIVTEC MP-3C
3 X 3 CORK VIE PAD !
2.0 2.0 EA (009)GOOMAN L$38341250
3/8 X 314 X 1/2 59 LINESET r
Tflral Limes;9 SUR-TOTAL:
TAX!
AMOUNT DULL:
U.S.4oliars
T00 ln 'ONII HH NdH 66tt 8VZ 902 XVd 6C:ST CTOZ/LO/ZO
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 noemore 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 workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply your insurance company's name, address and phone number along with a certificate 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 LLP 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
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). 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 burn 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 Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston, MA 02114-2017
Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE
Fax 4 617-727-7749
www.mass.gov/dia
Form Revised 7/2010
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/Organization Name: 1?1,�q/YI
Address: d) 3 (� �SOU��j�,ud�,t 12-4
City/State/Zip: C ti fg/AY7 m q U/SD V Phone #: 500 `2qg - 'i+`n
Are you an employer? Check the appropriate box: Business Type(required):
1.❑ I am a employer with employees(full and/ 5. [] Retail
or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment
2.❑ 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.
o workers' comp. insurance required] g• E]Non-profit
3. We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152, §1(4), and we have 10.['Manufacturing
no employees. [No workers' comp. insurance required]* 11.0 Health Care
4.❑ We are a non-profit organization,staffed by volunteers,
with no employees. [No workers' comp. insurance req.] 12.❑ 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
organization should check box 41.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:
Insurer's Address:
City/State/Zip:
Policy#or Self-ins. Lic. # Expiration Date:
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 certif deer the pains an penalties ofperjury that the information provided above is true and correct.
Signature: l� Date:
Phone#: SO Y 5 50—0 '7Q el
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.Licensing Board 5. Selectmen's Office
6. Other
Contact Person: Phone#:
www.mass.gov/dia
INSURANCE COVERAGE:
1 have a current liability Insurance policy or Its equivalent which meets the requirements of M.G.L.Ch.112 Yes VNo❑
If you have checked Yom,Indicata 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 not have the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application aw Ives this requirement
Check One Only
Owner Agent ❑
Signature of Owner or Owner's Agent
By checking this bozo,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
Prozress Inspections
Date Comments
Fine! Insnectioa
QatC Comments
Type of License:
BY aster
TMQ
❑Master-Restricted
Chyfrown ❑Joumeyperson Signature of Licensee
Permit ❑Joumeyperson-Restricted IFS,(/
Fee S License Number:
C Check at wwW,mass,aovldpl
4,
htspeetor Signature of Permit Approval
Commonwealth of Massachusetts
FEB 12013
Sheet Metal Permit
DEPT.OF BUILD NG 1N5PECTIONS
NORTHAMPTON, A 01060 7
Date: — O Permit#
Estimated Job Cost: $ G,000 ,4-10 Permit Fee:
Plans Submitted: YES NO 1,,� Plans Reviewed: YES NO
Business License # 41 Applicant License # JV1
Business Information: Property Owner/Job Location Information:
Name: dif/r) Name: I l
Street: X 34 5o Lt iWI-3^!mCL Street: /!7 !U'8411 sT7 _
City/Town: C`-�,+�,r^� lh l Ll X�� City/Town: l OR-711 ,,",oirr7
Telephone: (Sii' 7 50 Telephone:
Photo I.D. required /Copy of Photo I.D. attached: YES ✓ NO
J-1 / M- un i cn St>f ]nitial
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. V-11 over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: i/ Renovation:
H V A C '✓ Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney /Vents Air Balancing
Provide detailed description of work to be done:
File#SM-2013-0039
APPLICANT/CONTACT PERSON RPM HEATING&AIR CONDITIONING
ADDRESS/PHONE 2386 SOUTHBRIDGE RD (508)450-0794
PROPERTY LOCATION 117 NORTH ST
MAP 25C PARCEL 178 001 ZONE URC(99)/
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_yj Construction• SHEETMETAL FOR 2 GAS FURNACES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 341
3 sets of Plans/Plot Plan
THE FOLL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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
from Elm Street Conum Permit DPW Storm Water Management
Si re of uildmg ffici 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.
117 NORTH ST SM-2013-0039
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
IGIS#: 4554
Map:
(Block: ±178 d
Lot: oo l
_- --- __-_ SHEETMETAL PERMIT
�� .,.
Permit: ISHEETMETAL
Category: (INTERIOR DEMOLITIO
Permit# ISM-2013-0039
- PERMISSION IS HEREBY GRANTED TO:
!Project# 1JS 2013-000839
_ - -
(Est Cost. 1$6,000.0_0 Contractor: License: Expires:
Fee Charged: RPM HEATING&AIR CONDITIO Sheetmetal-341 10/28/2013
----__ i$- --- —
IBalance Due_:$.00 Owner: BASAL MOHAMMED
F#of Fixtures: Applicant: RPM HEATING&AIR CONDITIONING
big Safe# AT. 117 NORTH ST
{UseGroup
�ConstClass
ISSUED ON: 23-May-2013 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
SHEETMETAL FOR 2 GAS FURNACES
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2013-003244 31-Jan-13 8171 $25.00
Inspection Type: Inspector: Date Inspected: Date Signed Off: Status:
FINAL Kyle J. Scott 23-May-13 FULL COMPLY
ROUGH Charles Miller 20-Feb-13 FULL COMPLY
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:ihasbrouck @northamptonma.gov
GeoTMSO 2013 Des Lauriers Municipal Solutions,Inc.