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06-064 MASSACHUSETTS _ DRIVER'S - - LICENSE= END�y ,8a NONE 4d NUMBER - a S83673541 a 1`� 05-25-1988 sE a M M �602 s> a 6 LIVINGSTONE AVE s25 t9e>!e WESTFIELD,MA 01085.2219 5 DD 04-23"2014 Rev 07.152009 s COMMONWEALTH OF MASSACHISETTS ® • jai - • • SHEBOARD Of ET METAL CORKERS ISSUES THE FOLLOWING LICEN5E .: AS A JOURNEYPERSON UNRESTR I GTED a z SERGEY KULYAK ; lz lu 6 LIVID TONE AVE WESTf I ELD MA: 01085-2219 6075 05128/16 203232 ro .. INSURANCE COVERAGE: I have a current liar insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy FKI Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee rinse nn+haves the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waive 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 PrnorPcc Tnspectionc Data C>e�unm Ants Final TncpPCfinn Date Cc)n-iments Type of License: By ❑Master Title ❑ Master-Restricted City/Town VIJourneyperson Signature of Licensee Permit# ❑Journeyperson-Restricted G 4,5— License Number: Fee$ ❑ Check at xamar macs 9 va /rnl Inspector Signature of Permit Approval i Massachusetts j&D Commonwealth of j& 23 20 City Of Northampton r, �� 'mss Sheet Metal Permit it# Electr c perm 'r r �1ate, ' Estimated Job Cost: $ O a Permit Fee: $ l�f� Plans Submitted: YES NO Plans Reviewed: YES NO Business License# GCS 4 Applicant License# 6'd 1 S� Business Information: Property Owner/Job Location Information: Name: J^`I v�.vk V W Name: i`etc ` (?�ve(Z Gc'ocl- Lc9c . Street: 6 Street: City/Town: City/Town: I—eek5 , wLA — Telephone: Telephone: Z 41 c3 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 X, Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft._41L over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: K Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: GAS FAI) ?7Se�e�`� �tGD M�iatitrv� (� iac ll 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 AT LOSS WORKSHEET FOR GUIDE H-22 Page ...j„ of ,�.., Total Btuh for Page , 4` Total Btuh for Building � y � . Customer Telephone 22 Nau x Address Heat loss calculated by Date ROatn lndoo710utdoor dean temp- .,' "34`7 iznti ;1;f{r .. IJFi7 Sti ldGOrta7r�.'±.�oOfio�Q1'�eosp.7: � •.-., r b s.,it.,.�r::., +�.:agx a. Ex osed Walls 0a xo4me e6eve x oil-X :{o" 1,4 41 t is 2 x .61S - 1 45-1 i'��rSYrI :53::•i.:`K.CY.... O ., -..r c ,-}�ic�.'�"-.t�P.�Fr•: a��.-,c�..�.-SS� V-e4♦e�5i�(X�1II��!�-7C!1sa��P.s"'L.�.l: :��s!��F.}� ��J)�1, X 40 K loo ° ztOo t j 4Y x .all 0X o a cto X X Tabk3 tcg7`2-�24 iy� 7 U gJ_AA 4:E3Ev'3f!�;flies'F�-,. ., ...., ,T< if rry i`:5� �F'FY .SL, WW., X x X X = W.X s t3io�EOx?,,. 1y .s Ez� $euk• 7e54i3 _��i a sty �•st `...;.>�.."`4�i5ar3r�r r `� °p° %;��',,�'pi''';oF�; ;..bTtS-�,:a 3 -i:- �s A av % . % V " eap " 40 Li tS x X-70 u... ' i A �ge(' '73c : Pb; ,.f1 Ddors X X x X = X K i 1 �/X , �x 3 6y 1 13�x .uS3 X 4e =3 6f r - Coto px iwm . ,. x� `mil _ '}• -.n, `;r'i"'4.L`� � � s�ga:; IndoorlOUtdaordean.tem� ,� y -,� `s / -3 F.x osod Wells q. MMIN UfovaAmn e6ove X X X X X X gmea o* XX 4 X X X x PRORM ., 1 a♦ dr.`s vy S. .is X X u X X o X X = 4 Slob t�K E7paied r x X Q '•: % X .c X X Ttt xzI,r, N 1�d ` i } t�tt `tb? n'z3rfc. ,{S. i. nwf•' X X a X X $06tlbs�r�t'��y�s,fi'�r,,. ... X -. .,, X � ._X ...� ,•-X ., _... .... X X - '� Fxyoxd ' - X X m K K a X X n t r.0i�p1ft11tC119..1.� .l.ra X � .sa X _.. —X' • X., >.. _. Y � � - .,X =,3#. Baseboard information Bath per foot of baseboard __� _ _ At average water temperature_,__of - [ It=��atculation k orm'1504- j+18 t:j("S j%e Kgdrontcs Irist]tut©Div stop.a3 i.AMA 1'!xl€ �y l sigh ;NJ:4�9 2 a22g HIEAT LOSS WORKSHEET FOR GUIDE H-22 Page ®t a Total Btuh for Page 4 T_S" 44 Total Btuh for Building 3 Q Customer Telephone \4 Name Address Heat loss calculated by 22 Date 77 W, .— , KOO W qs IndoorJOutdoor dorn tome. .51P, up, ....... ----- # I)TV # Ex *sod Wolfs NOR - s..*"tabm - oFtx x 0 24- W 3,4 3 1, 126 t)l, -0' 1,6iql I - • "i 1,WIIMP�. X x I It-M- 'WR IFAM L4 53 x o3o x -�oo f- 30 X .030 x :V >1 o3v ), :P ' x x led x x X x x a41- ao W,M_ VAL W T.'WkW' , ........... --------.......sEtF X x 'V Ddots x x 4-0'- �6 1 '9 q0- .7t)C, W AM ac)Z x -L)5- 9 4&- 1,814 10, x 9 M.I,,WIN M I M ��a e,. 'EM I WE x aq a a• 3 mar IndoodOutdoor doer.tore e ttiilSll• -Ex osed wells # # W w%Me Above 6 x x 57[ x 'of Z X -70 4130 1105 . set t Us a x . OLJO x jo c! 3 64 x _oqox 7oo- jjq i q4 x +oLcox7 -Lt03 X x = x x = x x x X, POW _W x a a , 46' ) !M, i 4 Tx 1-0 tea� c) wow, A4, MIRROMM, A""., 49 x x x = x x LV,- sod R x '01 x 0!0x ,T0--(tR to 65-6K .0 5?- 3 UAW—_ x x ¢ x Wi Baseboard information Btuh per foot of baseboard At average water temperature---OF to -He Calculation Form-1504-9$- - The ffydronM9 hiSdt- Z* 4WV.AMA___ aloy -jighr L 0 e f 4fau^ I ,u L L AUU' Piumbing&Gas InsP80tiOng "in Electric, ,T,pir�r, hAA!)IM ,T,pi,�r, NorihaT,pi,�r, Q fVi a taz \c* CLJ-t� \\A 54, o Al File#SM-2015-0001 APPLICANT/CONTACT PERSON LIVINGSTONE HVAC ADDRESS/PHONE 6 LIVINGSTONE AVE (413)335-9835 PROPERTY LOCATION 12 BEAVER BROOK LOOP-UNIT 19 MAP 06 PARCEL 064 000 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 Typeof Construction: HVAC SYSTEM FOR SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 6075 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR�VIATION 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 lm Street C issio Permit DPW Storm Water Management Sig a ure of uilding 6fficial 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. 12 BEAVER BROOK LOOP - UNIT 19 SM-2015-0001 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON �GIS#: 12151 Map: 06 Block: 0614 --� _ Lot: 000 SHEETMETAL PERMIT -- ---- , Permit: SHEETMETAL Category: SHEETMETAL Permit# SM-2015-0001 PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-002024 Est:Cost: $7,600.00 Contractor: License: Expires: LIVINGSTONE HVAC Sheetmetal-6075 Fee Charged:$25.00 - 05/28/2016 Balance.Due:$.00 Owner: MELNIK PATRICK J #of Fixtures {Applicant. LIVINGSTONE HVAC DigSafe# _ _v 'AT. 12 BEAVER BROOK LOOP-UNIT 19 UseGroup - - —_-.-- _-- -- �ConstClass ISSUED ON. 11-Aug-2014 AMENDED ON. EXPIRES ON: TO PERFORM THE FOLLOWING WORK: HVAC SYSTEM FOR SFH 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-2015-000371 25-Jul-14 MO $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @north amptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.