31C-053 (2) 45 FORD CROSSING SM-2017-0044
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS/4. 12183 P�^rpy
Map: 31C �.
Block: 053 SHEETMETAL PERMIT
Lot: 20 tirtrOre1T
Permit: SHEETMETAL ato.rw
Category: SHEETMETAL
Permit# SM-2017-0044 PERMISSION IS HEREBY GRANTED TO:
Project# 7S-2017-000994
Est. Cost: $8,000.00 Contractor: License: Expires:
Fee Charged:$25.00 .RICHIES AIR CONDITIONING&HSheetmetal-53I 03/28/2018
Balance Due:$.00 Owner: Sturbridge Development LLC
of Fixtures: _ Applicant: RICHIES AIR CONDITIONING&HEATING INC
DigSafe AT: 45 FORD CROSSING
Useuroup
ConstClass
ISSUED O.N.• 07-Feb-2017 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
FABRICATE&INSTALL AIR DUCT SYSTEM FOR HVAC EQUIPMENT, INSTALL KITCHEN FAN.BATHROOM FAN,
VENTS. DRYER VENT. FRESH AIR EXCHANGER DUCTWORK
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Dale Paid: Check No: Amount:
Shectmrual RFC2017-x03235 07 reb-17 17813 5225500
212}lain Street,Phone:(413)587-1240.Fax:(413)5874272,Email:lhasbrouckna�aorthamptonma.gov
GetTMS*201'Des tauriern Municipal Solutions.Inc.
File#SM-2017-0044
APPLICANT/CONTACT PERSON RICHIES AIR CONDITIONING&HEATING INC
ADDRESS/PHONE P O BOX 407 (413)789-1244()
PROPERTY LOCATION 45 FORD CROSSING
MAP 3I PARCEL 053 20 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: FABRICATE& INSTAgJ, DUCT SYSTEM FOR HVAC EQUIPMENT, INSTALL
KITCHEN FAN, BATHROOM FAN, VENTS DRYER VENT. FRESH AIR EXCHANGER DUCTWORK
New(construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Inctgded:
Owner/Statement or License 531
3 sets of Plans/Plot Plan
THE FOLLOWING 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
• it •� (tree[Com i'..:ion _ Permit DPW Storm Water Management
Signe re of Bui ding 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 gamed only to those applicants who meet the strict standards of MGL 40A.Contact the Office of
Planning& Development for more information.
Commonwealth of Massachusetts
7201 Sheet Metal Permit
[ate; , �C17 Permit # 5r/1- / 7-W
Estimated Job Costs$,yJO� Permit Fee: Ec
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 293 Applicant License # S11
Business Information: Property Owner/lob Location Information:
Name: Rse.H1d3 PIC L. NTG• DC- Name: pGcc)V L Sa*iS CRASTR C.A10I4
Street: PO Roll Street: Q' a,��`/ YlM+wD CRaQtnc
O1oo `(
City, town: AG{wAm, PACI• City/Town: i t lAmtmi1, MA •
Telephone: PIIS r-rn- i..aLw Telephone: 413 tit I- 'I go?
Photo I.D. required/ Copy of Photo I.D. attached: YES NO
Building Type:
Residential: 1-2 family/ Multi-family Condo/Townhouses_ _
Commercial: Office Retail Industrial Educational Institutional
Building Cubic Footage: under 35,000 cu. ft.✓ over 35,000 cu. ft.
Sheet metal work to be completed: New Work:t/ Renovation:
HVAC I_ Metal Roofing Kitchen Exhaust System t, Chimney /Vents
Provide brief description of work to be done:
FNIPAcATE AtC 114-Ve t- RIR On 5ysrern R.4 NuAc. resuif merIT
AI. c SHsinatt, icirogsu FAH Cifro Rumn FW-1r4 5 VerIC
FRt35i Ark acnoncrea. Oucr ttR'c
INSURANCE COVERAGE:
I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes 0 No
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Ele 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 waives this requirement
Check One Only
Owner ❑ Agent ❑
Signature
�offOOwner or Owner's Agent
By checking this boxg[,1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are We 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.
Progress Inspections
Date Comments
Final Inspection
Date Comments
TTy- eeyp/of License:
Pilaster
'Master
Title ❑ Master-RestrictedzI.((��' 31.2351.ilk'
City/Town "
pJourneyperson Signature of Licensee
Permit#
0Joumeyperson-Restricted
r, 1
- License Number: M 53 1
Fee$ ❑
Check at www.mass.govldpl
Inspector Signature of Permit Approval
A .Cr RAD Ckstit4q-
A ACIPThis combination qualities for a Federal Energy
nil ea./ CERTIFIED':: Efficiency Tax Credit when placed in service
between Feb 17,2009 and Dec 31,2016.
,.4Tsabrdl=-cfot�trg
Certificate of Product Ratings
AHRI Certified Reference Number. 5865024 Date: 1121/2010
Product:Split System:Air-Cooled Condensing Unit,Coll with Blower
Outdoor Unit Model Number.4TTR6024B1
Indoor Unit Model Number.4TXCB025BC3
Furnace Model Number'UH2B060A9V3
Manufacturer.TRANE
Trade/Brand name:TRANE
Region:All(AK,AL AR,AZ, CA,CO,CT,DC,DE,FL,GA,HI,ID, IL,IA, IN,KS,KY,LA,MA,MD,ME,
MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,ORPA.RI,SC,SD,TN,TX.
UT,VA,VT,WA,WV,WI,WY,U.S.Territories}
Region Note:Central air conditioners manufactured prior to January 1,2016,are eligible to be
installed in all regions until June 30,2016. Beginning July 1,2016,central air conditioners
can only be installed in reglon(s)for which they meet the regional efficiency requirement
Series name:XR16
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,independent third
party testing:
Coding Capacity(Binh): 20600
EER Rating(Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating(Cooling):
Rayner 1Sba0 by an anensk(')imitates Iutar feratesseressurly assessed date unless aawnpanied we a WAS.whip indicates an mMUNaryremle.
DISCLAIMER
AHRI does not endorse the product(s)listed on lit Certificate and maim no represua radon.warranties or guarantees as to.and assume;no responsibility for,
the product(,)listed on this Certificate.AHRI expressly disclaims all fabliity ter damages of any kind arising out of the use or pefamana of the produces),Cr Me
unauthorized*Iteration of data listed oft this Certificate.Ca lfed ratings ale vasa only far models and nmflgaaflms bud in the
directory at wwwshrld&e Aory.wg
TERMS AND CONDITIONS s
This CeMflsate and Its contents are proprietary products of AHRI.This Certificate shall only be used for IndMdual,personal she
confidential reference purpose,.The contents of this CMifioate may not,In whole or In part,be reproduced;mpleq disseminated
entered into a computer database;or otherwise utslaed,in any form or manner or by any means,muerte'.the user's'RIMdual,
personal end 4madentlal reference. AIR CONOflIONINO.Renee
CERTIFICATE VERIFICATION S NenRIERM1ON INSITME
The Mfmmalbn far the model cited an Ns certioete can be vaned at wwae.abrtdkector}.otg,dick on'Verily Certificate'/Inktry mate life Maes"
and entente ARM+Defused Reference Number and the date en sdrich the CMlficate was issued,
Which Is listed above.and the CertInute No..ninth Is listed at bottom light,
02014 Air Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130978842021255943
RICHIE'S AIR CONDITIONING & HEATING INC.
P.O. BOX 407 • 81 INDUSTRIAL LANE • AGAWAM, MA 01001
TELEPHONE (413) 789-1244
Sf� l 31 , aol`1
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