31B-261 (10) 38 GOTHIC ST - PEOPLES INSTITUTE SM-2018-0048
COMMONWEALTH OF MASSACHUSETTS
__ _ CITY OF NORTHAMPTON
GIs#: 572
Mutt:.'... 318
Lot: 61 _ SHEETMETAL PERMIT
�l.or. 01
ermit: SHEETMETAL ---
Ci ategory: SHEETMETAL
Permit# SM-201"048 PERMISSION IS HEREBY GRANTED TO:
Project# JS-201"02157
Est..cost: 53;624.00 . Contractor: License: Expires:
Fee Charged:$50.00 AARON MORIN Sheetmetal-533 10/28/2019
(Balance Due:$.00 OWner: Peoples Institute
ft of Fixtures: ~Applicant: AARON MORIN
DlgSafe# AT: 38 GOTHIC ST-PEOPLES INSTITUTE
_—
onstclmw
ISSUED ON.- 17-May-2018 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.
INSTALLING THE NECESSARY SPIRAL DUCTWORK NEEDED TO REPLACE THE INADEQUATE EXISTING
DUCTWORK.INSTALLING DUCTWORK TO 3 1/2 TON AMERICAN STANDARD A/C SPLIT SYSTEM
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Data Paid: Check No: Amount:
Sheehnetal REC-2018-005847 16-May-18 3359 $50.00
212 Main Strut,Phoae•.(413)587-1240,F..:(413)587-1272,Emailahasbrouck@nortM1amptonma.gov
GeoTMS(P 2018 Des Laurien Municipal Solutions,Inc.
File#SM-2018-0048
APPLICANT/CONTACT PERSON AARON MORIN
ADDRESS/PHONE 140 WEST ST (413)247-0550()
PROPERTY LOCATION 38 GOTHIC ST-PEOPLES INSTITUTE
MAP 3 1 B PARCEL 261 001 ZONE CB(100V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
EN REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildine Permit Filled out
Fee Paid
TvacofConstruction: INSTALLING THE NECESSARY SP DUCTWORK NEEDED TO REPLACE THE
INADEQUATE EXISTING DUCTWORK INSTALLING DUCTWORK TO 3 1/2 TON AMERICAN
STANDARD A/C SPLIT SYSTEM
New Construction
Non Stmcrual interior renovations
Addition to Existing
Accessory Structure
Building.Plans Included:
Owner/Statement or License 533
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
[NF9RMAT1ON 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:
Cub 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
/�/w✓ _ S �b � 8
Signature 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.
RECEIVED
YAY 1 6 2018 Commonwealth of Massachusetts
Sheet Metal Permit
DEPT O-,aUILDINO INSPFOTONS
NORTH PON, I Permit# Sm - (.7 --( .9
Estimated lob Cost: $ 6 . 0D Permit Fee: $ JC l�3 bt
Plans Submitted: YES L---NO— Plans Reviewed: YES_ NO
Business License# 533 Applicant License#
Business Information: ��"" Property Owner/Job Location Information:
H
Name: &dyOA OI0 A Jy�K1L� HA4(k1 Name:
Street: 140A,tults`�1 �&hYZL1 pl Street 386�J� ST/ w�' ✓S�(I '
City/Town: \N)9,S} City/Town:
Telephone: Telephone:
Photo I.D.required/Copy of Photo I.D. attached: YES NO
Staff W&I
- M-1-unrestricted
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
Institution�al/Other
Square Footage: order 10,000 sq. ft. !/ over 10,000 sq. ft._ Number of Stories:
Sheet metal work to bb ompieted: New Work: Renovation: /�
HVAC !/ Metal Watershed Roofing_ Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
-7'f�
INSURANCE COVERAGE:
I have a current liability insurance policy or Its equivalent which meets the requirements of M.G.L Ch.112 Y No❑
H you have checked Vis indicate the 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 taws,and that my signature on this permit application wakes this requirement
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this bozo,I hereby ceruN that as of Me detalls and infomwgon 1 have submitted(or entered)regarding MIs applicaaon am true and
accurate to the beet of my knowledge and that all sheet metal work and installations performed under the pamtlt Issued for this application will be
In compliance with all pertinent provision of Me Massachusetts Building Code and Chapter 112 of Me General Laws.
Duct inspection required prior to insulation installation:YES_NO_
Pruar'ess Inspections
Date Comments
Final Inspection
Date Comments
Type of Li e:
By aster
Tae
❑Mosler-ResMded
Cityrrown
❑Joumeyperson Signature of Licensee
Permit#
❑Joumeyperson-Restricted License Number: 53
Fee$ ❑
Check at www.mass.novldol
Inspector Signature of Permit Approval
The Commonweahh ofMassachusens
Department oflndustria/Accidents
Office oflnvestigations
600 Washington Street
Boston,MA 02111
UIV www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A licant Information Please Print Le 'bl
Name (Business/Organirzationandividuel): okk l4o((A
Address:
City/State/Zip: d&
Are you an employer?Check the appropriate box: Type of project(required):
1.® I stn a employer with 4 4. ❑ I am a general contractor and I
employees(full and/or part-time).` have hired the sub-contractors 6. ❑New c nstruction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. LN4remodeling
ship and have no employees These sub-contractors have S, ❑Demolition
workin for me in an capacity. employees and have workers'
g Y P tY 9. E] Building addition
[No workers'comp.insurance comp.insluance.t
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself. o workers' cora right of exemption per MGL
y [N P 12.❑ Roof repairs
insurance required.]t c. 152,§l(4),and we have no
employees.[No workers' 13.LaTOther ('�'a -�
comp.insurance required]
'Any applicant that checks box#1 most also fill out the section below showing dick workers compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new,affidavit indicating such.
tConanctors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contactors have employees,they most provide their workets'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
information. {, }, �y
Insurance Company Name: l\ �cn aI I�1 N / I CI.�1,,rK.l..� � ✓A tom'11.X�
Policy#or Self-ins.Lic.#: U\1\ 1 a p Expiration Date:
3Jofc ,� 5r
Address: L� I P�X`}1 r �µ City/State/Zip: 01068
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage a t 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 ceVIdrer the pains 5ldlenaldes of perjury that the informadon provided above is true and
/cor ecct
Signature- a Date
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: PermittLicense It
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
c,,COMMONWaLTH OF M `!` iius
LICENSE oa *��
GHEE ASV R
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FOLLOW
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Submittal
3-1/2 Ton
Convertible Air Handler
TEM4AOC42S41 SB
0
TAG:
A SAFETY WARNING
Only qualifietl personnel should install and service the equipment.The installation,starting up,and servicing of hearing,ventilating,and
Sandi tionirg equipment can be hazardous and requires specific knowledge and training.Improperly installed adjustedor altered
equipment by an urgualified person could result in death or stations injury.When working on the equipment,oGserve a',p inactions in the
literature and on the tags,stickers,and labels that are attached to the equipment.
March 2018 TEM4A0C42-SUB-1C-EN t7��^�' ��rid•
Outline Drawing
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PRODUCT DIMENSIONS
Air Handler Model A 6 C 0 E F M Flow Gas Ul .
Conhol Braze
TEM4AOG25415B 51.27 23.50 21.50 21.75 1 7.01 9.66 24.59 TX 7/8
All tlimenslons are In Inches
2 TEM4A0C42-SUB-1C-EN
A* emf S?irodard®
HEATING It AIR CONDITIONING
Submittal
Split System Cooling
3.5 Ton
4A7A3042E1000N
Illllilllllllllllllll illllllllllll - IIIII[�II
II IIIIIIIII llllllllllll� � 1111111
I�IIIIIIIIIII!I! 1111111111111111 lll(IIII(IIIII
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���II��II�IIIIIIII � I 111111111 Illlf�llll�l
I VIII lillililill)111 _�
1 �=
TAG:
SAFETYik '
Only compared personnel should install and servicethe equipment.The installation,staining up,and aerylcing of heating,yemllating,and
cantli6oning equipmentcan be nezamousana requiresspacific lonwlatlge antlfraining.lmpropeny instilled,adluYad or supped
eqy.Wh
equipment by an unqualified person could result in death or sonous injuren working on am enuivmen4 observe all precautions in the
literature and on the tags,address,and labels that are attinbed to the equipment.
August 2016 4A7A3042E—SUB-1C-EN /WInw-naaw-
Installation Model: FSH-5 & FSH-6
2-07.4. Fire Extinguisher Nozzle Locations
Plenum Nozzle �'- Plenum Nozzle
(Factory installed) / - (Factory installed)
I
i ,
i
Appliance Nozzle, (2) minimum, Plenum Nozzle
Sized and Located by Local
Authorized Fire Suppression / (Factory installed)
Agency
(Supplied by Customer)
12-075. General Maintenance
The fire extinguishing system should be maintained as outlined in the Standard for Wet Chemical
Extinguishing Systems, NEPA 17A and in accordance with the instructions of the system's installer.
Please contact a local Authorized Fire Suppression Agent or Ansul Dealer for maintenance, troubleshoot-
ing and repairs.
General Maintenance of the fire suppression system is very important. Inspect and maintain as follows:
Servicing and inspection of the fire suppression system is to be conducted by qualified fire protection
technicians. As a minimum, field inspection of the fire suppression system is to be performed semi-annu-
ally. Such maintenance shall consist of the following:
1. Confirm that the hazard has not changed.
2. Verity that system pressure is nominal.
3. Inspect the soundness of the discharge spray nozzles and fusible links.
4. Ensure the system is properly located with respect to the appliance.
5. Verify the date the unit was manufactured.
6. Check to be sure the service tag is attached indicating what service was performed and when per-
formed.
*Ansul is a registered trademark.
17
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HEATING 8 AIR CONDITIONING
SERVICE PANEL. _ C
ELECTRCAL AND REFRIGERANT
COMPONENT CLEARANCES
PER PREVAIUNG CODES
J
TCP DISCHARGEMEA SROULOI E
UNRESTRICTED FOR AT LEAST 1WN I5 f "
AROYE UNIT UNITSNDULO BE PIACED SO ROOT
9UNDFF WATER DOES NOT POOR DIRECTLY ON UNIT
AND SHOULD BE AT IF/ST 30a 021 MOM WALL AND
ALL SURROUNDING SHRUBBERY UNITING SIDES.
OTRU NOSIDESUNRESTRICTED
ELECTRICAL BEIMCE- F'
PANEL
aHl
Y13 OBI M.HOLE A
UR"
wLawE
m.e0"DWAD. wrtH
N,UNBMLA HOIE IN CONTROL
Box BOTTOM MR UECOMM
KhNER SURY
UOUIO LINE SERVICE VA LVE. N
'E'
O FEMALE BRAZE '
CONNECMNWRHIN'SAE 1
FLARE PRESSURETAP MANGE G, \ 76Sj kO.rORALE
ECTRILALROUTIflOUTING
RGm Dvg.D15I8� ` GAS
IE
UNEIATURNBALLSERYICEVALVE.
D-
LU FEMALE BRAITDCLLNECMNwITH n4'SAE
FLARE PRESSURE TM FITPNGA
MSOel Base I A B C D I E IF G N 3 N
4A7A3042E 3 730 829 7567/8 3/B 152 98 219 86 508
(28-3/4) (32-5/8) (29-3/4) (6) (3-7/8) (8-5/8) (3-3/8) (20)
SOUND POWER LEVEL
MoAel A-W09NtEd Sound Full Octave Sound POWer[EB)
IbwOr Level[EB(A)] 63 Hz* 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Nz 9000 Hz 8000 Hz
4A7 0420 R A.6 68.3 67.4 65.6 67.4 58.2 54.1 47.6
Note:RateG In accoNance with AHRI StanUaM 270-2008'For mfenence Dnly66
2 4A7A3042ESUB-IGEN
Model: FSH-5 & FSH-6 Installation
2-07.2. Fire Suppression
285 F Degree T
(Factory instated)�
165 F Degree
165 F Degree y T (Ansul P/N 56811)
(Ansul P/N 56811) < i
, y
y�
, -
i
165 F Degree i
(Ansul P/N 56811)
2-07.1 Appliance
Center Nozzles over cooking --
surface(s)
oo.
Appliance Nozzle, (2) minimum,
Sized and Located by Local j
Authorized Fire Suppression
(Supplied by Customer)
FRONT V5A SIDL VI=A
16