18D-021 (4) t f 0 - di/
Commonwealth of Massachusetts
Sbca Metaly-Perruit
RECE
Date: �^ a IVEU Permit#
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Estimated Job Cost: $ y aw F E B 2 4 2020 Permit Fee: $
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Plans Submitted: YES NO PI s Reviewed: YES NO
hT7rT't)F BUILDING INSPECTIONS
NORTHAMPTON,MA01060
Business License# App Icant License# �04�-
Business Information: Property Owner/Job Locaon Information:
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Name: �.:��Ohl„S �� Hy Name:
Street: Street: �I o;ane (�rd e�< L v r-ye
City/Town: Wei -?m City/Town: -kv\
Telephone: �a, Telephone: L'\\- l "3 LA (q
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. _$_ over 10,000 sq.ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation: -X—
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
'�e�1�ie ��isvY��t,�, �'���J l�c� Elbow
l�c a l c cup 1 C��-�etisotZ
FINSURANCECOVERAGE:
have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes FU No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy [V Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxJI hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
ProLyress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By ❑ Master
Title ❑ Master-Restricted
Y
City/Town
�Journeyperson Signature of Licensee
Permit#
Fee$ ❑
Journeyperson-Restricted
License Number: 't 7
❑ Check at mass.aov/dol
4,- �y
Inspector Signature of Permit Approval
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9 Load Short Form Job: 70
Date: Feb 24,2020
Entire House By: RON G
LIVINGSTONE SHEET METAL
Project I • •
For: "19 PINE BROOK CURVE'
NORTHAMPTON,MA01060
Design Information
Htg Clg Infiltration
Outside db(°F) 4 88 Method Simplified
Inside db(°F) 72 72 Construction quality Semi-tight
Design TD(°F) 76 16 Fireplaces 0
Daily range - M
Inside humidity(%) 30 50
Moisture difference(gr/Ib) 32 29
HEATING EQUIPMENT COOLING EQUIPMENT
Make RUUD Make RUUD
Trade RUUD Trade RUUD
Model R92PA0701317MSA Cond RA1330AJl NA
AHRI ref 6468403 Coil RCF3617STAMCA
AHRI ref 7507846
Efficiency 92AFUE Efficiency 11.0 EER, 13 SEER
Heating input 56000 Btuh Sensible cooling 19880 Btuh
Heating output 52000 Btuh Latent cooling 8520 Btuh
Temperature rise 47 °F Total cooling 28400 Btuh
Actual airflow 1010 Chn Actual airflow 1010 Cfm
Air flow factor 0.035 cfm/Btuh Air flow factor 0.057 chn/Btuh
Static pressure 0.10 in H2O Static pressure 0.10 in H2O
Space thermostat Load sensible heat ratio 0.84
ROOM NAME Area Htg load Clg load HtgAVF CIgAVF
(ftz) (Btuh) (Btuh) (Cfm) (cfm)
KITCHEN 132 3042 2062 107 118
LIVING ROOM 240 5035 3218 177 184
BATH 72 1232 700 43 40
BED ROOM 1 108 2966 1752 104 100
BED ROOM 2 120 3096 2100 109 120
BED ROOM 3 120 3096 2100 109 120
BED ROOM 4 108 2455 1889 86 108
BONUS ROOM 336 7869 3836 276 219
Bolc italic values have been manually overridden
Calculations approved byACCAto meet all requirements of Manual J 8th Ed.
wrightsoft`' 2020-Feb-24 08:41:52
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COMMONWEALTH OF MASSACHUSETTS
DIVISION OF PROFESSIONAL
B ARD UF
SHEET METAL WORKERS j {
ISSUES THE FOLLOWING LICENSE =>'i
JOURNEYPERSON-UNRESTRICTED
SERGEY KULYAK
6 LIVINGSTONE AVE r`i 'i
WESTFIELD, MA 01085-2219
U
J
6075 0512812020 456353
a . .
Entire House 1236 28790 17655 1010 1010
Other equip loads 0 0
Equip.@ 0.93 RSM 16419
Latent cooling 3344
TOTALS 1236 28790 19763 1010 1010
B"Italic values have been manually overridden
Calculations approved byACCAto meet all requirements of Manual J 8th Ed.
wr/ghtsOft" 2020-Feb-24 08:41:52
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To: City of Northampton Page 2 of 2 2020-02-24 15:13:38(GMT) 14138955978 Frorn: Rejean J Remillard Insurance
�,p-• Q� DATE(MMIDDIYYYY)
�,.. CERTIFICATE OF LIABILITY INSURANCE 02n4120
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CON I AO I NAME: Keri RUSciano,CISR
Rejean J.Remillard Ins Agency,Inc. AlcNN Ext: 413-789-3D70 A/c.No): 413-786-0193
1040 Springfield Street E-MAIL
Feeding Hills,MA 01030 ADDRESS: Keri@RejeanRemillard.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A: Main Street American Assurance
INSURED INSURER a: National Grange Mutual
Sergey Kulyak INSURER C; Amguard Insurance Co.
6 Livingstone Avenue INSURER D:
Westfield,MA 01085-2219
INSURER E:
INSURER F!
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS I a CER TIFY THAI THE POLICIES OF INSURANCE UST"ED BEL01,1r'HAVE BEEN ISSUED 1'0 1 H INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCF.AFFORDED BY THF POLICIFS DFSCRIBF.D HEREIN IS SUBJECT TO ALL.THF TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
R AUUL iU[JK1 POLICY EFF POLICY EXP
FA
TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDA-M LIMITS
X COMMERCIAL GENERAL LIABILITY EACI-IOCCURRENCL $ 300,000
_13-ARA-iCLAIMS-MADE �OCCUR PREMISES En occurrence $ 500,000
MED EXP(Anyone person) $ 10,000
MPT768BG 12120119 12120/20 PFRSONAL A ADV INJURY $ 300,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 600,000
X POLICY D PROJECT LOC PRODUCTS-COM PIOP AGG $ 600,000
OTHER. $
AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT $ 300,000
EaOaccitlentl
ANY AUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED MIT9604L 11118/19 11118/20 BODILY INJURY(Por accidcnn $
AUTOS ON LY AUTOS
HIRED NDN-OWNED PROPERTY DAMAGE
AUTOS ON LY AU TOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MAGE AGGREGATE $
DED I I RETENTION$ £
WORKERS COMPENSATION PER _FR
EMPLOYERS'LIABILITY Y r N STATUTE ER
ANY PROPRIETOR PARTNER/EXECUTIVE E.L.LACI1 ACCIDENT $
C OFFICEWMEMBER EXCLUDED? F NIA Forwarded by Carrier
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,desaibe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS.
212 Main St
Northampton,MA 01060 AUTHORIZEC(REPRESRNTATIV -
O 1 8�?015 ACORD CbRPOk `TION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD