25A-099 (8) SM-2023-0007
29 SHERMAN AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25A-099-001 CITY OF NORTHAMPTON
Permit: Sheet Metal
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # SM-2023-0007 PERMISSION IS HEREBY GRANTED TO:
Project# NEW DUPLEX UNIT A Contractor: License:
Est. Cost: 7000 PAWEL MISNIAKIEWICZ
Const.Class: Exp.Date:
Use Group: Owner: INC. SOVEREIGN BUILDERS,
Lot Size (sq.ft.)
Zoning: URB Applicant: PAWEL MISNIAKIEWICZ
Applicant Address Phone: Insurance:
27 GILBEERT RD (413)537-5670
SOUTHAMPTON, MA 01073
ISSUED ON: 02/14/2023
TO PERFORM THE FOLLOWING WORK:
HVAC FOR UNIT A&B
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
. Jib i %/16:ry
Fees Paid: $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Commonwealth of Massachusetts FFe
Sheet Metal Permit (423
Date: 2-- — 6 2 i5 Permit# S "'; 3-'7
Estimated Job Cost $ 7vt2d G Permit Fee: $ 2
Plans Submitted: YES /NO Plans Reviewed: YES NO
Business License# Y b 0 Applicant License#
Business Information: Property Owner/Job Location Information:
Name: 'C GeL,--d di-(57‘11-/ GlC?� :1 ame: 5 CG �l t� � �l�
Street:/62 Ge/7/1f��✓G[� 7 r Street:2 9 ,�i�L� �,;�t oi1 f�l/ 6
City/Town: 4714 Pa/ill City/Town: / /l49-7f
Telephone: l5 b !. 1 Telephone: Ll/3 77 `‘6(
Photo I.D.required/Copy of Photo I.D. attached: YES NO
Staff Initial
J 1/M-1-unresil icted license
J-2/M-2-restricted to dwellings 3-stories or Iess and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family j/` Multi-family Condo/Townhouses Other
Commercial: Office Retail Indust,.ial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. 77 over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: %' Renovation:
HVAC :/ Metal Watershed Roofing. Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 Yes ErNo❑
If you have checked Yes,indicate 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 waives this requirement
Agent
Check One
Owner Agent ❑
Signature of Owner or Owner's Agent
By checking this box[J,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
Progress Inspections
•
Date Comments
Final Inspection
Date Comments
Type of License:
By Oster
Tide ❑Master-Restricted
Cftyfrown
❑Joumeyperson Signature of Licensee
Permit 4 /
❑Joumeyperson-Restricted
License Number.
Fee$ ❑
Check at www.mass.gov/dp1
Fr• gki/p3
Inspector Signature of Permit Approval
]V169[ij ajd.t. ._a I[.7►/_1alP3 g►E•'1,j_l 1V1faa t.,n Lh)1; I £ J ""'"""""""r-
BOARD OF T • 'S LIC t
SHEET METAL WORKERS I _
ISSUES THE FOLLOWING LICENSE tr. 712f 18. ,. - 191
MASTER-UNRESTRICTED F c �`' t} / � 2
PAWEL MISNIAKIEWWICZ a 1?IS1AKlW1CZ
30 WILSON ST w PAWEEKAMMERZ
En
SOUTH HADLEY,MA 01075 z -r " 27 GILBERTRD
v ,vr SOUTNAIdPT1lk, A 01�3>680
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5860 05/28/2024 203355 - '00°9"1OfD"w 01$
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
Load Short Form Job: 105A1
114 WrIJIItSoft Date: Sep21,2022
Entire House By: RON G
P&M MECHANICAL
Project Information
For: "CUSTOM CONDOMINIUMS'-1ST FLOOR-UNIT 1A
Li _i SHERMAN AVENUE, NORTHAMPTON, MA01060
Design Information
Htg Clg Infiltration
Outside db(°F) 0 88 Method Simplified
Inside db(°F) 72 72 Construction quality Average
Design TD(°F) 72 16 Fireplaces 0
Daily range - M
Inside humidity(%) 30 50
Moisture difference(gr/Ib) 31 29
HEATING EQUIPMENT COOLING EQUIPMENT
Make GREE ELECTRIC APPLIANCES INC Make GREE ELECTRIC APPLIANCES INC
Trade GREE Trade GREE
Model FLEXX36HP230V1AO Cond FLEXX36HP230V1AO
AHRI ref 207256440 Coil FLEXX24HP230V1 BH
AHRI ref 207256440
Efficiency 10.5 HSPF Efficiency 12.5 EER,20 SEER
Heating input Sensible cooling 16800 Btuh
Heating output 24000 Btuh @ 47°F Latent cooling 7200 Btuh
Temperature rise 27 °F Total cooling 24000 Btuh
Actual airflow 800 c,frrr Actual airflow 800 cfrn
Airflow factor 0.049 cfrn/Btuh Air flow factor 0.084 cfrn/Btuh
Static pressure 0.10 in H2O Static pressure 0.10 in H2O
Space thermostat Load sensible heat ratio 0.77
Capacity balance point=2°F
Backup: BOSCH EHK-08B
Input=8 kW, Output=27297 Btuh, 100 AFUE
ROOM NAME Area Htg load Clg load HtgAVF CIgAVF
(ft2) (Btuh) (Btuh) (cfn) (cfm)
KITCHEN 100 2477 1464 120 123
DINING/SITTING 200 2538 1915 123 161
BATH 1 33 858 387 42 33
GREAT ROOM 255 6723 3726 327 313
MECH ROOM 228 3861 2020 188 170
Entire House 816 16457 9512 800 800
Other equip loads 0 0
Equip.@ 0.93 RSM 8846
Latent cooling 2858
TOTALS 816 16457 11704 800 800
Boldrrtalic values have been manually overridden
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
Pia
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9 Load Short Form Job: 105A
wrightsoft Date: Sep21,2022
Entire House By: RON G
P&M MECHANICAL
Project Information
For: "CUSTOM CONDOMINIUMS"-2ND FLR-UNIT 1 B
d 7/.9 SHERMAN AVENUE, NORTHAMPTON,MA01060
Design Information
Htg Clg Infiltration
Outside db(°F) 0 88 Method Simplified
Inside db(°F) 72 72 Construction quality Average
Design TD(°F) 72 16 Fireplaces 0
Daily range - M
Inside humidity(%) 30 50
Moisture difference(gr/Ib) 31 29
HEATING EQUIPMENT COOLING EQUIPMENT
Make FRUJITSU Make FRUJITSU
Trade FUJITSU Trade FUJITSU
Model AOUH18LUAS1 Cond AOUH18LUAS1
AHRI ref 206579742 Coil ADUH18LUAS1
AHRI ref 206579742
Efficiency 11.4 HSPF Efficiency 12.5 EER,20.2 SEER
Heating input Sensible cooling 11970 Btuh
Heating output 21600 Btuh @ 47°F Latent cooling 5130 Btuh
Temperature rise 40 °F Total cooling 17100 Btuh
Actual airflow 500 cfm Actual airflow 500 cfm
Airflow factor 0.046 cfm/Btuh Air flow factor 0.073 cfm/Btuh
Static pressure 0.10 in H2O Static pressure 0.10 in H2O
Space thermostat Load sensible heat ratio 0.78
Capacity balance point=-102°F
Backup:RUUD
Input=3 kW. Output=11460 BtL h.100 AFUE
ROOM NAME Area Htg load Clg load HtgAVF CIgAVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
MASTER BED ROOM 215 4344 2880 199 209
W.I.C.(OPT) 44 706 322 32 23
MASTER BATH 58 1270 980 58 71
BATH 2 47 1028 537 47 39
BED ROOM 2 167 3584 2158 164 157
Entire House 530 10933 6876 500 500
Other equip loads 0 0
Equip.@ 0.93 RSM 6394
Latent cooling 1945
TOTALS 530 10933 8339 500 500
Boldrrtalic values have been manually overridden
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
wrightsoft° 2023-Jan-25 17:19:53
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.ACCA ...t ler\Doarner s\Wrigtisoft FIVAC\P&MMEC105A2.rup Caic=MJ8 Front Door faces: N
Manual S Compliance Report Job: 105A
wrightsoft41- p p Date: Sep 1,2022
Entire House By: RON
P&M MECHANICAL
Project Information
For: "CUSTOM CONDOMINIUMS'-2ND FLR-UNIT 1 B
SHERMAN AVENUE, NORTHAMPTON,MA01060
Cooling Equipment
Design Conditions
Outdoor design DB: 88.0°F Sensible gain: 6876 Btuh Entering coil DB: 72.1°F
Outdoor design WB: 71.0°F Latent gain: 1945 Btuh Entering coil WB: 60.2°F
Indoor design DB: 72.0°F Total gain: 8820 Btuh
Indoor RH: 50% Estimated airflow: 500 din
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: SplitASHP
Manufacturer: FRUJITSU Model: AOUH18LUAS1+ADUH18LUAS1
Actual airflow: 500 Cfrn
Sensible capacity: 11970 Btuh 174%of load
Latent capacity: 5130 Btuh 264%of load
Total capacity: 17100 Btuh 194%of load SHR: 70%
Heating Equipment
Design Conditions
Outdoor design DB: 0°F Heat loss: 10933 Btuh Entering coil DB: 71.5°F
Indoor design DB: 72.0°F
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: SplitASHP
Manufacturer FRUJITSU Model: AOUH18LUAS1+ADUH18LUAS1
Actual airflow: 500 cfr11
Output capacity: 21600 Btuh 198%of load Capacity balance: -Ok °F
Supplemental heat required: 0 Btuh Economic balance: -99 °F
Backup equipment type: Elec strip
Manufacturer: RUUD Model:
Actual airflow: 500 din
Output capacity: 3.4 kW 105%of load Temp.rise: 50 °F
Meets all requirements of ACCA Manual S.
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The Commonwealth of Massachusetts
Department of Industrial Accidents
=,kt s 1 Congress Street, Suite 100
_; �= 4.. Boston,MA 02114-2017
IMMINIEW
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information ��/ Please Print Legibly
(Business/Organization/Individual): 9 C%l/ /.l4t.0 �r��
Name �� '15;1
Address: -l�y'���n2 5
City/State/Zip: GT Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.0 I am a employer with employees(full and/or part-time).* 7. ❑New constructi Ilpn
2.1111 i am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. ❑Demolition
10❑Building additi n
4.12 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑Electrical repai s or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0Roof repairs
These sub-contractors have employees and have workers'comp.insurance.
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.['Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indi ating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those ent.ies have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA foil insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true andco4.ect
Signature:�� Date: —< ` ? A73
Phone#:
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.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
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 not more 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 sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)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)and under"Job Site Address"the applicant should write"all locations in (city or
town)."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 Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax# 617-727-7749
Revised 02-23-15 www.mass.gov/dia