0081 LINDEN STREET- B-13-333 / Commonwealth of lMassachnsetts
Sheet N[etal Permit Permit
Date: Jc)h
Fs1imatcd Job Cost: $ t}Qg3•t78 Permit Pec: .5
PLms Submitted: YES _ NO _ Plans Reviewed: YES _ NO
Business License # l 31�),,o-5 Applicant License k ---
Business fnti,rmation: (( Property Owner/Job Location Information:
Nano: ��P� �PLY�p�i C4I K12 &6Nane:
Street: put: I ton U/mq . Street:
City/Town: clrCof`q' ovl) n City/Town:
Telephone: - - Sa—�Sfb Telephone:
Photo I.D. required/Copy of Photo LD. attached: YES_ NO �
swrnda:u
J-1 / Al-l-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-tamily_ Condo/ "IbwnhuuseS Other_
Commercial: Office_ Retail _ fndustrial _ Educational
Institutional Other_
Square Footage: under 10,000 sq. t1t. / over 10,000 sq. R. _ Number ol'Stories:
Shect metal work to be completed: New Work: _ Renovation:
11VAC %fetal Watershed Routing_ Kitchen Exhaust System_
Metal Chimney/ Vents _ Air Balancing
Provide deMiled description of work to be done:
ot�Q O �vk�4Y�
INSURANCE COVERAGE:
I have a current liability 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:
ty
pe e of Indemnity ❑ Bond El
A liability insurance policy � Yp it °
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 L�
Signature of Owner or 0�w errs Agent
By chocking this box0.I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and
In compliancee
ewbest of my knowlede and that al shoot metal work and Installations p rformed under the permit ith all pertinent pro9 sion of helMassachusetts Building Code and Chapter 1 issued for this application will be
12 of he General Laws.
Duct Inspection required prior to Insulation Installation: YES_NO
Proeress 111SpectiOlt$
Date Comments
Final lnsuection
Date Comments
Type of License:
By ❑ Master
rele ❑ Master-Restricted
"Crop Town______ .- ❑Journeyperson Signature of Licensee
I
Jo�rneyper❑ son-Restric led
- License Number: �
Fdd3 -. _._._._ ❑
— — --- Check at:r.v v m.r.;s ,iuv! IL
Inspector Signature of Permit Approval
a
,�k�cw BERRY 0 MITsUBISHI
(('''' ,�/y/y� MECHANICAL SERVICES, INC. Lp ELECTRIC
eS�d r/ w e 3 Milton Way• Georgetown, MA 01833
HEATING & AIR 978-352-5500. 978-352-4004 fax • COOLING & HEATING
C O N D I T I O N I N G www.berrymechanical.com Live Better
Where Your Comfort is Our Business
Name CarolynArcabascio Phone# 603-426-4162 Date 8/31/2012
Address 81 Linden St Proposal Number R50831201213146-1
City Salem State MA Zip 01970 Comfort Specialist JAMIE BECKWITH
FREEDOMSTANDARD 6 SYSTEMI 771
System Investment
Base System $5,863.08
Optional Items Total _ $0.00
- COUPON DISC 15 OFF <$880A0>
ate #
<$0.00>
0% Sales Tax $0.00
System Total $4,983.08
Finance Calculation 0
Estimated Monthly Investment $0.00
Initial lnve ent $0.00
Balance $4,9 3.08
Investment yp Check
Optional
Add Decline j Price Description Initials
$651.90 10 YEAR PARTS&LABOR WARRANTY VARIABLE SPEED FURNACE OR AIR HANDLER ONLY
$419.90 5 YEAR PARTS&LABOR WARRANTY VARIABLE SPEED AIR HANDLER OR FURNACE ONLY
$243.68 APRILAIRE MODEL 2210 MEDIA AIR FILTRATION DEVICE WITH MERV 13 PERFORMANCE 20x26x5
$1,255.64 AMERICAN STANDARD ACCIJCLEAN 7.5 X 21 X 27.300-2000 CFM 120V FURNACE APPLICATIO
-- — CAPTURES 99.98 TO 0.1 MICRON AFD210CLFR
$537.90 DIGITAL APRILAIRE BYPASS HUMIDIFIER INTO EXISTING CONDENSATE PUMP O RNAL
-- -- DRAIN
0
By signing this agreement 1 acknowledge that 1 have read and understand each page, Representative Date
including the terms and conditions.
Customer Date Approved by Date
Page
jy BERRY o MITSUBISHI
� ,/`sr�_/ MECHANICAL SERVICES, INC. O'Q ELECTRIC
J G[ de 3 Milton Way• Georgetown, MA 01833
HEATING & AIR 978-352-5500. 978-352-4004 fax • COOLING & HEATING
C O N D I T I O N I N G www.berrymechanical.com Live Better
Where Your Comfort is Our Business
Name Carolyn Arcabascio Proposal Number R50631201213146-1 Date 8/31/2012 SYSTEMI
Components
Qty. I Model# i Description tt (in Base System Investment) -
1 GRID- CONVERSION OFFER FOR 95%EFF.2-STAGE VARIABLE ADD HARD WIRED BATTERY BACKED UP CO
AUH2C100A9V4VA AMERICAN STANDARD FURNACE 10000OBTUH DETECTOR IN THE BASEMENT OR MECHANICAL
AMERICAN STANDARD LARGE SCREEN HEAT COOL HEAT ROOM
1 - ACONT602AF22MA PUMP PROGRAMABLE 5/1/1 DAY 2 COOL 2 HEAT THERMOSTAT
AMERICAN STANDARD LIFETIME LIMITED HEAT
HARD WIRED/BATTERY BACKED UP CARBON MONOXIDE EXCHANGER WARRANTY ON FREEDOM 90
1 KIDDE ALARM INSTALLED WITH BOX AND BX CABLE INCLUDES SIGN SERIES
IF NEEDED - AMERICAN STANDARD WARRANTY 5 YEARS
,,,,, ,E,,, e, ERN AR ,„„ e_9E_c, . — MANUFACTURERS ON ALL PARTS
1 CONDENSATE PUMP- INSTALL CONDENSATE PUMP UP TO 50FT.TO BASEMENT Clean up work area before leaving worksite
50FT DRAIN
Electrical Permit Pulled for local town&electrician's
1 Residential Statwire Install new thermostat wire time to inspect
1 19-2PIPE-3PVC-15FT INSTALL 2-PIPE 15 FT. PVC SYSTEM TO 90%FURNACE ENERGY SAVING PROGRAMABLE SET BACK
1 CHIMNEYLINER2 Chimney Liner install MULTI-STORY AND/OR DIFFICULT PITCH THERMOSTAT
INSTALLED BY PROPERLY INSURED CONTRACTOR Ensure proper condensate drainage
1 821PLENUMGRILL 821 OPEN CLOSE GRILL MOUNTED ON PLENUM.
- Gas Permit Pulled for local town&plumber's time to
52-RETURN 12PIPE- ADD 12"RETURN TO FIRST FLOOR-25FT INCLUDES PIPE FLEX inspect
1 25FT FIRST FLOOR- COLLARS BOX REGISTER LABOR.
FLOOR INSTALL GAS PIPING
48-ADD-24X10 DUCT QUOTED PRICING IN THIS PROPOSAL IS GOOD
1 5FT-8FT DROPPED TO ADD 24X10 DUCT DROPPED TO LINED BOX FOR 30 DAYS AFTER RECEIPT
LINED BOX
Remove and dispose used equipment
2-80 TO 90 FURNACE CHANGE 80 TO 90 FURNACE INCLUDES PLENUM MISC GAS
1 CHANGE ELECT DISPOSE OF UNIT CHIMNEY CAP _ WARRANTY: 1 YEAR PARTS& LABOR FROM
1 24x24LINEDBOX LINED RETURN AIR BOX FOR 3.5 TO 5 TON UNITS BERRY MECHANICAL
1 GAS PERMIT GAS PERMIT PIPE AND VENTING
1 ELECTRICAL ELECTRICAL CIRCUIT PERMIT. (not included in Base System Investment)
1 GASPIPE25FT- GAS PIPING UNIT IN UNFINISHED BASEMENT OR OPEN ATTIC INSULATE EXISTING DUCT WORK
UFBINSIDE UP TO 35 FT.WITH EXISTING GAS LINE TO APPLIANCE -
MANY CITIES-TOWNS IN MASSACHUSETTS AND NEW -MAKING EXTENSIVE MODIFICATIONS TO
MECHANICAL PERMIT HAMPSHIRE REQUIRE A MECHANICAL PERMIT WHEN EXISTING SUBSTANDARD DUCTWORK THAT
1 STANDARD REPLACING EQUIPMENT AND/OR DUCTWORK.THIS COVERS MAY BE NEEDED TO IMPROVE AIRFLOW
THAT LEGAL REQUIREMENT MODIFY EXISTING INSIDE DRAIN IN BASEMENT
REMOVEEMPTY- CAREFULLY REMOVE EMPTY OIL TANK AND PATCH HOLES IF REQUIRED BY LOCAL INSPECTOR
1 OILTANKPATCHOLE FROM FILL PIPE AND VENT
ZONING SYSTEM FOR BETTER TEMPERATURE
1 ADDELECTRICAL- ADD OULET AND POWER SWITCH TO EXISTING 115 VOLT FEED CONTROL
OUTLETEXISTINGWIRE TO FURNACE OR BOILER FOR A CONDENSATE PUMP OR ECT.
Installation Instructions
'THE REMOVAL&DISPOSAL OF THE EXISTING LOWBOY OIL FIRED FURNACE&THE OIL TANK BYWAY OF A Tx4- BULKHEAD EGRESS
'SET NEW 100K Btu FREEDOM 95 2-STAGE HEAT VARIABLESPEED BLOWER GAS FURNACE FROM NAT'L GRID GAS EQUIP. PROGRAM ONTO
EXISTING 4"HIGH CONCRETE FURNACE PLATFORM&RECONNECT TO EXISTING 19.5W x 22D SUPPLY PLENUM
*ALSO BUILD RETURN LINED BOX& RISER CONNECTION TO SAME SIZED RETURN PLENUM
`BE SURE TO ADD INSULATION TO NEW SUPPLY PLENUM&MAKE AIRTIGff CONNECTIONS ON SUPPLY&RETURN DUCT
*BECAUSE EXISTING SINGLE 12"ROUND RETURN PIPE IS NOT ENOUGH>WE WILL INTRODUCE 2ND RETURN INTAKE TO 1ST FLOOR TO SATISFY
RETURN AIR REQUIREMENTS
'INSTALL NEW DUAL PIPE PVC VENTING SYSTEM UP&OUT THRU SIDE OF HOUSE SILL WHILE CAPPING OLD 6"FLUE PIPE INTO CHIMNEY
`BECAUSE WATER HEATER WILL REMAIN>INSTALL 4"CHIMNEY LINER DOWN EXISTING CHIMNEY FLUE PIPE TO TIE IN WATER HEATER FLUE
PIPE PER CODE REQUIREMENTS
(CONT-D PG 3)
Page
`including the terms and conditions.
Customer n Date Approved by Date
t� / Carolyn 071436 1 09/07/2012
(�(/�tC�fine.0 2012.09.0]143631-04'00'
Page 3