31D-135 18,
t „ ,„, „.
w' 1 } .{ 40 1 f gb- - ' A @}1 P } q0 . f �1
■ + � 65 ,,`r" ; r3 I ` at. a a c a t pp Vi q
t
n "` 7 i A r93 r 5�I d >y' { f [ �a��p{ye ' E Yp �{ + „.,„,,-,,,\--,, 7 - '''''''.':,
\ r � - \ 0 kl q�`v � D �®
1 4, g , i', X14” • � } x
,1
i
'3 $ 6 d ii ihd, 4 d d9}(� e4y ;ja
6 ep .fie r
- �
,„,, , 0
�° ° / "..�, � °wk� " ,;a � J"' . }r 779v, , ,A,41. -- _,.4.2t
� 1 i h_.; ;A �, e � / ®9I t 1ru a b :dlR7�2�z ,
Fold, Then Detach Along All Perforations
COIRIIMON.WEALTH OF MASSACHUSETTS H
DIVISION OF PROFESSIONAL LICENSURE - BOARD OF
AS -A BUSINESS
ISSUES THE,AEOVE`LICENSE TO., I
GARY: F STA,HELSKI s.�
EWE PLUM ING & HEATING INC
139 MA I'N ST �''
M [] N "S.GN MA 0 O81o0 .
391 05/12/13 12 94 < I, •
LICENSE NO. EXPIRATION DATE SERIAL NO.
Fold, Then Detach Along All Perforations
Fold, Then Detach Along All Perforations
COMMONWEALTH OF MASSACHQ �• •
DIVISION OF PROFESSIONAL LICENSURE - BOARD OF
,; rl
MASTER- UNRESTRIC` E
:: ES THEABOVE`LIOENSE T`4
BARS( E STA�HELSKI
S T1 1MP`_S0N STREET
PALM
14: MA 0 10 69 2
X508 06/28/12 5951004
LICENSE NO. EXPIRATION DATE SERIAL NO.
Fold, Then Detach Along All Perforations
•
1 •
INSURANCE COVERAGE;. .
I have a current Mahal* insurance policy or Its equivalent which meets the requirements of M.G.L Ch. 112 YesI No E
If you have checked Yass,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy 10 Other type of indemnity u Bond 0
OWNER'S INSURANCE WAIVER: R: I am aware that t e copra J�-•Y `rte the Insurance ornie - age iequircu by Chapter 112 of the
Massachusetts General Laws and that my signature on this psi application; this Requirement.
- I
Check One Only ` I
Owner 0 Agent 0
Signature of Owner or Owner's Agent
By checking this lean, t hereby certify that all of the details and information t hoe submitted for entered) regarding tita application era true and
accurate to the beat of a!y uthdge and theta!! shoot metal workand lna fAtaNnra perfmnted UMW the pe e t Lige ep• .4 mini
In connpllance with all pertinent provision of the Mas*achueetts t3uildlna Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES ISO__
Pri g r e e s inane bona
Date Comments
lnoi In or r vtr}iyti
Data is
Type of License: I
ElY D Master 1
�� • ❑ Master - Restricted
' ` 0Journeyperson c 1
lgnat i of i :en5ee
Permit # - - - - -__ _ l,ioumeyparson - eetiicted I License Numb
Fee $ 1 1
... _ Check at onvrrtpl 1
Inspector Signature of Permit Approval
'AA 1" 71 7T / Of![•TA 417.7 0 • 7T TTA7 / I A /AA
j. .
S'
s.
u.
EIVED
•
SLP 15%t
Commonwealth of Massachusetts
eon .". oeo City Of Northampton
Date: S et 15, a o f l Shee et l Permit Permit
Estimated Joh Cost: $ Permit Fee: $
Plans Submitted: YES NO X Piano Reviewed: v +'-S NO
Business license # _ Applicant License # C� (� Q 5 A
Busing Info uiioii: Property Owner / Job Location Infonnation:
Name: EwS plurnb(n j 4 Name: , e S..
Street: 33') Mau) Si-. Street: a 1 1 0.► n St.
Cit in d 0Sf1 n City/Town: Nor +0,l7Lp1tSf')
Telephone: / 3 -a(p7— Q 9 83 Telephone:
Photo I.D. required / Copy of Photo I.D. attached: YES ✓. NO •
Staff initial
-1 ! restricted license
=2 1M-2-restricted to dwellings 3- stories o iris and commercial up to 10,000 sq. ft. 1 2-stories or less
Residential: 1-2 faniiI Multi-family Condo / Townhouses Other
Commercial: Office Retail X
l In VVial Educational.
Institutional Other
Square Footage: under 10,000 sq. ft. 'K over 10,000 sq_ ft. Number of Stories: 02
Sheet metal work to be completed: New Work: Renovation:
HVAC X Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney / Vents Air Balancing •
Pr vide de led description of work to be done:
'W I — Ve, LAIN)
((AAA. U
with ��� i, Qo jy es n R t� �g�n � � i r jobs th c. a,..., Permit $3 nn $1000
�11 -Building �Gi1�71. �yV�.17V Residential, $50.00 1/17111L1�.1i. fees for jV1J� Vs1u1C7t�i a uli�talil� 1 �ilrl� ill qN �vll per N 1171717
minimum iilm fees for jobs wiiflaiit iiik ni a nrit ta0.00 Residential, MOM Commercial
File # SM- 2012 -0008 .
APPLICANT /CONTACT PERSON EWS PLUMBING & HEATING
ADDRESS/PHONE 339 MAIN ST (413) 267 -8983 ()
PROPERTY LOCATION 213 MAIN ST
MAP 31D PARCEL 135 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /300'2 # 5
Fee Paid u 7)
Typeof Construction: INSTALL HRV IN BASEMENT FOR NEW DAY SPA
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 391
3 sets of Plans / Plot Plan
THE FOLLO CTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ION 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
' - . —.. Street Co 'ssion _ Permit DPW Storm Water Management
/ 7A, -
Signature of gifilding 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.