31C-028 (2) RICHIE'S AIR CONDITIONING & HEATING INC.
P.O. BOX 407 • 81 INDUSTRIAL LANE • AGAWAM, MA 01001
TELEPHONE (413) 789-1244
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INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 YeslNo❑
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy L7 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 box ,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true
9 9 PP 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 E Master
Title
❑ Master-Restricted
,i�
City/Town �
❑Journeyperson
Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number: Sli
Fee$
Check at www.mass.qov/dpi
Inspector Signature of Permit Approval
RECEIVED
JUL 2 2013 Commonwealth of Massachusetts
DEPT.OF BL'IL�dVU W51=
'EOTIUNS
Sheet Metal Permit
NORTHAMPTON,MA 01060
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Date: A i ) '3 Permit# c�
CA) Cg1C .
Estimated Job Cost: $ y Permit Fee: $ S . /j(
Plans Submitted: YES NO Plans Reviewed: YES NO tt
Business License # �,�3 Applicant License # 53 .
Business Information: Property Owner/Job Location Information:
Name: R‘t.'e S *-1 ir.%- • .• Name: P ettS Ctj -
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Street: g t L..R _ Street: A--,j g i`(1%22. Si"„
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City/Town: Krf% rn City/Town: KGitTIRfnf1btl
Telephone: Lill klin- 1.0-1-11-4 Telephone: 413 1 II.- titz
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Old FlLra 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. ir over 10,000 sq. ft. Number of Stories: Z.
Sheet metal work to be completed: New Work: I-, Renovation:
HVAC (" Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
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File#SM-2014-0002 �C
APPLICANT/CONTACT PERSON RICHIES AIR CONDITIONING&HEATING INC fit C `,
ADDRESS/PHONE P 0 BOX 407 (413)789-1244 0
PROPERTY LOCATION 120 MOSER ST-LOT A18 �2 G5
MAP 31C PARCEL 028 ZONE PV (/-(
THIS SECTION FOR OFFICIAL USE ONLY: ate
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �� /
Fee Paid
Typeof Construction: DUCT SYS FOR NEW SFH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 273
3 sets of Plans/Plot Plan
THE FOLL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN O ATION PRESENTED:
pproved 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
o P eet Co + *ssion Permit DPW Storm Water Management
Signature of Buil.ing t ficial 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.
120 MOSER ST - LOT A18 SM-2014-0002
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 12129
Map: 31C
Block: 028 - SHEETMETAL PERMIT
Lot: _ " 7:7 a
Permit: SHEETMETAL J£EN7ENP�Y\
Category: SHEETMETAL
Permit# sM-2014-0002 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2013-000840
Est.Cost: $6,000.00 Contractor: License: Expires:
Fee Charged:$25.00 RICHIES AIR CONDITIONING&FISheetmetal-273 03/15/2014
Balance Due:$.00 Owner: KENT PECOY&SONS CONSTRUCTION INC
#of Fixtures: Applicant: RICHIES AIR CONDITIONING&HEATING INC
DigSafe# AT: 120 MOSER ST-LOT A18
UseGroup
ConstClass
ISSUED ON: 26-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
DUCT SYS FOR NEW SFH
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2014-000298 22-Jul-13 16139 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.