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25C-091 (7) File#SM-2014-0065 APPLICANT/CONTACT PERSON POWERS AIR ADDRESS/PHONE 68 HAMILTON DR (413)539-7032 PROPERTY LOCATION 44 LINCOLN AVE MAP 25C PARCEL 091 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tyneof Construction: INSTALL DUCTWORK FOR SFH New Construction Non Structural interior renovations Addition to Existina Accessory Structure Building Plans Included: Owner/Statement or License 504 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR TION 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 Permit fr m Elm Street Corn ' sien Permit DPW Storm Water Management S re of Building O icial 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. 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 a 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 dnPs.not hay P the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application Walvesthis 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 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 �p�eSS 7nen,_,�rtinnw Date Comments Final Tncnnrtinn Datt:, commPuts Typ f License: By Master Title ❑Master-Restricted A Z zi City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted G License Number: Fee$ ❑ Check at- macs gnv�_I Inspector Signature of Permit Approval Commonwealth of Massachusetts City Of Northampton Date: C7 ' Sheet Metal Permit permit# 5 rn — ' / f AlEstimated Job Cost: 1 &da Permit Fee: $ &(O( � Plans Submitted: YES /'NO Plans Reviewed: YES NO Business License# Applicant License# Business ation: Property Owner/Job Location Information: Name: 1J f 2 Name: /i�/�/77- "'040 L f��y Of Street: Street: City/Town: �'✓'Q "/'� ���Jw City/Town: Telephone: / �' 9 7 32— Telephone: 7�� Photo I.D.required/Copy of Photo I.D.attached: YES NO Staff Initial J-16�hnrestricted 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 V Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq.ft. V 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: foe Fees with Building Permit:$25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial 44 LINCOLN AVE SM-2014-0065 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 4473 Map: 25C Lot: - -- 001 –— - -- — SHEETMETAL PERMIT Lot. 001 �..• P Permit: SHEETMETAL (Category: Permit# S_M-2014-0065 _ PERMISSION IS HEREBY GRANTED TO: [Provct# JS-2012-001938 _ !Est. Cost: $4,000.00 Contractor: License: Expires: Fee Charged;$25.00 POWERS AIR Sheetmetal-504 02/28/2016 Balance Due:$00 Owner: SPINK MICHAEL J&THUY T NGUYEN #of Fixtures Applicant: POWERS AIR DigSafe# AT: 44 LINCOLN AVE UseGroup FConstClass ISSUED ON: 06-Jun-2014 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: INSTALL DUCTWORK FOR 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-2014-007021 06-Jun-14 3616 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.