31B-179 (18) ICI
F. Commonwealth of Massachusetts
City Of Northampton
DEi, - ;}ni5
ate: i o 5 Sheet Metal Permit Permit# �f�_l�� 3
DEPT.Cr&•J!LLii '3 irJSr ECTiONS /
NOR? AF `" 4 N. 0110
-4 43` v Permit Fee: $
Plans Submitted: YES NO ," Plans Reviewed: YES NO
Business License# 1 l a Applicant License# a(01
Business Information: Property Owner/Job Location Information:
Name: M.S. (1no(kon T f nC.. Name: �j�,�;Th rnttegf CQeA YIJ1�X
Street:—L4 Sovith Mo.�n S tree t Street:
City/Town: Vi WAC\CA QV kl f- C0 q City/Town:_ /`,1�^y rx� •P�(�v�
Telephone: y 13- 0110�S- +a 5 I Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1 restricted 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 V/
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: +/
RVAC ✓ Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done: ��^^
TA$'TG \k OA 6A cVckk i
Ck-A E RV jy S Te-m
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
File# SM-2016-0023
APPLICANT/CONTACT PERSON M J MORAN
ADDRESS/PHONE P O BOX 278 (413)268-7251
PROPERTY LOCATION CAPEN HOUSE ANNEX-25A HENSHAW AVE
MAP 3 1 B PARCEL 179 001 ZONE URC(100)/EIJ(92)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
BL ldin--) Permit Filled out
Fee Paid
Typeof Construction: INSTALL DUCT SYS FOR ERV SYS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildin« Plans Included:
Owner/ Statement or License 267
3 sets of Plans/Plot Plan
THE FOJLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
m Elm St om ion Permit DPW Storm Water Management
S ure of ui 1111 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.
CAPEN HOUSE ANNEX - 25A HENSHAW AVE SM-2016-0023
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
IGIS#: i9518
Map: 31B
(Block: -179
SHEETMETAL PERMIT
001
Permit: SHEETMETAL - '
Cate-ory: SHEETMETAL
Permit# sM 201 -0023 PERMISSIONIS HEREBY GRANTED TO:
Project# JS-2016-001037
,Est.Cost: $7,880.00 Contractor: License: Expires:
Fee Charged:$50.00 M J MORAN Sheetmetal-267 05/01/2014
Balance Due:$.00 !Owner: SMITH COLLEGE OFFICE OF THE TREASURER
01'l MUMS Applicant: M J MORAN
Di-Sate # AT: CAPEN HOUSE ANNEX-25A HENSHAW AVE
,
UseGroup �
—
ConstClass
ISSUED ON: 02-Dec-2015 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INS"I ALL DUCT SYS FOR ERV SYS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fcc'1'�pe: Receipt No: Date Paid: Check No: Amount:
5hccune�al REC-2016-002524 01-Dec-15 20321 $50.00
212 Hain Street,Phonc(413)587-1240,Fax:(413)587-1272,Email:lhasbroucI06t northamptonma.gov
GeoTMSU+ 2015 Des Lauriers Municipal Solutions,Inc.