23D-149 (10) 127 - 129 HINCKLEY ST - BLDG 4 SM-2017-0052
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: .3305 soa="n-•>v .
Map: 23D
Block lagSHEETMETAL PERMIT
Lor 001 "> -�
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM-2017-0052 PERMISSION IS HEREBY GRANTED TO:
Project# 7S-2017-000750
___-- _ Contractor: License:
Est.Cost: .$a,000.00 Expires:
$50.00
----__----ALL SEASONS HEATING AIR Sheetmetal- 129
Fee Charged:
Balance Due:$n0 Owner: FRIEDDMAN THOMAS
#of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe# AT: 127- 129 HINCKLEY ST-BLDG 4
UseGroup
ConstClass
ISSUED ON: 20-Apr-2017 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALLATION OF DUCTED ERV-KITCHEN HOOD EXHAUST-DRYER EXHAUST
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 RECJ017-005599 I8-Apr-17 2173 $50.00
212 Main Street,Phone:(413)587-1240.Fax:(413)587-1272,Email:Ihasbrouck.'dmorthamptonma.gov
GeoTMSA.2017 Des Landers Municipal Solutions,Inc.
Fite k SM-2017-0052
APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST (413)247-9542
PROPERTY LOCATION 127- 129 HINCKLEY ST-BLDG 4
MAP 23D PARCEL 149 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee PaidO
Buildin,w Permit Filled out Mar
Fee Pd. WNW
Tvpeof Construction: INSTALLATIO 7.1r*CITED ERV-KITCHEN HOOD EXHAUST-DRYER
EXHAUST
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 129
3 sets of Plans/Plot Plan
THE FOLLOWING 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: §_
FindingSpecial 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
Pe n' - . r, .1,eeeet/Commis ion Permit DPW Sttoorrm WaterteManagement{
Signature o :uilding, 0 flic al 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.
Commonwealth of Massachusetts
City Of Northampton
Date: 4-1%-t7 Sheet Metal Permit Permit#
00 fi
Estimated Job Cost: S 1 of Peace cswAs Permit Fee: $ SO (=t_ 2/7r'
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# \?SI Applicant License# \aQ
Business Information: Property Owner/Job Location Information:
Name: R\l saw-, Qt,#'AK Name: pt>�eC1 tAA ..1 W?- 1>y
Street: Cla E\v^ Skt-#13 Street:Ari-1 ag \;.I\il.A S' .
City/Town: 1\t Cd.0 City/Town: F1oC9ssc.Q
Telephone: 413-aIn-4%9a Telephone: 41;•5ciIn-AACtil
Photo 1.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1112D 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. over 10,000 sq. ft. _ Number of Stories: 1
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:1 ` - `\ ,y
SJtA\�tit 10u O4 Dcc*cy Er�"V- VI:‘-diev d Q1( Ij1 O
• axlcost
Fees with Building Permit:$25.00 Residential, $50.00 Commercial. Fees for jobs without a Budding Permit$6.00 per$1000
Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial
INSURANCE COVERAGE:
I have a current tlahauy insurance policy or Its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑
If you have checked Vas,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy YI Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee start nett have the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application,waluasthis requirement.
Check One Only
Owner 0 Agent 0
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and information i have submitted for entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit issued for this application will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES NO
prngrnts Incpnetlage
Date romrirntS
g:rnt tntenctina
Mae Cpmmruts
Type of License:
Ti 0 Master
Title 0 Master-RestrictedGtyfmwi ❑Journeyperson
ign re of licensee
Permit#
❑Journeypemon-Restricted License Number: I a.Q
Fee$ ❑
Check at www mac*Qnvtdp(
Inspector Signature of Permit Approval