16B-001 (6) 33 MARK WARNER - 20 BRIDGE RD SM-2017-0056
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 11995
Map: 16B _ NL Ilp
Block °°' SHEETMETAL PERMIT
Lot: 001 ♦ s :
Permit SHEETMETAL
Category: SHEETMETAL
Permit# SM-2017-0056 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002059
Est.Cost: $645.00 ---- Contractor: License: Expires:
Fee Charged:$25.00 ALL SEASONS HEATING AIR Sheetmetal- 129
Balance Due:$.00 Owner: DINNER JOSEPH
#of Fixtures: Applicant ALL SEASONS HEATING AIR
DigSafe# AT: 33 MARK WARNER-20 BRIDGE RD
UseGroup
�ConstClass -. ----. .
ISSUED ON: 05-May-2017 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALL 2 SUPPLY BRANCH DUCTS AND ONE RETURN BRANCH DUCT FOR ROOM BEING FINISHED ABOVE
GARAGE
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-2017-006123 05-May-17 2213 $2500
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbroucklal@northamptonme.gov
GeoTMSi 2017 Des Lauriers Municipal Solutions,Inc.
File#SM-2017-0056
APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST (413)247-9842
PROPERTY LOCATION 33 MARK WARNER-20 BRIDGE RD
MAP 16B PARCEL 001 001 ZONE SR/URA/WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
OSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
in
Building Permit Filled out 4
Fee Paid
Typeof Construction: INSTALL 2 SUPPLY B' • I iV TS AND ONE RETURN BRANCH DUCT FOR
ROOM BEING FINISHED ABOVE GARAGE
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
INFOJiAtATION 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 Street fission Permit DPW Storm Water Management
) _
Signature of Building 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.
Commonwealth of Massachusetts
L
City Of Northampton
— Date: -5--17 Sheet Metal Permit Permit# Syn -17- 6-0
Estimated Job Cost: $ �91JS' Permit Fee: $ 3Gc.Waw'
Plans Submitted: YES NO T Plans Reviewed: YES NO
Business License# Yat Applicant License# 1 c( 2409
Business Information: Property Owner/Job Location Information:
Name: 1 % uS 04 P: t Name: Ps* ¶\ Nvcc
Street: -`3 F- v-� Sttr-€}� Street: 32 &%.c \VA 4. 5N.A't°>
City/Town: '\P ��ni�! iAC \ Th City/Town: %tt} ,�ao,s, M A O)DL U
Telephone: j 13-at-p-7 S 4 -. Telephone: MI 7.,-- — 70- 419
Photo 1.D. required/Copy of Photo I.D. attached: YES NO
Stan Initial
restricted license
J-1�
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 54.. Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. b( 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:
s i% e1) a Si t,pl , �:�tiAn t,_rcA axsi Or'-
\Sckut i t I5Z)v Ito( I lour-, be,N y c;),::‘.916Y9
Norct, GcAcc•602 _ nV
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yesk No❑
If you have checked Yes, Indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee dcws..raothame the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application.walues this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxD,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
prngrece Invert-inns.
Lime rnmments
Final Incirertinp
Date rnmments
Type of License:
By ❑Master
Tine ElMaster-Restricted
City/Town ❑Jou me
ypereO° Signature f Licensee
Permit#
❑Joumeyperson-Restricted ' ,(�
Fee$ License Number: P-1
Check at www mase gnvidd
Inspector Signature of Permit Approval