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18D-066 (2) 26 NORTH KING ST SM-2021-0032 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 11613 oat HA4 Map: 18D .,' Block: 066 : r SHEETMETAL PERMIT Lot: 002 a,,, a r fR 4 Permit: SHEETMETAL Category: SHEETMETAL Permit# SM 2021 0032 PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-001486 Est.Cost: $41,600.00 Contractor: License: Expires: Fee Charged:$50.00 BOULANGER'S PLBG&HTG Master-M9954 05/01/2022 Balance Due:$.00 Owner: WILLIAM BEETZ #of Fixtures: Applicant: BOULANGER'S PLBG&HTG DigSafe# A T: 26 NORTH KING ST UseGroup ConstC lass ISSUED ON: I7-Mar-2021 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: HVAC AIR BALANCING THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I g Signatur ! Fee Type: Receipt No: Uatc I'aid: Check No: Amount: Sheetmetal REC-2021-002775 I 1a1 21 30428 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck!Oorth:nnptonma.2oc GeoTMS®2021 Des Lauriers Municipal Solutions,Inc. -RECEIVED ' gor Commonwealth of Massachusetts MAR 1 6 2021 ' 1 t Sheet Metal Permit 1 Permit# �o�r+IAnr o,ueo a9 Estimated Job Cost: $ CO. ejA Permit Fee: $ Plans Submitted: YES ✓NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information:In� Name: W ishAm .f f ' li Name: 1/6Zck6 DISp6/►,.1 zi 10 Street: -5 i3 A41,,.03 54 Street: c96 N K City/Town: Ec tA,A.,p4-o.) City/Town: Aj(fdhAA--d-61J Telephone:(qi J 5 7 • 3o7LI 6 Telephone: Photo 1.D. required/Copy of Photo I.D. attached: YES NO Staff Initial 3-1 /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: l-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail V Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. t/over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC r/ Metal Watershed Roofing Kitchen Exhaust ystem Metal Chimney/Vents Air Balancing Provide detailed description of work to be done:✓Geld rrhigra ,Sh 6 pc,,A.-2 S any cb,A4- b 6 et. Sf4.5. 2,osrf-#f 9 o sy4,- Nk '? p INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes ❑ 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 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 "Z., ,,a4„.�� Owner ❑ Agent Signature of Own 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 Progress Inspections Date Comments Final Inspection Date Comments Type of License: By El Master Title ❑Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Jou rneyperson-Restricted License Number: Fee$ El Check at www.mass.gov/dpl ' Si I VA1 In ector Signature of Permit Approval