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