36-114 (7) 199 BROOKSIDE CIR SM-2022-0006
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 7195
Map: 36
Block: 114 # � ` SHEETMETAL PERMIT
Lot: OO l 44-
Permit: SHEETMETAL rfRNTiro`�9
Category: SHEETMETAL
Permit# SM-2022-0006 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002303
Est.Cost: $3,000.00 Contractor: License: Expires:
Fee Charged:$50.00 GENERAL MECHANICAL CONTR Sheetmetal- 1062 02/28/2022
Balance Due:$.00 Owner: COMMUNITY ACTION
#of Fixtures: Applicant: GENERAL MECHANICAL CONTRACTORS INC
DigSafe# I AT: 199 BROOKSIDE CIR
UseGroup
ConstClass
ISSUED ON: 04-Aug-2021 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HVAC DUCTWORK IN BASEMENT
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
w 3-1
1
16
Signature r 6 _52
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2022-000377 03-Aug-21 4935 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Emailahasbrouck a northamptonma.gov
GeoTMS®2021 Des Lauriers Municipal Solutions,Inc.
3C. \to
Commonwealth of Massachusetts
City Of orthampton
Date: 1 J Q1 •
Sh •et '^• ' •rmit Permit# 5/13" ap
Estimated Job Cost: $ 3 000.00 4(/6, v ` '.rmit Fee: $60.00
Plans Submitted: YES NO otio c74lans ' evie• ed: YES NO
Sly?
Business License# 146 441
"104Q, • 5•lica • Lice•se# 1062
Business Information: : :eli 0 - ner/Job Location Information:
Name: General Mechanical Contractors Name: rin Stathis
Street: 29A Sword Street Street: 199 Brookside Circle
City/Town: Auburn, MA 01501 City/Town: Northampton, MA
Telephone: 508-754-7366 Telephone: 413-219-5197
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-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: 1-2 family X Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. X over 10,000 sq. ft. Number of Stories: 1
Sheet metal work to be completed: New Work: Renovation: )(
HVAC X Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
Install 2 tons of HVAC ductwork in the basement.
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes® No ❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ® Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee rinac not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waivpsthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Progress Iri p 'etinns
Crate Fnt7it71PItt s
Final Inspection
Jute Comments
Type of License:
By ® Master
Title ❑ Master-Restricted
City/Town ❑Journeyperson
Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number: 1062
Fee$ ❑
Check at www macs rgnv/ripl
# PI I &yip!
Inspector Signature of Permit Approval
c •MM NWEALTH OF MARSACHUSETTS
DIVISION OF PROFESSIONAL LICENSURE
BOARD OF
SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE
MASTER-UNRESTRICTED
EMERSON W WHEELER III ram'
262 PLEASANT ST ���..T
PAXTON,MA 01612-1408 ^fir
1062 02/2812022 792863 �'
® Y1 GLB72:11:
399564
1
CONTROL# v t_ .I_
IMPORTANT
If your license is lost,damaged or destroyed;is inaccurate;or
needs to be corrected,visit our web site me mess.gRenewov/dpI for
Instructions to ensure the proper mailing ofyour
Application and any other correspondence.
This license Is subject to Massachusetts General Laws and
regulations.Your license is a privilege,and cannot be lent or
license
on youned to r personnorrpostedunder as required by law andof law. /or
this
regulations.
Fold,Then Detach Along All Perforations
OMMONWEALTHESFSIIVOANAL
O CHSTTDIVISION OF PROF LICENSURE
BOARD OF
SHEET:METAL WORKERS
ISSUES THE FOLLOWING LICENSE
BUSINESS • C
DAVID P TOMASINO
GENERAL MECHANICAL CONTRACTORS INC 4
29 SWORDiS:MEET
AUBURN,MA 01501
146 1.2//07/2022 985057
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
• i
Fold,Then Detach Along All Perforations
CONTROL # U61564412
IMPORTANT
If your license is lost,damaged or destroyed;is inaccurate;or
needs to be corrected,visit our web site at mass.gov/dpl for
instructions to ensure the proper mailing of your Renewal
Application and any other correspondence.
This license is subject to Massachusetts General Laws and
regulations.Your license is
entity sunder penalty of,
cannot
law.IKeeprthis
o
assignedto any person or
license on your person or posted as required by law and/or
regulations.
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