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17A-243 (2) SM-2022-0014 76 LAKE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-243-00I CITY OF NORTHAMPTON Permit: Sheet Metal PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # SM-2022-0014 PERMISSIONISHEREBYGRANTED TO: Project# 2022 WATER HEATER Contractor: License: EXPRESS PLUMBING HEATING & Est. Cost: 8000 SOLAR SERVICES LLC Const.Class: Exp.Date: PARRISH, MELISSA NOHELANI & BO TORLEIF Use Group: Owner: PERSSON Lot Size (sq.ft.) EXPRESS PLUMBING HEATING & SOLAR Zoning: URB Applicant: SERVICES LLC Applicant Address Phone: insurance: 131 PROSPECT ST (413)626-3862 HATFIELD, MA 01038 ISSUED ON:05/26/2022 TO PERFORM THE FOLLOWING WORK: HVAC FOR FURNACE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I g if 0.1 • . i • Fees Paid: $50.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner _- (771 CO pgOIOVW'NOldWVH1dON�3° } sNoLso3dsNi'"`d11" 0 1 • Commonwealth of Massachusetts 7:1 City Of Northampton � ZZOZ 5 , ___mat Sheet Metal Permit Permit# `Si"— a�...i CI ` Estimated Job Cost: $ Permit Fee: $ 50 Plans Submitted: YES NO Plans Reviewed: YES NO X" Business License# 3&7 S- Applicant License# 3 c ,c/ Business Information: Property Owner/Job Location Information: {i Name: �/1. t-L�S Q4 V h1 h vS Name: IG I t e� P���ri Street: \3 _____ it' Street: 1 to L.ti k Set— City/Town: \4-04 1 d / City/Town: t----t di e✓t C e i'- Telephone: -1,'73-- (ha,&- ? &0) Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO ((( Staff Initial J-1 -1-unrestricted livens_e 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: 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: gilt( Svc il CA it'' t 6,1 --eA Ou e---u\)(7t\ k 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,$100.00 Commercial ' �t INSURANCE COVERAGE: I have a current liahllity insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yeslo❑ If you have checked Yas, indicate the type of coverage by checking the appropriate box below: A liability insurance policy 7G Other type of indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee rinn%nnt hava the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waivpsthis requirement. Check One Only Owner 0 Agent 0 Signature of Owner or Owner's Agent By checking this boxD,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO prngrocs Incrvct arts Date Comments Final Inspection Date Comments. Type of License: ?<Master By Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted S�� Fee$ License Number: Check at www macc goy/nip( , 1310 , Sle2 tr(2- -• Inspector Signature of Permit Approval MASSACHUSETTS DRIVER'S LICENSE ' SEER . Ir . 1011012019 78881938 ‘‘ ,'� ° 11112024 ' 10/11/1974 - a--*cast, ,.REST 4+910 >e rP s r 0: NONE NONE WENGGLOWSKI ,„y., MARK ANTHONY . 131 PROSPECT ST �� ,fix.. HATFIELD,MA 01038.9741 EVES BLU SEX M 1r RT 5,2� IF 10/11/74 DO 10/11/20t9 19 Rev 02/22/2016