17C-223 SM-2023-001 4
90 MAPLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-223-001 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-2023-0014 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 90 MAPLE ST RENO Contractor: License:
Est. Cost: PAWEL TABOR
Const.Class: Exp.Date:
Use Group: Owner: LLC BLUE MOUNTAIN PROPERTIES,
Lot Size (sq.ft.)
Zoning: GB Applicant: PAWEL TABOR DBA TABOR HEATING&COOLING
Applicant Address Phone: Insurance:
3 CROW HILL RD (413)563-0389 WCB30293
MONSON, MA 01057
ISSUED ON: 04/03/2023
TO PERFORM THE FOLLOWING WORK:
UNIT#90 -INSTALL BATH FAN VENT
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:
sS 7-1'0
Fees Paid: $50.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commiss ner
Commonwealth of Massachusetts
Sheet Metal Permit
Date: ° 3 /3(/ Permit# Y4-ZO2-3- O0l4-
o�.
Estimated Job Cost: $ l/5-0 e) Permit Fee: $ st) Cift f23 i(
Planstubmitted: YES NO Plans Reviewed: YES NO
Business License# 6 .2--c--/ Applicant License#
Business Information: Property Owner/Job Location Information:Pc-A- /
Name: � e- ( a d r Name:
Street: t-0�; k( I Street: C/ /1'1.-q pe-
City/Town: /4 0/1 S C� rl City/Town: HO (NeAce__
Telephone(-f 1 ) $ 3 Telephone:
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 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:
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 El 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
Owner !g Agent ❑
Signature of Owner or Owner's Agent
By checking this bowl 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: Z't
By Master Title Master-Restricted {� �I/
City/Town
❑Journeyperson Signature of Licensee
Permit#
❑Journeyperson Restricted License Number:
Fee$
❑ Check at www.mass.aovidpl
3 3/ Zo23
Inspector Signature of Permit Approval