31A-243 (5) 65 KENSINGTON AVE SM-2016-0042
COMMONWEALTH OF MASSACHUSETTS
iCITY OF NORTHAMPTON
GIS#: 5851
Map: 31A J,
—— --
B 110
243
Lot: 001 , SHEETMETAL PERMIT
Lot:::.. ...001 .,.
.f ,
Permit: SHEETMETAL 111
Category: SHEETMETAL
Permit# SM-2016-0042 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-002148
lEst.Cost: $52,200:00 Contractor: License: Expires:
Fee Charged:$25.00 ORCHARD VALLEY H&C Sheetmetal-5302 04/28/2014
Balance Due:$.00 Owner: WEINSENFREUND ANAT
r --- ----- -- --
#of Fixtures Applicant: ORCHARD VALLEY H&C
DigSafe# --,----AT. 65 KENSINGTON AVE
UseGroup
iConstClass
ISSUED ON. 10-May-2016 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.
REPLACE STEAM HEATING SYS W/WARM AIR
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2016-006544 10-May-16 4152 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS®2016 Des Lauriers Municipal Solutions,Inc.
File# SM-2016-0042
APPLICANT/CONTACT PERSON ORCHARD VALLEY H&C
ADDRESS/PHONE 29 RATTLE HILL RD (413)527-5812'
PROPERTY LOCATION 65 KENSINGTON AVE
MAP 3 1 A PARCEL 243 001 ZONE URB(l00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid At 11L)ol- DoLb
Buildinc Permit Filled out
Fee Paid
Typeof Construction: REPLACE STEAM HEATING SYS W/WARM AIR
New Construction
Non Structural interior renovations
Addition to Existinp-
Accessory Structure
Buildine Plans Included:
Owner/Statement or License 5302
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
P mit fr m m Street Commission Permit DPW Storm Water Management
Signature of Building Offi Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of?Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning&Development for more information.
Commonwealth of Massachusetts
City Of Northampton
Sheet Metal Permit ...
Dat : _ d
L tl, Permit# S/7
ated Job Cost: $ Sri , 2®O Permit Fee: $ 61"41 loqb'
P - Submitted: YES NO Plans Reviewed: YES NO
20
C l-4 1 0 CL
l B 7i 2 ess License # 0 2 Applicant License # 5- 302-
In
- 302-
In ss Information: Property Owner/Job Location Information:
me: 0ycVp J �C�'1�y i.(,�i�+ ( Ll,� Name: o0 Geer seh r,�ec t I7
Street: 2-6A OW '�9p Street: 14k V, s 6-"
City/Town: po A City/Town: A),,v1- n 1720
Telephone: C(S3 _S_�\7 S-T, Telephone: CA 17 '5 3 3 f 1
Photo I.D. required/ Copy of Photo I.D. attached: YES NO
Staff Initial
J-1 /2_64�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 L,/- Multi-family Condo /Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. 1_ over 10,000 sq. ft. Number of Stories: 3
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:: /
In Mp✓Q S 1-
pa'w, 5 S I<' \ aGi C =I �c-�1i (p,nvt'°1 �t^'yrr-P
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liabilitlt insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes e1 No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Ell" Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee dncc not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waive this requirement.
Check One Only
Owner ❑ Agent ❑
,.,ji nature of Owner or Owner's Agent
By checking this boxE1, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
ProsareSS inSpeCtinrnc
Date Comments
Final Tn4yeCtinn
Date Comments
Type of License:
By 1!1 aster --
Title ❑ Master-Restricted
City/Town ❑Journeyperson
Signature of Licensee
Permit#
❑Journeyperson-Restricted 5-,? Z
License Number:
Fee$
Check at www macs nlnv/rir
Inspector Signature of Permit Approval