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38B-272 (4) File#SM-20I5-0022 l APPLICANT/CONTACT PERSON VALLEE HEATING&AIR CONDITIONING INC ADDRESS/PHONF.P O 80X525 (413)5894654 PROPERTY LOCATION 250 SOUTH ST MAP 3$B PARCEL 272 001 ZONE URB(IOOj/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 13/jD t50 (Q Fee Paid (pi TweVf Construction: 2 AIR HANDLERS, SUPPLY&RE'LI{!IN DUCT WORK FOR I ST,2ND,3RDd'FLOQFY BASMENT ( Ski/ t1l New construction 8S1 / Aon Su-annual interior renovations Addition to Existing l'Accessory Structure Building Plans Included: Owner/Statement or License 9882 I? i 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: pprnved `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 Prom CB Architecture Committee '-Trot E Street Permit DPW Storm Water Management te I.2 - ,Ir _ :ore of. n • -i. a'i ': Date Note: Issuance Ma 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. r Commonwealth of Massachusetts j EI 5 20i4 i City Of Northampton I t/ii/ Sheet Metal Permit Permit i{ e�1�l`) -or�I —Date`s J/:-{/ 01 Estimated Job Cost: $ / Sr OCb, on/ Permit Fee: $ 00-- /3E° Plans Submitted: YES NO �/ Plans Reviewed: YES NO Business License # , 7=1 Q Applicant License# 9� ,j. Business Information: 1 J� Property Owner/ lob Location9Information: Name: JAI/As 4O'it r....../1/L Name: 47,511( ,//Icgvcc Street: 19, /47r,/26.-4 S t Street: • O i014 7- City/Town: Lockw / /Zsji 0/0 fl City/Town: fir]/I�an Telephone: 9/3 ' _18.9 - 76 59( Telephone: of/3 - $79 - kSo y Photo I.D. required/Copy of Photo ID. attached: YES NO Staff Initial - 0MM-1-unrestricted lice e J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft / 2-stories or less we Residential: 1-2 family C 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 X Metal Watershed Roofing Kitchen Exhaust System __ Metal Chimney/Vents Air Balancing Provide B d©etailed�description of work to be done: e C? A.%...1L : 4,P, (yr sv/c/i no r tv.,, T1t'c - kit,/ A for- /St mort 3:at/o ,-, 5//r,� rr,y(,7/ Fees with Building Permit:$25.00 Residential, $50.00 Commercial. rees for jobs vithoul a Building Permit$5.00 per$1000 Minimum lees for jobs without Building Permit$50.00 Residential, $100.00 Commercial INSURANCE COVERAGE: I have a current liability Insurance policy or its equivalent which meets the requirements o€M.G L.Ch.112 Yes0 No D If you have checked Vim,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee XiCIPq nnt have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application.wabresthis requirement. Check One Only Owner 0 Agent ❑ Signature of Owner or Owner's Agent By checking this box°,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO prngrecc'fncrpctinnt Hate Cammests Final 1nerertin Date f'nmmentc Type of License: By 0 Master Title0 Master-Restricted City/mwn DJourneyperson Signature of Licensee Permit# —' aJourneyperson-Restricted A��� Fee$ License Number: a Check at www marc gnvtdN inspector Signature of Permit Approval