31A-331 (9) 97 VERNON ST SM-2017-0019
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 12174 P'.,�
Map: '131A
Block: 1oo; SHEETMETAL PERMIT
- _ (ticOs
Permit (SHEETMETAL _.. ha - ..#11
NE
Category: (SHEETMETAL
Penult# sM-2017-0019 _...- PERMISSION IS HEREBY GRANTED TO:
Project JS-2017-000357
Expires:
License: Ex
Esc Cost. �$15 000 00 Contractor: P
-- J— _- -
Fee Charged:$50.00 EWS PLUMBING&HEATING Sheetmetal-391 05/12/2017
Balance Due:$.00 iOwner: BERCUME CONSTRUCTION LLC
#of Fixtures Applicant: EWS PLUMBING&HEATING
DigSafe# AT: 97 VERNON ST
UseGroup I_-___.. -
ConstClass _ -
ISSUED ON: 07-Oct-2016 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALLATION OF A DUCTED HVAC SYSTEM FOR A NEW HOUSE
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-2017-001385 06-Oct-16 18227 $5000
212 Main Street,Phone:1413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck®northamptonma.gov
GeoTMST®2016 Des Lauriers Municipal Solutions,Inc.
File#SM-2017-0019
APPLICANT/CONTACT PERSON EWS PLUMBING&HEATING
ADDRESS/PHONE 339 MAIN ST (413)267-8983 0
PROPERTY LOCATION 97 VERNON ST
MAP 3IA PARCEL 331 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
yy C�1
Fee Paid //(
Building Permit Filled out N7" (�
Fee Paid
Tvpeof Construction: INSTALLATION OF A DUCTED HVAC SYSTEM FOR A NEW HOUSE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 391
3 sets of Plans/Plot Plan
THE FOLLO ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOR ION PRESENTED:
pproved 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
Im Street Commissio Permit DPW Storm Water Managementange
lure of Builnn_ Official 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 F T';;=_ t;-D
City Of Northampton
OCT - 5 2016
Date: Io/41/2c/1 Sheet Metal Permit
Permit.#
Estimated Job Cost: $ Permit Fee: $ 50 V
Plans Submitted: YES_ NO_ Plans Reviewed: YES NO_
Business License# '9/ Applicant License # 85.t^i55 _
Business Information: Property Owner/Job Location Information:
Name: acs Ii.rrn4,1 it liecz y Name: Rogan' JY6c//Ocl)�
Street: 139 PJ>z,rt 51 l Street: 97 Ver am 51
City/Town: /1/7GIa3an City/Town: /Nall atvirlan
Telephone: {/L3-247- S'733 Telephone: 913- 37y- 3-050
Photo I.D. required/Copy of Photo I.D. attached: YES V NO_
Star Initial
J-I /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 V Multi-family Condo/Townhouses_ Other_
Commercial: Office Retail Industrial Educational
InstitutionalalOther
_
Square Footage: under 10,000 sq. ft. .y over 10,000 sq. ft. _ Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC V Metal Watershed Roofing_ Kitchen Exhaust System_,,,,__
Metal Chimney/Vents_ Air Balancing
Provide detailed description of work to be done:
TrrSicz//afi0n of _a dock' NOK sy.i . F '�rzia „•. •g - —
, v . . . 44 l
(Ah61c iJS J Mttnu&/ J Jo /2 //OGII Ct7 1 DIVISISI OF PROFESSIONAL LICENSURE i
� i;� ate”
AHached: 5%rre7 Me/cd /,ccrt�e/di,i�c43- ,' ll ,.•., , rn
Fees with Building Permit$25.00 Residential, $60.00 Commercial Fees Ili '` a ' `'.. Pi`
Minimum fees for jobs without Building Permit$50.00 RE ^t= ll
Par
,
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.1 12 Yes LW No❑
If you have checked Yes,indicate a type of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee dnra not haus the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application.waivesthis requirement.
Check One Only
Owner 0 Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES NO
prngrnce incprrtinnc
Date Pnmmentq
Finn' insprrrion
Date Pnmments
Typ- •f License:
By It Master /�j jj
Title 0 Master-Restricted t rr�Cic _�i �1(;?„f� •
City/Town •
❑Journeyperson Signature of Licensee
Permit#
❑Iourneyeerson-Restricted
Pea$
License Number: Yid/ •
..— Check at www mase gombipl
Inspector Signature of Permit Approval