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42-182 (3) 133 GLENDALE RD SM-2019-0022 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 12206 Map. 42 BlockLov . ' SHEETMETAL PERMIT Permit SHEETMETAL' Category; New Single Family House Permit# SM-2019-0022 PERMISSION IS HEREBY GRANTED TO. Project# JS-2019-000341 Est,Cost,: j7,500.00 Contractor. License: Expires: Fee Charged:$25.00 M J MORAN Sheetmetal-267 10/28/2019 Balance Due:$.00 Owner: PIONEER VALLEY HABITAT FOR HUMANITY of Fixtures: Applicant: M J MORAN DigSafe AT. 133 GLENDALE RD UseGroup ConstClass ISSUED ON. 18-Oct-2018 AMENDED ON. EXPIRES ON.- TO N.TO PERFORM THE FOLLOWING WORK: ERV SYSTEM INSTALLED AND BALANCED TO ASHRAE 62.2 FOR VENT 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-2019-001336 16-Oct-18 26377 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck(gnorthamptooma.gov GeoTMS®2018 Des Lauriers Municipal Solutions,Inc. File#SM-2019-0022 APPLICANT/CONTACT PERSON M J MORAN ADDRESS/PHONE P O BOX 278 (413)268-7251 PROPERTY LOCATION 133 GLENDALE RD MAP 42 PARCEL 182 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOS REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ERV SYSTEM INSTALLED AND ANCED TO ASHRAE 62.2 FOR VENT New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 267 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INMATION PRESENTED: INFO 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 Permit from Elm Street Commission Permit DPW Storm Water Management I r a1i 7 A4i Signature of Building 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 City Of Northampton Date: —10�1 Sheet Metal Permit permit# Estimated Job Cost: $ © � Permit Fee: $ d�S �RC 377 Plans Submitted: YES NO Plans Reviewed: nnYES ry NO Business License# Applicant License# pCi Business Information: Property Owner/Job Location Information: .-�- A �/ _ Name: /41.,-), /YI�rG�1't 1/� C • Name: P 6 •t X61` t64i' 2r y Street: V f0�4A 1"a,kI ft Street: 3 C,t end-a/e City/Town: WCIMAnd, Z 44 City/Town; Alo4rX44VtdK Telephone: L (_ ��,Q— IDS 1 Telephone: 4.13 --S-16 5- Photo I.D.required/Copy of Photo I.D. attached: YES NO Stafflnifial J-1 /Ounrestricted license RECEIVE-E J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10.,000 sq. . /21'stories or less ` I OCT 1 5 ?018 Residential: 1-2 family Multi-family Condo /Townhouses O + r DEPT.OF BUILDING,iNSPFCTIONS Commercial: Office Retail Industrial Educational NORTHAMPTON.MA 01060 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 A:45 _1 Renovation: HVAC- Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: EKVWto t�z led a � C t� T Fees with Building Permit: 5.00 idential,$50.00 Commercial.Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees or jobs without Building Permit$50.00 Residential,$100.00 Commercial IRISPji4.AICE COVERAGE. I have a.current lfabili insurance policy or its equivalent which meets the requirements of M.G.L.Ch.192 Yes m Mo❑ you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee dont nnt hnA the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application—htpthis requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this bo I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prion to insulation installation:YES NO 1pm.�,�n-Rce Attn��p�finrnna� Date commemtc l+�iriall lfn��rfinn Date Comments Type of license: BY Master Title Master-Restricted City/Town EJourne ero YPsn_. Signature-of Licensee Permit# ❑J �,67 ourneyperson-Restricted License Number' Fee$ Check at maw moss-gayMa vector Signature of Permit Approval i