31A-179 (12) 19 WASHINGTON AVE SM-2020-0004
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: X5788
Map: �31 A
Block:- 179 SHEETMETAL PERMIT
Lot: 001
Permit: SHEETMETAL f � s
Category: JADDITION
Permit# sM-2020-0004 PERMISSION IS HEREBY GRANTED TO:
Project# j# JS-2019-002269
Pr
Est
$231500.00 Contractor. License: Expires:
Fee Charged:$25.00 ALL SEASONS HEATING AIR Sheetmetal- 129 04/28/2021
Balance Due:'$.00 Owner: SHASHOUA MICHAEL&ZOLL MIRIAM
#of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe# AT. 19 WASHINGTON AVE
UseGroup
ConstClass
ISSUED ON. 20-Aug-2019 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.-
REPLACE
ORK.REPLACE HVAC DUCTWORK IN OLD PART OF HOUSE AND NEW ADDITIONS
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 IZEC-2020-000554 20-Aug-19 3099 $25.00
212 Main Street,I'hone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov
GeoTMSO2019 Des Lauriers Municipal Solutions,Inc.
File#SM-2020-0004
APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST 1 (413)247-9842
PROPERTY LOCATION 19 WASHINGTON AVE
MAP 3 1 A PARCEL 179 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENC REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction:_REPLACE HVAC DUCTWORK IN OL RT OF HOUSE AND NEW ADDITIONS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 129
3 sets of Plans/Plot Plan!,
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTE :
Approved Additi al permits required(see below)
PLANNING BOARD P RMIT 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 PER IT 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
�-20-Zo�q
Sign re 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 moIe information.
Commonwealth of Massachusetts
60 a
1= City Of Northampton
� c
c Cl'
o Date: Cl
Sheet Metal Permit permit
D� ltima b Cost: $ 3 _-;oo . Permit Fee: $
rn
06 Plans itted: YES NO Plans Reviewed: YES NO
U)
Business L' ense# ) r Applicant License
Business Information: n Property Owner/Job Location Information:
Name: (A ` SP�ASbName: bU last - 7r) d uaJ
Street: °13 r 1, Street: \cj �.,,�s1„ �'�,�,, �v
City/Town: �tt�,IzAJ , NA Olb 3 City/Town: Nr r'tl, p�a r•
Telephone: Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Starr 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. X 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:
{ Pat+ r !a 1) SQ �q'q 10m,
RdA
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liar insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes, No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee rinPc not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waive this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
PrnarPcc.Ince tytinnc
Final IUPpeCtlnn
( nmmi�ntc
Type of License:
By ❑ Master C'
Title ❑ Master-Restricted
City/Town ❑Journeyperson
Signatur of Licensee
Permit# ❑Journeyperson-Restricted C I
Fee$
License Number: A
❑
Check at WWW macs gnv/rfpI
//Z
Inspector Signature of Permit Approval