44-140 264 OLD WILSON RI) SM-2021-0044
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map:I S#: 112243 .�aasH�MProtii
44
Block: '140 I r''te
Lot: 2 SHEETMETAL PERMIT
•
Permit: SHEETMETAL \TEp�ENp1i�
Category: SHEETMETAL
Permit# ISM-2021 0044 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-000987
Est.Cost: $40,000.00 Contractor: License: Expires:
Fee Charged:$50.00 1 LL SEASONS HEATING AIR Sheetmetal - 129 04/28/2021
Balance Due:'$.00 Owner: BROADBENT ERICSSON
#of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe# AT: 264 OLD WILSON RD
UseGroup
ConstClass
ISSUED ON: 11-May-2021 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HVAC
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signa •
Fee Type: Receipt No: Date Paid: Check No: kmount:
Sheetmetal REC-2021-003488 10-May-21 4112 `n,(
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck*northamptonma.gov
GeoTMS®2021 Des Lauriers Municipal Solutions,Inc.
Commonwealth of Massachusetts
MAY 1 0 2021 : City Of Northampton
---- -- Sheet Metal Permit Permit# -m_z y �
DEPT.OF sulLDIN-521— 7
NORTHAMPTON_"AA Ot Oho
Estimated Job Cost: $ 4)1'000 Permit Fee: $ 50,00
Plans Submitted: YES NO I Plans Reviewed: YES NO
Business License# l pool Applicant License# -q I4 a,.p I ge #
£F-o10c1 Crd91
Business Information: Property Owner/Job Location Information:
All gecw=onS
Name: 'I-{eQtina sfi AC Name: En Con g mac >�nl
Street: q3 EI m C+ Street: cS2C94 Qlrf (A)day) - dt
City/Town: liOtt-f to 1d, MA 0106R City/Town: MOrtharnp on, MA ()tau)
Telephone: 413•a-e} • 984 a Telephone: 413• e(o- 8&8-4
Photo 1.D. required/Copy of Photo 1.D. attached: YES NO
Staff Initial
J-1�nrestricted 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 i 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: oR
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:
S)t-Ol\a br) o Ell duck cc and bk1-r', ran
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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,$100.00 Commercial
' INSURANCE COVERAGE:
I have a current Ji ihility insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes❑ No ❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee rifles not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box , I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Prngrrcg Increetion1
.Date Comments
Final Incrertinn
Date Comments
Typepe of License:
By l� Master
Title ❑Master-Restricted
City/Town
❑Journeyperson Si ature of Licensee
Permit#
❑Journeyperson-Restricted �C
License Number: j /
Fee$ ❑
Check at www mass gnv/dpl
n/al
Inspector Signature of Permit Approval