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30B-026 (2) ' COMMONWEALTH OF MASSACHUSETTS DIVISION Of- PROFESSIONAL LICE NSURE - BOARD OF HEET METAL WORKERS - AS A MASTER - UNRESTRICTED ISSU THE ABOVE LICENSE TO: BRUCE W WHITTIER -� I 61 WEST MAIN ST NEW SALEM MA 01355-9720 ° , 134195 05/28/12 14554 LICENSE NO. EXPIRATION DATE SERIAL NO. INSURANCE COVERAGE: �,/� I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes E No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy IP th Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee rtnPC not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signat • • is pe • it application waivPsthis requirement. • � /,/��� Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxD, 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 Prngrese inspections Har Cr mments Final ineppetinn Date rommPnty Type of License: By ❑ Master Title ❑ Master - Restricted City/Town ❑Journeyperson Signature of Licensee Permit # ❑Journeyperson- Restricted License Number: Fee $ ❑ Check at www mace gnvlripl Inspector Signature of Permit Approval ascsiv "' Commonwealth of Massachusetts City Of Northampton ti°V - 7 201 (- f t , Sheet Metal Permit Pe it # 5/V — /o? // • NOmTH AMP • � , TO MA N G th4pFp 710N$ 5 _ �� , Estimated o i 1 `'• `` Permit Fee: $. — Plans Submitted: YES Plans Reviewed: YES Business License # , qS Applicant License # Business Information: Property Owner / Job Location Information: N oce G.1 K. Name: 6 a eJh, lfi� pl,_.,..4/14. 1-t I Name: T gZ + /4s Street: G ( (,t,)" pm-7)3 Street: 4-93 V Yti v'-t, City /Town: k1'41 c City /Town: M-'1 Telephone: Q l? S" --1$ l g Telephone: 1 3 -3 817 . -g©'7 8 Photo I.D. required / Copy of Photo I.D. attached: YES NO Staff Initial J - / M- 1- unrestricted license J - / 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. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: 'C HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: ±0 % (1 o ld CIS . f, 1 2444 P,11^ Lifr ,.. 4 (AM 4 r 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 N.& YI File # SM- 2012 -0011 ' APPLICANT /CONTACT PERSON WHITTIER PLUMBING & HEATING ADDRESS/PHONE 61 WEST MAIN ST (978) 544 -7818 () PROPERTY LOCATION 283 RIVERSIDE DR MAP 30B PARCEL 026 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out,[/ idlC Fee Paid y� Typeof Construction: INSTALL DUCTS FOR 2ND FLR WARM/COLD AIR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 13495 3 sets of Plans / Plot Plan TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I RMATION PRESENTED: Approved 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 sr-.r. I / ignature of Built ig Officia 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.