32C-182 (17) INSURANCE COVERAGE:
I have a current Iiahility insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes ❑ No ❑
If you have checked Yes, indicate
e the type of coverage by checking the appropriate box below:
A liability insurance policy C1 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee sI nc+a not have the insurance coverage required by Chapter 112 of the
Massachusetts Gener I Laws, and that my signature on this permit application waivacthis requirement.
C heck One Only
Owner W Agent ❑
Signature o wn 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
�^�*+^�
Prngrose tnerertinns
Date Commeuts
Final Inepprtinn
Date Cnmments
Type of License:
By ❑ Master
Title ❑ Master - Restricted
City/Town
DJourneyperson
Signature of Licensee
Permit #
❑Jou rneyperson- Restricted
License Number:
Fee $ ❑
Check at lelawa. mass ronvtrlpl
Inspector Signature of Permit Approval
ECEIVED
Commonwealth of Massachuset s = o
City Of Northampton
BPI OF BUILDING INS >; T •r n„
NORTHAMPTON, MA O6
1 Sheet Metal Permit
Date: [/�J �, Permit # 61?2—/3
Estimated Job Cost: s \� 00 a Permit Fee: S 60
Plans Submitted: YES NO Plans Reviewed: NO
Business License ,. \ *a\ Applicant License fi \ amt
Business Information: Property Owner Job Location information:
Name: t1k'p� A N5� -- Name: F y �� ►.� 4c o cc I
Street: t^ V
�� t— �� 5�:�' street: "awl_(a._ �yo�
City/Town: \\(s C itvt I own: 1 ■)'001 °,K) D QI O6.
Telephone: i k3—at y 7'-P9' 9 a. Telephone: yU3— (zk@`) — CF1 l6 E "
cam- - 4 bay -Limo
Photo I.D. required / Copy of Photo I.D. attached: YES NO
s t'.f �
11_1 _ i ntieor elo i
I M-2-restricted to dwellings 3- stories or less and commercial lip to 10.000 su. ft. / 2- stories or less
Residential: 1-2 family Condo Townhouses Other
Commercial: Office Retail industrial Educational
Institutional Other
Square Footage: under 10.000 sq. ft. over 10.000 so. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
Metal Watershed Roofing Kitchen Exhaust System
lvletai Chimney ''ents Air Balancing
Provide detailed description of work to be done:
i �t C.
1P®,c o �• - -
Fees with Building Permit: $25.00 Residential, $50.00 Commercial. Fees for lobs without a Building Permit $6.00 per $1000
Minimum fees for jobs without Building Permit $50.00 Residential, $100.00 Commercial
File # SM- 2013 -0024
APPLICANT /CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST (413) 247 -9842
PROPERTY LOCATION 376 PLEASANT ST
MAP 32C PARCEL 182 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out *97 /y � Fee Paid 0 `�
Typeof Construction: NEW HEATING DUCTS
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 FOLL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 Co sion Permit DPW Storm Water Management
■•/ //-45
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.
376 PLEASANT ST SM- 2013 -0024
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 10236 _ z o
Map: 32C Oki
Bonk: ooi = � SHEETMETAL PERMIT
Permit_ SHEETMETAL reR�EN1E
Category: SHEETMETAL
Permit # SM -20 13 -0024 PERMISSION IS HEREBY GRANTED TO:
Project # JS- 2012 - 000715
Est. Cost: $11,000.00 Contractor: License: Expires:
Fee Charged: $50.00 ALL SEASONS HEATING AIR Sheetmetal - 129
Balance Due: $.00 Owner: SZLOSEK STEFFIE AND OTHERS C/O 6 CRAFTS AVENUE LLC
# of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe # AT: 376 PLEASANT ST
UseGroup
ConstClass
ISSUED ON: 05- Nov -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
NEW HEATING DUCTS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC- 2013 - 001772 02- Nov -12 4097 $50.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.