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31C-030 (2) X 3 _r o 3 \ ,ckc r N O 3 o "' S n 3 ro m i%: s a ' ' 'r P4 7 0 3 0 n O •r N - '17 Y, T` � o N 1 vii\ • 5 v tn Lv S m a m co ro w'a 4 1 ea 41 O 0 = V XI GI 0 H r D +7 0 D < z > O D �f/ o co z x z a= z P z a - m i 1, a o N m T 5 T I-1 g am.( U o m y o y z kr. D o > a 'i. 3 D rZpe 3 Q ,a z Ti - _ ___ �° - a o I XF ii v D O r Z o 4°7 R N G3 m m 21 • C v D IJl 0 D r- 11 C Z • 0 . 0 Sgn N a C LL1 O t7 IN- Z en cr, Z CD a i3 0 co _ 0 Z t o• ✓ 6 "( .-- ¢ F- Z a = w N • z 0 .-t u .� • tA W . 0 < N. a • - v) > az< r in P < = o Z =�� Cr 6 ' c w W J p X E' a W 12 Cr) r H O.' a W m O_En cn N+ -tftl� r w Z a Q � aiY \ a co iJ) N t+) O O O 0 OX N. Z p ' a IYWRDZ N N 2 rn a+ -+zcaa z Q > s =► -1 3 w V o (.)0 Da t-•i I -I .-i • L9 re rY CO ti. sf - OS 1 INSURANCE COVERAGE: I have a current liability 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 does 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 boxes, 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 Progress Inspections Date Comments Final Inspection Date Comments Type of License: B y I' pe Master Title ❑ Master - Restricted City/Town ❑Journeyperson Signature of Licensee Permit # ❑Journeyperson- Restricted License Number: S31 Fee $ ❑ Check at www.mass.gov /dpl Inspector Signature of Permit Approval [7 RECE \ Commonwealth of Massachusetts DEC 12012 _ Sheet Metal Permit DEPT. OF BUILDING iNSFECTIONS NORTHAMPTON, MA 01060 u Date: DGt, ,� 1 2. Permit # S /n `/ 3 1 tiu Estimated Job Cost: $ 1 pop"" Permit Fee: $ aS � Act J Plans Submitted: YES NO +S Plans Reviewed: YES NO Business License # a13 Applicant License # S1 1 Business Information: Property Owner / Job Location Information: Name: k1Ci-11C AIQ. G4140- Z'IC _ Name: �G--co Co Street: flo fug tic) i YiaomTRint,. LA • Street: i 11 m0SFz S-'. (Luc City /Town: A Grfw4Mrn I i1(lA Q City /Town: 1H Amf "RM, MA . Telephone: 413 In- t5. Telephone: L113 1 0 1C)0$ Photo I.D. required / Copy of Photo I.D. attached: YES NO Staff initial 3 -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 ll Residential: 1 -2 family 1 Multi- family Condo / Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. I/ over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: / Renovation: HVAC V Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: �fl p,A c. fvrz A04D ��s,Au C ©rn T AI R OUT Sysr rn F 1-11- AjR P 3latG, Al so x.- m-rPLt,.. O PNIG -R V G+s+` 13131 I ={art Qc-1-4 kvrc.NC I:Ao & etc -sr, Ac - k m a l e . R I L FkGso A, � \,1 E 0 t-f Z. File # SM- 2013 -0034 APPLICANT /CONTACT PERSON RICHIES AIR CONDITIONING & HEATING INC ADDRESS /PHONE P 0 BOX 407 PROPERTY LOCATION 112 MOSER ST - LOT #A14 MAP 31C PARCEL 030 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out j 5811 Fee Paid / Tvpeof Construction: AIR DUCT SYS,DRYER VENT,BATH FAN VENTS,KITCH(NEW SFH) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 273 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: __pproved 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 LA: 4 /7 / 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. 112 MOSER ST - LOT #A14 SM- 2013 -0034 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON SHAMP GIS #: F 12128 � � IMap: 31C �� Block: °3° ..:, SHEETMETAL PERMIT Lot' A� , Permit: SHEETMETAL v T£RCENiE P Category: New Single Family House Permit # SM -2013 -0034 PERMISSION IS HEREBY GRANTED TO: - -- - -- 4 - -- Project # JS- 2013 - 000842 Est. Cost: $7,000.00 Contractor: License: Expires: C - RICHIES AIR CONDITIONING & HSheetmetal - 273 Fee Charged: $225.00 03/15/2013 Balance Due: $.00 Owner: KENT PECOY & SONS CONSTRUCTION INC ------- - - - - -- # of Fixtures: Applicant: RICHIES AIR CONDITIONING & HEATING INC DigSafe # AT: 112 MOSER ST - LOT #A14 UseGroup ConstClass 1 J ISSUED ON: 07 -Jan -2013 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: AIR DUCT SYS,DRYER VENT,BATH FAN VENTS,KITCH(NEW SFH) 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 - 002897 03 Jan - 13 15891 $25.00 212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :Ihasbrouck @northamptonma.gov GeoTMS® 2013 Des Lauriers Municipal Solutions, Inc.