24A-134 (4) INSURANCE COVERAGE:
I have a current liahility insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No❑
If you have checked Yes,indicate the 'pe of coverage by checking the appropriate box below:
A liability insurance policy LY Other type of indemnity El Bond El
Y P Y
OWNER'S INSURANCE WAIVER: I am aware that the licensee ring not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waivpcthis requirement.
Check One Only
Owner El Agent El
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
Progrecq Inspections
Date Comments
Final IncrnrNnn
Date Cnmments
Type of License:
By ❑ Master
Title ❑ Master-Restricted �='�
City/Town � // _
Lt-}lourneyperson - Signature of Licensee
Permit#
DJourneyperson-Restricted
License Number: 13C)�)
Fee$ ❑
Check at www macs gnv/dpl
Inspector Signature of Permit Approval
II 0 H rr-.`s
Ir , ? 1 Commonwealth of Massachusetts
I , OCR 2 5 2013 i City Of Northampton
1
Eiectr r r� q Sheet Metal Permit Permit# 5/V-/4" a(o
Date: �oA 0901
Estimated Job Cost: $ Permit Fee: $ ca)
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# Applicant License#
Business Information: (1/1244404621.2 Owner
Ateltitippkrty
/Job Location Information:
Name: G'7 Pun,40.win 4 Ile v, Co Name:
Street:X0 n(4 3p/tkec4 0%-It, IR d Street: 3Z7 Pc-aS fG &I
City/Town: I'LL op 0 I b fa. * City/Town: ,4j' sc`1-6 vv4 n I-O I".
Telephone: q`3. 3 3®--q 7®>> Telephone: (`
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff 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. 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:
/.i_Dc.(',,,7,44,,,, aic,s4 6„)(1/ d,,,,-4-, &
6 4,
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
•
File#SM-2014-0026
APPLICANT/CONTACT PERSON CHRISTOPHER SALVA
ADDRESS/PHONE 200 OLD BELCHERTOWN RD (413)230-9705
PROPERTY LOCATION 387 PROSPECT ST
MAP 24A PARCEL 134 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out a f Q 77 5"
Fee Paid (J` IS O�
Typeof Construction: KITCHEN DRAFT HOOD DUCT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 13051
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ION 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
'ermi-...:.. El Street Commissio Permit DPW Storm Water Management
//6- ,24P;/ .7
S o Built ng iffit . 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.
387 PROSPECT ST SM-2014-0026
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS# 3485 "" S
Map 24A ��'1� �
Block 134 �4J 1� 1
Lot: 001 � � SHEETMETAL PERMIT
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM-2014-0026 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000309
'Est.t Cost: Contractor: License:
Expires:
IF ee Charged:$25.00 CHRISTOPHER SALVA Sheetmetal- 13051
F
Balance Due:$.00 Owner: BOURNE ALDEN&JOELI HETTLER
j#of Fixtures: Applicant: CHRISTOPHER SALVA
DigSafe# AT: 387 PROSPECT ST
UseGroup
ConstClass
ISSUED ON: 01-Nov-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
KITCHEN DRAFT HOOD DUCT
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 REC-2014-001893 25-Oct-13 288 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.