38A-138 (3) File# SM-2015-0015
APPLICANT/CONTACT PERSON RICHIES AIR CONDITIONING&HEATING INC
ADDRESS/PHONE P O BOX 407 (413)789-1244 Q
PROPERTY LOCATION 103 MOSER ST-LOT A9
MAP 38A PARCEL 138 ZONE PV
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: DUCTWORK FOR SFH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 531
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
—b/<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
VerMm�m Elm Street Commission Permit DPW Storm Water Management
v �cial 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.
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No❑ �W,
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 Ch e"12 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 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
Proaress Inspections
Date Comments
Final Inspection
Tate Comments
Type of License:
By [' Master
Title
❑ Master-Restricted
City/Town '
❑Journeyperson
Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number: 5�
Fee$
Check at www.mass.gov/dpl
Inspector Signature of Permit Approval
Commonwealth of Massachusetts
Sheet Metal Permit
i
Permit# /5
9jated Job Cost: $ ` VA Permit Fee: $ ca 4_1
s Submitted: YES NOy Plans Reviewed: YES NO
usiness License # DM Applicant License # S-I
Business Information: Property Owner/Job Location Information:
Name: R,1 G111`'2 3 W C Fo k-11`�ar • Name: emy C S®AS �_IZT49'
Pea 4QrT
Street: � I �Na�>� 1A- Street: �G�' A"'�/ mincz Sf-
City/Town: fiG-A,'johm � MR- C310- 04AZI City/Town: MR.
Telephone: Li'3 9�1- L4144 Telephone: L411 1 y— Q0T
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. f over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
NVAC Metal Watershed Roofing__ Kitchen Exhaust System
Metal Chimney /Vents Air Balancing
Provide detailed description of work to be done:
'Ff%P.%csM) r, dtlS'v"A, AI PL DUCT &J IMM �Q. 14 Q&C- &wi f M CNT)
AL 40 V erAT JCW1Z_WvA rf%A 4 QM-A pA*a 5 , p�-1�'� \,jer ' FAQN P,�k
103 MOSER ST - LOT A9 SM-2015-0015
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�GIS#: 12123
---
;
Block: X38 - SHEETMETAL PERMIT
--
of _ .�...
Permit: SHEETMETAL` ___
;Category: SHEETMETAL
Permit# SM-2015-0015 ___ , PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-000372
Est. Cost: $7,000.00 - 7Contractor: License: Expires:
RICHIES AIR CONDITIONING& Sheetmetal-531
Fee Charged:$25.00 03/15/2016
Balance Due:$.00 Owner: KENT PECOY&SONS CONSTRUCTION INC
#of Fixtures Applicant: RICHIES AIR CONDITIONING&HEATING INC
DtgSafe# AT: 103 MOSER ST-LOT A9
UseGroi P
ConstClass
ISSUED ON: 24-Oct-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
DUCTWORK FOR SFH
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-2015-001802 24-Oct-14 16786 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc.