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23B-044 (11)
FLati, Commonwealth of Massachusetts - ._ 0 City Of Northampton DE n- --- Sheet Metal Permit �"!c"� 2 O/� Perm it# Estimated Job Cost: $ '4'oe"e, Permit Fee: $ 5 . Plans Submitted: YES NO Plans Reviewed: YES NO Business License# &_; a2-�_ Applicant License# Business Inforrmation: Property Owner/Job Location Information: Name:Z� L�fx k1V�CIQ J-'1lf1 �' Name: Da y l d �0. Valt7e,('' Street:., /(v P�1"_e ilc`Lf Pd Street: 41 LOCas 'f- s f City/Town: k t,c.SSed, 44 ©tom1/ City/Town: � Telephone]L4!3�t-I gq-g 1_q e Telephone: ( `l 7,F) 7,f 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. X 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 17 C cvt/ 7-1 7-1,64C 1.7 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-2016-0022 APPLICANT/CONTACT PERSON DELTA HVACR SERVICES ADDRESS/PHONE 210 PINE HILL RD (413)454-8298 PROPERTY LOCATION 41 LOCUST ST MAP 23B PARCEL 044 001 ZONE NB000V 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: INSTALL NEW AIRHANDLER&HEAT PUMP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 8325 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved 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 fro lm Street Commission Permit DPW Storm Water Management Signature of Buihfing 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. 41 LOCUST ST SM-2016-0022 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON IGIS#: 9097 Map: -- — iBlock 1044 d Lot: — �00� �- -_ _ 1 ... SHEETMETAL PERMIT �Permtt: SH_EETMETA_L iCategory: SHEETMETAL Permit# SM-20 16-0022 _ 1 Project# JS-2.016-00074 PERMISSION IS HEREBY GRANTED TO: ( .5 _ Contractor: License: Est. Cost: _6,000.00 _ Expires: Fee Charged:$50.00 — DELTA HVACR SERVICES Sheetmetal-8325 03/28/2016 Balance Due:[$.00 T Owner: DAVID GARDNER #of Fixtures{ _ —Applicant. DELTA HVACR SERVICES DigSafe# �AT. 41 LOCUST ST 'UseGroup iConstClass 1 ISSUED ON: 24-Nov-2015 AMENDED ON.• EXPIRES ON.• TO PERFORM THE FOLLOWING WORK: INSTALL NEW AIRHANDLER&HEAT PUMP 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-2016-002365 23-Nov-15 655 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Emai l:lhasbrouck @northamptonma.gov GeoTMSO 2015 Des Lauriers Municipal Solutions,Inc.