06-064 (20) 6 BEAVER BROOK LOOP SM-2016-0035
COMMONWEALTH OF MASSACHUSETTS
GIS#
CITY OF NORTHAMPTON
I 12151 . _�
Map: 06 t
Block: 1064
Lot: 1000--
000- - -- SHEETMETAL PERMIT
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Permit: SHEETMETAL +IfIII N.
jCategory: SHEETMETAL
—_
Permit# SM-2016-003 5 PERMISSION IS HEREB Y GRANTED TO:
it --- -- - --- - -
Project# !JS-2016 000776
-_ Contractor: License:
g 1$3,500.00 Expires:
Fee Char' ed:!$25.00 CttPOWERS AIR Sheetmetal-504 02/28/2016
Balance Due:$00 Owner: MELNIK PATRICK J
#of Fixtures _ Applicant. POWERS AIR
DigSafe# -A T. 6 BEAVER BROOK LOOP
UseGroup
ConstClass
ISSUED ON: 23-Feb-2016 AMENDED ON: EXPIRES ON.-
TO
N.TO PERFORM THE FOLLOWING WORK:
INSTALL DUCTWORK 2 ZONE&ERV SYS&VENTING
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-2016-003703 19-Feb-16 3908 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov
GeoTMS®2016 Des Lauriers Municipal Solutions,Inc.
File# SM-2016-0035
APPLICANT/CONTACT PERSON POWERS AIR j
ADDRESS/PHONE 68 HAMILTON DR (413)539-7032
PROPERTY LOCATION 6 BEAVER BROOK LOOP
MAP 06 PARCEL 064 000 ZONE
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 DUCTWORK 2 ZONE&E,9V SYS&VENTING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 504
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION 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
P f tree ommis ' Permit DPW Storm Water Management
M 40`/Y
Sig44 w P e oo—f 5 w ding Off al Date v
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.
Sheet Metal Permit
DF NO'riti. .�" Permit
Plans Submitted: YES NO "� Plans Reviewed: YES NO
Business License# Applicant License I
Name: t �JfiL Name:
L7'r a,
._ �V..
(2City/Town: r4 / t City/Town: �i'lr2TH�5►�►'+ ►�'' i �
Telephon�L --4 Telephone: Tri-_ � ' I 5•-
> 5". d't •Li . + i3 € x'ice_ us . i °
NO
J-1/ -1 nrestricted license
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq.ft. / 2-stories or less
�)w�`
Commercial: Office Retail Industrial Educational
Institutional Other
Square'kootage: under i0,000 sq. it. ✓ over 10"OW sq. it. Number of Stories:
Sheet metal work to be completed: New Work: / Renovation:
HVAC Metal Watershed Roofing-_-- Kitchen Exhaust Svstem
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
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, $100.00 Commercial
INSURANCE414GE
I have a ctsvent kaNlity insurance policy or its equivalent which Meets the requirements of M.G.L.Ch. 112 Yes ENo❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee dam+at have the insurance coverage required by Chapter 112 of the
Massai efts General Laws,and that my siginature on this pe application am requirement
OWnerL .
!� Signature of Owner or Owner's Agent
1
aad
accurate to the Best of my knowledge and that all sheet metal work and mst`allations perfornid under the permit issued for This appReation will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Date
�ourttS
Date comalews
�aalS��i`ii+Oiti
r Type f License:
lee
• —. _.. ,.. fir,
CityrFown ❑Journeyperson
Signature of Licensee
emit
Fee.$
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