24C-156 (6) 40 ARLINGTON ST SM-2016-0039
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
iGIS#: x3831
Map: i24C
Block: -156_ - - SHEETMETAL PERMIT
Lot: 001 „�•••
Permit: S14EETMETAL
Cate orY SHEETMETAL —�
g
Permit# SM-2016-0039
- --- - - -- - - PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016 001873
J I _
Est. Cost: $43,000 0o Contractor: License: Expires:
Fee Charged: 25.00
ORCHARD VALLEY H&C Sheetmetal-5302 04/28/2014
nc
Balae Due:$.00 Owner: SARVET BARRY&DEENA
- a
#of Fixtures Applicant: ORCHARD VALLEY H&C
DigSafe# AT: 40 ARLINGTON ST
UseGroup
ConstClass
ISSUED ON: 13-Apr-2016 AMENDED ON.- EXPIRES ON:
TO PERFORM THE FOLLOWING WORK;
RENOVATE HVAC DUCT SYSTEM
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-2016-005836 12-Apr-16 4120 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)''587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS a 2016 Des Lauriers Municipal Solutions,Inc.
File# SM-2016-0039
APPLICANT/CONTACT PERSON ORCHARD VALLEY Ii&C
ADDRESS/PHONE 29 RATTLE HILL RD (413)527-5812
PROPERTY LOCATION 40 ARLINGTON ST
MAP 24C PARCEL 156 001 ZONE URB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT Poo Ro
—�
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: RENOVATE HVAC DUCT SYSTEM'
New Construction
Non Structural interior renovations
Addition to Existine
Accessory Structure
Building Plans Included:
Owner/Statement or License 5302
3 sets of Plans/Plot Plan
E
FO LOWING ACTION HASBEEN TAKEN ON THIS APPLICATION BASED ON
MA ON 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
Permit firsup EI _ treet Commission Permit DPW Storm Water Management
Sig re o uil mg 6fficial 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.
APR 12 2016 � Commonwealth of Massachusetts
-� City Of Northampton
Date: ( � Sheet Metal Permit
Permit#
Estimated Job Cost: $ t-1 ,o Permit Fee: $ ��� 1006 00
Plans Submitted: YES NO ✓ Plans Reviewed: YES NO
Business License# Applicant License # S30ot
Business Information: J i Property Owner/Job Location Information:
Name: J�y� Po A-W No,, / C`�►-e vtgne� �A((J b Name:
Street:
l S i-
2� &.4k, 4k% ( rQ 9 Street:
City/Town: City/Town:
Telephone: '4\3 73 Telephone: s�� — 6�S
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1 X� -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. ,v,-- over!10,000 sq. ft. Number of Stories: _
Sheet metal work to be completed: New Work: Renovation: iz
HVAC Metal Watershed Roofing' Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work' to be done: ���� �[
CFP�a(%( �cx/1.Q.�r�' -���.� VltltF� �h c.r- �ah� r— �nlsAjt,•
- 4- ✓'l'OOsuV\ � SF r�O S �itn" =f f..v� g� �w✓[ hS
5 ,1 feA\awls 'kv- Co\a ao
`7 1 +r �� S 3 N i->
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, $100.00 Commercial
INSURANCE COVERAGE:
have a current liahilitinsurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 YesV NO❑
If you have checked Yss, indicate the pe of coverage by checking the appropriate box below:
A liabilityinsurance policy 7 Other type of indemnity ❑ Bond ❑
p Y Yp Y
OWNER'S INSURANCE WAIVER: I am aware that the licensee does ant have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waive this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box0,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
&GarPcc incnvrt%nnc
Date comments
Final inepeetian
Date Certs
Type of License:
BYaster
Title ❑ Master-Restricted
City/Town ❑Journeyperson Cj
Signature of Licensee
Permit#
❑Journeyperson-Restricted
License Number:
Fee$ ❑
Check at www macs,8nv/Anal
Inspector Signature of Permit Approval