06-064 (9) 72 CHESTNUT AV EXT SM-2017-0007
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 112073 sff
Map: 106
Block: 1064 = " ' SHEETMETAL PERMIT
Lot 0 00_
',Permit: ,SHEETMETAL
Category: SHEETMETAL
',Permit/ SM-2017-0007 PERMISSION IS HEREBY GRANTED TO:
Project# 1JS-2016-001961
Est. Cost $2,000.00 Contractor: License: Expires:
Fee Charged$25.00 EXPRESS PLUMBING Sheetmetal-3564 10/28/2013
Balance Due:$.00 Owner: IMRE LUDWIG
#of Fixtures Applicant: EXPRESS PLUMBING
DigSafe#_._ AT: 72 CHESTNUT AV EXT
UseGroup
ConstClass
ISSUED ON: 21-Jul-2016 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HRV DUCT WORK, BATHROOM EXHAUST FANS
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-2017-000278 20-Jul-16 4047 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS®2016 Des Lauriers Municipal Solutions,Inc.
File#SM-2017-0007
APPLICANT/CONTACT PERSON EXPRESS PLUMBING 4
ADDRESS/PHONE 131 PROSPECT ST (413)626-3862 GO,0
PROPERTY LOCATION 72 CHESTNUT AV EXT
MAP 06 PARCEL 064 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT i
Fee Paid Nod? f"..5
BuildinPermit Filled out
Fee Paid
Typeof Construction: HRV DUCT WORK.BATHROOM EXHAUST FANS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 3564
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 from Elm Street Commission Permit DPW Storm Water Management
Signature o Buildi4g (ficial 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 40k Contact the Office of
Planning&Development for more information.
RECEIVED
CommolnweaIth of Massachusetts
a 18 2016 City Of Northampton
D rrcra �:x :x P.y o y Sheet Metal Permit 5/4 -j7
xorsHgBerox,T+.crigi/Q Permit#
Estimated 1Job Cost: $ ? OOO OO Permit Fee: $ Z _t.
Plans Submitted: YES NO k' Plans Reviewed: YES NO ���
Business License# 3Cj. Sh ���JJJ ,,,���7Applicant License# 3 c � ei �/
b
Business Information: Property Owner/Job Location Information: //``''
Name,: _Ex p(P% V.v1 btvl5 Name: La c.ot fijoife
Street: Os\e St street: 701- Ctt esttot- Ove rict nst n
City/Town: t*:114ky PLA ✓h ✓�' City/Town: Neff ' f'"I
Telephone: 9k ) - CFX(r- F 6ff" Telephone:
Photo I.D. required/Copy of Photo LD. attached: YES NO
Staff Initial
J-]]/'_!'1-17;rest icted license
C
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 X Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft.(t over 10,000 sq. ft. Number of Stories: I
Sheet metal work to be completed: New Work: )C' Renovation:
t
HVAC K Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provi��dee1 detailed description of work to be done:
I T f- uC V k A )OIL ) Rc Thrco vl Fic.hkurlL.
wins ,
•
Fees with Building Permit:$25.03 Residential, $50.00 Commercial.Fees for jobs without a Building Permit$600 per$1000
Minimum fees for jobs without Building Permit$50.00 Residential, $100.00 Commercial
INSURANCE COVERAGE:
I have a current Pability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yetk No E
If you have checked Is.,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 dno= nit h=„o the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application emiensthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxD,I hereby certify that all of the details and information 1 have submitted(Dr 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
Prng' ce Tnvpprfinnc
Par= rnm-mo,m`c
Final Tnvporfinn.
Pule= rnrnenenfc
Type of License:
By Usi Master
Title
Master-Restricted
City/Town ❑Jgurneypersgn �
v' Signature of Licensee
Permit#
❑Journeyperson-Restricted �C�CJ
nee B License Number: J
Check at wmm'ma== 2.5oninl •
Inspector Signature of Permit Approval