Loading...
31B-225 (11) File# SM-2016-0048 APPLICANT/CONTACT PERSON M J MORAN ADDRESS/PHONE P O BOX 278 (413)268-7251 PROPERTY LOCATION DAWES HOUSE- 8 BEDFORD TER MAP 31B PARCEL 225 001 ZONE EU(100VURC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FF LLLED OUT 4�z Fee Paid c- �+' - aI CI et 615 Building Permit Filled out Flea& Fee Paid [1' TvoeofConstruction: 4 NEW BATHROOM EF,ONE RESIDENTIAL TYPE HOOD AND SMALL STOVE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 267 3 sets of Plans/Plot Plan THE FOLL ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 fro Elm Street et Co • Permit DPW Storm Water Management Sig - • e Bui ding fficial 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. AEC,__„ JUN 2 0 commonwealth of Massachusetts City Of Northampton DEPT P :InVs Sheet Metal Permit /,, Date. Za„7 Pemtit#. -/ it - 70 Estimated Job Cost: $ Permit Fee: $ 51' r— ei q 4Z Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 1 a Applicant License# alp} Business Information: Property Owner/Job Location Information: Name: tn.S Mogan ,Tine . Name: DIALA J ljrbt-/dJ Street: 4 Sovth mo.Cn Stfte-t Street: g dt ' f'i-P' T tt-. City/Town: 1 °ideaL 11L City/Town: !L^�[sA.t /v5./} Telephone: HI-5- ab55- taSI Telephone: y/)- ftar'et YV Photo I.D. required/Copy of Photo I.D. attached: YES NO X Staff Iniad J-1 62_01nrestricted license J-2 I 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 sr Institutional Other Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft. Number of Stories: 3 Sheet metal work to be completed: New Work: Renovation: ;r HVAC_ .r Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: r_--"A y 1-te — O? � RUp' Cf L c.-{ JV'to d-,,—i,1L TY/'/ "CO J i.,.a. 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,$100.00 Commercial • INSURANCE COVERAGE. I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No 171 If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:l am aware that the licensee dpea not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waivrsthis requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxD,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued far this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Frogrett inppertinng Dale Conga-nen-Os Final Intpertipp Date rnmmentk Typepof License: By Via Master �r Title 0 Master-Restricted ? /' -- City/Town ❑Journeyperson Signature of Licensee Permit# 6 OJourneyperson-Restricted (�/./ License Number: Fee$ O Check at www maga gnvlrlpl Inspector Signature of Permit Approval