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36-357 (4) File#SM-2015-0034 APPLICANT/CONTACT PERSON SWIFT RIVER HVAC INC ADDRESS/PHONE 221 N LIBERTY ST (413)323-4123 p~"N V vir PROPERTY LOCATION 83 EMERSON WAY-LOTS :Lee ,-/�Inp �i/as MAP 36 PARCEL 357 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid /70 30 Building Permit Filled out Fee Paid Tvpeof Construction: HVAC SYSTEM FOR SEH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 220 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 from Elm Street Commission Permit DPW Storm Water Management Signature of Building 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. L. C� [- ii APR 1 0 2015 J Commonwealth of Massachusetts EleOtnC P;Ume— g � Inspections Sheet Metal Permit Northampton. A 01060 'ate: :Mr Permit# Estimated Job Cost: $ Permit Fee: $Ic'o b l� Plans Submitted: YES_ NO_ Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: SUE fit K ) V ,�,C• Name: /-/a/t1�JSl)i,tl-hfrcrr+/ O( q - - 4 AJc_uSS pscd street: 02)i N Liber Skeet Street: S3 Emerson/thy City/Town: t3e/Cher{D uin/ City?own: /IL%1rfharYfp/d/f Telephone: 4{/,3-3023-4/023 Telephone: '4/33 ESQ -7(077 Photo I.D. required/Copy of Photo I.D. attached: YES NO_ SaRrwrw 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. 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: V//. , Etn %r r5)dar>4z Ao,n INSURANCE COVERAGE: —..... I have a current Uth Rva insurance policy or Its equivalent which meets the requirements of M.G.L.Ch.112 YesX No O If you have checked yea,indicate the type of coverage by checking the appropriate box below: A liability insurance policy R1 Other type of indemnity 0 Bond ❑ !. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only _.. Owner O Agent ci Signature of Owner or tamers Agent By checking this bsx0,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 compliancewM all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES___NO Progress Inspections Date Comments Fiat Ulsoection Date Comments Type,,,��� of License: in — By {K7Master .-. Title — ❑Master-Restricted its 9 _ Ctyltoan OJoumeyperson S'i nature of Licensee Perrone QJotImeyperson-Restricted t License Number: ;�f�/ Fee S — O Check at wvm.mass.00vldal inspector Signature of Permit Approval