38A-153 (3) 23 RUST AVE SM-2017-0014
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
'GIS 4: 112171 "° *o
Map: 38A
Block:
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$ i I, SHEETMETAL PERMIT
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Permit: SHEETMETAL Al„� -
Category. SHEETMETAL
Permit# SM-2017_0014 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-002252
Est.Cost: $8,000.00 -''Contractor: License: Expires:
ee Charged:$25.00 ADVANCE MECHANICAL SERVI Sheetmetal-6360 10/28/2016
Balance Due:$.00 Owner: OBER JEREMY D
pt ofFixtures ! ~Applicant• ADVANCE MECHANICAL SERVICES
'DigSafe# {IAT: 23 RUST AVE
UseGroup
ConstClass i
ISSUED ON: 16-Sep-2016 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALLING HEATING AND AC USING FORCED HOT AIR,INSTALLING DUCT WORK
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-2017-001101 16-Sep-16 1091 825.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:IhasbrouckcFnorthamptonma.gav
GeoTMS@®2016 Des Canners Municipal Solutions,Inc.
RECE YED
SE? I 5 2016 Commonwealth of Massachusetts
City Of Northampton
Date:• • 1` Sheet Metal Permit permit Sol• l 7 -I V /A
Estimated Job Cost: $ 8 0CC Peiemit Fee: $ 41,35 a/U i/
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 90 - 2.77 y Applicant License# 63 (6
Business Information: Property Owner/Job Location Information:
Name: AW1.( SP Jain Ii-0,110\fa Name:
Street SX11 (it.nmds Sf Street: 2;2) ( c F)ve .
City/Town: gc\AyDr c,,n -17 11 0/002 City/Town: IU Or 12,7
Telephone,:(y 13) X1 9- K G66 Telephone: (411/n) G -? 3"cf3
Photo LI). required/ Copy of Photo i.D. attached: YES ✓ NO_
Staff Initial
1-1 /NI-i estric nse
J-2 /M-2-restricted to dwellings 3-stones or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family V 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 he completed: New Work: ✓ Renovation:
HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System_
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
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Fees vitt Building Permit: $25.00 Residentiel, $53.00 Conmerciel.Fees for jobs wethia a Building Permit$5.30 per $1030
Minimum fees fur jabs without Building Fermit£-! 10 Resid • , .1110000.000/Commercial
INSURANCE COVERAGE: /
I have a current tia hlnfy insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes CJ No Q
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: am aware that the licensee Mops not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application uah,c this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
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Type of License:
sy 0 Master
Title 0 Master-Restricted
G't„q"w" ❑Journeyperson
Signature of Licensee
Perm,t:
❑Journeyperson-Restricte_tl License Number:
Fee$
Check at vin,'niece,nn.Mnl
Inspector Signature of Permit Approval
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