11C-056 410 NORTH MAIN ST SM-2017-0018
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
:GIS# 8774 p '5
Map: c gat�f'
BIDck 156 a' am SHEETMETAL PERMIT
Lot: 1 r 1 ,k4"4*-- A
/Permit: SHEETMETAL, '4°L
Category: HEETMETAL
Permit# sM-20I -00I s _. PERMISSION IS HEREBY GRANTED TO:
:Project# ;JS•2017-0007.10
Est.Cost: $2,100.00 Contractor: License: Expires:
Fee Charged: .50.00 'M J MORAN Master-M7872 05/01/2018
Balance Due:$00 ,Owner: MIAS SETH 1
#of Fixtures Applicant: M J MORAN
DigSafe# AT: 410 NORTH MAIN ST
UseGroup
ConstClass
ISSUED ON: AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
NEW AIR CONDITIONING/HEATING SYSTEM DUCT WORK INSTALLED** DUCT BLAST TESTING REQUIRED IF
OUTSIDE THE THERMAL ENVELOPE
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 Nit fleck Nov Amount;
Sheetmeml REC-2017-001292 29-Sep-16 22033 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhaabrouck®norihamptonma.gav
GeoTMS1+2016 Des Landers Municipal Solation%Inc.
File#SM-2017-0018
APPLICANT/CONTACT PERSON M J MORAN
ADDRESS/PHONE P O BOX 278 (413)268-7251
PROPERTY LOCATION 410 NORTH MAIN ST
MAP 11C PARCEL 056 001 ZONE HB(34)/URA(16)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid l
Typeof Construction: NEW AIR CONDITIONING/HEATING SYSTEM DUCT WORK INSTALLEC�
New Construction _ 1/`'�,y{p`J/i�']e /,pf
Non Structural interior renovations r " `" �Uy
Addition[o Existing � Q-5 '
Accessory Structure ///rrr 1 p
Building Plans Included: / avYS
Owner/Statement or License M7872 (vY
3 sets of Plans/Plot Plan
THE FOL OWING 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
- it r t Elm Street Commissio Permit DPW Storm Water Management
AlenSig . ure o Bui ding ffrcial 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.
polc 22.033 $50, @o
SEP 2 9 2016 •,mmonwealth of Massachusetts
City Of Northampton
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Set Date: 61-L3 -/6 • Sheet Metal Permit Permit# Sin"?oi7- /1
,a as
Estimated Job Cost: $ GCI d v Permit Fee: $ �p1_
Plans Submitted: YES NO-C2 Plans Reviewed: YES NO
Business License# i 3a Applicant License # 71-1 I I '-a6 /
Business Information: Property Owner/Job Location Information:
Name: 41,7"- M@Aft 71AL Name: Sent t-tl 612_.. cGcter.''�b
Street: 9 faxii, main 1- Street: ti 10 Mai El Si
City/Town: j "C'vt /jle /'V !p City/Town: Ltec5
Telephone: if/3 -DLII--7) c/ Telephone: Li3"bal5- y!#Jy
Photo ID. required/Copy of Photo T.D. attached: YES NO
ttry��� Staff Initial
J-11 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
Mme Residential: 1-2 family Multi-family_ Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other X Cal ti.trrly
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: _
Sheet metal work to be completed: New Work: )j Renovation:
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
AVnit/ air candiopt I ld&r,by serer-i J rwariz mS,t,uee1
Fees with Building Permit:$25.00 Reside450.00 Commercial ees for jobs without a Building Permit$6.00 per$1000
`talo Minimum fees for jobs without Building-Permit$50.00 Residential,$100.00 Commercial
ib--7317 sp
INSURANCE COVERAGE:
I have a currentlialulity insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes RI No
%.df you have checked vee,indicate the type of coverage by checking the appropriate box below;
A liability insurance policy ® - Other type of indemnity ❑ Bond 0
OWNER'S INSURANCE WAIVER:!am aware that the licensee don net hue.the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application w^eresthis requirement.
Check One Only
Owner 0 Agent 0
Signature of Owner or Owner's Agent
By checking this IseA2,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES NO
,Psngracc Inc/uction%
Date Pm-ampere
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Fin al Incretion
Date Cerameata
rtTnype of License:
yv
By Master
The_ �
D
-- Master-Restricted
City/Town a oureeypeYfiee
signature of Licensee
Permit# /
{Jdourneyperaon-Restricted License Number: C
Fee$
Check at'maim ale e.goet.dgli
ver nspector Signature of Permit Approval
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