23D-149 (7) 115 - 117 HINCKLEY ST - BLD 1 SM-2017-0050
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 3305 a'"""''vti
q.
Map: 23D
Block:
aki SHEETMETAL PERMIT
Lot: 00101
Permit SHEETMETAL
Category: SHEETMETAL
Permit# SM-2017-0050 -- PERMISSION IS HEREBY GRANTED TO:
Project JS-2017-000747
Esc Cost: $4,000.00 Contractor: License: Expires:
- --
ALL SEASONS HEATING AIR Sheetmetal- 129
Fee Charged:$50.00
Balance Due:$.00 '.Owner: FRIEDMAN THOMAS H&
#of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe# 'AT: 115- 117 HINCKLEY ST-BLD I
UseGroup
ConstClass
ISSUED ON: 20-Apr-2017 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALLATION OF DUCTED ERV-KITCHEN HOOD EXHAUST-DRYER EXHAUST
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:
Sheelmetal REC-2017-005599 IR-Apr-❑ 2171 350 00
212 Main Street,Phonc:(413)587-1240,Fax:(413)587-1272,Email:Ibasbrouck@northamptonma.gov
GeoTMSG®2017 Des t.auriers Municipal Solutions,Inc.
File 4 SM-2017-0050
APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST (413)247-9842
PROPERTY LOCATION 115 - 117 HINCKLEY ST-BLD I
MAP 23D PARCEL 149 001 ZONE URB(100)/
•
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ir
.rte
Fee Paid iint
Building Permit Filled out 1�
Fee Paid
Typeof Construction: INSTALLATION DUCTED ERV-KITCHEN HOOD EXHAUST-DRYER
EXHAUST
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 129
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO MATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project : Site Plan AND/OR Special Pennit 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
Pe ' Elm Street o s on Permit DPW Storm Water Management
Signature of Building Official Date L
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.
r
F l` 7 Commonwealth of Massachusetts
City Of Northampton
E.
Date: 4-\%- 17 Sheet Metal Permit Permit#Sh1- I7_5C)
Estimated Job Cost: $ k\`OWO,A� cea dp Permit Fee: $ 50� ctfi 2-
Plans Submitted: YES NO y( Plans Reviewed: YES NO
Business License # 1a.9 Applicant License # \e4s9
Business Information: Property Owner/Job Location Information:
Name: A\\ rjrasoloSWitt MC Name:\LSrf: jcc,s —Suat+ais MS-II7
Street: 4213 E\.. strut Street: US- t1l- 11w\l\ 5\cee
City/Town: ' , tR;q\o, 'f City/Town: Flecarod11._,
Telephone: 413-ATI-9 % Telephone: $936,$ait7
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff nmal
J-1 nrestricted 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. Q(' over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC 7( Metal Watershed Roofing Kitchen Exhaust System )(
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
'TANS+w\I kte., cY �ecF d E.RV �.\kclne lk eo� PY1w Ly'}
e 'AM)Sk
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,$100.00 Commercial
INSURANCE COVERAGE:
I have a current Ii hility insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 vesZ No❑
if you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Vt. Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee Mrs net have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit applicationwaivesthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation Installation: YES_NO
prngrncc Insrer-ince
Date rnmmentc
Final Incrrrtinp
Date Unmments
Type of License: ///'J(/7�
By 0 Master '/�V
Trcle 0 Master-Restricted d
City/Town ❑Journeyperson
Signature Licensee
Permit DJourneyperson-Restricted
License Number: \a9
Fee$ ❑
Check at miry/mace gnvfdpt
Inspector Signature of Permit Approval