32C-020 (3) 21 PLEASANT ST SM-2018-0028
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
10072
IMap: _32C __
��� �1 1SHEETMETAL PERMIT
Perinir SHEETMETAL
Category: SHEETMETAL
Permit# SM-2018-0028 _ PERMISSION IS HEREB Y GRANTED TO:
;Project# JS-2018-001213
Est.Cast: $5,500.00 __ Contractor: License: Expires:
M J MORAN Sheetmetal-267
Fee 1$50.00 _ 05/01/2017
Balance Due'$.00 - --(Owner: J BARC 1NC
of Fixhtres:', ',Applicant: M J MORAN
DigSafe# jAT.. 21 PLEASANT ST
UseGroup
ConstClass
ISSUED ON: 30-Jan-2018 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
NEW ERV FRESH AIR SYSTEM FOR NEW LESSON ROOMS&MAKE UP AIR FOR FURNACE IN BASEMENT
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: Cheek No: Amount:
Sheeaneml REC-2018-002474 30-Jam18 24993 $5000
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhashrourkQnurthemptonma.gov
GmTMSQs 2018 Des Lauder,Mnniripal Solutions,i.e.
File H SM-2018-0028
APPLICANT/CONTACT PERSON M I MORAN
ADDRESS/PHONE P O BOX 278 (413)268-7251
PROPERTY LOCATION 21 PLEASANT ST
MAP 32C PARCEL 020 001 ZONE CB(IOOV
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT E SED REQUIRED DATE
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: NEW ERV FRESH AIRS NEW LESSON ROOMS&MAKE UP AIR FOR
FURNACE IN BASEMENT
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 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.
t Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of
Planning&Development for more information.
LZ - ado i
Commonwealth of Massachusetts .� 2 9
Sheet Metal Permit °E °`
Permit �'t'1 { gQ
Date: —Z/� y
Estimated Job Cost: $ .SSOO Permit Fee: $ 5-0 CUPZIM 3
Plans Submitted: YES �NO Plans Reviewed: YES NO
Business License# f Applicant License#
Business Information: Property Owner/Job Location Informatiio�n:
�
Name: Jrm /✓lff k l h/�/- Name: QCI t L✓4
Street: 4 C01 ((,y�� /' �� J l Street:
City/Town: G Gf Lr4�l��(i City/Town: /� rlr7hut'd-i�p�'p/�7
Telephone: Vr3" 26g^ ��Jr�. Telephone: /3—
S�� — _
Photo I.D. required/Copy of Photo I.D. attached: YES NO
�'� sr.rnmra
J-1 //11-1{umestricted license
J-2/M-2-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less
Residential: l-2family Multi-family— Condo/Townhouses— Other
Commercial: Office Retail Industrial_ Educational_
Institutional_ Other_
Square Footage: under 10,000 sq.ft.4 over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC z< Metal Watershed Roofing_ Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
Wei✓ F & FrCa a /' iti frz� � Fzjr
N@l,✓ CefTen Y010Ms
Al 1 Ue- d A l` £of -rQ FcArn Ce
B�Sc�Menfi.
INSURANCE COVERAGE:
1 have a current linhili[y insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes)a No❑
If you have checked Yl indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ® Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee sloe not havc the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application vraivesthis requirement.
Check One Only
Owner ❑ Agent ❑
Signaume of
Owner or Owner's Agent
By checking this boxSl,I hereby rerbfy that all of the details and information 1 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
P.nm�>�ecc Yny�erfinn
Date r.nn enrc
Meet l nvp"fir.n
,pate, rn.n este
Type of License:
By DO Master q
Title— ❑Master-Restricted
Cey/mwn EJoumeyperson
- Signature of Licensee
Permit N m ^�^�
�Journeypeon-Residcted P/ 7
License Number:
Fee$ El
Check at mu ,na s nnv�dni
Inspector Signature of Permit Approval