23A-101 5 MANN TERR SM-2018-0046
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
2812
Mapes: 23A f
E°` 00; _ t SHEETMETAL PERMIT
it HFETMETAL
iCategory:. SHEETMETAL
Berm$.# j- 01 00368
SM-2018-0 ... PERMISSION IS HEREBY GRANTED TO:
BAProject# JS-2018-0
.Contractor: License:
Cost $6,000.00 Expires:
tt Charged $25.00 ADVANCE MECHANICAL SERVI(Sheetmewl-6360 10/28/2016
Halaltca Due: .00 Owner: OBER JEREMY D
4ofFixuves 'Applicant. ADVANCE MECHANICAL SERVICES
GigSafe# _ AT: 5 MANN TERR
UseGroupr --
:Q-a, lnSs -
ISSUED ON: I7-May-2018 AMENDED ON. EXPIRES ON
TO PERFORM THE FOLLOWING WORK:
INSTALLING HEATING AND A/C USING FORCED HOT AIR SYSTEM
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Reccipt No: Date Paid: Check No: Amaunt:
Sheehnetal REC-2018-005787 11-May-I8 1203 $25.00
212 Main Street,Pbone:(413)587-1200,Faa:(313)587-1272,Email:Iha0rouck@nonhamptonma.8av
GeoTMSJv 2018 Des Laurien Municipal Solutions,Inc.
File ft SM-2018-0046
APPLICANT/CONTACT PERSON ADVANCE MECHANICAL SERVICES
ADDRESS/PHONE 388 ROCKRIMMON ST (413)219-8866
PROPERTY LOCATION 5 MANN TERR
MAP 23A PARCEL 101 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT / \
Fee Paid _
Building Permit Filled out
Fee Paid
Tweof Construct � INSTALLING HEATING AND A/C USING FORCED HOT AIR SYSTEM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included-
Owner/Statement or License 6360
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO"TION PRESENTED:
pproved _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 Sita 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 Storni (W�ate�r jMaartagement
Signature of Building V'--� w`---� Date I
Now: 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.
Commonwealth of Massacho sett9h EC E I V E D
o� Sheet Metal Permit MAY 10 2018
Date: !v o"( ermi
DEPT O OUT DIF N+1 TMW
NORTHAMPTON,MN 01060
Estimated Job Cost: S p 0O Permr ee:
Plans Submitted: YES— NO— Plans Reviewed: YES— NO —
Business
O _Business License# Applicant License# OG d
Business Information: Property Owner/Job Location Information:
Name: 7Syj 1, 1 P,ne�co Name: jPfrt-,y _
Street: Street: � //�Y}'1 (AYItl �21ota.
City/Town: '1209 0 )0 ? City/Town: Y'll rrlvt G^+ �JYJ/�i'S
Telephone:—,/I 3 a 1 9- er 6 6 Telephone: '//3 - G�W- 9 S- 3
Photo I.D. required/ Copy of Photo I.D. attached: YES NO
SUIT 1.i iW
-1 -/M-1-unrestricted lice sn e
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:
�YS�� ns�a//�� �./ � d7t,c7 �Pi Gc°/o ,,/ Sns��r✓, �P�
C�P-
INSURANCE COYE"IE:,y, �t
I have a current liability insurance policy or Its equivalent which meets the requirements of M.G.L.Ch. 112 Yes$ ' No❑
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: 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 ❑ Agent ❑
" Signature Xwner or Owner's Agent
By checking this bowl hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the beat of my knout edge and that all sheat 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
proeneaslnspections
Date Comments
Final Inspection
Date Comments
Type of License:
By Master
Title ❑Master-Restrcted
City/town Journeyperson
❑ Signature of Licensee
Permit#
❑Journeyperson-Restdcted License Number:
Fee$
❑ Check at mvw.mass.nov/dol
Inspector Signature of Permit Approval
May/1412016 9203 AM Porter and Chester 4135936439 1/1
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CONTROL# -102640 �r.,erraee
IMPORTANT
ass
i If your Iloepse IS loah'damagsd or'deedoyed;4 irwccureio;Or
- ode to be pormated,waft ourwab alto at mm.CWydO far
inaMrodons to mauve the proper.mailing of you Renawel r
Ayplloation and any Ocher ccoeapancloce. aawfr,
,This lIWW le eublapt to Maamchmd%3"LAWS and Y
reguWlona.Your license le a prMNa,and cannot be[Mar
esegnod to any pemQn or en*under panady of law.Nese thia ,
" license qn your pmson er posted as regulred by law and/or
regulaaona. -
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