31A-263 (3) 63 DRYADS GREEN ST SM-2019-0008
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: X5870
Map: 31A.
Let. 1001 63 SHEETMETAL PERMIT
S;rr.
emtit:ISHEETMETAL
�Category: KITCHEN&BATH REN
Permit# SM-201M(g)9
��----- PERMISSION IS HEREBY GRANTED TO:
'Project# JS-2019-000024
Est.Cost: $1,000.00 Contractor: License: Expires:
Fee Charged:$25.00 SCHNEIDER PLG&HTG Sheelmetal-5400 03/28/2016
Balance.Due:$.00 'Owner: SALLOOM SIMON
4 ofFramnes: 'Applicant: SCHNEIDER PLG&HTG
plgSefe# ..... AT.' 63 DRYADS GREEN ST
Cooat(lass i
ISSUED ON: 17-Aug-2018 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.
VENT KITCHEN STOVE
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:
$hxuneml REC-2019-000578 16-Aug-18 65986 $25.00
212 Main Street,Phoue:(413)587-1240,Fax:(413)587-1272,Email:lbasbrom,". mehnapharmgov
GooTMS 2018 Des L...iera Municipal Solutiona,lac.
File 4 SM-2019-0008
APPLICANT/CONTACT PERSON SCHNEIDER PLG& 'ITG
ADDRESS/PHONE P O BOX 323 (413)268-0.102 U
PROPERTY LOCATION 63 DRYADS GREEN ST
MAP31APARCEL263 001 ZONE EU000)NRCLIOLI.
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid
TvoeofC truT : VENT KITCHEN STOVE
New Construction
Non Structural interior renovations
Addition to Existine _
Accessory Structure
Building Plans Included:
Owner/Statement or License 5400
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)
it
PLANNING BOARD PERMIT RE41AAED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project:_Site Plat AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQHIRED UNDER: §
i,
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
Si ofBull
d n tB Date
Note: Issuance of a Zo 'o 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.
RECEIVED Commonwealth of Massachusetts
AUG 1 6 2018 City Of Northampton
I J Sheet Metal Permit Permit# — 11`4
f1FVT OF 6811 DM,
NORTHAMPTON.MAgl
s rma e a
o ost: Permit Fee: $ �ti.. z9D
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 6900 Applicant License #
Business Information: Property Owner/Job Location Information:
Name: �+J1 r ]ynp --I- G Name: oo✓✓m
Street: JPQ r-1Wx 323 Street: (03 1>r-r4o4AS Grre
City/Town: b�jq i*iVij1G City/Town: �1,✓-Hngt,n�✓l
Telephone: `Nl�i-Z(09-0002- Telephone: 31D- 749 - 8(o$IO
Photo I.D. required/Copy of Photo I.D.attached: YES NO
st,m,ma
J-1 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
Residential 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:
iLe+ kIMI'04L- z5-
trove-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,$100.00 Commercial
INSURANCE COVERAGE:
I have a current galltlity insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes&'No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Q' Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee aro,teat he,the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application—i—sthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box1U,I hereby certify that all of the details and Information I have submitted(or entered)regarding Nis application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all partinerd provision of the Massachusetts Building Code and Chapter 112 of the General laws.
Duct inspection required prior to insulation installation: YES_NO
Date
Harp rnm e^rc
Type of License:
SY Master
Title ❑Master-ResMcted
Cityffown ❑Journeyperson
Signature of Licensee
Permit#
❑JourneypersonReshictetl License Number .1400
Fee$
Check at www'nn—sem–,^^vm^I
Inspector Signature of Permit Approval