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38B-291 (4) 284 SOUTH ST SM-2019-0035 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON PMap:GIS# i 7787 � 39B Block:' 291 Wi ' SHEETMETAL PERMIT t: 001 � � � .�. . Permit: SHEETMETAL 'Category: 'FIREDAMAGE Permit SM-2019-0035PERMISSION IS HEREBY GRANTED TO: �Praject# IJS-2019-000740 [6t.Cost: $12, Contractor: License: 000,00 Expires: Fee Charged:1 �$25.00 STEVEN GRAYDON DBA S&G HESheetmetal-3651 07/28/2020 Balance Due:SAO Owner: CAMPBELL CATHERINE #of Fixtures: Applicant: STEVEN GRAYDON DBA S&G HEATING �gSafe# '; AT: 284 SOUTH ST UP — L onstClass ;. ISSUED ON: 29-Jan-2019 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK.• NEW HVAC SYSTEM 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: Sheetmetal REC-2019-002499 28-Jan-19 1291 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouckgnorthamptonma.gov GeoTMS®2019 Des Lauriers Municipal Solutions,Inc. File#SM-2019-0035 APPLICANT/CONTACT PERSON STEVEN GRAYDON DBA S&G HEATING ADDRESS/PHONE 14 LOWELL LANE (413)237-3747 PROPERTY LOCATION 284 SOUTH ST MAP 38B PARCEL 291 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid IT P Typeof Construction: NEW HVAC SYSTEM New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 3651 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFqRMATION 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. *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 Massachusetts S��t�[et��e�iit Date: 2 Permit# ` !9' 6 -- Estimated Job Cost: $ 12-- JAN 2 8 2019 rmit Fee: $ DEPT.OF BUILDING INSPECTIONS Plans Submitted: YES NO NORTHAMPTON,MAoloMans R viewed: YES NO Business License# Applicant License# 2 �;S Business Information: Property Owner/Job Location Information: Name: �� (' - -Q�2_ l`'� Name: Street: Lr�U�--�- I L I, Street: City/Town: �-'��-'� «c Ta�-�_ City/Town: f'� ��u Telephone: ,z 3� L� Telephone: Photo I.D. required/ Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-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: 1-2 family X 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: INSURANCE COVERAGE: 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 of Owner or Owner's Agent By checking this boCl 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 Progress Inspections Date Comments Final Inspection Date Comments Type of License: By (Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: 3 �� Fee$ ❑ Check at www.mass.aov/dt)l Inspector Signature of Permit Approval r - r �*C+R it� S TE€E FOV� K �' # lIASR-UN "Wff GL10ENSE, � "W e< j LO gggl p a - ter= �. f 8EYES QrV i �� a -1,14159 _ s oo ag3rnje,av s l