31A-063 (4) 179 ELM ST SM-2019-0041
COMMONWEALTH OF MASSACHUSETTS
_ __ CITY OF NORTHAMPTON
''pGIS#-5662
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Block: 063 SHEETMETAL PERMIT
ot
L01
Permit: SHEETMETAL
Category: iSHEETMETAL _
Permit# w2019 0041 PERMISSION IS MEREBY GRANTED TO:
'Project# IS-2019-001542 _
Est.Cosh $14,200.00 'Contractor: License: Expires:
kfee_Charged $ 5.00 '—';ISCHNEIDER PLG&HTG PLUMBING CORP- 1423 05/01/2020
Balance Due x$.00 'j,Owner: SALLOOM S1MON
#of Fixmress, Applicant: SCHNEIDER PLG&HTG
iDigSafe# ' AT.• 179 ELM ST
Group
C stamr—
ConstClass �
ISSUED ON: 27-Mar-2019 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
NEW DUCTWORK TO 2ND FLOOR,MODIFY IST FLOOR
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
Sheetmeral RF,C-2019-002960 18-Mm-19 66328 $25.00
212 Main Stnel,Phone:(413)587-1240,Faa:(412)587-1272,Email:ihasbrouekld oonhampmnma.gov
GcuTMSlt 2019 Des Lauriern Municipal Solution-,ha.
File 4 SM-2019-0041
APPLICANT/CONTACT PERSON SCHNEIDER PLG&HTG
ADDRESS/PHONE P O BOX 323 (413)268-0002()
PROPERTY LOCATION 179 ELM ST
MAP31APARCEL063 001 ZONE URB(100V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E O REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvpeof Construction, NEW DUCTWORK TO 2ND FLOOR MODIFY IST FLOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included
Owner/Statement or License 1423
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
F7F7
MATION PRESENTED:
proved _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
3 24 1
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_
VE D
Cil mmonwealth of Massachusetts
Mae 1 5 2019 City Of Northampton c w
Dates, m. 9inscecnoNs Sheet Metal Permit permit#
N1rt1-'AN.SON.11A 1106
Estimated Job Cost: $ 14, )OU,oo Permit Fee: $
Plans Submitted: YES NO / Plans Reviewed: YES NO
Business License# 14 ,3 Applicant License# 5gd0
Business Information: Property Owner/Job Location Information:
Name::Srl ee,ci.rl�c ,�.r ��c. Name: S', -,._:. �)r-0 oar. t C_S i-(- .In(. .
Street: 131Mo,n $}- 1� x 323 Street: o r'1 -,I— �i
City/Town: WWdernlle_, 1�W O�o'r-t City/Town: ,Qo4kc:.mPiir,
Telephone: (413)16'H- noo),. Telephone: O iQ) 7`19- %3lv
Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO
seertm;nm
J-1 /9- 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_ 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: X
HVAC X Metal Watershed Roofing_ Kitchen Exhaust System
Metal Chimney/Vents_ Air Balancing_
Provide detailed description of work to be done:
nro jucAwo�l 4anal FLm'>4(kF
Fees with Building Permit:$25.00 Residential,$50.00 Commercial.Fees forjobs without a Building Permit$6.00 per$1000
Minimum fees forjobs without Building Permit$50.00 Residential,$100.00 Commercial
INSURANCE COVERAGE:
I have a current Ilability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 YesA No 0
If you have checked Yes. Indicate the type of coverage by checking the appropriate box below:
A liability insurance policy 'a Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does--t h===the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application walvasthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box0,I hereby certify that all of the details and Information I have submitted(or entered)regarding thio application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the Geneml Laws.
Duct inspection required prior to insulation installation: YES_NO
Dare �nm•^>nrc
G:..o1 r..gpr
Date cr,mrn'nt=
Type of License:
By ❑ Master
Title 0 Master-Restricted
Ciryrrown ❑Journeyperson
Signature of Licensee
Permit#
OJourneyperson-Restricted License Number:
Fee$ El
Check at www m ==gnv/Tdel
Inspector Signature of Permit Approval
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