31B-161 (3) 169 ELM ST SM-2019-0049
COMMONWEALTH OF MASSACHUSETTS
cls#: kon
CITY OF NORTHAMPTON
Map: 31B
B'°�" 61 SHEETMETAL PERMIT
Lot. 4001 —�
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM 2019.0049
2 — PERMISSION IS HEREBY GRANTED TO:
Project# s2 2019-000786
Contractor: License:
Est.Cost $20,000.00 Expires:
1--MALL SEASONS HEATING AIR Sheetmetal- 129 04/28/2021
Pee ChargeA:$2-5.00—
Balance Due:$' 0011 Owner: LEONARD BENJAMIN LORIMER REBECCA
#of Fixtures. Applicant: ALL SEASONS HEATING AIR
DgS_afe# 'AT: 169 ELM ST
UseGroup r
�,ConstClass�_ .
ISSUED ON: 09-Apr-2019 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK
MODIFY EXISTING DUCT SYSTEM FOR 2ND FLOOR ADDITION
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Reeeipt No: Date Paid: Check No: Amount:
Sheetmetal UC-2019-003199 09-Apr-19 2976 82500
212 Main Street,Phnne:(413)S874240,Fax:(413)5874272,Email:lhesbrouck@nomhamptoama.gov
Ge.TNIS^a 2019 Des 1-aurie.Municipal Solufiom,Inr.
File 9 SM-2019-0049
APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR
ADDRESS/PHONE 93 ELM ST (413)247-9642
PROPERTY LOCATION 169 ELM ST
MAP 3 1 B PARCEL 161 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY;
PERMIT APPLICATION CHECKLIST
NCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvoeof Construction MODIFY EXISTING bWTSYSTEM FOR 2ND FLOOR ADDITION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included-
Owner/Statement or License 129
3 sets of Plans/Plot Plan
THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved _Additional permits required(sec below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project:_Site Plan AND/OR _Special Permit with Site Plan
Major Projeet: 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
& ---
Signa reofBuilding 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.
61 d- 161
Commonwealth of Massachusetts
M
City Of Northampton
Date: tq Sheet Metal Permit Permit#
°'' oo GLe�aG(7�G
29stimM Job Cost: $ ,QO__0_ Permit Fee: $ �S
=� m
o' plansitted: YES NO Plans Reviewed: YES NO
N
Business wense# 1'a.q Applicant License# \&
Business Information: Property Owner/Job Location Information:
Name: �)\� Su�sos�S �W _ P� Name:
street-. 'Q> \r S Few' Street: \ b(g Flifr� SA'.— Rd
City/Town: �1P�-���t➢ MR OID 3B City/Town: -
d tVRr,Sah-
Telephone: � Telephone: I" 4i (;4 6 '� d�67 +Joy\r�e6�
Photo I.D.required/Copy of Photo I.D.attached: YES NO_
Stan laid.]
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 Multi-family Condo/Townhouses Other
Commercial: OfficeRetail Industrial Educational_
Institutional Other
Square Footage: under 10,000 sq. ft.X over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation: X
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
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,$1(10.00 Commercial
INSURANCE COVERAGE: H
I have a currem Lility abInsurance policy or Its equivalent which meets the requirements of M.G.L.Ch. 112 Yesyp No El
If you have checked Yea,Indicate the type of coverage by checking the appropriate box below: /
A liability insurance policy X Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee daces not h—the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application---this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owners Agent
By checking this box0,I hereby certify that all of the defalls and information I have submitted(or entered)regarding this application are wa and
accurate,to the beat of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Cod.and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES_NO
Darr CGm rnre
R•nal 1,.yPerta
Dare rn ea1�
Type of License:
By ❑ Master C/
The ❑ Master-Restricted
Csyrrown ❑Joumeyperson Sign re of Licensee
Permds ❑Joumeypersor+Restrictetl
License Number:
Fee$
Check at meg'^ aeg^'d^i==p^'^ni
Inspector Signature of Permit Approval
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ISSUES
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