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41-064 (3) 16 RIDGE VIEW RD SM-2019-0056 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON LS#: 11362 41 Block;L64 Ol SHEETMETAL PERMIT edmit: SHEETMEfAL Category. Nev,Single Family Houm emit# M-2019-0056 PERMISSION IS HEREBY GRANTED TO: # 7S-2019-00M13 s<. Cost: $10,000.00 Contractor: Licersse: Expires. a Charged:$23.00 PETER MOSUCHUK-M&M COMSheelmetal-5445 02/28/2020 Ulance Doe; .00 Owner: RIDGE VIEW DEVELOPMENT of Fixtures: Applicant: PETER MOSUCHUK-M&M COMFORT ZONE 'gSafe# T. 16 RIDGE VIEW RD %CCaP ougtClssa ISSUED ON: 28-May-2019 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK. NEW SINGLE FAMILY HOUSE THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Recaipt No: Date Paid: Cheek No: Amount: SMrnml REC-2019-003709 2"ay-19 CC-5^_419 S2500 212 Main Ssrcel,Phone:(413)580-124,F..:1413)587-1272,Emaa:lhashraack(narthamptonmaeov Geo7T1S®2019 Des Lauriers Municipal Solutians,Inc. File p SM-2019-0056 APPLICANT/CONTACT PERSON PETER MOSUCHUK-M&M COMFORT ZONE ADDRESS/PHONE 19 OAKDALE ST (413)231-7164 PROPERTY LOCATION 16 RIDGE VIEW RD MAP 41 PARCEL 064 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST REQUIRED DATE ZONING FORM FILLED OUT ZPIC Fee Paid Building Permit Filled out Fee Paid TTyprofConstruction: NEW SINGLE FAMILY HOUS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 5445 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON BNFQRMATION PRESENTED: Approved _Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project Site Plan AND/OR Special Permit*ith 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 an 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 Planing&Development for more information. •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 al Permit Date: S oL�— l ©I EECEIVED P it# Estimated Job Cost: $ ff D — t1AY 2 4 2019 P it Fee: $ C, frvjm rl Plans Submitted: YES NO Re ewed: YES_ NO_ OEGTOF aA PTONIMA Re NORiHAMPiON.Mg0106 f Business License# ,fit{�.� _ e# 5�1 Y � —0.1/Z �o Business Information: Property Owner/Job Location Information: Name: IylgM COM 1=oR�(� >?r�^LR- Name: ZtWC VcZkJ Street: ( q Oh->( t)( A} -c bT street: /6 City/Town: W F 5- F�01W MP City/Town: Telephone:&J, Telephone: 0�3— Photo I.D.required/Copy of Photo I.D. attached: YES_ NO_ •C Staff W6.1 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: 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: tr ffYf-,CW .vim GV/r�? PZZ cG' GiJ� INSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No El If you have checked Yes, Indicate of coverage by checking the appropriate box below: A liability insurance policy the 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 Owners Agent By checking this botQl hereby cartify 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 �j-]l0faster r Title �Master-Restricted cltyrrown E.loumeyperson Signature of Licensee permit# D,loumeyperaon-Restricted License Number: Fee S El Check at www.mass aov/dnl Inspector Signature of permit Approval i MASSACHUSETTS DRIVER'S LICENSE ` `oaJ191201a «327261804 12v202a ' 02(2111967 A 5 zNONE "ACKE 65(JC UK 11h:PETER JTZ tr { ST s.S, =19 OAAMlE y r. WEStF1ELD.WA 010851515 ��(✓ /h-G'��4.us M % 02/21167 " COMMONWEALTH OF MASSACHUSETTS B ARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE MASTER-UNRESTRICTED PETER MOSIJCHUK 19 OAKDALE ST WESTFIELD,MA 01085-1515 5445 02/2812020 - 405516 -