24D-021 (3) 12 LAWN AVE SM-2020-0003
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 3887
Map: 41)
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Bloc": 021
Lot: 001 _ � SHEETMETAL PERMIT
_ .
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# sM-2020-0003 PERMISSION IS HEREBY GRANTED TO.
Project# IJS-2019-002396
Contractor. License:
Est.Cost: $1,500.00 Expires:
Fee Charged $25.00 PAUL'S PLG& HTG Sheetmetal- 12283 11/28/2020
Balance Due:$.00 Owner. CURRAN JOSEPH&KAREN DOLAN
#of Fixtures:; Applicant. PAUL'S PLG& HTG
DigSafe# AT. 12 LAWN AVE
UseGroup -
ConstClass
ISSUED ON. 15-Aug-2019 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
REMOVE CHIMNEY AND REPLACE WITH B VENT ANDD NEW FIREPLACE VENT
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-2020-000507 14-Aug-19 12903 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck a.northamptonma.gov
GeoTMSO 2019 Des Lauriers Municipal Solutions,Inc.
File#SM-2020-0003
APPLICANT/CONTACT PERSON PAUL'S PLG& HTG
ADDRESS/PHONE P O BOX 303 (413)238-0303
PROPERTY LOCATION 12 LAWN AVE
MAP 24D PARCEL 021 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: REMOVE CHIMNEY AND REPLACE WITH B VENT ANDD NEW FIREPLACE VENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 12283
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)
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
8- * 0019
Sig1rature 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.
� S
Commonwealth of Massachusetts 40
C i
Sheet Met
rm t
Date: Permit# _a
Estimated Job Cost: $ 57-5 P it Fee: $
uG
Plans Submitted: YES NO a `Nc1\NSPo1 N5 ewed: YES NO
Business License# pNOP NP o�oN cant License#
Business Information: / Property Owner/Job Location Information:
Name: f /5T�(4 Yf(,' Name: Ji* (foe w4l
Street: Q-D 6 Street: Z,� �,¢Li v �ve
City/Town:. /" v M,4 City/Town: /00 r _1147&
Telephone: y.3 -,-;,3,? "D-30 3 Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1M;- nrestricted 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 t,-� Multi-family Condo /Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq.ft. v- - 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:
I
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 bo)0l hereby certify that all of the details and information 1 have submitted(or entered) regarding this application are true a,,'
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#
❑Journeyperson-Restricted License Number:
Fee$
❑ Check at www.mass.gov/dol
Inspector Signature of Permit Approval