24D-202 (11) 43 FINN ST SM-2020-0018
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 4036
Map: 24D p
Block: 2°2 .
Lot: 001 , SHEETMETAL PERMIT
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM-2020-0018 PERMISSION IS HEREBY GRANTED TO.-
Project# JS-2019-002142
Est.Cost: Contractor., License: Expires:
Fee Charged:$25.00 Drew Powers Sheetmetal -504
Balance Due:$.00 Owner. AGRAWAL JAYA
#of Fixtures: Applicant. Drew Powers
DigSafe# AT. 43 FINN ST
UseGroup
ConstClass
ISSUED ON. 20-Nov-2019 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.-
INSTALL
ORK:INSTALL 2 WARM AIR,GAS FURNACES WITH 3 ZONE OF DUCT WORK FOR IST,2ND&CELLAR LOCATIONS
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-2020-001775 20-Nov-19 4159 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbroucknnorthamptonma.gov
GeoTMS®2019 Des Lauriers Municipal Solutions,Inc.
a-HD- aU .:?- nCVCI V L__ U
Commonwealth of Massachus ttsNOV 2
City Of NorthamptonL ?019
DEPTOFTDate: S Sheet Metal Permit Pe gIIttInlch-IraP TE�IO
Estimated Job Cost: $ Permit Fee: $ �$4;67 C L*411
15?
Plans Submitted: YES NO Plans Reviewed: YES NO
r✓
Business License # �� Applicant License#
Business Informatio Property Owner/Job Location Information:
Name.. 1z L,W Name: J PH Zl/, bly(7
Street: O� /7� 'G Street: /iZ'0' %J�
City/Town: ���✓.�y i �i7 O/033 City/Town: O'4fTft '�'idTl�i✓
Job 'Fo"AS Acv : 4AW-E
Telephone: 7 �� � Telephone: s��?_ �� s? . 72
Photo I.D. required /Copy of Photo I.D. attached: YES O
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 / Multi-family Condo /Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq.ft. �l alover 10,000 sq.ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC V Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
�.1 lI T',✓o
6/4t.*i 4&_
�i��1 w7 � ZOOS 47� �'J - yl/oilc � /ST .2.,o� �
Fees with Building Permit: $25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000
Minimum fees forjobs without Building Permit$50.00 Residential, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liar insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes iNo❑
If you have checked Yes,indicate a type of coverage by checking the appropriate box below:
insurance policy 7 Other type of indemnity ❑ Bond ❑
A liability p y Yp Y
OWNER'S INSURANCE WAIVER:I am aware that the licensee damps,omit hnu the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waive this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxel, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES ✓/ NO
Progress inspections
Date Commeat.%
Final inspection
Date comme is
Typ�f License:
BY L'I Master
Title ❑ Master-Restricted j
City/Town ❑Journeyperson
Signature of Licensee
Permit#
Elio urneyperson-Restricted 0
License Number:
Fee$ ❑
Check at
I vg,0/)�
1 spector signature of Permit Approval