42-179 (2) 115 GLENDALE RD SM-2020-0038
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 12226
Map: 42Blo
Lot: '79
Lot: SHEETMETAL PERMIT
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Permit: 'SHEETMETAL = 'lll
Category: SHEETMETAL
Permit# SM-2020-0038 PERMISSION IS HEREBY GRANTED TO:
.Project# JS-2020-000062
Est.Cost: $4,000.00 Contractor: License: Expires:
Fee Charged:$25.00 M J MORAN Sheetmetal-267 10/28/2021
Balance Due:$.00 Owner: MINERAL HILLS REALTY LLC
#of Fixtures: Applicant. M J MORAN
DigSafe# AT. 1 15 GLENDALE RD
UseGroup
ConstClass
ISSUED ON: 20-Apr-2020 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
hvac for new house
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-2020-003011 16-Apr-20 29333 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouckna northamptonma.gov
GeoTMS*2020 Des Lauriers Municipal Solutions,Inc.
IN
1 Massachusetts
Commonwealth f t o I
Sheet Metal Permit
APR 1 6 2020
Date: Permit S ';-ja07 J==ECTIONS
Estimated Job Cost: $ y 00(j Permit Fee: $ ��
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 172 Applicant License# 267
Business Information: Property Owner/Job Location Information:
Name: M.J. Moran, Inc. Name: N06r'167' FO( yl<At 641i
Street: 4 South Main Street Street: vs— e /26
City/Town: Haydenville City/Town:
Telephone: 413-268-7251 Telephone: �3—' Spy-50
Photo I.D. required/Copy of Photo I.D.attached: YES NO
sta(iInitial
J-1/Eunrestricted 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:
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INSURANCE COVERAGE:
I have a current liabilit insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes DO No❑
If you have checked Yes, 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 finpc not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application—ims, this requirement.
Check One Only
N/A
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxX,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
PrOoreSSTncn��c
Date CL1Lum enf s
Final inryeetion
Late �nmmentc
Type of License:
By X Master /
Title ❑ Master-Restricted
City/Town ❑Journeyperson
y� Signature of Licensee
Permit# � '0{l1 � 3�
❑Jou rneyperson-Restricted
License Number:
Fee$ ❑
Check at WWW macs gnv
Inspector Signature of Permit Approval