24C-157 (10) 36 ARLINGTON ST SM-2021-0028
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 3832 oat"" °)-0
Map: 24C ; 1 't
Block: 157 ' SHEETMETAL PERM I T
Lot: 001
Permit: iSHEETMETAL ems `"gyp
�RCENiEN"R
Category: SHEETMETAL
Permit# SM-2021-0028
Project# 1s-202 -obo718 PERMISSION IS HEREBY GRANTED TO:
Est.Cost: '$2,000.00 Contractor: License: Expires:
Fee Charged:'$25.00 ARCTIC REFRIGERATION CO LL Sheetmetal -7776 07/28/2018
Balance Due:S.00 Owner: CHRABASCZ MARK
#of Fixtures:' Applicant: ARCTIC REFRIGERATION CO LLC
DigSafe# AT: 36 ARLINGTON ST
UseGroup
ConstClass
ISSUED ON: 23-Feb-2021 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
BATHROOM EXHAUST FAN/HRV 2ND FLOOR HEAT AND COOLING DUCTWORK
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
I •
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2021-002550 22-Feb-21 2440 $25.00
•
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Emailahasbroucknnorthamptonma.gov
GeoTMS®2021 Des Lauriers Municipal Solutions,Inc.
Commonwealth of Massachusetts
FEB 2 2 2021 I
City Of Northampton
i
DFPT.O ,
Sheet Metal Permit "1�
—_ NOR-Date:''{i ;` ; ) Permit# 27/
Estimated Job Cost: $ , i0s .a Permit Fee: $ ft)cfci6
C'
Plans Submitted: YES I/ NO Plans Reviewed: YES NO
Business License # ? 60 Applicant License #
Business Information: -� Property Owner/Job Location Information:
Name: /4/-C�i 6 B ci e)-;I/IAA) Name: pia" ft CAto b S
Street: ? l'Q. K ,$ // gel Street: -?Co A/N 1n 5t
City/Town: 6j l^e,eN lI,eli J A City/Town: AId44 401 /D,4/
Telephone: 'fig- 7 9 4'2 0_? Telephone: 9 g' V 5.:5d ? ?i5 to
Photo I.D. required/ Copy of Photo I.D. attached: YES l/ NO _
/ 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 v Multi-family Condo /Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. L7'over 10,000 sq. ft. Number of Stories: 3
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: l
&? ih j ,tm .. .,Yi 2us/-/,/-//e ., p�N�A /oar. 4, iz
et
Cep/4 c7uGSlvotA)
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, $100.00 Commercial
INSURANCE COVERAGE: /
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yest No ❑
If you have checked Yes, indicate the ype of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee rifles not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxe, I hereby certify that all of the details and information I have submitted(or entered) regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Prugres Incpecfiunc
Doh' rnmmentg
Final Iqc- et-inn
Date. Com.meuts
Type o License:
By aster
Title ❑ Master-Restricted 7H ///
City/Town ❑Journeyperson
Signature of Licensee
Permit# 9
❑Journeyperson-Restricted License Number:
Fee$ ❑
Check at www mass cgnv/rip(
Inspector Signature of Permit Approval