31A-275 (9) 66 WASHINGTON AVE SM-2021-0033
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: ,5882 o0.11AMp,,
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Map: 31 A r 44 t
Block: 275 SHEETMETAL PERMIT
Lot: 001
Permit: ;SHEETMETAL r ��"
f _.... __.. ERCENSENAR
Category: ;SHEETMETAL
Permit# SM-2021-0033
Project# s-2o21-00100o PERMISSION IS HEREBY GRANTED TO:
Est.Cost: 1$40,000.00 Contractor: License: Expires:
Fee Charged:'$25.00 ALL SEASONS HEATING AIR Sheetmetal- 129 04/28/2021
Balance Due:'$$.00 Owner: KELSO LISA&MICHAEL
#of Fixtures: Applicant: ALL SEASONS HEATING AIR
DigSafe# AT: 66 WASHINGTON AVE
UseGroup
ConstClass
ISSUED ON: 17-Mar-202I AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HVAC
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
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Signat +t yQ ,'1 •
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Fee Type: Receipt No: Date Paid: Check\o: turnout:
Sheetmetal REC-2021-002778 16-Mar-2I 4082 $2A nri
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouckra)northamptonma.4oc
GeoTMS®2021 Des Lauriers Municipal Solutions,Inc.
36 - 0y7
R EC E(V E-0 Commonwealth of Massachusetts
MAR s 2021 City Of Northampton
Sheet Metal Permit Permit# 5$41 - al- 33
fiPPTI BUILDING INSPECTIONSad I�Z
NQgTFIAA4f TQN,t�A 01060
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Estimated Job-dost: $ ,Q 0 0 Permit Fee: $ a • 0 0
Plans Submitted: YES NO ✓ Plans Reviewed: YES NO
Business License# I aq Applicant License#
Business Information: Property Owner/Job Location Information:
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Name:A koOfSom H PA fi r1 q AC Name: M i chop i '� Li VP_I SC) EP-,wa
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Street: C F I rYl 4 O Street: (0(0 1 ,fO S h i n@ t�r Ave,
City/Town: 1- ni-.i e,i ri City/Town: NO Y1--hQu'flpfie
Telephone: 4-k ! • • q -a Telephone: 413` ?S0 2 4`� ' MCM got of rg
Photo I.D. required/Copy of Photo I.D. attached: YES 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 J 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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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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes D./No ❑
If you have checked Yas, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy E( Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee daps not haw,the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waivcsthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Prngrecc Invoctions
f)atr' ('onnn'nts
Final Inspection
late (�in�meilts
Type of License:
By Master ,
Title El Master-Restrictedjai
City/Town ❑Journeyperson
l at of Licensee
Permit#
❑Journeyperson-Restricted License Number:
Fee$ ❑
Check at www mass coy/dill
3/1'172,1
Ins ector Signature of Permit Approval