25C-170 (5) 38 ORCHARD ST SM-2021-0038
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 14546
Map: 25C — !
Block: 170 ' I SHEETMETAL PERMIT
Lot: 001
Permit: 'SHEETMETAL '
Category: demolition
Permit# SM-2021-0038
Project# 1JS-2020-001910
PERMISSION IS HEREBY GRANTED TO:
Est.Cost: 1$10,200.00 Contractor: License: Expires:
Fee Charged:1$25.00 KC MECHANICAL LLC Sheetmetal- 1641 12/28/2021
Balance Due:$.00 Owner: COSTELLO ROBERT D&SHARON C SWITZER&ANGELINE C HYNE
#of Fixtures: Applicant: KC MECHANICAL LLC
DigSafe# AT: 38 ORCHARD ST
UseGroup
ConstClass
ISSUED ON: 06-Apr-2021 AMENDED ON: . EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HVAC FOR RENOVATION
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signaturl
•
Fee Type: Receipt No: Date Paid: ('heck No: amount:
Sheetmetal REC-2021-003057 Api 2 I 479)
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck(a)northa III ptnnma.2u‘
GeoTMS®2021 Des Lauriers Municipal Solutions,Inc.
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' 't-- Commonwealth of Massachusetts
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Dc C) City Of Northampton
L Sheet Metal Permit
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z ,"Date ' 2 v2 Permit# #.)-7--�/-,3�
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Pi Estirrated Job Cost: $ /D, ZGOPermit Fee: $
ty
\ 6) Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 3410 — r Applicant License# /6.W — fL Lz5 ..l
Business Information: 52/ 3 Property Owner/Job Location Information:
Name: (cC lec.ific v ccam- C- Name: 4,6 e /b
Street: P-- 0. ScY c 2 Street: CVCA(vd &i--•
City/Town: (fie >°l c-f, / 4 . City/Town: /Vora i a,,.-/D 1-6 n
Telephone: '03- c9CZ-::- 7/6 Z Telephone. 4/'2- 3 ' (91
Photo I.D. required/Copy of Photo I.D. attached: YES 'V 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 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: V
HVAC 1- Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed d e 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
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INSURANCE COVERAGE:
I have a current Jiehitity insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No O
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:lam aware that the licensee dries 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.
`i Check One Only
Owners Agent
Signature of Owner or Owner's Agent
By checking this baX'J,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
1}r[tre•cc nsperti�n�
(`nmmentg
hnrml 1nspeetina
Date rnmtnents
Type of License:
By I O Master
Title 0 Master-Restricted
City/Town OJourneyperson
Signature of Licensee
Permit
{ OJoumeyperson-Restricted
License Number:
Fees_
Check at www mast 9rw/tint
1I ins ctor Signature at Permit Approval
MASSACHUSETTS COMMERCIAL
DRIVER'S LICENSE
NOT FOR FEDERAL ID
T
09/20/2019 S99623027
4 1211012023 12110/1971
CLABM REST NONE 10
s.
CUNHA
• F' JOHN P
10 RYAN LN
APT1
I{ OTIS,MA 01253.9750
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SDx09/231122019 Rev /2E7016 1 2/10/71