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38C-056 (3)
374 SOUTH ST SM-2022-0005 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON (,IS#: 7847 ,aspAMp,,,�\ Map: 38C SHEETMETAL PERMIT Block: 056 1y, Lot: 001 Permit: SHEETMETAL �` TfRCENT�ENP�Y Category: SHEETMETAL Permit# sM-2022-0005 PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-000857 Est. Cost: $12,500.00 Contractor: License: Expires: Fee Charged:$50.00 JANUSZ BARAN Sheetmetal-3935 09/28/2022 Balance Due:$.00 Owner: SHIELDS T J #of Fixtures: Applicant: JANUSZ BARAN DigSafe# AT: 374 SOUTH ST UseGroup ConstC lass ISSUED ON: 04-Aug-2021 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: REPLACE FURNACE AND DUCTWORK ON 2ND FLOOR THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ISNAILA,‘--, >2 - 3-11 st Signaturet Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal REC-2022-000376 03-Aug-21 409 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbroucka)northamptonma.gov GeoTMS®2021 Des Lauriers Municipal Solutions,Inc. Commonwealth of Massachusetts h • • Metal Permit Date: .2/3! 2‹.):2frk' Permit# 501 "'A - 5- Estimated Job Cost: $ / .S 400 it Fee: $ gn Yam} T ''/ :::::: YESYES NO# .� 3 ci 35" TON misps can icense# ��q 7. °jn oohs Business Information: rt; Owner/Job Location Information: Name: ;'a2 B A ?tJ Name: s.Sr V © L Uoc,i g Street: it 1,1l ew P- Street: 374 City/Town: Ecz.S-1` vk.ic j e 1 City/Town: Mr�wivt col.i4 v PIA Telephone: `i/3 `374 -4'‘ O Telephone: 9/3 — yes - ce Photo I.D. required/ Copy of Photo I.D. attached: YES NO Staff Initial J-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.)c- 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 Providevi detailed description of work to be done: Veda I 1`Ce. V.C.e_ • N' CLV4oI a CAA. ‹e c—c C}V-- INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes, No❑ 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: I am aware that the licensee does 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 E Signature of Owner or Owner's Agent By checking this bo4f 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 Comments Final Inspection Date Comments Type of License: By ti'Iciaster Title ❑ Master-Restricted /.0•1.1s,ta R -Owl City/Town ❑Joumeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: J5 3'Y 3 5 Fee$ ❑ Check at www.mass.govldol tinrAjiMk. 4 OYDNI Inspector Signature of Permit Approval 1F�>f 1�,ttR ,>,Q17i' '�.. fi mil • 1l + 4 1, Y 3NMMtAll Perforations :c's�' ,,�" Fold,Ikon Detach Along . ;I COMMONWEALTH OF MASSACHUSETTS ..---COM ' • i`"' .4i ',,WIDIVISION O -Q t'$IONA".LICENSURE . S :wex+• - � � BOARD OF 41'; •• CD1..� SHEET METAL WORKERS iv ISSUES THE FOLLOWING LICENSE + ' �09E7$15�5 V 09�0911969 MASTER-UNRESTRICTED ..a 09I0912023 ti JANUSZ Z BARAN 0911712019 t w �, f 1Nr AMILLER RD �y N 1M; ll+� 9o5v+1utArAy.,RA ;44 EAST GRANBY,CT 06026-9735 '. 1 BARAN y:: r. JANUSZ ZBIGNIEIN : a MILLER RO r't EAST GRANBY,CT 06026.9735 ' 93106 'f ,,++ ;, 3935 09l2812022 : /4- +Ati; '4 4-'r1,t : . •1f.V•a.1 +i^' r " 'trdehi 'dg�.0•4t+r7,e'RTz ` UCENSENUMBS'. . 3 PIRA'• ,AT SERIAL NUMB +GIs K