30D-019 (2) SM-2024-0006
278 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30D-019-001 CITY OF NORTHAMPTON
Permit: Sheet Metal
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # SM-2024-0006 PERMISSION IS HEREBY GRANTED TO:
NEW SINGLE FAMILY HOUSE
Project# 2023 Contractor: License:
WESTERN MASS HEATING
Est. Cost: 4750 COOLING & PLUMBING INC
Const.Class: Exp.Date:
PIONEER VALLEY HABITAT FOR HUMANITY INC
Use Group: Owner: C/O RACHEL BORSON
Lot Size (sq.ft.)
WESTERN MASS HEATING COOLING &PLUMBING
Zoning: Applicant: INC
Applicant Address Phone: Insurance:
4 SOUTH MAIN ST SUITE K (413)268-7777 6H49519
HAYDENVILLE, MA 01039
ISSUED ON: 01/22/2024
TO PERFORM THE FOLLOWING WORK:
HVAC
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: P
i .A4,141/
Fees Paid: $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEIVED
JAN 2 2 2024 Commonwealth of Massachusetts
.1 Sheet Metal Permit
I OF f,UILDING INSPECTIONS
C
Permit# hj, 4..62'
Estimated Job Cost: $ 4,750 Permit Fee: $ 25 CCf'f7/6'
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 853 Applicant License# Unrestricted Master: 25518
Business Information: Property Owner/Job Location Information:
Name: Western Mass Heating Cooling&Plumbing,Inc. Name: Habitat For Humanity
Street: 4 South Main Street,Suite K Street: 278 Burts Pit Road
City/Town: Haydenville,MA 01039 City/Town: Florence, MA
Telephone: 413-268-7777 Telephone: 413-5 8 6-54 3 0
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1 /Ina 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 x Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. x over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: X Renovation:
HVAC X Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
ERV ventilation system, Dryer exhaust vent, Kitchen exhaust vent.
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 IN 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 ❑
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
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By ® Master / /� ��,�f
Title ❑ Master-Restricted d SGU-tf-Ce-rn. .1v 1!
City/Town
❑Journeyperson Signature of Licensee
Permit#
❑Journeyperson Restricted License Number: 25518
Fee$ ❑
Check at www.mass.gov/dpl
►7a/a'i
In ector Signature of Permit Approval