39-063 (7) INSURANCE COVERAGE:
I have a currentliatiftinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes(M No
If you have checked Yes,Indicate the two of coverage by checking the appropriate box below:
A liability iftstifattc:e policy Other type of indemnity ❑ Bond ❑
OWNER'S MWRANCE W •t awn aware that the lira rb—mi++hmm the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my sigraure on this permit application.wantesthis requirement.
Check One Only
Owner Agent ❑
Signature of Owner or Owner's Agent
By eheddrrg tit bDKQ I hereby car ft#hat all of the deta@s and krfornaBon 1 have submimed(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet mew work and installations performed under the permit issued for lids application will be
In hanoe with ar Pertinent MWA111011 of the Maasadmsoft&Ading Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES X NO
.date (�nmmPn�
Ti 1n91 7n�nantinn
L�Ate CQm»Ajs
Type of License:
BY ❑Master ATA Title ❑ -Restricted Kezr4, V'rn
City/Tom ❑Journeyperson
Signature of Licensee
Permit#
Fes ❑Joumeyperson-Restricted License Number
F
Check at , x -A
inspector Signature of Permit Approval
IT i
MAY 16 f
2D1� Commonwealth
4 of Massachusetts
Electric,Piutrmbin City Of Northampton
Northampton&t�"s insPections
A 01060 � Gj
Dat0ay 1 , 2014 Sheet Metal Permit permit# c5CC�I7I_S
Estimated Job Cost: $5 0, 0 0 0 .0 0 Permit Fee: $t ��7�l�
Plans Submitted: YES NO X Plans Reviewed: YES NO
Business License# 5 0 8 Applicant License# 5 6 4 4
Business Information: Property Owner/Job Location Information:
4
Name: RK Solutions Name:Oxbow Professional Park, LLC
Street: PO Box 262 t� Street: t? Atwood Drive
City/Town: Agawam al 4M City/Town: Northampton
Telephone: 413-374-8500 Telephone:413-789-3720
Photo I.D. required/Copy of Photo I.D. attached: YES NO X
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 X Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. X Number of Stories: 3
Sheet metal work to be completed: New Work: X Renovation:
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/ Vents Air Balancing
Provide detailed description of work to be done:
Install new supply and return duct systems .
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
File#SM-2014-0059
APPLICANT/CONTACT PERSON RK SOLUTIONS
ADDRESS/PHONE P O BOX 262 (413)374-8500
PROPERTY LOCATION 8 ATWOOD DR-CDH 1 ST FLOOR FIT OUT
MAP 39 PARCEL 063 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TVeof Construction: INSTALL NEW SUPPLY&RETURN DUCT SYSTEMS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 5644
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INSATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Pe it from Elm Street Commission Permit DPW Storm Water Management
Signature Zof Buildrg bfficial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning&Development for more information.
8 ATWOOD DR - CDH 1ST FLOOR FIT OUT SM-2014-0059
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 10426
Map: 39
;Blot: 06#
!Lot: 001 SHEETMETAL PERMIT
__ _
[Permit: SHEETMETAL
Category: electrial
Permit# SM-2014-0059 ' PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-001597
Est.Cost: $50,000.00 Contractor: License: Expires:
Fee Charged:$50.00 RK SOLUTIONS Sheetmetal-5644 09/28/2014
Balance Due:$.00 Owner: ATWOOD DRIVE LLC
of Fixtures Applicant. RK SOLUTIONS
DigSafe# AT. 8 ATWOOD DR-CDH 1 ST FLOOR FIT OUT
UseGroup
ConstClass
ISSUED ON. 20-May-2014 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
INSTALL NEW SUPPLY&RETURN DUCT SYSTEMS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2014-006684 16-May-14 3435 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.