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32C-001 (33) INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yesv No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy V 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 Title ❑ Master-Restricted City/Town Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 25011 Fee$ ❑ Check at www,mass.gov/dpi i Inspector Signature of Permit Approval k s � a }�9+ i� � a i i I� OCT —6 2W4 Commonwealth of Massachusetts EleWc,Plumbing drop Sheet Metal Permit Northampton,MA 01 Date: 10i6i2014 Permit# Estimated Job Cost: $ 35,000.00 Permit Fee: $ Plans Submitted: YES V NO Plans Reviewed: YES NO Business License# Applicant License# 25011 Business Information: Property Owner/Job Location Information: Name: Allstate Hood&Duct,Inc. Name: convino Street: 24 Mainline Drive Street: Thornes Marketplace City/Town: Westfield,MA City/Town: Northampton,MA Telephone: 413-568-4663 Telephone: P hoto I.D. required/Copy of Photo I.D. attached: YES vf NO Staff Initial C 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: 4 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: See attached drawings File# SM-2015-0013 APPLICANT/CONTACT PERSON ALLSTATE HOOD&DUCT INC ADDRESS/PHONE 24 MAINLINE DR (413)568-4663 PROPERTY LOCATION 150 MAIN ST-CONVINO RESTAURANT MAP 32C PARCEL 001 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building,Permit Filled out Fee Paid Typeof Construction: INSTALL KITCHEN EXHAUST SYSTEM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 25011 3 sets of Plans/Plot Plan THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 Permit fro Elm Street Commission Permit DPW Storm Water Management S ure of Building ial 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. 150 MAIN ST - CONVINO RESTAURANT SM-2015-0013 COMMONWEALTH OF MASSACHUSETTS - -I CITY OF NORTHAMPTON 110056 'Map: 132C 001 - -• SHEETMETAL PERMIT I>,°t: X001 (Permit: SHEETMETAL (Category renovation { Permit# 5M 20 I S-oo 13_ _ PERMISSION IS HEREBY GRANTED TO: Project# JS-2015-000292 f - Contractor: License: Expires: ,Est. Cost: $35,000.00 --- 'ALLSTATE HOOD&DUCT INC Sheetmetal-2501 1 12/28/2015 Fee Charged:1$50.00 ;Balance Due:$.00 1Owner: THORNES MARKETPLACE LLC C/O HPMG — - --- — �#ofFixtur-es jApplicant: ALLSTATE HOOD&DUCT INC �DigSafe# 150 MAIN ST-CONVINO RESTAURANT lU seGroup ConstClass ISSUED ON. 21-Oct-2o 14 AMENDED ON: EXPIRES ON. TO PERFORM THE FOLLOWING WORK: INSTALL KITCHEN EXHAUST SYSTEM 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-2015-001523 07-Oct-14 3748 $50.00 212 Main Street,Phone:(413)587-1240,Fax-.(413)587-1272,Email-.Ihasbrouck @northamptonma.gov GcoTMS®2014 Des Lauriers Municipal Solutions,Inc.