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32C-001 (51) 150 MAIN ST - HERRELLIS SM-2016-0040 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 10055 Map: 32C Block: 001 — Lot: 001 SHEETMETAL PERMIT Permit SHEETMETAL Category: I SH EETMETAL Permit#_ sM-2016-0040 PERMISSION IS HEREBY GRANTED TO: Project# JS-2016-001572 Est.Cost: $4,000.00 Contractor: License: Expires: Fee Charged:$50.00 ALLSTATE HOOD&DUCT INC Sheetmetal-25236 12/28/2017 Balance Due`.$.00 Owner: THORNES MARKETPLACE LLC C/O HPMG -- - #of Fixtures Applicant. ALLSTATE HOOD&DUCT INC - - - --.. DigSafe# _ _ AT. 150 MAIN ST-HERRELL'S rseGroup 6o:n:-st(;Iass ISSUED ON. 03-May-2016 AMENDED ON: EXPIRES ON. TO PERFORM THE FOLLOWING WORK.- INSTALL ORK:INSTALL TYPE 2 HOOD 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-2016-006304 29-Apr-16 4248 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov GeoTMS©2016 Des Lauriers Municipal Solutions,Inc. File# SM-2016-0040 APPLICANT/CONTACT PERSON ALLSTATE HOOD&DUCT INC ADDRESS/PHONE 24 MAINLINE DR (413)568-4663 PROPERTY LOCATION 150 MAIN ST-HERRELL'S 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 Buildine Permit Filled out Fee Paid Typeof Construction: INSTALL TYPE 2 HOOD New Construction Non Structural interior renovations Addition to Existiniz Accesso Structure Buildine Plans Included: Owner/Statement or License 25236 3 sets of Plans/Plot Plan c� �c THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Perm't fr E m Street Commission —Permit DPW Storm Water Management Signature of Building Of ficial 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. x Commonwealth of Massachusetts 016 City Of Northampton Date �a�' -/ Sheet Metal Permit Permit# Estimated Job Cost: $ Permit Fee: $1d y1f1�5 Plans Submitted: YES NO Plans Reviewed: YES NO Business License# �� 3 Applicant License# 2 S:--)3 4' Business Information: Property Owner/Job Location Information: Name: �<It 1�t [ j�jd 9( {—'G L '� Name: A e t'c-G l -7 c e Street: -� ��\tee c- Street: '�' o ti �1c'� � /I1 City/Town: � City/Town: Telephone: W2 Y-6- Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /6estricted 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: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 4-,,I,s TSP /vol 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, $100.00 Commercial INSURANCE COVERAGE: I have a current liar insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes'EI-No ❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ET, Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee ries not haves the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waive this requirement. Gj Check One Only Owner ❑ Agent Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Prn�cS jn 4y arfi nn e Date r nmmPntc Finn) Tnsrerfinn Date ( nmmPntc ,Type of License: By LJ Master Title ❑Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 1 Fee$ Check at in - ar macs gnv/rIpI Inspector Signature of Permit Approval