24B-067 (17) File#SM-2017-0013
APPLICANT/CONTACT PERSON INDUSTRIAL TECHNICAL SERVICES INC
ADDRESS/PHONE 975 NORTH RD (413)568-1427
PROPERTY LOCATION 263 KING ST-KIA
MAP 246 PARCEL 067 001 ZONE HB(99)/GI(1)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM iilL..1eTD OUT
Fee Paid si0 ¢3OC1y
Building Permit Filled out
Fee Paid
Tyoeof Construction: ADD ROOF TOP UNIT ON DRIVE THRU SERVICE,2 UNIT HEATERS AND
EXHAUST FANS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 16760
3 sets of Plans/Plot Plan
THE FOLL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN O ATION 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 Sc 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
_ 1 • treet C. ission Permit DPW Storm Water Management
Signature of Buildg Officia 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 40k Contact the Office of
Planning&Development for more information.
RECE4t/. -
0 Commonwealth of Massachusetts
City Of Northampton
77
Date. j.7 - i, , Sheet Metal Permit Permit#347=/7 -/3
Estimated Job Cost: $ `etz rim) Permit Fee: $ 512
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# / 76 o Applicant License# _
Business Information: Property Owner/Job Location Information:
Name: /A/Da Tecfii✓1 iee_c9/ICEName:
Street: 47s NPR7N Spurr Street: 13 „1</sl6 7RTP2i'_
City/Town: AIyCTFj7�D City/Town:—rjAe711,Bpt7c aJ
Telephone: 4, 3jj-5 j —At-2 7 Telephone:
Photo L I. required /Copy of Photo I.D. attached: YES V NO
sminn�r:a
J-1 /M-1-m restricted license
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. B. /2-stories or less
Residential: 1-2 fa roily Multi-family Condo/Townhouses Otter_
Commercial: Office Retail ✓ Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft.4 over 10,000 sq. IL Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC J Metal watershed Roofing Kitchen Exhaust System_ __
Metal Chimney/Vents _ Air Balancing
Provide detailed description of work to be done:
,e-AD top a"'T 0,3 ._ /Viva- TvRq_ Sewoic
c,& - Inv" / fibres MT oii -ri s T
5-
Fees with Building Permit:$25.00 Residential,$50.00 Commercial. Fees for jobs withou a B V $1000,
Minimum fees for jobs without Building Permit 550.00 Residential,$111.00 ommercial
1
AUG 3 0 2015
INSURANCE COVERAGE:
I have a currentliability 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 &I( Other typo of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee firing nnf have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit app!ication,MniUoc this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box0,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 Nate l sheet metal work and installations performed under the permit issued far 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
Pr grove bycfortinna
D9re Comments
rin:,l rnt(,,,,.tirr,
Date Fnm m rnrg
Type of License'.
By ❑ Master
Title ❑ Master-Restricted
Ciry/Town DJourneyperson
Signature of Licensee
Permit#
nJou rneype rson-Restricted
License Number:
Fee S ❑
Check at www mace govRfpl
Inspector Signature of Permit Approval
amnia: 103120 INDNE2
10/2322015KY`V
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1IIIC CL RTIFICArE IS ISSUED AS A f✓Af'LU OF 1N1ORGAfION 014LY AND COI'NEES NO1'ICFiTs UPON TILE CERTIFICATE,,OLDER TI11S
CERTIFICATE DOLS NOT AEFIRIAATIVELY OR NEGATIVELY AMEND,ND,EXTEND OR ALIEN THE COVERAGE AFFORDED BY II 1E POLICIES
BELOW.TI 2.5 CENTS F ICAT E OF IN LLANCE DOES NOT CONSTITUTE A CONTRACT LIDVEEN THE IESUHG INsURLr:(SI AUTIIDDIEED
REPILESE9TATIVE OR PRODUCER,AND TI IE CERTIFICATE HOLDER.
II OPIAend tofcholder policy,
an ADruin po06/LlayIr quit the l IhfreemEt. tA sores. thiIOsts don'wit
WAIVED, hts lo to
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COMMONWEALTH OF MASSACHUSETTS
L l I
BOARD OE
SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE AS A
MASTER-UNRESTRICTED
NAI W.YUEN
5 ROSEMARY DR �E
WILBRAHAM, MA 01095 2527
2940 10128/2.017 2446
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_ 1 LIA CHRYSLER
ROBERT MACCARINI, P.E. _ INDUSTRIAL TECHNICAL SERVICES, INC Li..-.
r ...I OF NORTHAMPTON
348 PINE Sr DRIVE — -. . . y NORTH ROAD , . 263 KING Sr, L, M 1 e 0
PATTIDN MEADOW,MA.0 102 8 WESTFEI D.MA.01 U 85
NORTHAMPTON.MA '
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