25A-188 (25) 99 INDUSTRIAL DR - HERITAGE HEMP SM-2019-0039
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS q_ 9383 1i
Map: �25A
Lot: �ooi
188 -- SHEETMETAL PERMIT
Lot:
Permit: iSHEETMETAL
Category: SHEETMETAL
Project sM-2o9-00039
094 __ PERMISSION IS HEREBY GRANTED TO:
Project k OS 2019-000947
- " - _-- 'Contractor: License: Expires:
Est Cost _
Fee Charged $50 00 SANDRI ENERGY LLC Sheetmetal- 11606 08/28/2016
Balance Due $.00 'Owner: CONZ STREET REALTY INC
[#:-C Applicant: SANDRI ENERGY LLC
DlgSafe N j AT. 99 INDUSTRIAL DR-HERITAGE HEMP
IUseGroup
ConstClass 'i
ISSUED ON: 15-Mar-2019 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
VENTILATION AND EXHAUST SYSTEM OF EXTRACTION ROOM
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Reaeip5o: Date Paid: Check No: Amount
Sh.e nctal REC-2019-002918 12-Mm-19 39650 $50.00
212 Main Street,Phone:(413)587-1240,Faxy413)589-1272,Email:Ihasbrouck*northamptonma.gov
GeoTMS®2019 Des Laurlers Municipal Solutions,Inc.
File*SM-2019-0039
APPLICANT/CONTACT PERSON SANDRI ENERGY LLC
ADDRESS/PHONE P O BOX 1578 (413)772.2121 ()
PROPERTY LOCATION 99 INDUSTRIAL DR-HERITAGE HEMP
MAP 25A PARCEL 188 001 ZONE GI(I01)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvoeof Construction- VENTILATION AND EXHAUST SYSTEM OF EXTRACTION ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included'
Owner/Statement or License 11606
3 sets of Plans/Plot Plan
THE T�LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION 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 Pian
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 from Elm StreetCommissionPermit DPW Storm Water Management
r-1, ) -- 3 tlyll
Signature of Building Official Date
Now: 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.
Commonwealth of Massachusetts
City Of Northampton
Date: 31 ,2119 1t Permit# 6 P- aot4 -p8`1a
I
Estimated Job Cost: $ MAA 1 2 2019 ermit Fee: $ , 0. 0 O
i
Plans Submitted: YES X N�- ^r of eun rm:,,1Nsrec* s evicwed: YES NO
ea�FNmrrcN.mF maso e �7 p
Business License# -- pplicant License#
Business Information: Property Owner/Job Location Information:
Name: Name: Ue-c 1qp- H-Om e
Street: y100chc: eyylnrt 8T Street O
City/Town: (;foe n C(eAd, M A City/Town: NL0(Z—)OLA.0� Tb all I R
Telephone: 1413 ' -l7 a -2 02I Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES ✓NO
sm rmn,i
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 Retail Industrial L Educational
Institutional Other
Square Footage: under 10,000 sq. ft. -K- over 10,000 sq. R. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC Metal Watershed Roofing 4 Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
�n YvT\c.;�Jr a nj txV\a.�sT S�STam o F��r„1csc;t"l�n 2ooM
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liahllity insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No❑
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee dam nor haeme the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application w.we this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box[],I hereby certify that all of fine details and information I have submitted for entered)regarding this application are true and
accurate to the best of my knowledge and met all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertment provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
prnsirncc rrayrnrRn
Date CCntntnmeuuts
G:nal rwy�nrL n_o
Rafe f',n.dri
Type of License:
By ❑ Master
Title ❑ Master-Restricted
City/Town ❑Journeypemon
Signature of Licensee
Permit#
❑Journeyperson-Restricted
License Number:
Fee$ El
Check at veww mass grivirini
Inspector Signature of Permit Approval