39-041 (16) 15 ATWOOD DR - 3RD FL SM-2020-0017
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 10417
Map: X39
J
Block: 041 1
Lot: oo l . i SHEETMETAL PERMIT
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Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM-2020-0017 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-001026
Est.Cost: $40,000.00 Contractor: License: Expires:
Fee Charged:$50.00 RK SOLUTIONS Sheetmetal-5644 09/28/2018
Balance Due:$.00 Owner. NORTHWOOD DEVELOPMENT LLC
#of Fixtures: Applicant. RK SOLUTIONS
DigSafe# AT. 15 ATWOOD DR-3RD FL
UseGroup
ConstC lass
ISSUED ON. 13-Nov-2019 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.-
INSTALL
ORK.INSTALL DUCT SYSTEMS FOR 3RD FLOOR FITOUT
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-2020-001642 12-Nov-19 5666 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS®2019 Des Lauriers Municipal Solutions,Inc.
RECEIVED S'-d F/ Pf cu f
Commonwealth of Massachusetts
NOV 1 2 2.019 City Of Northampton 04W5&(1(1
DFPreF ,gym 5111.41l4 c TSI NS Sheet Metal Permit
Permit �yj ^o? -/ 7
Estimated Job Cost: $4 0,0 0 0 .0 0 Permit Fee: $5 0 .0 0
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License#5 0 8 Applicant License# 5 6 4 4
Business Information: Property Owner/Job Location Information:
Name: RK Solutions Name: Northwood Development, LLC
Street: PO Box 262 Street: 15 Atwood Drive
City/Town: Agawam City/Town: Northampton
Telephone: 413-374-8500 Telephone: 413-789-3720
Photo I.D. required/Copy of Photo I.D. attached: YES NO
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. X over 10,000 sq. ft. Number of Stories: 3
Sheet metal work to be completed: New Work: X Renovation:
HVAC X Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
Provide and install duct systems for new tenant fitout.
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,$100.00 Commercial
� �1 D ✓ l l� SOL.0 %,��y s l�� �.comer
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes EX No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy E3 Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee rinpg not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waive this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES----- NO------
Pragro-gy IncnPrtinnc
Date comments
Final Incnnrtion
Date ( nmmPntc
Type of License:
By—_— ❑ Master
Title — Master-Restricted `
City/Town — ----- ❑Journeyperson
Signature of Licensee
Permit#_
❑Journeyperson-Restricted
License Number: 5644
Fee$-- - ❑ - --- ----
Check at www mace gInvid I
Inspector Signature of Permit Approval