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18D-051 (6) INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes ($] No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy fXl Other type of indemnity n Rend OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Li Agent 11 Signature of Owner or Owner's Agent By checking this hoxl,$),I hereby certify that all of the details and information I have submitted for 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: l-ty -- Xi Master Title — — ❑ Master-Restricted 4� City/Town — ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted 1750 Fee$ License Number:_ ❑ Check at www.mass.gov/dpi Inspector Signature of Permit Approval CIA1°)4)( i E!( 1 Sheet Metal Permit ! ' SEP - 92013 �I Electric, Plumbin &Gas frs;:, ctione. 51/111113 L �t7a� 43;oc,o Permit # Estimated Job Cost: $ 60,000.00 Permit Fee: $ 450 Plans Submitted: YES NO x Plans Reviewed: YES NO Business License #_37 Applicant License # 1750 Business Information: Property Owner/Job Location Information: Name: Climate Heating &Cooling, Inc. Name: Country Hyundai Street: 146 Hubbard Ave Street: 347 Kin_g_Street _ City/Town: Pittsfield MA 01201 City/Town: Northampton . Telephone: (413) 684-5100 _ Telephone: Fax: (413) 684-4300 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 Retail x Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. x Number of Stories: 1 Sheet metal work to be completed: New Work: x Renovation: I-IVAC x Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/ Vents Air Balancing Provide detailed description of work to be done: (use back of form if necessary) Provide and install (6) rooftop units with associated ductwork. All new construction. File#SM-2014-0013 APPLICANT/CONTACT PERSON CLIMATE HEATING&COOLING INC ADDRESS/PHONE (413) 684-5100 PROPERTY LOCATION 347 KING ST-HYUNDIA MAP 18D PARCEL 051 001 ZONE HB(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: 6 ROOFTOP UNITS&ASSOCIATED DUCTWORK FOR NEW COMMERCIAL CONSTRUCTION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 1750 3 sets of Plans/Plot Plan THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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&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 '- • .m E m Street Co • sion Permit DPW Storm Water Management A I e:1 /7-7_� Sig freof it .1.• , Of i." 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. 347 KING ST - HYUNDIA SM-2014-0013 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 18949 o THAMp Cry Map: 118D Block: 051 -lel SHEETMETAL PERMIT Lot. oo l Permit: SHEETMETAL s° Category: SHEETMETAL Permit# SM 2014 0013 PERMISSION IS HEREBY GRANTED TO: Project# JS-2013-000819 Contractor: License: Estt.. Ct t Cost: $60,000.00 Expires: Fee Charged:$50.00 CLIMATE HEATING&COOLING Sheetmetal- 1750 Balance Due:;$.00 Owner: COSENZI AUTOMOTIVE REALTY LIMITED PARTNERSHIP #of Fixtures: Applicant: CLIMATE HEATING&COOLING INC DigSafe# AT: 347 KING ST-HYUNDIA UseGroup IConstClass ISSUED ON: 12-Sep-2013 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: 6 ROOFTOP UNITS&ASSOCIATED DUCTWORK FOR NEW COMMERCIAL CONSTRUCTION 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-2014-001112 11-Sep-13 24180 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.