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39-063 (7) INSURANCE COVERAGE: I have a currentliatiftinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes(M No If you have checked Yes,Indicate the two of coverage by checking the appropriate box below: A liability iftstifattc:e policy Other type of indemnity ❑ Bond ❑ OWNER'S MWRANCE W •t awn aware that the lira rb—mi++hmm the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my sigraure on this permit application.wantesthis requirement. Check One Only Owner Agent ❑ Signature of Owner or Owner's Agent By eheddrrg tit bDKQ I hereby car ft#hat all of the deta@s and krfornaBon 1 have submimed(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet mew work and installations performed under the permit issued for lids application will be In hanoe with ar Pertinent MWA111011 of the Maasadmsoft&Ading Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES X NO .date (�nmmPn� Ti 1n91 7n�nantinn L�Ate CQm»Ajs Type of License: BY ❑Master ATA Title ❑ -Restricted Kezr4, V'rn City/Tom ❑Journeyperson Signature of Licensee Permit# Fes ❑Joumeyperson-Restricted License Number F Check at , x -A inspector Signature of Permit Approval IT i MAY 16 f 2D1� Commonwealth 4 of Massachusetts Electric,Piutrmbin City Of Northampton Northampton&t�"s insPections A 01060 � Gj Dat0ay 1 , 2014 Sheet Metal Permit permit# c5CC�I7I_S Estimated Job Cost: $5 0, 0 0 0 .0 0 Permit Fee: $t ��7�l� Plans Submitted: YES NO X Plans Reviewed: YES NO Business License# 5 0 8 Applicant License# 5 6 4 4 Business Information: Property Owner/Job Location Information: 4 Name: RK Solutions Name:Oxbow Professional Park, LLC Street: PO Box 262 t� Street: t? Atwood Drive City/Town: Agawam al 4M City/Town: Northampton Telephone: 413-374-8500 Telephone:413-789-3720 Photo I.D. required/Copy of Photo I.D. attached: YES NO X 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. over 10,000 sq. ft. X Number of Stories: 3 Sheet metal work to be completed: New Work: X Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/ Vents Air Balancing Provide detailed description of work to be done: Install new supply and return duct systems . 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 File#SM-2014-0059 APPLICANT/CONTACT PERSON RK SOLUTIONS ADDRESS/PHONE P O BOX 262 (413)374-8500 PROPERTY LOCATION 8 ATWOOD DR-CDH 1 ST FLOOR FIT OUT MAP 39 PARCEL 063 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TVeof Construction: INSTALL NEW SUPPLY&RETURN DUCT SYSTEMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 5644 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INSATION 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 Pe it from Elm Street Commission Permit DPW Storm Water Management Signature Zof Buildrg bfficial 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. 8 ATWOOD DR - CDH 1ST FLOOR FIT OUT SM-2014-0059 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 10426 Map: 39 ;Blot: 06# !Lot: 001 SHEETMETAL PERMIT __ _ [Permit: SHEETMETAL Category: electrial Permit# SM-2014-0059 ' PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-001597 Est.Cost: $50,000.00 Contractor: License: Expires: Fee Charged:$50.00 RK SOLUTIONS Sheetmetal-5644 09/28/2014 Balance Due:$.00 Owner: ATWOOD DRIVE LLC of Fixtures Applicant. RK SOLUTIONS DigSafe# AT. 8 ATWOOD DR-CDH 1 ST FLOOR FIT OUT UseGroup ConstClass ISSUED ON. 20-May-2014 AMENDED ON. EXPIRES ON. TO PERFORM THE FOLLOWING WORK: INSTALL NEW SUPPLY&RETURN DUCT SYSTEMS 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-2014-006684 16-May-14 3435 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.