32C-001 (33) INSURANCE COVERAGE:
1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yesv No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy V Other type of indemnity ❑ Bond ❑
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 ❑ 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
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By ❑ Master
Title ❑ Master-Restricted
City/Town Journeyperson
Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number: 25011
Fee$ ❑
Check at www,mass.gov/dpi
i
Inspector Signature of Permit Approval
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OCT —6 2W4 Commonwealth of Massachusetts
EleWc,Plumbing drop Sheet Metal Permit
Northampton,MA 01
Date: 10i6i2014 Permit#
Estimated Job Cost: $ 35,000.00 Permit Fee: $
Plans Submitted: YES V NO Plans Reviewed: YES NO
Business License# Applicant License# 25011
Business Information: Property Owner/Job Location Information:
Name: Allstate Hood&Duct,Inc. Name: convino
Street: 24 Mainline Drive Street: Thornes Marketplace
City/Town: Westfield,MA City/Town: Northampton,MA
Telephone: 413-568-4663 Telephone:
P hoto I.D. required/Copy of Photo I.D. attached: YES vf NO
Staff Initial
C 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 Educational
Institutional Other
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: 4
Sheet metal work to be completed: New Work: Renovation:
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
See attached drawings
File# SM-2015-0013
APPLICANT/CONTACT PERSON ALLSTATE HOOD&DUCT INC
ADDRESS/PHONE 24 MAINLINE DR (413)568-4663
PROPERTY LOCATION 150 MAIN ST-CONVINO RESTAURANT
MAP 32C PARCEL 001 001 ZONE CB(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: INSTALL KITCHEN EXHAUST SYSTEM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 25011
3 sets of Plans/Plot Plan
THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved 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
Permit fro Elm Street Commission Permit DPW Storm Water Management
S ure of Building ial 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.
150 MAIN ST - CONVINO RESTAURANT SM-2015-0013
COMMONWEALTH OF MASSACHUSETTS
- -I
CITY OF NORTHAMPTON
110056
'Map: 132C
001 - -• SHEETMETAL PERMIT
I>,°t: X001
(Permit: SHEETMETAL
(Category renovation {
Permit# 5M 20 I S-oo 13_ _ PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-000292
f - Contractor: License: Expires:
,Est. Cost: $35,000.00
--- 'ALLSTATE HOOD&DUCT INC Sheetmetal-2501 1 12/28/2015
Fee Charged:1$50.00
;Balance Due:$.00 1Owner: THORNES MARKETPLACE LLC C/O HPMG
— - --- —
�#ofFixtur-es jApplicant: ALLSTATE HOOD&DUCT INC
�DigSafe# 150 MAIN ST-CONVINO RESTAURANT
lU seGroup
ConstClass
ISSUED ON. 21-Oct-2o 14 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
INSTALL KITCHEN EXHAUST SYSTEM
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-2015-001523 07-Oct-14 3748 $50.00
212 Main Street,Phone:(413)587-1240,Fax-.(413)587-1272,Email-.Ihasbrouck @northamptonma.gov
GcoTMS®2014 Des Lauriers Municipal Solutions,Inc.