Untitled (2) 190 NONOTUCK ST - N'TON VET CLINIC SM-2017-0028
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 111457 seP•"%'" .
Map: 23A
a� SHEETMETAL PERMIT
Wa
Permit. SHEETMETAL �'
Category: SHEETMETAL
Permit# shf-2017-002a PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000284
Est.Cost: ;54,000.00 Contractor: License: Expires:
Fee ChargodJ$50.00 EXPRESS PLUMBING Sheetmetal-3564
10/28/2013
Balance Due:S.00 Owner: NORTHAMPTON VETERINARY CLINIC REAL ES-LATE TRUST LLC
#of Fixtures: — Appiicanl: EXPRESS PLUMBING
DigSafe# A T: 190 NONOTUCK ST-N'TON VET CLINIC
UseGroup
ConstClass
ISSUED ON: AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
MOVE SUPPLY&RETURN LOCATIONS FOR REAR OFFICES
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 raid: Check No: Amount:
Shectmeml REC-2017-002078 18-Nov-I6 4165 $50.00
212 Main Street,Phune:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouckc4 northamptonma.gov
GeoThiSE 2016 Des Laurier Municipal Solutitms,Inc.
File#SM-2017-0028
APPLICANT/CONTACT PERSON EXPRESS PLUMBING
ADDRESS/PHONE 131 PROSPECT ST (413)626-3862 0
PROPERTY LOCATION 190 NONOTUCK ST-N'TON VET CLINIC
MAP 23A PARCEL 291 000 ZONE GI(1001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: MOVE SUPPLY&RETURN LOCATIONS FOR REAR OFFICES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 3564
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 from Elm Street Commission Permit DPW Storm Water Management g
Si_ ng cal 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.
: 17 Commonwealth of Massachusetts
City Of Northampton
Date: \1\1cV b Sheet Metal Permit Pem it 41/0
Estimated Job Cost: $ 9Permit Fee: $ SO ' an
Plans Submitted: YES NOA' Plans Reviewed: YES NO
Business License# 3( 15 Applicant License# 356 LI 1�dZ��11
Business Information: Property Owner/Job Location Information:
Name: Ecpf ESS Piuwtbivt Name: pp� �,J
Street: 1'3V chrr-swot csr Street: ISO Mcrf
oAucL Jf
City/Town: 0.'V'N 1 r' l� City/Town: R Cg?Lice / 01A---
,,
Telephone: LAG (7 IC.3 (.j2 Telephone:
Photo LD. required/Copy of Photo I.D. attached: YES NO
Staff Initial
-1
7 -unrestricted licen
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-familyCondo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft.,"\-- over 10,000 sq. R. Number of Stories:
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:
foie. S ' piJ -f- (2e+ cn £o«;-Fins car
c &ar cny. 4kr5
Fees with Building Permit:$25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit$5.00 per$1000
Minimum tees for jobs without Building Permit$50.00 Residential, $100.05 Commercial
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 Other type of indemnity E Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee nines nnf halm the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application w=i,n this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxD,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. / e•
Duct inspection required prior to insulation installation:YES NO J�-
proar.cw incpertinne
Pato
Final Inc/looting
.nate Porrenente
Typeyof License:
ay gleaster
The ❑Master-Restricted
city[rorm ❑Jellrne non
ype ` Signature of Licensee
Permit
0J oumeype rson-Restricted
License Number
Fee S 0
Check at 1rt+Mv m==s Uwldpl
Inspector Signature of Permit Approval