23A-068 (16) 100 MAIN ST - FLORENCE SM-2017-0062
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS# 9002 op.
Map 23A
Block: rol008� imy y SHEETMETAL PERMIT
Permit: SHEETMETAL
Category: !SHEETMETAL
Permit# 'SM-2017-0062 j PERMISSION IS HEREBY GRANTED TO:
Project# SS-2017-002154
-" "- Contractor: cense:
Est.Cost: $4,900.00 CttLicense: Expires:
Fee Charged:$50.00 'EXPRESS PLUMBING Sheetmetal-3564 10/28/2017
Balance Due:$.00 Owner 100 MAIN ST FLORENCE LLC
#of Fixtures:' -._ Applicant: EXPRESS PLUMBING
DigSafe# _AT: 100 MAIN ST-FLORENCE
UseGroup
ConstClass
ISSUED ON: 20-Jun-2017 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
RELOCATE SUPPLY AND RETURN DUCTS/DIFFUSERS,BALANCE 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-2017-006738 12-Jun-17 4369 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov
GeoTMS02017 Des Lauriers Municipal Solutions,Ine.
File H SM-2017-0062
APPLICANT/CONTACT PERSON EXPRESS PLUMBING
ADDRESS/PHONE 131 PROSPECT ST (413)626-3862 0
PROPERTY LOCATION 100 MAIN ST- FLORENCE
MAP 23A PARCEL 068 001 ZONE GB(I0O)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT �m
Fee Paid v
Building Permit Filled out
Fee Paid
Typeof Construction: RELOCATE SUPPLY AND RETURN DUCTS/DIFFUSERS, BALANCE SYSTEM
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
INFO3MATION PRESENTED:
L//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
it fr. StreetCommiss'Permit DPW Storm/ WatergManagement
ZS l/l /Y
Signa re of Bui I ing Official 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.
LIUZ1 trc
Commonwealth of Massachusetts
aEA- ; : _ J
Sheet Metal Permit
Date: Mid (1 l Permit# Sin-/7- 6o1
Estimated Job Cost: $ LI t'IQO ' 0 Permit Fee: $ 60
Plans Submitted: YES NO Plans Reviewed: YES NO
r
Business License# 3(0-4"D Applicant License# 55Fj ci
Business I
Information: Property Owner/Job Location Information:
Name: t-_gdieSs Plulfrl 1e5 Name: (-()C lir 55 (.c,,&)
Street: GI PGruir AA c+ Street: to (j \Moen 5-f
City/Town: .'\-44 iJ& / ft City/Town: G10 I P✓� ;
I(-tfnit) (-
Telephone: q (3-ba b -3169— Telephone: LI 5- ,i n (,-g 66O
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-1
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:
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: /J {�-�y(
�e ocot#t SLppt1 I 12-ejlv'lk) docr >/l L oc'/)
Ian✓tc , ' st C vv- I
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes�No EI
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy}] 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 D Agent ❑
Signature of Owner or Owner's Agent
By checking this boxfl,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:
Sia ‘ay -17-Master
Tite ❑Master-Restricted
City/Town
❑Joumeyperson Signature of Licensee
Permit it
❑Joumeyperson-Restricted �J�k7/ q
Fee License Number: 7
Check at www.mass.ciov/dpi
Inspector Signature of Permit Approval