18D-001 (23) 122 NORTH KING ST - PLANET FITNESS SM-2019-0040
COMMONWEALTH OF MASSACHUSETTS
GIS#: CITY OF NORTHAMPTON
- 8918
' 8D
B'ak: °°' -- ' . SHEETMETAL PERMIT
Lot. 00]
Permit _ ISHEETMETAL
'Category TMETAL
F
Pe mit# SM-2o19 0040 ___
_ PERMISSION IS HEREBY GRANTED TO:
!Project# ]S-2019-001596
Est.Cost .Contractor: License: Expires:
FeeCh_ arged 0:00 SWIFT RIVER HVAC INC Sheetmetal -220 08/28/2019
Balance Due III$.00 Owner: RONDEAU STEPHEN
#ofFixtures:j_ -Applicant. SWIFT SWIFT RIVER HVACiNC
DigSafe# ,...IAT.- 122 NORTH KING ST-PLANET FITNESS
ConstClass
ISSUED ON: 15-Mar-2019 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
HVAC SYSTEM PER PLANS
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 UC-2019-002930 13-Mar-19 20019 $5000
212 Main Street,Phone:(413)581-1240,Faxe(313)3874202,Email:lhasbrouck,northamptonma.gov
Geo3'DISR 2019 Des Luriera Municipal Solutions,Inc.
File#SM-2019-0040
APPLICANT/CONTACT PERSON SWIFT RIVER HVAC INC
ADDRESS/PHONE 221 N LIBERTY ST (413)323-4123
PROPERTY LOCATION 122 NORTH KING ST-PLANET FITNESS
MAP IBD PARCEL 001 001 ZONE HB(100)/WP(t6)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Ir i�f'l
Buildine Permit Filled out
Fee Paid
Ttveof Construction HVAC SYSTEM PER PLANS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 220
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFf1RMATION PRESENTED:
1f 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
_Permit from Elmm Street Commission _Permit DPW Storm Water Management
l 3 t t
Signature of Building 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.
Commonwealth of Massachusetts
City Of Northampton
Date: ,�-�'�� hfF�� 'it Permit#'�� � 19--10
Estimated Job Cost: S I MAR 1 2 2019 P rout Fee: $
Plans Submitted: YES NO PI s Re iewed: YES NO
P,FPT OF ri,111 NG IHSPEGTIONS
Business License# no�THAmrlc se#
Business Information: won: Property Owner/Job Location Information:
Name: J/,ut� JWVEK AIR. lo ', Name: plane;l fdne'ss
Street: z/ Ae(W kiboh St. Street: /1a xo(M 6i17 y/le[�
City/Town: -Be )dlef f o wn City/Fown: A16(J ha tk . d�
Telephone: 4/3-343--4uot Telephone: DO -CPg - ct1-7
Photo I.D. required/Copy of Photo I.D. attached: YES� NO
Staff Initial
J- M-1-unrestricte icense
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. R /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:
/IVAC sT-m Per �/O/'/3
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, $100.00 Commercial
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 YesNo❑
If you have checked Yrs, indicate the type of coverage by checking the appropriate box below: //
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does wt ha—the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit applicationwaivesthis requirement.
_
Check
One Only
Owner Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑.I hereby tardily that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES_NO
p=^� TrwpP ,t*,,
Date rim Pr,r�
Pht.] InepeC.1....
Date Cmnmeuts
Type of License:
By LN Master
Title ❑ Master-Restricted
City/Town ❑Journeyperson
Signature of Licensee
Permit# � �
❑ r
Journeyperson-Restricted License Number:
Fee$ ❑
Check at www mass gnhrt
Inspector Signature of Permit Approval
Please visit our web site at http://www.mass.govfdpi/boards/SM
JAMES F BACHAND JR
SWIFT RIVER HVAC INC (SM)
221 N LIBERTY ST APT B
BELCHERTOWN,MA 01007-9852
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321272