Loading...
39-041 (29) 15 ATWOOD DR - DENTAL OFFICE SM-2022-0003 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 10417 • Map: 39 3 t Block. 041 SHEETMETAL PERMIT Lot. 001 Permit: SHEETMETAL ,`� 47 Category: SHEETMETAL Permit# SM 2022-0003 PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-002563 Est.Cost: $46,780.00 Contractor: License: Expires: Fee Charged:$100.00 DAVID R NORTHUP ELECTRICALSheetmetal-522 10/28/2017 Balance Due:$.00 Owner: ATWOOD DRIVE LLC #of Fixtures: Applicant: DAVID R NORTHUP ELECTRICAL CONTRACTORS DigSafe# AT: 15 ATWOOD DR-DENTAL OFFICE UseGroup ConstClass ISSUED ON: 27-Ju1-2021 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: HVAC FOR DENTAL OFFICE THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: i Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal REC-2022-000279 26-Jul-21 52344 $100.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov GeoTMS®2021 Des Lauriers Municipal Solutions,Inc. Commonwe, th ; Massachusetts S • eet ►i e :f ' . mit Date: 7-12-21 0 �Gl ��� Permit# S/n^ ?2— Estimated Job Cost: $ 46,780.00 tio° �6' �!m Fee:. $ pp 6)3�/ ryq �o/ c'pc,, CO Plans Submitted: YES NO t/ A'o Q. Pla Revi,- ed: YES NO So Business License# 624 ���' s', ,nt L'•ense # 522 Business Information: Prope, Iwner/Job Location Information: Name: David R. Northup Electrical Contractors, Inc. Name: Refresh Valley Dental 73 Bowles Road, PO Box 249 15 Atwood Drive Street: Street: City/Town: Agawam, MA 01001 City/Town: Northampton, MA 01060 Telephone: 413-786-8930 Telephone: 413-789-3720 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license M-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 x Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. i Number of Stories: 5 Sheet metal work to be completed: New Work: Renovation: x HVAC x Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 2nd Floor:Duct.exhaust fans.RGDs,control dampers.mechanical insulation,dryer exhaust vent thru side wall, including ext.brick coring. 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,$100.00 Commercial INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes [f] No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy © Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ® Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Sig of en e Permit# ❑Journeyperson-Restricted License Number: Fee$ ❑ (5.-el ci Check at www.mass.qov/dpl 7/P17/ 1 Ins ector Signature of Permit Approval