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23D-149 (9) 123 -125 HINCKLEY ST - BLD 3 SM-2017-0053 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#. 3305 "'"°* Map 23D Block: 49 2SHEETMETAL PERMIT Lot: 001 - Permit SHEETMETAL mrv..=--e _._ cw_ Category: SHEETMETAL Fermin# SM-2017-0053 PERMISSION IS HEREBY GRANTED TO: Project# IS-2017-000749 Contractor: License: Est Cost: $4,000.00 Expires: Fee Charged:$50.00 ALL SEASONS HEATING AIR Sheetmetal- 129 Balance Due:$.00 Owner: FRIEDDMAN THOMAS #of Fixtures: Applicant ALL SEASONS HEATING AIR DigSafe# AT: 123 -125 HINCKLEY ST-BLD 3 UseGroup ConstClass ISSUED ON: 20-Apr-2017 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: INSTALLATION OF DUCTED ERV-KITCHEN HOOD EXHAUST-DRYER EXHAUST 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: Shectmetal REC-2017-005601 I8-Apr-17 2174 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Emailahasbrouckgnorthamptonma.gov Geol MS4 2017 Des burners Municipal Solutions,Inc. File#SM-2017-0053 APPLICANT/CONTACT PERSON ALL SEASONS HEATING AIR ADDRESS/PHONE 93 ELM ST (413)247-9842 PROPERTY LOCATION 123 -125 HINCKLEY ST-BLD 3 MAP 23D PARCEL 149 001 ZONE URB(IQ,QE 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: INSTALLATION OF DUCTED ERV-KITCHEN HOOD EXHAUST-DRYER EXHAIST New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner!Statement or License 129 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 r Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee I.. •t -et Commissi•nAge Permit DPW Storm Water ManagementSign. - • i n din. Offd+. 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. 1 1 Commonwealth of Massachusetts r6' 7 ` City Of Northampton Date: t\ \a-17 Sheet Metal Permit Permit#4917 -/7- 6 3 co Estimated Job Cost: $ H o Op . Ps. cA+siO Permit Fee: $ $O,, Plans Submitted: YES NO X Plans Reviewed: YES NO Business License# Applicant License # \aq Business Information: Property Owner/Job Location Information: Name: A\\ basoms \F aHtc Name: iltt;Ac5 g,`41v‘W2-WS- Street: CAS EV-' Sfrnf Street:\ 3-\}c \-V \a 51 } City/Town: \\ \I MA City/Town: Ps-tack, Telephone: M -a97-q%9 Telephone: 4i3-Sgt.- %a%? Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 nrestricted 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 X Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. )C over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC X Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed1description of workTto be done:e (� 1 c A\` k O V C .Yo Stott Fav — 16‘4,434...; Arsoe2 1 bST- Th 9C Evbn4t S� 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, $100.00 Commercial INSURANCE COVERAGE: ,,,,,,tt I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yea,Indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee drn.not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit applicationtealvesthis requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO prngrrcc Intpretinn% ante Comments FinaIlncprrenu ]late Comments Type of License: �1 By 0 Master / f � Title 0 Master-Restricted O-L�-/'/// City/Town ❑Journeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted `an. License Number: l Fee$ S Check at Www nn‘‘Priv/dig Inspector Signature of Permit Approval ACO 0 CERTIFICATE OF LIABILITY INSURANCE f DATE 4/18/201]0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu Of such endorsement(s). PRODUCER etan_CT Christina Barrett Aguadro 6 Associates ..Px�E . (413)586-1373 :(FA AIc No{a101 sea-assn 355 Bridge St. , P. 0. Box 357 EMAR*ss:a _ 1-- INSURER(S) IRSURERISI AFFORDING COVERAGE NAC Y Northampton NA 01061 _ INsuRERA:Travelers Indemnity Co of Amer 125666 INSURED INsuRERa national Grange Mutual Insurance : 14788 All Seasons Heating 6 Air Conditioning Inc. INSURER c: 93 Elm St INSURER 0: INSURER E: i_ _ _— Hatfield MA 01038 $NSURERF: COVERAGES CERTIFICATE NUMBERCL1S81007832 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.IgLMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TLTA ...TYPE OF INSURANCE rIwan WVI D POLICT NUMBER. IPMYUOO�Y) IPMWDO )' Dens -. --� ,% COMMERCIAL GENERAL UABRUTY ( EEEAACH OCCURRENCE $ 1,000,000 A ('IAIMS-MADE X OCCUR ESE 0(Ea UPaC$ylrereal $ _300,000 I I+REMIBE$ 6e01c505649 7/10/2016 7/10/2017 MED E% {Any OMP Son) $ 5,000 PERSONAL SADV INJURY 1$ 1,000,000 _GEN L AGGREGATE LIMIT ADPL IE5 PER---- ' GENERAL AGGREGATE 1$ 2,000,000 '% Fatty .J CdT LCC PRODUCTS COMPOP AC$ 2,000,000 OTHER 1 JAIO I$ AUTOMOBILE LIABILITY 'COMBINED SINGLE LIMIT ''5 5,000,000 (E OehlI _. B _ANY AUTO --. BODILY INJURY(Pumrson) $ ALL OWNEOSCHEDULED --_ AUTOS 'C AUTOS : 1.11265293 7/10/2916 1/10/2019 &i0 JVNY(Mr ameeml $ X ED 'PROPERTY DAAMM _HIREI AUTOS X AU1OS AUTOS (PmUffloent) $ i t EPWS $ 1 UMBRELLA LIABI OCCUR EACH OCCURRENCE i EXCESS UAB 1 CLAIMS-MADE [ AGGREGATE $ _-- -- _- 0-ED j RETENTIONS :E hOWORKERSMYER LI A LIABILITY STATUTE _ERR µ ANY EMPLOYERS' _. _...._. PERJMEMSER/EXCLUDEExEf.UTIVE EL EACH AC('AOEM $ 1 000,000 E MEnNEXCL En? yip, NIA H Mandatory NH) Na6S2A4 1/10/'3016 ]/30/20ll E.L DISEASE-EA EMPLOYEE$ 1,000,000 DESCRIPTION OF OPERATIONS belays � ' .EL DISEASE-POLICY LIMIT $ 1.000,000 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Ramada Wade.may he a taatel Samna space 4 required) CERTIFICATE HOLDER CANCELLATION KCARSON@NORTHANPTONMA.GOV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF NORTHAMPTON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON, MA 01060 . AUTI4ORiZEO REPRESENTATME C Sullivan/CMSCa.niaM4L- H. STLtF1,4,' . ,- C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INSO25:murk