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32A-171 UNITS 1A - 1D (3)
10 HAWLEY ST - UNITS 1A - 1D SM-2021-0039 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 6451 atHAMpp Map: (32A D -1 Block 171 �' �' SHEETMETAL PERMIT Lot: ,001 ..� Permit '.SHEETMETAL rFece�Nrw "� Category: (SHEETMETAL Permit# M 2021-0039 PERMISSION IS HEREBY GRANTED TO: Project# ,JS-2021-000967 Contractor: License: Est.Cost: ,$124,595.00 Expires: Fee Charged:$150.00 M & E MECHANICAL CONTRACTSheetmetal-25311 01/28/2021 Balance Due:$.00 Owner: O'CONNELL HAWLEY LLC #of Fixtures: Applicant: M&E MECHANICAL CONTRACTORS INC DigSafe# 4 AT: 10 HAWLEY ST-UNITS IA- ID UseGroup ConstClass ISSUED ON: 14-Apr-2021 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: HVAC- 1 -3 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 14 ,2 . Signature: I Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal • REC-2021-003I76 I4-Apr-21 8305 $100.00 Sheetmetal REC-2021-003085 07-Apr-21 8302 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbroucknnorthamptonma.gov GeoTMS®2021 Des Lauriers Municipal Solutions,Inc. rl_t UtIVE_.. Commonwealth of Massachusetts APR - City p 7 2021 Of Northampton DEPT.OFBUILDING P rrONS Sheet Metal Permit _ j_��, ,3y _.. Names ,� ' 4 ed Permit# Estimated Job Cost: $ 124, 595 Permit F e• $ 5 0 0i Ub02-- 4i `C. Plans Submitted: YES NO X Plans Revie • NO X Business License# 323 Applicant License# 2 5 311 Business Information: Property Owner/Job Location Information: Name: M&E Mechanical Contractors Inc Name: Hawley Street Development/ 1 Allen Street 10 HawleyStreet uw'1'/ r'rj3 Street: Street: City/Town: Springfield City/Town: Northampton,MA Telephone: 413-7 81-0 014 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES x NO Staff Initial J-1 /M-1-unrestricted 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 Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other x Square Footage: under 10,000 sq. ft. x over 10,000 sq. ft. Number of Stories: 3 Sheet metal work to be completed: New Work: x Renovation: HVAC x Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Provide Duct Distrbution for ERV Exhaust and Fresh Air Provide Exhaust Duct for Kitchen Hoods and Clothes Dryers Buildings 1-3 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, $100.00 Commercial INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes❑ No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy © Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee rinPa nat haves the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waivPsthis requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxL I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO progrPcs InsrPctinns Date Comments Final Inspection Date Comments Type of License: By Et Master Title ❑ Master-Restricted C ~ City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 25311 Fee$ ❑ Check at www maces onv/rlpl n /, )LV ( Inspector Signature of Permit Approval M&E Mechanical Permit Info i`', 2021 4 \ MECHANICAL CONTRACTORS INC. v COMMONWEALTH OF MA ,CHUSETT COMMONWEALTH OF MASSACHUS TT DIVISION OF PROFESSIONAL LICENSURE DIVISION OF PROFESSIONAL LICENSURE BOARD OF =OARD OF SHEET METAL WORKERS SHEET METAL WORKERS 1 ISSUES THE FOLLOWING LICENSE ISSUES THE FOLLOWING LICENSE W BUSINESS W BUSINESS x a l MARKS EDWARDS MARK S EDWARDS m M&E MECHANICAL CONTRACTORS INC ?' ' M&E MECHANICAL CONTRACTORS INC ( 1 ALLEN STREET ",'`,� 0 1 ALLEN STREET SPRINGFIELD, MA 01108 0 SPRINGFIELD,MA 01108 I� J 323 04/07/2021 604522 323 04/07/2023 999468 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER LICENSE NUMBER EXPIRA ION DATE SERIAL NUMBER v COMM•NWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE i MASTER-UNRESTRICTED iF MICHAEL M EDWARDS Il I 19 LONGVIEW DRIVE A SUFFIELD, CT 06078 6 v 25311 01/28/2023 999766 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER MASSA.CHUSE! 'r'S DRIVER'S rty't )O'rf LICENSE Connecticut - ER e ., i ., ISE ^.ENO :d NUMBER ,. ■•i t,� ;-E 02.26-2016 NONE S90575881 `" " [xv DOB c:MS019743005 �14 D ., ,W i 03-10.2021 F,:, NONE 03.10-1959 , Die Q110511989 N,,. NONE . CLASS REST sEx M NxT 6.02 ,,, P 0110512025 D NONE l }' n,,AB 1212712019 - x M EDWARDS 1ryF10T 6.04 ES BB) MARK S 00 H1127 06 20 240 1,/J 49 APRICOT HILL LANE '�� 1 EDWARDS i - W SPRINGFIELD,MA 01089-4461 2 MICHAEL MATTHEW e 19 LODR NGVIEW`/j� —I DD 02 294016 Rev Ol iS2009 h ;Z, f, SUFFIELD,CT 06078-1222 1 Allen Street•Springfield, MA 01108 T.(413)781-0014 • F. (413)781-0016 / ® DATE(MMIDDIYYYY) A9 D CERTIFICATE OF LIABILITY INSURANCE 01/06/2021 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(les)must have ADDITIONAL INSURED provisions or 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 CONTACT David R Jerry Neill&Neill Insurance Agency Inc PHONE FAX 662 Riverdale Street INC.No.Ext1: 413-732-4137 (NC,No):413-731-6629 West Springfield,MA 01089 EEADDR -MAILSS: dj@neillandneill.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Safety Insurance Company 39454 INSURED M&E Mechanical Contractors INSURER B: Wesco Insurance Company A0249 1 Alien Street Springfield,MA 01108 INSURER C: INSURER D: INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADM SU-BRPOLICY EFF POLICY EXP LIMITS LTR "OD WVD, POLICY NUMBER IMMIDDIYYYY) IMMIDDIYYYY) A ✓ COMMERCIAL GENERAL LIABILITY BMA0030374 08/31/2020 08/31/2021 EACH OCCURRENCE $ 1,000,000 AGE TO RENTED CLAIMS-MADE V OCCUR PREMISES SES(Es Occurrence) $ 100,000 MED EXP(Any one person) _ $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 VI POLICY f PRO- LOC _ 2,000,000 JECT PRODUCTS-COMP/OP AGO $ OTHER: $ A Ea AUTOMOBILE LIABILITY 1710518 04/21/2020 b4/21/2021 COMBINsccidentlED SINGLE LIMIT $ 1,000,000 _ ( ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 7 HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A UMBRELLA LIAR OCCUR CM00006018 10/31/2020 10/31/2021 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEC RETENTION$ - n . $ B WORKERS COMPENSATION WWC3490256 10/04/2020 10/04/2021 V I PER STATUTE ERH WI AND EMPLOYERS' BIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE Y(-'V- N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 1 T I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Permit Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH POLICY PROVISIONS. AUTHORIZED REPRESENTAT 0. iR I I e r- ©1988-2015 ACORD CORP•r •TION. A ,, s reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD