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18-021 MONWEALTH OF MASSACHUSEn:S. Div i=1c /iN'u =f Lrzt y�tYrl�3[ SHEET METAL WORKERS AS A BUSINESS ISSUES THE ABOVE LICENSE To:" 1.NATHAN "T LENAY A PLUS HVAC " INC <..51 WHITE OAK RD s • .SPRINGFIELD MA OI128-0000: • 103 11/08/14 286214 PIF{4}iQt�=[ Tf h .__ . !Lt∎ $ 3IAt..21p t= Comm,• H 5 2119 8 IMPORTANT If this s license nse notify your Board lost or destroyed, n at the: Suite 770,Boston, onaii A g 1000 Washington Bt., of yrree or address shown is changed, notify your board name or address to insure proper mailing of next Renewal Application.Always refer to your license number. This license is subject to the provisions of the General Laws as amended.it Is a personal privilege,and must not be loaned or assigned P to any other person. Keep this license on your : person or • required by law. • { COMMONWEALTH OF MASSACHUSETTS DNISION OF PROFESSIONAL LICENSURE-BOARD OF SHEET METAL WORKERS AS A MASTER-UNRESTRICTED ISSUES THE ABOVE_ICENSE TO: NATHAN T LEMAY m A PLUS HVAC INC. 51 WHITE OAK RD ll SPRINGFIELD MA 01128-1034 1 905 11/28/13 91106 N LICENSE NO EXPIRATION DATE ' SERIAL NO CHUSETTS ' DR{}HERS LICENSE 536643111 E7[P p0B 11-11-2014 11-11-1977 aEST 557 SFx ' ..a!r' CLA55 M A �gET LEMAY mss NATHAN7 SPRINGFIELD,MA " SPRINGFIELD,MA ; -' �, 011284034 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYY) 10/30/12 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 COMPANIES AFFORDING COVERAGE PAYCHEX INSURANCE AGENCY,INC. COMPANY gy Insurance Technolo I Company 150 SAWGRASS DRIVE A Com an ROCHESTER,NY 14620 COMPANY 877-266-6850 B INSURED APLUS HVAC INC COMCPANV 51 WHITE OAK ROAD SPRINGFIELD,MA 01128 COMPANY D COVERAGES CERTIFICATE NU BER: REVISIC1N 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. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ r—ICLAIMS MADE IOCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND TWC3336069 10/17/12 10/17/13 we sTATU- 0TH- A EMPLOYERS'LIABILITY "I TORY LIMITS FR EL EACH ACCIDENT $ 100,000.00 THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ 500,000.00 OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ 100,000.00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER ' CANCELLATION CITY OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 210 MAIN STREET DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY NORTHAMPTON,MA 01060 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 23-912009109) OACORD CORPORATION 1988 APLUS-1 OP ID:MN '4i°, RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/03/13 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 413-789-3995 CONTACT Melanie Nacewicz Canary Blomstrom Ins.Agency PHONE FAX 868 Springfield St. 413-786-7004 Mart.EXU:413-789-3995 (A/C,No):413 486 4004 Feeding Hills,MA 01030-2151 E-MAIL ADDRESS:mnacewicz @canaryblomstrom.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:General Casualty Ins Company 24414 INSURED A Plus HVAC,Inc. INSURER B: 26 Airport Dr Westfield,MA 01085 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CCX 0807057 03/01/13 03/01/14 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ A ANY AUTO CBA 0566284 10/05/12 10/05/13 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE CCU 0807215 03/01/13 03/01/14 AGGREGATE $ 2,000,000 DED X RETENTION$ 10000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) HVAC CERTIFICATE HOLDER CANCELLATION CITYNOI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Northampton MA AUTHORIZED REPRESENTATIVE / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 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 dnPe not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waivecthis requirement. N �(�/V�1✓��/ � Check One Only vt 1 tg / Owner Agent ❑ Signature of Owner or Owner 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 Prngreee Inerertinns nate Comments Final jnerection Date Comments Type of License: By X,Master Title ❑ Master-Restricted DJourneyperson Signature of Licens Permit# ❑Journeyperson-Restricted C" License Number: Fee$ ❑ Check at www mace acv/dpt Inspector Signature of Permit Approval RECEIVED JUL J 8 2013 Commonwealth of Massachusetts City Of Northampton DEPT.OF BUILDING INSPEC IONS NORTHAMPTON,MA 010 ■ Date: � Sheet Metal Permit Permit# 5 /12 1y i' Estimated Job Cost: $ 17, lc 3 Permit Fee: $ /v g 4841 Plans Submitted: YES NO Plans Reviewed: YES NO/ Business License# /( 3 Applicant License# Os Business Information: Property Owner/Job Location Information: Name:n --P)tits U AC L Name: echafd c Q l V� Streetd(t) A 1scpo l��-- _ Street: I 544 ( .��. City/Town: uo O)S City/Town: I V cif+ I-CA "' Ur\ Telephone:9/3_ 5(04 -c: Telephone: ')I3 Photo I.D. required/Copy of Photo I.D. attached: YES ,C 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 familyjG! 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) Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: f u,,3 \ • •j . o o L S ost*. s‘,,eft -+ ,.s v - • ' ► , . 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 File#SM-2014-0004 APPLICANT/CONTACT PERSON A PLUS HVAC INC ADDRESS/PHONE 26 AIRPORT DR (413)562-0054 PROPERTY LOCATION 154 COOKE AVE MAP 18 PARCEL 021 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out g�`7�/ /o Fee Paid Typeof Construction: NEW HEAT/AC SYSTEM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 905 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INi pilffikTION PRESENTED: 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 I'm S =-t C• ssio Permit DPW Storm Water Management dio•oe.. -. I . —:41, i /7—■07f—/ _ Sig'e of Building •ffi ial 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. 154 COOKE AVE SM-2014-0004 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 2073 ,i4Am To Map: 18 ;�. Block: 021 -------_-_- ''1 SHEETMETAL PERMIT Lot: 001 Permit: SHEETMETAL Category: SHEETMETAL Permit# SM-20 14-0004 PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-000156 Est. Cost: $17,650.00 Contractor: License: Expires: Fee Charged:$108.00 A PLUS HVAC INC Sheetmetal-905 11/28/2013 Balance Due:$.00 Owner: CIACH RICHARD #of Fixtures: Applicant: A PLUS HVAC INC DigSafe# AT: 154 COOKE AVE UseGroup ConstClass ISSUED ON: 26-Jul-2013 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: NEW HEAT/AC 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-2014-000345 23-Jul-13 4547 $108.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.