Loading...
24C-019 (17) 286 PROSPECT ST - YMCA SM-2018-0051 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON IS 9249 _ Map:: '� 4C e E'tt 019 LDt: SHEETMETAL PERMIT �, Permit: SHEETMETAL Category_: SHEETMETAL t# SM-2018-0051 PERMISSION IS HEREBY GRANTED TO. jest# 752018-002306 Est.Cost $63,300.00 �Confractor: License: Expires: Fee Charged:$50.00 NORTHEASTERN SHEET METAL Sheetmetal-519 04/26/2018 ,'Balance Due:$.00 '.OlPner: HAMPSHIRE REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION k fo#Fixtures: —Applicant: NORTHEASTERN SHEET METAL CO INC DigSafc# " AT: 286 PROSPECT ST-YMCA OseGrouP .- 'ConstClass ISSUED ON. 19-ran-2018 AMENDED ON. EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ALL HVAC SHEET METAL FOR YMCA POOL THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Dan Paid: Check No: Amount: Shc..l REC-2018-006130 07-Jun-18 33389 $50.00 212 Main Sheet,Phone:-(413)587-1240,Fan(413)587-1272,Email:lhasbrouck@northampnmm..gov GeoTMSA 2018 Des Lauriers Municipal Solutions,Inc. File#SM-2018-0051 APPLICANT/CONTACT PERSON NORTHEASTERN SHEET N. ITAL CO INC ADDRESS/PHONE 6 NIBLICK RD (860 '65-3805() PROPERTY LOCATION 286 PROSPECT'.:-YMCA MAP 24C PARCEL 019 001 ZONE URB(§5)NRA(15)/ THIS SEC f ION FOR OFFICIAL USE ONLY: PERM P APPLICATION CHEC .INCL) D RE IRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ALL HVAC SHEET METAL FOR YMC POO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included' Owner/Statement or License 519 3 sets of Plans/Plot Plan THE FO)°°LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFgRMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REOIFIRED UNDER: § Intermediate Project:_Site PIan'AND/OR Special Permit with Site Plan Major Project: Site Plana AND/OR Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit t. 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 Pombility Board of Health Permit from Conservation Commission Permit from CB Architecture Committee __,Pe*it from Elm Street Commission Permit DPW Storm Water Management qeemf Buil mg OM Date nce of a Zen! g 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. RECEIVED Commonwealth of Massachusetts City Of Northampton J:UN 5 2018 Date: 2 Sheet Metal Permit permit# S�YI- ori r c� Estimated Job Cost: $ 63 , 300 Permit Fee: $ .SO 0 O ry'/G+ Plans Submitted: YES NO Plans Reviewed: YES NO 0/9 Business License# S 1 Cl Applicant License# Z ZZ 3 Business Information: Property Owner/.lob Location Information: Name: Al1)r41,FaSaern S eet -&e l Name: 14o.mph57ll. re- Ik,' a ena.l YMCA street: 6 (J1street. 2 $6 Qra <nv��_ City/Town: EP i- r-Lji t C-T O 6D$2- City/Town: A)a r VV�(AMp }�n OAA 01069 Telephone: 66P - 26 5' ,3,8 0 S Telephone: 1111 - 51q - '109 Photo I.D. required/Copy of Photo I.D. attached: YES NO staff Wfl.) J-1 /M-1-umestricted 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 Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. X Number of Stories: Sheet metal work to be completed: New Work: Renovation: N, HVAC X� Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents_ Air Balancing Provide detailed description of work to be done: All �AJAC Sfzk 116wi-ol w6rkt er khe bcr^� FDr F�ovp5k` re �MrtA 66, kLtom' ._a'r Br ccA+jbr &q101 Lf n.vnk # rA� r,-�- 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 R No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑x 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 Owners Agent By checking this box❑,I hereby certify that all of the detalls and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and Nat all sheet metal work and installations performed under the permit issued for this application will bei 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 Proeress Inspections Date Comments Final Inspection Date Comments Type of License: BY Z Master Title ❑MasterRestrictedThom s J. Messenger Cityr own ❑Journeyperson Signature of Licensee Permit* ❑Journeyperson-Restricted License Number: Masters - 2223, Business - 519 Fees 17 SM Business Check at www.mass.govIdol Inspector Signature of Permit Approval I % \ NorthEaAern S:-,/' Sheet Metal Co.,Inc." 6 Niblick Road Enfield, CT 06082 Tel. (8601265-3805 Fax. (860)266-3815 To Whom It May Concern, Please mail the Sheet Metal Permit to: NorthEastem Sheet Metal Attn: Nick Fournier 6 Niblick Rd. Enfield, CT 06082 If you'd like to send a copy of the permit electronically, please email the permit to: nfoumier(r)nesmco.com Thank you, Nick Fournier General Manager NorthEastem � 51etl MMIC ,Inc�� 6 Niblick Rd. Enfield, CT 06082 Phone: (860) 265-3805 Fax: (860) 265-3815 Email: nfournier(@nesmco.com The Commonwealth ofMassachusefts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganintioNlndividuap: North Eastern Sheet Metal Address:6 Niblick Rd. City/State/Zip: Enfield, CT., 06082 Phone #:860-265-3805 Are you an employer?Check the appropriate box: Type of project(required): 1.❑Q I am a employer with 45 4. ❑ I am a general contractor and 1 6. ❑E New construction employees (full and/or part-time).' have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY9. E] Building addition req workers' comp. insurance comp. insurance.* corpora required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] t a 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Curnowtors that check this box must attached an additional sheet showing the time of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Standard Fire Insurance Company (a subsidiary of Traveler's Insurance) Policy#or Self-ins. Li,. #: UB71<104452 Expiration Date:04/15/2019 Job Site Address: Hampshire YMCA, 286 Prospect St. City/State/Zip:Northampton, MA., 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DI or insurance coverage verification. Ido hereby certify u it pains and penalties of perjury that the information provided above is true and correct 05/21/2018 Si nature: r not, Phone x: 860- 65-3805 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License 4 Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACO-R& CERTIFICATE OF LIABILITY INSURANCE 4/18/2018 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(5), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder IB an ADDITIONAL INSURED,the policy(las)must he endorsed. If SUBROGATION IS WAIVED,subject to the tensa 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). PRONICER NAMEACT Penny S Spindle _ John M.Glover Agency PxoNE - _2D3956-2495 P11 203-2]4-9405 P.O. Box 700 F EanAIL s m,1a ohnnn IOVeCCOm Norwalk CT 06852 DREss.P. P._ I 9 --_ -__ INSURERIS AFFORDING COVEMG_E NAICN _ INSURER A:Phoenix Insurance Company 25623 INSURED NORTSHE-02 msURENII Charter Oak Fire Insurance Comp _ 25615 Northeastern Sheet Metal Co., Inc. INSURER C:Travelers Property Casualty Insuran '36161 6 Niblick Road INSURERp:Standard Fire Insurance Company '19070 Enfield CT 06082 -- - — SISURERE: INSIIRERF: COVERAGES CERTIFICATE NUMBER, 1091068415 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. ieR- UBT POLMYEFF PIXKYEIP RIP TYPEOFINSURUICE POLICY NUMBER NINI MUMtt MDDIYYYY A X COMMEMIALOENEMLLIAMUW °N°ICO2K134o8] 4/15/2018 411512019 EACHOCCURRENCE 51,000,000 CLAIMS-MADE n OCCUR REMISESLa Oo ce $300,000_ M EPEPP(".rE Po7A,) $5.000 PERSONALaADVINJURV $1,000,000 GEHLAGGREGATE LIMIT APPLIES PER'. GE NEMLASPEE.ATE S2000A00 POLICY ECT ] PRO. LCC PRODUCTS-COMPIOPAGG $2,000000. OTHER $ B AUTOMMIL LMBIUW N BA6K925293 411921118 411512019 iEa aalEaM _ $1.000,000 x ANY AUTO BOONLY INJURY 1 Pm MR.) 5 AUtpp 05�ED SCHEDULED BOpILY INJURY PeractlOmn:E - % HIREDAUTOS X OS NON-0WNED PROPER DAMAGE E- - AUTOS lPeremEznl _._ E C X UMBUEL B % OCCUR N N CUPIK144462 411512018 411512019 EACH OCCURRENCE __ S5,000,000 E%CESSLIAB CLAIMS MADE AGGREGATE $5000000 OED RETENTIONS $ D WORKERS COMPENSR90N N UBIK104452 411512018 1411512019 X SiPTUTE ERT A DEMPLMERS-LIJUNI — - ANY PROPWETONPARTNERIE%ECU➢VE YO MIA E L.EACH ACCIDENT _$500,000 EIC _ OFERMEMBER E% W C0E0'I (E-Ela"In NM) E L.DISEASE-EA EMPLOYEE$500.000 lye WSGIM UNBI pES RATION OF OPERATIONS on- EL DISEASEPOLICYLIMIT $500000 DESCRIPWOR OF OPERATORS LOCATIONS I VEMKLEs IACORD IUi,AddM MI RUERM EMENM,My G alMme4 Nmon NPM&N RENAM 1 The certificate holder is an additional insured under the general liability assumed under written contract with the insured executed prior to a loss. Project: Hampshire YMCA-Pool Unit Replacement Evidence of Insurance Sheet Metal Permit CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City,of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Puchalski Municipal Building 212 Main Street pUTMORME°REPRESENTPTIVE Northampton MA 0106P3583 e. 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD . » , , / f � � ^ �� \� $ ] ° j . � > \ l . } \� � � { ,« > ., \ � . 2 . . . . - , � t ` � ^ � �/\ � ^ ��.=���ƒ � ©« \ . ��` t �� � � � ° . � y x> :�� > v » �» , . . . f . \ '\�����\ d� . � \ �\ ��������: . ������ ~ : ��" ::���\� . �k� ° . � � y � ��%����� �����f� u ' rTTiT IT, r• .I- II �t � I��ruTlrt �t Il e4 ld J I T1 Tl W¢l4 Pt ( ,- At SA-K TD l KF CO V A ) i 8{I X - I"CJ FF AIV, F{`.I +.\ !y O! G HiL'OQV-O4CT`NP t�}O ,.1.- ? FA QE AO GF, _ r; rp , �- rUY-.;�N', V,0.`✓ _ - .4 -" �lr-� c� I ,-r- c rr :.. n I ;>) - II � . 4 I �w � 1�:; Il.• { I I C� � 6X12.7�(' So'CIA f l9� - NF1V VS, Exli FAN . . TEy /CaNIWf<TTs H000crM_MAN A vp( p- I Snorjn} IhrN_d ulb-►fUp4s) TN•lfN� I SFf < II I4 , "AlI -r : l f UtA6f MN1,b. l f naQ. �Fv , I y 4 71I 1,\ f..t p��le/:.:4Y.{/ kub. rY 1 FI+��'EY s }ll �,_�.' _(t� 16kI� �1�Q• _ �NIT$CuND�lr(NL� �I WA[L PrM1 �FAiMII T : ' r JJ - c kli nl a ,D nl- ren' RE��rurA2 To yolxZT, Ar..t, uJ ^ -r vdor- ;Ir + ta:rl': -r, YTAekG9 DI)ek fRvh 41MtoIL HEATING 8& VENTILATING SCALE � — NIATATOPIIIRA AnMTl (1hl GATE , . ,. _i I 00 o v f � w c NEW 8 FT HIGH CHAIN _ z a > L LI0 w NKED FENCING \ ALII_ OFE LEI' r, 60'Wx20'H EA LOUVER 20'Hx24'W UNIT OUTDOOR AIR INTAKE EA DUCT H HOOD-OPPOSITE DIRECTION - z 6'-6" � 20'Hx4e•w � SA DUCT Ir NEW 8 FT HIGH CHAIN I Q Z ---- LINKED FENCING L Q Z ED- X ELTEIL -L_ u RA DUCT DROP DOWNI- & ROUTE BELOW UNIT _ I _ } Z Q fYLUL L6q-4aJ _I' !, ED J U POOL DEHUMIDIFICATION d. C7 L'- UNIT OUTDOOR AIR INTAKE I UNIT ON STEEL FRAME �E LuTiEa '-' E 0- C� & CONC PAD I x I ,�Ai.L ❑=Erlrl, = J POOL DEHUMIDIFICATION—,, 0_ 1- -1 D UNIT ON STEEL FRAME 20'Hx48'W � Q' Q = & CONC PAD - Q ED � W POOL UNIT CONDENSER c / RA DUCT = Z q ON CONC PAD ~ (D c� N t- .. GRAZE u o W W } Z O m N a a h w RA DUCT ROUTED BELOW UNIT ' JI TO OPPOSITE END CONNECTION U � n SEWER M.H. SA DUCT FROM UNIT - THIS END CONN. Z cm - 2'- N POOL UNIT CONDENSER Z U - 00 2'-4" 24'x20' ON CONC PAD Q Z a EA DUCT NEW POOL UNIT - SECTION/ELEVATION p o I O SCALE: 1/4"=1'-0" w STORM WATER 46'X20'SA DUCT 4 ? Q CATCH BASIN 48'X20'RA DUCT BELOW U w Fo N� IIII, PARKING/DRIVEWAY NEW POOL UNIT - PLAN ` o0 SCALE: 1/4"=1'-0" I j I I I I _ I 12Q I f IIJUE /; SNI �'.. I � I Df tAvruo ' I I - I I Nfw �uNntNlln IN 10 10e141?'h �Nn1ENEW FYO Wvk)4;2 A3 ,40 I -4 2x18 — sl� i