23B-047 (26) 80 LOCUST ST - SMITH VOC SM-2018-0044
COMMONWEALTH OF MASSACHUSETTS
__ CITY OF NORTHAMPTON
GI9102
Map: 23B ; 4
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B'°` °" ` SHEETMETAL PERMIT
Permit. .SHEETMETAL
Category: SHEETMETAL
Pennit# SM-2018-0044 - _ PERMISSION IS HEREBY GRANTED TO:
Project# 7S-2018-001802
Est.Cost: $16,050.00 _- ontractor: License:
Expires:
_ - --_- --MORAN SHEETMETAL Sheetruetal- 1849
Fee Charged:$0.00 01282020
Balance Due:$.00 Owner: NORTHAMPTON CITY OF SMITH SCHOOL
#of Fixtures: _-Applicant: MORAN SHEETMETAL
DigSafe# AT. 80 LOCUST ST-SMITH VOC
UseGroup
ConstOns
ISSUED ON: 03-Apr-2018 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
FURNISH AND INSTALL DUCTWORK&ACCESSORIES
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
Sbcctmetal REC 2019-004898 03-Apr-I8 NA $0.00
212 Main Street,Phone:(413)587-1240,Fax:(413)581-1272,Email:lhasbrouckrnonhamplonma.gor
GcoTM&a 2018 Des Lauriem Municipal Solutions,Inc.
File M SM-2018-0044
APPLICANT/CONTACT PERSON MORAN SHEETMETAL
ADDRESS/PHONE 613 MEADOW ST (413)363-1548 O
PROPERTY LOCATION 80 LOCUST ST-SMITH VOC
MAP 23B PARCEL 047 001 ZONE URB(100)/WPH3)/M(0)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofC trot FURNISH AND INSTALL DUCTWORK&ACCESSORIES
New Construction
Non Structural interior renovations
Addition to Existing —
Accessory Structure
Building Plans Included:
Owner/Statement or License 1849
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION 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
Permit from Elm
Street
Commission Permit DPW Storm Water Management
Signature of Building Official 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.
• r-fir; _r�L1Vrn
r Commonwealth of Massachusetts
1
��F 2 City Of Northampton 'n'g -ON
-- Sheet Metal Permit
�. Dafe;::_HB727f1�-._ Permtt# SrrJ—f9- r/5�
Estimated Job Cost: $ 16,050.00 Permit Fee: $
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License 4 638 Applicant License# Mr/
Business Information: Property O� Location Information:
Name: Moran Sheet Metal, Inc. N,1: Cit of Northam ton-S i h Vocational High School
Street: 813 Meadow Street Street 80 Locust Strr-+
City/Town: Agawam City/Town: Northampton
Telephone: 413-363-1548 Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES 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 x/
Institutional Other
Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft. Number of Stories: 1
Sheet metal work to be completed: New Work: Renovation: V
HVAC J Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
Furnish and Install ductwork and accessories
Fees with Building Permit:$25.00 Residential, $50.00 Commercial. Fees forjobs without a Building Permit$6.00 per$1000
Minimum fees forjobs 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 Yea,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy 10, Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee d^=^n^t h-,the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application yraivessthis requirement.
Check One Only
Owner F-1 Agent ❑
Signature of Owner or Owners Agent
By checking Nle box5(I hereby comfy that all of the details and information I have submitted(or entered)regarding this application are Wa and
accurate to the best of my knowledge and Nat all sheat 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 Lewis.
Duct inspection required prior to insulation installation:YES NO
Pr,uS , friw�t'
Date Cin+ Pnr�
Fine fell
Date
Type of License'.
By LJ Master
Title ❑Master-Restricted
CltyiTown
❑Journeyperson Signature of Licensee
Permits ❑Journeyperson-Restncted
FeeLicense Number: 1849
s
Check at www rn ssgo—rdpii
Inspector signature of Permit Approval
COMMON WEALT40F MASSA TTS
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CO MON LTH OF MAACHUSETTS
BOARD OF
SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE AS A
BUSINESS
PAUL R MORAN i
MORAN SHEET METAL INC 11
139 EAST MEADOW STREET
Z
CHICOPEE,MA 01013-1871
R\
638 04/28/2018 31002 lJ
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COMMONWEALTH OF MASSACHUSETTS
SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE
MASTER-UNRESTRICTED
PAUL R MORAN
14 REVERE RD
SOUTHWICK,MA 01077.9737
1949 0112812020 37189
i. o CERTIFICATE OF LIABILITY INSURANCE DATE""ID°"""
312]/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(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADIXTIONAL INSURED,the policy(ief)mutt be endorsed. H SUBROGATION IS WAIVED,subject to
the roans and conditions of ON,policy,certain policies may require an Endorsement A Statement on this certificats does not confer rights to the
cer fiearo holder in lieu of such endorfemen a.
PRODUCER =ACT Linda Alstede
The Dowd Agencies, LLC Prone Ax
14 Bobala Road iltD.Fd'4�]4N_ u xo:4IM36-6020
Holyoke MA 01040 AE ss. IsistedettdowiLcorn
R DxMORASHE-01
INSURERISI AFFORDING COVERAGE N.C.
M INSURERA:Selective insurance CD.OfAmence _ 12572
Moran
ran Sheet Metal, Inc.
613 Meadow Street Im ER e:SNedive an
Insurce of South Camlina 19259
Agawam MA 01001 MSUREac:Selective lrlsurence Company of the Southeast 'IT 3.9926
INSURER E: _ T
INSURER F'
COVERAGES CERTIFICATE NUMBER:2020090199 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.
.--. _ =IjEY FFF' PoucY _---
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GEN'LAGGREGATE LIMIT APPLIES PER'. PRODUCTS_COMPpPAGG f$,N0,W0
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DESCRIPTION OF OPERATI NS blow EL.DISEAPT�EDLICY LIMn E
DESCRIPTION OFOPENSTIONS I LOCATN#ISJVENICLES UMSES CORD UH,ASEtlonMRemub SLIIMuN,HmoMRNm N,equvMl
CERTIFICATE HOLDER CANCELLATION 30
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
City of Northampton
210 Main Street
Northampton MA 01060 a oRueD REPREssrvranW
United States
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