31B-312 (8) 26 CRESCENT ST GI SM-2018-0052
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
—is 111482 �
map: e
Plock- 312 ' SHEETMETAL PERMIT
Lot 000 _
Pertuit
ON
Category: SHEETMETAL
Pelm;t t! isMzoloig-OoszJ PERMISSION IS HEREB Y GRANTED TO:
Projectk JS-2018-002289
.Cost $12,950Ap Contractor: License: Expires:
Fee Qherged $50.00 M J MORAN Sheetmetal-267 10/28/2019
;i w Due:$.00 kOwner., HARGRAVES WILLIAM I&HOLLY R
of Fixtures: Applicant: M J MORAN
DT.• 26 CRESCENT ST G I
UWseGG-up roup
ConstClass
ISSUED ON. 11-Jun-2018 AMENDED ON.- EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
REPLACING AN AIRHANDLER
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:
Shectsuetal REC-2018-006152 08-Jun-18 25628 $50.00
212 Alma Street,Phoac.(413)589-1240,F..:(413)581-IY12,Ennul:lhashrouck, m,rthampto.... ..
GcoTMS 2018 Des Landers Municipal Solutions,Inc.
File#SM-2018-0052
APPLICANT/CONTACT PERSON M I MORAN
ADDRESS/PHONE P O BOX 278 (413)268-7251
PROPERTY LOCATION 26 CRESCENT ST GI
MAP 31 B PARCEL 312 000 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Bualduroz Permit Filled out
Fee Paid In
TvueofConstructiom REPLACING AN AIRHANDLER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included-
Owner/Statement or License 267
3 sets of Plans/Plot Plan
THE FO OWING 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
trait from Conservation Commission Permit from CB Architecture Committee
Pe it from Elm Street Commission Permit DPW Storm Water Management
e of B Idin mist Da /
Note: Issuance of ning permit does not relieve a applicant's burden to comply with all zoning
requirements and btain 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.
CGr-t,;SCA � 5vJTY
RECEIVED Commonwealth ofMassachusetts MB a39
����t�e�a��1'�nat
nm e 2018 LM2-
: �c'I'ao 6 Permit# oma-
i
DEPT.CY BUILDING INSPECTIONS fr
Nonigs SrBdn oI, 9 SO Permit Fee:$ -1 I
Plans Submitted: YES NO Plans Reviewed: YES NO
r
Business License# Applicant License#
Business Information: Property Owner/Job Location Information:
Name: Iu'3• Itt r+^ I.w, Name: INillf.m, tfn.�nru
Street: y Se.FA rYla:e SF Sheet: a6 C,,I,,l Sf. Una ct
City/ own: Nm* .« �(+. i p.¢ City/Town: YUorFI ��a,
Telephone: 413 J68-7.1s'1 Telephone: °113-581.- 0,95
Photo I.D.required/Copy of Photo I.D.attached: YES__ NO_
W.Blam.r
J-1/(�)-unreshicted 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 k Other
Commercial: Office Retail Industrial Educational
Institutional_ Other_
Square Footage: under 10,000 sq.ft.-V— over 10,000 sq.ft._ Number of Stories:_
Sheet metalwork to be completed: New Work:_ Renovation:
HVAC Metal Watershed Rombag_ Kitchen Exhaust System__
Metal Chimney/Vents— Air Balancing_ 14
Provide detailed description of work to be done:
Ra�acial R:rl..�lcr
Ca 5-w/ Aa a L, aw
� vllGti`l : C r3as � a,w
ACORU® DATE 11 HODYno
CERTIFICATE OF LIABILITY INSURANCE 06 os la
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 cartlgcate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. It 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 ondom ment s.
PRODUCER NAONTACT
ME! Senna Ro4lrigue, CISR
NahUer 6 Grinnell PHaNE (413)586-0111 FAiXC No:19131 5 6 6-69 6 1
8 North Ring Street AP RESS.jrodriguegushberandgrinnell.cos
INSURE S AFFORDING COVERAGE NAICp
NOrthamI MR. 01060 MSURERA:PStrons Mutual Ins. Co. of CT
INSURED INSURERB:State Aoto Pro It 6 Cdsualt Ins.
M.J. Moran, Inc. INSURERCMAr
to e e A.I.M.
UR
Orchard Valley Technology, Inc. INSURER D:Breckenri Brackenridge/HCC Specialty
_
PO Box 278 INSURERE:
Haydenville NUL 01039 1 NSURERF:
COVERAGES CERTIFICATE NUMBERHaster 2013 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.
MTN TYPEOFINSURANce ,,ADDSUBR POLICY NUMBER POLICYEFF POLILYFXP LIMITS
X COMMERCIALGENERALUABILITY EACH OCCURRENCE $ 1,000,000
DAYAGETOENTED
A CLAIMS-MADE ®OCCUR PREMISES E.Om —. $ 100,000
PBP2667674 10/31/2017 30/31/2018 MED EXP Any one ,con) S 5,000
PERS ONAL S ArW I an BY $ 11000,000
GEN L AGGR ELATE LIMIT APPLIES PER; GENERALAGGREGATE $ 2,000,000
A POLICY®Por O LOC PRODUCTS-COMWOPAGG $ 2,000,000
tOTHER:
ann
AUTOMOmLE LIABILITY EOMeBBIINEEDI SINGLE LIMIT E 11000,000
X ANY AUTO BODILY INJURY(Po,FI E
R ALL OWNED SCHEDULED
AUIW or.
HIRED
BAP2391666 10/31/2017 10/31/2018 eOOILY INJURVIPor ardtlalp E
NpJ 50 PROPERTY DAMAGE $
HIRED AUIOB AUTOS I
PIER.X S 8,000
X UMBRELIALUE Xd OCCUR EACHOCCURRENCE $ 5,000,000
A EXCESS USE CLUMS-MADE AGGREGATE $ 5,000,000
DED RETEMION$ P312667674 10/31/2017 10/31/2018 j
V/OaXEFS COMPENSATION X PERT X OTH-
AND EMPLOYERSLIABILITY YIN
ANY
OFFICEWMEIMBFREXLWDEWECUTIVE ON$A El,EACH ACCIDENT $ 1,000,000
C UM.ndI In Nm MC20020001262017A 10/31/2017 10/31/2018 EL D18EASE-H EMPLOYE E 1,000,_000
CEBCPI
eon6e�
DESCRIPTION OFr.OPERATIONS OeIaw EL g5EA6E-0OLICY LIMIT S 1 000 000
A BPP/Stored Materials EEM2667674 10/31/2017 10/31/2018 UmIL $476,300
D Professional Liability ECC1664601 03/14/2017 03/14/2018 Ust $1,000,000
DESCRIPTION OF OPERATIONS;LOCATIONS I VEHICLES(ADDIS)101,Adational.,left ScbeeuleIs etlaeMtl IT sx.,ee Ie rygolretll
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
Office Of the Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS.
- City Hall, Main Street
Northampton, MA 01060 ALTBORUED REPRESENTATME o�
W Grinnell, CECIL, CTC
9)1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INSO25oYI401)
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SHEET MET,
ISSUES THE Ft a
Buslum
CHADWI ` . .
MJ IMORAN INC
PO BOX 278
HAYE)ENViLLE, MA 010304kIllf
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L,f tosE NIFAlBES _.. . _"Flu A'lI�h SATE BERiAL NItMBER
D ,OSiON OF PROF-E.SSIONA 1_fwENSUFtE
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,. vSHEET o&.rT WOR,{rRS
�. ISSUES THE FOLLOWING°U8d NSE
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Y �
CHAOMMORAN �.
[SIJ I(AORA�If�C �„ _
POB
HAYMAO SS+J_ 278
172 n, , 'I2B02018 211492� �"3