24B-088 (5) 106 INDUSTRIAL DR SM-2019-0046
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: ,11198
Map: _
088SHEETMETAL PERMIT
4Lod �QO� 1
P_ennit: ,SHEETMETAL
Category: 'SHEETMETAL
Pem a# -M-zm9-0046 PERMISSION IS HEREBY GRANTED TO:
Project# pS 2019-001439
Contractor: License:
st.Cost $22009:00 i Expires:
��Fee Charged $154.00
�M&E MECHANICAL CONTRACTSheeunewl-323 04/07/2019
Balance Dile 00 ''.Owner. DIPWELL COMPANY INC
#of Fixaves, Applicant. M&E MECHANICAL CONTRACTORS INC
i1 Safe# AT: 106 INDUSTRIAL DR
Uonsiclp
ConSlClass
ISSUED ON. 03-Apr-2019 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
INSTALL NEW DUCT WORK FOR DISTRIBUTION FOR CLEAN ROOM
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:
Sheetmew REO-2019-003078 27-Mar19 7181 $154.00
212 Maio Street,Phooe.(413)587-1240,Fse:(413)587-1272,Email:lhasbrouck(a_pomhampmnma.gov
GeoTMSV 2019 Des Lauriers Municipal Solutions,Inc.
File k SM-2019-0046
APPLICANT/CONTACT PERSON M&E MECHANICAL CONTRACTORS INC
ADDRESS/PHONE 1 ALLEN ST (413)781-0014
PROPERTY LOCATION 106 INDUSTRIAL DR
MAP 24B PARCEL 088 001 ZONE Gill 00F
THIS SECTION FOR OFFICIAL,USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid i
Tvoe fConstruclo : INSTALL NEW DUCT' F UTION FOR CLEAN ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included'
Owned Statement or License 323
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
I/ 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 l/ Street Commission Permit DPW Starr,Water Management
/L ��C
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.
Commonwealth of Massachusetts
City orthharnppton
Date: 3/2b/Icl eeflV�� Pe it# Sm - (q- �(�
MAR 2 72019 P it Fee: $ 15'J.00
Estimated Job Cost: $ z
Plans Submitted: YESNO °F;T°F ru��°,h� Rev ewed: YES NO
_moms
nn o,oco
Business License# 3 Applican e # 253t\
Business Information: Property Owner/Job Location Information:
Name: Mechc n:en\ 6wn gc.'CM Name: $sen j 1cn -Lmz—
Street: ( csFY'e.�k Street: --106 mm'nh. .o.\ 2
City/Town:�*,,, 16,. hJ�rfis City/Town: , ,.—Mg1ton t 1L\P
Telephone: Telephone: !fl3 3Z0'�{66-5
Photo I.D. required/Copy of Photo I.D, attached: YES X NO
etaa loiHol
J-1 / 21 restricted 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-)L
Square Footage: under 10,000 sq. ft. L 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 X
Provide detailed description of work to be done:
Tnct...tt A.1ew �L uc1- �iat�bviicn -!'or Asea-. C.1e0MyQ 9-
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,$100.00 Commercial
INSURANCE COVERAGE:
I have a current Liability Insurance policy or Its equivalent which meets the requirements of M.G.L.Ch.112 Yes t No❑
If you have checked Yea.Indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee Hass n..t ba,the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application mWmesthis requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxr.n,t hereby certify that all of the details and Information I have submlttad for entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be
In compliance with all pert)rent provision of the Massachusetts Sul Iding Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation Installation: YES_NO_
Date C.onuneuts
Run 01,ep rp i,n
Date comments
Type of License:
By Master
Titre ❑ Master-Restricted �—
z
City/Town ❑Journeyperson
Signature of Licensee
Permit# ❑Journeyperson-Restricted
License Number:
Fee$
Check at wwwwww made wnvidniUnvinni
Inspector Signature of Permit Approval
MECHANIC ALCONTRAGT4RSIN
C.
COMMONWEALTH OF MASSACHUSETTS
SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE
MASTER-UNRESTRICTED
MICHAEL M EDWARDS
18 LONGVIEW DRIVE a
SUFFIELD,CT 08018 S�\\
28011 01/2812021 538604 `
FtGF#tJSETTS
Ino-"-iaKlK
rmtw
auwFurwuHl ..
wsvau;a8w.la casual
1 AIIen Street • SON) e1d,MA01106
T 0.131751-0014 • F' (A13)781-0016
www mendemeehanicat,com
fy
Fold.Than Detach Alone ASI ftOombona p
NW&Li�OF
MSo
o- <=SHEET GAJ=�lCIRK .
ISSUES7�I eFOLLOWING = �.
N19R to EDWAROS
,'a
FC FIR
ONTRACTORS INC
SPRINGFIELD,6U1 0111�
s ,r�
X323 J a,s $ tJ2621 v 604622 1
e
A`OROa D iMMmDIYYrYI
CERTIFICATE OF LIABILITY INSURANCE 010512018
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 AODMONAL INSURED,the policy(lee)must have ADDITIONAL INSURED provialoRe 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 do"not confer rights to the cort104ate holder In lieu of such endorsement(s).
PRODUCER CONTACT NONE David R Jarry
Neill It Neill Insurance Agency Inc PHOxE "- — rRi -------
662
413-T32.4t3] 413-]31-6629
662 Riverdale Street MML rup "J- — _.
West Springfield.MA 01089 ADPREss:_dl(dneillantlneill.com
INSUREM[a1AFFORDINGCOVEMOE NRC.
INSURERAI Safety Insurance(`i0. 39454
wsuREO M 8 E Mechanical Contractors INSURER e: Safety Insurance Co L _ 33618
1 Allen Street INSURER c Technology Insurance Co 42376
Spnrgfieltl.MA 01106 I --
xsuRERD
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.
x511 -- - A. 6NmT POUCYEFF POUCYE-60 �- - LIMITS - -
LTR TYPE OF INSURANCE POLICY NUMBER IM VVY MMNURVIVRI
M
A
V.COMMERCIAL GENERAL UABILItt BMAD009180 0813112018 06/31/2019 EACR OCCURRENCE s 1000.000
co - OAVAGE IO kENTEO- _ 100.000
CLAMS M4DE Y_ GLOVR PREMISES IE e] S ___
ME.FIT IAT, Fenonl 55.000
PE SON L6 A0V NuUNY : 1.000 ODD
GENL AGGREGATE LIMIT APPLIE_SPER I I GENERAL AGGREGATE 3 2.000.000
Poucr 'I
JTPEcr Ro. I I I pxooucrs couOP ACG s 2000,000
_ . . Loc � -w _ - _
OinER 3
B AUTOMOBILE UAINUTY 111 Gold 0412112016 04212019 IE -S IN L LIMITs 1.090.000
e b 1 A. ___ __ _.
FNVAKI __ INJURYI s I 3
ONNED SCHEDULED 60pLV INJUR IPNI I f
UtO50NLY AUTOS —
PROPERTY DAMAGE
AUTO NJT.SONLY 3
_
AUTOS ONLY _ AVTOS ONLY lP[i cuEenn
3
UMBRELLA LIAO OCCUR 1 EACHOCCURREN_LES
EXCESS LIAB LIAIMS-MADE AGGREGATE S
DEO RETENTION 3 , f
C WORMERS COMPENSATION Ylx IWWC337433g 10/0412018 10/0412019 "
AND EMPLOYERS
'LIABILnY EL E C TE DE {S ER
1 iUTE
NVPROPfl ETORTAN RIEAECUTIVE 100D'DDD
AOFF CROME.or ExcTHEsm FYI SIR 1 000.000
(MIMel[ryln Nm _EL OSE SE EA EMPLOYEE S _
[Unca - 1.600,000
0 SCRIPTION OF OPERATONSmaw EL O5E SE POLICY vuN I S
I i
DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES IACORD 101.AEEI11Pntl Remeee S[MEUM,my be eN[M1e4111mn spm le ropulnGl
CERTIFICATE HOLDER CANCELLATION
Mike EC WBitlS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1 Allen$t(EEI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Spri0gfle14 MA 01108 ACCORDANCE WIT77 POLICY PROVISIONS.
AUTNORREOREPPESEN
S
m 1988-2015 ACORD CO ORATION. ghts reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD