39A-032 (5) 508 PLEASANT ST SM-2019-0060
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: - x.11951
Map: 139A F -..
Block: II�D32
D, - - SHEETMETAL PERMIT
Lot: 1001
Permit SHEETMETAL
Category: ROOFTOP UNITS
Permit# SM-2019-0_060 PERMISSION IS HEREBY GRANTED TO.
Project# 1S-2019-002331
Est Cost: $17,000.00 (Contractor. License: Ezpiresr
Fee Charged:$50.00 _ IL&1 REFRIGERATION INC CSL-0062087 1224/2020
Balance Due:$.00 Owner: ALLIANCE ENERGY LLC
#of Fixtures: Applicant: L& 1 REFRIGERATION INC
DigSafe_k_ . AT: 508 PLEASANT ST
U-Group {
Cmtstchm
ISSUED ON: 19-Jun-2019 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.
REPLACE 2-5 TON ROOF TOP UNITS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Recelpi No: Dak Paid: ('heck No: Amount:
Shcctmetal REC-2019-003978 184un-19 7698 $50.00
212 hDin Street.Phone:(413158-1-1240,F..:(413)M7-1272.f;mail:IMshnmrk a nonhamplonma.pnv
GcoTM302019 Des Leuriers Municipal Solutions,Inc.
File k SM-2019-0060
APPLICANT/CONTACT PERSON L&I REFRIGERATION INC
ADDRESSIPHONE 43 INDUSTRIAL PARK ACCESS RD (260)349-3921
PROPERTY LOCATION 508 PLEASANT ST
MAP 39A PARCEL 032 001 ZONE GB000V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvceof Construction: REPLACE 2-5 TON ROOF TOP UNITS
New Construction
Non Suvctuml interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 0062087
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
Penn m Elm Street Commission Permit DPW Storm Water Management
Ile/ 4- 1e-2oiq
SigAw of Building Official Daze
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 of Northampton RECEIVED
Date: C/!2//9 Sheet Metal Permit Pmnit#5iW•1�
JUN 18 2019
Estimated Job Cost:$ 1200 Permit Fee: $
OFPT OF 6O1Ln1Nn,NSPE
Plans Submitted: YES_ NO Plans Reviewed: YES_ NORTNgMPTo,, Mn 01
Business License# Applicant License# Q (- -0061177
Business Information: Property Owner/Job Location Information: � � /I
Name: Lor T Q L C Name: C ^ vV
7
Street: KTj_e�vcri-:pGfarit 4Cc04/street: sob PLe0lne7 S'T. 1
City/To":M�"74'' City/Town: Uar7-GesAt04
Telephone: rQL°p�J//0-?41./ Telephone:
Photo I.D.required/Copy of Photo I.D.attached: YES-X— NO
S4RInIWI
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_x Industrial— Educational
Institutional Other
Square Footage: under 109000 sq.ft_ over 10,000 sq.ft._ Number of Stories:
Sheet metal work to be completed: New Work:_ Renovation:
HVAC-^ 7 Metal Watershed Roofing_ Kitchen Exhaust System
Metal Chimney/Vents_ Air Balancing
Provide detailed description of work to be done:
r9 � 7U f W7' U0 vn;➢`s
Feas with Building Permit$25.00 Residential,$50.00 Commercial.Fees forjobs without a Building Permit$0.00 per$1000
Minimum fees forjobs without Building Pend$50.00 Residential,$100.00 Commercial
INSURANCE COVERAGE:
have a current llebWty Insurance policy or he equivalent which meets the requirements of M.G.L.Ch.112 Yea)Z No
N you have checked Yea,indicate the type of coverage by checking the appropriate has below:
A liability Insurance policy 'n Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAWER:1 am aware that the licensee d.,e1 not he,.e Me insurance coverage required by Chapter 112 of the
Measechusebs General Laws,and that my signature on this permit application warveslhis requirement.
Check One Only
Owner ❑ Agent ❑
IF
SlMrabua o/Omrer or owreYs Agent
Byeh.d ng this hoe❑,Iharsh,certifythat all of the details and Information I have submltted(or entered)regarding this application areWe and
curate to the best of my knowledge and that al shoat metal work and installations performed under the pamlt Issued for this application will he
In compliance with all portment provision of the Massachusetts Building Code and chapter 112 of the Gnerel Laws.
Duct Inspection required prior to insulation installation: YES NO
Pr Too , --p—ti—
Date
opahate Lonvncpis
nere Comments
Type of License:
By 11 Water
TMs, ❑Master-Restricted
C'Rbva ❑Joumeyperson
Signature of Licensee
pema e
❑Journeyperson-Restrictatl
License Number:
Feaf �
Check at wwurwreur ma_�c nnv/dnln,u/dpI
Impactor Signature of thank Ap sawal
1CERTIFICATE OF LIABILITY INSURANCE 11 n
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 Me certificate holder Is an ADDITIONAL INSURED, the policy(ies) mug have ADDITIONAL INSURED pIONSlo1N or be endorsed. If
SUBROGATION IS WAIVED, STOjed t0 the terms and conditions of ME policy, certain policies may require an eTIdRSe111Cl1t. A "mew on this
certificate does Trot confer fluids to the certificate holder In Ilem of such a.( rsements.
PRODUCER OONTACT CLIENT
FEDERATED MUTUAL INSURANCE COMPANYAS
HOME OFFICE:P.O.BOX 328 CONTACT CENTER
Mee,N. BUY, 333-4949 F" a.,;507-446-4664
OR ATONNA,MN 55080 A o R :CIJENTOONTACTCENTERUBIFEDINSJOCNA
I gems.b ."CH OINO COVEMOE AIC k
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 139M_
INSURED 384-361-6 insuxER B:FEDERATED RESERVE INSURANCE COMPANY 16024
L 61 REFRIGERATION INC IxwRER c:
43 INDUSTRIAL PARK ACCESS RD
MIDDLEFIELD,CT 0MSZ-1283 MwRER D:
INSURER E:
Ixb1IRER F:
COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBEM 0
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 MY 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.
NNYATYPE OFIXwRNICE UBR EYD PONCV NUMBER PWCV EFF POMCY EIIP UNITS
COMMERCIAL OFXERK LWmTV EACH OCCURRENCE $1,000,000
LWN6'MpDE ❑X OCCUR UNEASE TO RENTED Sol $100,000
X ]Ig'E manor.LNBIt1TY Men EXP(Any—PN.
B ,I
A N N 9227921 10/082018 10/08/2019 PERsoxAL a ADU INJURY $1,DDOADD
'L MO O GMAT APPGFe PER: 061.131K MOREOAn S2,000ADO
X POu y Lj',, ❑LOC PRODUCTS-cbNMPMO $2,00GODO
.Eft:
AUTOMOaNE LIABILITY CONN16D NxWL UNIT $1,000,0110
X SEEMER
ANY AUT"
SOgLYNNES"IMr pNMI
A OWXEO MTOS OIRV al.osU� N N 9227922 10/0812010 10/082019 wMLYINNRY IP.�dE.q
HIRED MTOE oily NON-0WN6D PROP6RTr ME
AUTee mss
X UMBRELLA UAB X OCCUR EACH ..Cl $3,00DAW
A EXCESS UAB cMwasMAOE N N 9227923 10/0/12018 101HU2019 M01190ATE $3.OD0,000
DED I I RETENTION
WORKERS COMPENSATION X PFR BTATIIR Ep
RID EMPLOYERS'LMBIUTY Cl /XI
MY MOPRIETORIPMR
TNEMCUTIVE uX1A N 9227924 10/0/12016 10/0112D1Q E.L EACH ACCIDENT $1,000,000
B 0MCEREXG
MEMBER WDEW E.A. FPS
DNE-FA EMPLOYER IM.xI. 'y M NHI $1,000,000
It M.MNM Mla.r E.I. DNERE POLICY UNIT
DESCRIPnON M OPERARoNe Y. 51.000fJW
OEeCmPTMN OF OPERATIONS I LOCATIONS I WINNER IMOROI r.AS IRMI 11MMES Se1gM.IMY M.bWY If RKKF W.tl H Mulr.d
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
00
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS.
MTHORIZEO0.EPREbEXTA/TALM//�1
G 19B&201S ACORD CORPORATION.All H9ma re6ewed.
ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Omsfon of ProfeSSIOMI Lwensw
RefrigaW bn'Chnfractor
RC-006207 Ejlires: 12120/2020
PHILIP L SLIGHT
112 TABBY ST
MOYOCH NC 2]955'8`p,4 --
Commissioner C