39-041 (13) 23 ATWOOD DR SM-2019-0059
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: -10417
Map: 39
Lot: !001 - ' � ', p,. SHEETMETAL PERMIT
Permit: SHEETMETAL
Category ISHEETMETAL
Permits isM-zol9-oos9 PERMISSION IS HEREBY GRANTED TO:
__. _-- —
Project# :JS-2017-001642
.Est Cost: 562,500.00 '.Contracron License: Expu.P3..
Fee Charged:$50.00 M&E MECHANICAL CONTRACTSheetmetal-25311 01/28/2020
Balance Due:$.00 Owner: ATWOOD DRIVE LLC
N ofFixtures:l Applicant. M& E MECHANICAL CON TRACTORS INC
DigSafe k _ _ _AT. 23 ATWOOD DR
UseGroup
tConstClass
ISSUED ON: 26-Jun-2019 AMENDED ON., EXPIRES ON:
TO PERFORM THE FOLLOWING WORK.
PROVIDE DUCT DISTRIBUTION FROM EXISTING R fU RISERS FOR TENNANT FIT OUT
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:
Sheetmetal REC-2019-003933 17 Jun-19 7367 $51)00
212 Maio Street,Phone:(413)589-1240,Fax:(413)587-1272,P:mail:lhashroucWdJnorthamptonma.gov
GcoTMSac 2019 Des Laurices Municipal Solutions,Inc.
File 4 SM-2019-0059
APPLICANT/CONTACT PERSON M& E MECHANICAL CONTRACTORS INC
ADDRESS/PHONE I ALLEN ST (413)781-0014
PROPERTY LOCATION 23 ATWOOD DR
MAP 39 PARCEL 041 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E3 REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin� Permit Filled out
Fee Paid
Ty cut Construction' PROVIDE DUCT DISTRIBUTIO M EXISTING RTU RISERS FOR TENNAN'I-FIT
OUT _
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine Plans Included:
Owner/Statement or License 25311
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO MATION PRESENTED:
_Approved _Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project:_ Site Plan AND/OR Special Permit with Site flan
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 Ellmm Street C,om�/ym'�ission Permit DPW Slo�nn/ Water Management
Signature of Building Official Dale r
ffi
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 (y
Date: 0AIM/19 Sl c t8ff4kkB lit Permit# Sal'-�� S/
Estimated Job Cost: $ 5O JUN 1 7 2019 ermit Fee: $ J50
Plans Submitted: YES NO Y' Pl s viewed: YES_ NO
BFPT OF BUILDING INSPECTION$
Business License# 323 Noar"naiProN 91h tm° se# Z53 11
Business Information: Property Owner/Job Location information:
Name: Name: I. .V .t neat- SCG.
Street: ( kjIC S+ree7it Street: 15 AAtf icK woos k�E 4e.
City/Town: ��tir�r k tk-1 NN /d
.R City/Town: or mft2n. PA
Telephone: Lit-5--MI-0014 Telephone:
Photo I.D. required/Copy of Photo I.D. attached: YES_�__ NO_
staff lnitld
J-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: I-2 family_ Multi-family Condo/Townhouses_ Other
Commercial: Office-)�- Retail— Industrial— Educational—
Institutional—
ducational_Institutional Other
Square Footage: under 10,000 sq. ft. )( 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
Provide detailed description of work to be done: c� �y
���4 1�)L { ob1 )k4-ribytiOr\ Trt]m &tasyT I�tt1'
ISiSem �vr f�ennonY moi+ oO-t— • coley ick:,,n�n
C-c,r- d�y
Fees with Building Permit:$25.00 Residengal,$50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000
Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial
INSURANCE COVERAGE:
I have a current liabggy Insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 YBs❑ No❑
If you have checked Yas,Indicate the type of coverage by checking the appropriate box below:
A liability Insurance policy Q9, Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:1 am aware that the licensee doss am hsvn the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application w-1--this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this boxK thereby certify that all of the debits and Information I have submitad(or entered)regarding this application are true and
accurate to the beat of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to Insulation Installation: YES_NO
P1o�eas�pa^t'^
Date Cum ants
Date r^ an+
Type of License:
BY Uy Master
Tide ❑ Master-Restricted
City/Town ❑Joumeyperson
Signature of Licensee
Pennit#
❑Jaumeypereon-Restricted License Number: 2531 �
Fee$
Check at wen..,* ^= gn.�.tnt^t
Inspector Signature of Permit Approval
e oA{E IMMmpm'rrl
ACC>Rb CERTIFICATE OF L111 IABILITY INSURANCE 0ros/zo18
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: It the certificate holder Is an ADDITIONAL INSURED,the pollcylles)must haw ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, contain policies may require an andomemenl. A statement an
this Certificate don not confer rights to the cettificals holder In lieu of such endoreamenUy).
PNopuca WWE David RJerry
Neili S Neill Insurance Agency Inc rxoxE "-- -" F/JI _ - _---
662 Riverdale Street 413-7324137 �Mc X 413-73bfi629
West Springfield. MA 01089 NC djCnelfandne,11-m
INSURERjs1AFFONDMp M
CONEae -N>ICY
_ur - -- ___-
m
suRER A: Safety-Insurance Co. 09454
Iwwampi M ll E Mechanical Contractors IxsuRER e: Safely Insurance CG 33618
1 Allen StreetMIAMI, Technology Insurance Co 42376
Springfield,
MA 01108 d. - - - -- - - ._. _-
INSURER o:
IXEURERE
IMWRER 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 REOUIREMENT,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.
INERI -� MOLSB6X - - POMYIPDLIGVl1P - - - -
{ ME OF INSURANCE POLICY NUMBfiR � PF M LIMITS
A COMMEWIA4EMMLWBIUW BMA0009180 10813112018 08131Q019 EACH OCCURRENCE 3 1000,000
DAVAGEYO �
RENTE -
CJAIMS.MPOE C3/.. OCCUR pfEMSEE(Ea amlrtl ) y 100.000
_ _ - MEDEmum we Perwm s __ 5,000
_
PERSONAL&ADVINJURY f 1.000,000
rGENL AGGREGATE l LMII APPILIES PE0. GENERALAGGREGA{E f 2.000000
JPOLIO PM Li— PRODUCT$ COMPIOP AGO f 2,000000
oT"E rJ
B Au{OMOBILELIAWLITr 1710618 04/21/2018 54/21/2019 LEe.AwePnIL LL LI- f 1000.000
ANY AUTO BODLYINJURYIPa,prson) f
OWNED SCNEWLED
AUTOS ONLY
AUTOS AUTOS BIINJURY IPe,emM 1 f
ONLY AUTOS ONLY IPeI�ewRVemDAMAGE y --
UM016L"I OCCUR EACHOCCURRE_N_C_E I$
Ii _
,IYCISa LAB CIIMS-MADE I AGGREGATE 3
DED RETENTION f 3
0 WORKERS CONPENsanax WWC3374339 10/0412018 10/04/2019 Is.RTVr °a"
A11D lMPLOYEAS'LMal W --
ANYPROPRIETORPARTO rEAE'UTIVE EL EACH ACCIDENT y_ 1,000.000
OFFICERMEMOER EXCLUDED) O XI,L - '---
IN.
ntlnorylnNp EL pSEASE EAEMPLOYEE f 1.000,000
X m tlm[+ae ANa.. —___ .—_ _ ..... ..___
DISCRIPIION OF OPERATIONS Cebw EL DISEASE POLICYUMIR If 1A0O.000
I I
I
OESCRIPM)N OF OPEMTON3;LMATIONS I VEMICUS IACOR01%.Y14XIeml ReTPhF BMtluN,myb eXe[XeX II TP,e eW[e IP nyulntll
CERTIFICATE HOLDER CANCELLATION
Mike EdWarda SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1 Allen Street THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN
Springfield,MA01108 ACCORDANCE WITS E POLICY PROVISIONS.
AUMORI2ED REPRESEN
S
019882015 ACORD CO ORATION. ghts reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
NC.
MECHANtCALCONTRACTORSt
a COMMONWEALTH OF MASSACHUSETTS
SHEET METALWORKER8
ISSUES THE FOLLOWING LICENSE
MASTER-UNRESTRICTED
MICHAEL M EDWARDS
ill LONGVIEW DRIVE
SUFFIELD,CT 00078
20311 ' 01/2812021 636406
_ V89TTS
i
Allen Street • SPringiteid,MA01108 I C413)781F: (413)781-0016
0014 "
www.Mandemechanical.com
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mvmww
MECHANIC ALCONTRACTORS INC.
Sheet Metal Business License
w ,,%
SOA O
SHEET METAL WORKERS
ISSUES THE FOLLOVWNG LICENSE
BUSINESS
MARK S EDWARDS
ME MECHANICAL CONTRACTORS INC
1 ALLEN STREET
SPRINGFIELD,MA 01108
323 04107/2021 80411122
1 Allen Street- Springfield MA 01108
T (4113)7811-00'4 • F 1413}73 NVJ