38B-012 131 TEXAS RD COMMONWEALTH OF MASSACHUSETTS SM-2021-0060
Map:Block:Lot:38B-012-
001 CITY OF NORTHAMPTON
Permit: Sheet Metal
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# SM-2021-0060 PERMISSION IS HEREBY GRANTED TO:
Project# Contractor: License:
Est. Cost: $88000 AARON MORIN SHEET METAL
Const.Class: Exp.Date:
Use Group: Owner: AQUADRO &CERRUTI INC
Lot Size(sq.ft.)
Zoning: GI Applicant: AARON MORIN SHEET METAL
Applicant Address Phone: Insurance:
140 WEST ST 4134271416
WEST HATFIELD, MA 01088
ISSUED ON:08/19/2021
TO PERFORM THE FOLLOWING WORK:
HVAC MINSPLITS AND DEHUMIDIFIERS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Driveway Final: Final: Final: Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
cfri
Signature:I al. >2 •
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
lily t
`-'_ �, Commonwealth of Massachusetts
N _
M Sheet Metal Permit
g Date I— —2-( Permit#
Q I - `,��
Estiihat d Job Cost: $ S Permit Fee: $ i C:ic'rppy p..3
'Plans Submitted: YES Z7NO Plans Reviewed: YES NO
Business License# 5 33 Applicant License#
Business Information: JJ Property Owner/Job Location Information:
Name: i� XI'ii V�jez tj►�Tom-( Name: C f t'5 Rt fre-f S
Street: /ga (/(�i23 l 5fiter Street: / ,?/ re-A-c-} e,
City/Town: h2-51 /i& 1 `e /G City/Town: 4,0 r 1 a-,4i"T
Telephone: 7 0 - q?7 —/f/ 9 Telephone: 5 $ — 6 y/—q/ci ff
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Staff Initial
J-leilPir estricted 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 4://t.._____
EducationalInstitutional Other ,ce- { 1e
Square Footage: under 10,000 sq. ft. Viver 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Va/14xenovation: (/
HVAC [ Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
r P all , 1 Ski ( PrDpOS-eC( "hite/ el -
alld De 4tAin• re i rf G rS w"k (.0 5d- f
ArZr-
61.5 (Ae€r c,h_ fS. De/vie) wry l/ ` e._
d,c1-- iofk a^J re c`45f-et C( a_S peI 10r. k ( ,
(,,j (( eco_s-eid PDP (,,,i € l'k f�y1f-� sc n tA/
P �
- r ee fic.t ~t,
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 Yes, indicate the t e 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 does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box0,I hereby certify that all of the details and information I have submitted(or 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 pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of L. se:
By aster
Title ❑ Master-Restricted
City/Town
DJoumeyperson Signature of Licensee
Permit#
❑Joumeyperson-Restricted
License Number:
Fee$ ❑
Check at www.mass.gov/dpl
Inspector Signature of Permit Approval
•
• — \
4 COMMONWEALTH OF MASSACHUSETT
MASSACHUSETTS DRIVER'S
DIVISION OF PROFESSIONAL LICENSURE
LICENSE
: . ... ,. - NOT FOR FEDERAL ID SHEET METAL WORKERS
- , . ,
ISSUES THE FOLLOWING LICENSE
—- ; - 11/03/2020 S19852961 DOB MASTER-UNRESTRICTED .
cc
•
m
i-
• , - - ' 10/1412025. 1 0/,14/1971
,..i? 0 B NONE AARoN s MORIN I•(-9-
,1 liVIC 1 140 WEST ST
te
ie
aitARON SCOTT ",. WEST HATFIELD, MA 01088-9500 to
z
140 WEST ST w
o
c.WEST HATFIELD,MA 01088.9500 j
18EYES HAZ mak
ia 533 10/2812.021 719370 ra_lk.........._I seki ism 5-11.11r 19/14/71
____. 5 DD 111042020 1101212212316
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
-
..........== .*-,
The Commonwealth of Massachusetts
vt , Department of Industrial Accidents
�y Office of Investigations
111
:�', Lafayette City Center
2 Avenue de Lafayette, Boston,MA 02111-1750
ji.l.h � WWW.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Aaron Morin Sheet Metal
Address: 140 West Street
City/State/Zip: West Hatfield, MA 01088 Phone#: 413-427-1416
Are you an employer?Check the appropriate box: Type of project(required):
I.0 I am a employer with 5 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑N w construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 21emodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in anycapacity. employees and have workers'
P h' 9. ❑Building addition
[No workers' comp.insurance comp. insurance.: 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑ P
3.❑ I am a homeowner doing all work officers have exercised their 11.12 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152,§1(4),and we have no f�/
employees. [No workers' 13.�ther i/, v
comp. insurance required.]
*My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: National Grange Mutual Insurance
Policy#or Self-ins. Lic.#: WCT1090D Expiration Date: 1/19/22 �/ ,/ ,,/
Job Site Address: 13 I �T'�4ca--3 City/State/Zip: 4(1`�o�-/4t f9/'t /'( c)f(
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify u , •r the pains d penalties of perjury that the information provided above
//st�is true and correct
Si. ature: r Date: W —t' --2
Phone#: 413-427-1416
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(check one):
10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5D'lumbing
Inspector 6.0Other
Contact Person: Phone#:
131 TEXAS RD COMMONWEALTH OF MASSACHUSETTS SM-2021-0060
Map:Block:Lot:38B-012-
001 CITY OF NORTHAMPTON
Permit: Sheet Metal
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # SM-2021-0060 PERMISSIONIS HEREBY ' : 0:
Project# Contractor:
HODGE CITY MECHANICAL
INCHACKWORTH SYSTEMS LL
Est.Cost: $88000 AARON MORIN SHEET METAL
Const.Class: Exp.Date:
Use Group: Owner: AQUADRO &CERRUTI INC
Lot Size(sq.ft.)
Zoning: GI Applicant: AARON MORIN SHEET METAL
Applicant Address Phone: Insurance:
140 WEST ST 4134271416
WEST HATFIELD, MA 01088
ISSUED ON:08/19/2021
TO PERFORM THE FOLLOWING WORK:
HVAC MINSPLITS AND DEHUMIDIFIERS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Driveway Final: Final: Final: Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $100.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-I272
Office of the Building Commissioner