The URL can be used to link to this page

32C-153 (2) SM-2023-0028 8 KINGSLEY AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-153-001 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-2023-0028 PERMISSION IS HEREBY GRANTED TO: Project# SHEET METAL 2023 Contractor: License: BOULANGER'S PLUMBING & Est. Cost: 950 HEATING INCG Const.Class: Exp.Date: Use Group: Owner: T WEISMOORE, JONATHAN D&JULIE Lot Size (sq.ft.) Zoning: URC Applicant: BOULANGER'S PLUMBING &HEATING INCG Applicant Address Phone: Insurance: P 0 BOX 89,373 MAIN ST (413)527-3240 EASTHAMPTON, MA 01027 ISSUED ON: 10/23/2023 TO PERFORM THE FOLLOWING WORK: INSTALL KITCHEN HOOD EXHAUST ABOVE STOVE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: n ,• t ► �� la/h� i t• Fees Paid: $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED Commonwealth of Massachusetts OCT 2 0 2023 Sheet Metal Permit Cap DEPT.OF 6UitD{NO INSP .0 N NoRTHDateN•M Permit# _3 3 Z Estimated Job Cost: $ q1 S'7 Permit Fee: $ SCE CO3 331J(p Plans Submitted: YES NO Plans Reviewed: YES NO Business License# CST f Applicant License# (-)Q� 1 Business Information: Property Owner/Job Location Information: Nam 4 Name: _ a Ort)tq-Tektill c90/2 Street:(g% )(jai,/ C / 7 Street: 3 /fit A-i6-S I- , City/TownE1,571 n4 City/Town: N rUf fto I o/1) Telephone: 418- 5-2 7"c3 2 1/0 Telephone: Lit 3- a (7 -`J 70 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 I 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 Industrial Educational 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: I k' S G -L4-7-7 or Kra 6-/{7t/ tivo P c X t7f ' T 400,6 7v6 I ivs c .1-1 1 c"-IF I&t-i s r ftedO ) 4v c/ P /142- �6 INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No 0 If you have checked Yes indicate the a 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 m"y signature on this permit application waives this requirement. V Check One Only ole)af Owner ❑ Agent . r Signature 9 •wner or Owner's Agent • By checking this box❑,I hereby certify that all of the details and Information I have submitted(or entered)regaiding 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 1121511 the GeneFat Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By 0 Master Title ❑Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Jou rneyperson-Restricted License Number: Fee$ i ' 0 Check at www.mass.govldpl ryvelL J - �oa, a.3 inspector Signature of Permit 9 Approval r COMMONWEALTH OF MASSACHUSETTS. DIVISION OF OCCUPATIONAL LICENSURE " BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE BUSINESS PAUL R CHARTIER JR BOULANGER S PLUMBING HEATING INC W uJ 373 MAIN STREET EASTHAMPTON,MA 01027 241 02/25/2025 429816 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER BOULPLU-02 LAURA ACORO` CERTIFICATE OF LIABILITY INSURANCE UATD/Y1'YY) 5/19/2023 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 ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions 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 does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Misseri NAME; Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/c,No,Eat);(413) 594-5984 (A/C,No):(413) 592-8499 Chicopee,MA 01013 E-MAILDSS:(aura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B: Boulanger's Plumbing&Heating, Inc. INSURER C: 373 Main St INSURER D: Easthampton,MA 01027 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI_(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR A0165146003 3/31/2023 3/31/2024 DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3'0()()'000 X POLICY X PE a X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 IEaaccldenll $ X ANY AUTO A0165146004 3/31/2023 3/31/2024 BODILY INJURY(Per person) $ - OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB ■ OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE A0165146006 3/31/2023 3/31/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ A WORKERS COMPENSATION X I STATUTE I 1 ERH AND EMPLOYERS'LIABILITY YIN A0165146005 3/31/2023 3/31/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Policy Includes the following 3A States:MA&CT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE j /Y 19/L ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD