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17C-197 (25) 53 MAIN ST-FLORENCE BP-2017-0910 GIS 4: COMMONWEALTH OF MASSACHUSETTS i/'•ap.Block: 17C- 197 CITY OF NORTHAMPTON ' Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Pemtit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate¢orv,NEW COMMERCIAL BUILDING BUILDING PERMIT Pemdta BP-2017-0910 Proiect# JS-2017-001557 Est Cost$790000.00 Fee,$2132.00 PERMISSIONIS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: JAMES E OWENS 20329 Lot Size(sa.ft.): 21387.96 Owner: CUMBERLAND FARM INC Zoning:GB(100)/ Applicant. JAMES E OWENS AT. 53 MAIN ST - FLORENCE ApplicantAddress: Phone: Insurance: 31 HAYWARD ST (508) 528-0770 FRANKLINMA02038 ISSUED ON.•7114120170:00.00 TO PERFORM THE FOLLOWING WORK CONSTRUCT NEW 2,556 SO FT CUMBERLAND FARMS POST THIS CARD'SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector a Underground:yid Service: Meter: �' rii•r.- ®$�Zs�(� >>> Footings: Rough:�1Rough: Housek Foundeti '''' Driveway Final: Final: 7/.,17/ Final: -1.. 1 - )b/ ('I'1fGN /✓ G �� Rough Frame: 01<� pgE r O(�. S/lhl ld Ll•I Gas: / Fire Departumat FircptacelChim=cy: d/P /p _ Insulation: d'�MI `T't bI IN 0u' Rough• ✓✓✓???u�,✓B" O_I: Final: 7/y1/f _ Smoke: ;W-7)3 �19 Final: OK 7/n'ie Lot THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTQ,> UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. J n 7111(9 Certificate of Occuoanc /l se mature: FeeType• Date Paid: Amount: juildiug 7/1420170:00:00 52132.00 - 212 Main Street,Phone(413)587-1240,Paz:(413)587-1272 Louis Hasbrouck—Building Commissioner Norz.7H &3wQ51, o153Z i �'4^^ 2 d 92'3 pir(/l /;/2/ •� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMITTO PERFO M GAS jjII� II I FTT�NG WORK CITY OY UG MA DATE --A&YO O22) JOBSITEADDRESS AZt1 OWNER'S NAME GOWNERADDRESS l TEFAX TYPE O,R OCCUPANCY TYPE COMMERCIAL EDUCATIONAL❑ RESIDENTIAL❑ CLEARLY NEW: RENOVATION:❑ REPLACEMENT:[I PLANS SUBMITTED: Qj Ni APPLIANCES T OORS— &SM 1 2 3 4 5 6 7 8 9 10 —117-12—F-137-14 BOILER BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR - GRILLE INFRARED HEATER LABORATORY OOCKS MAKEUP AIR UNIT OVEN — POOL HEATER ROOM I SPACE HEATER .- ROOF TOP UNIT - TEST $ IN PE UNIT HEATER UNVENTED ROOM HEATER - N T A PR WATER HEATER - OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES `a( NO �] I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY k OTHER TYPE INDEMMTY BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECKONEONLY: OWNER [--] AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby cer0y that all&the details and information I haw subndte or entered regarding ma application are true aM ao smile to tet bot aj�`knowledge and that all plunbirig work and installations performed under the permit issued for thin applicadan will 4 in comp ante with all P inel f_ Kofihe Massachusetts State Plunbirg Cade and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME LICENSE# SV MP02fMGF❑ JP[] JGF❑ LPGI❑ CORPORATION[]# PARTNERSHIP❑# LLC&ffW5T] COMPANY NAME -e ✓ ADDRESS CITY STATEURFIZIP®TEL FAX CELL Y n3 EMAIL O µ..�`r - (e— ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT El ❑ FEE: S PEiA r N N+ OTES W Z / /FazPss s i9 asa A412"7 It 9717 -,Ir 17TE fes:ivs G SaMwv 77C /nj 7ZIz .6 A7 ,,... c/060 q30 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK t CITY MA DATE PERMIT# JOBSITE ADDRESSI -5-3 7MASA, OWNER'SNAME w. 7o. POWNER ADDRESS T 0,,_ P TEL S' —t FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑ PRINT �I CLEARLY NEW: RENOVATION:[I REPLACEMENT:❑ PLANS SUBMITTED: YESJX NO FIXTURESI FLOOR- BSM 1 1 2 3 4 5 6 7 _F_8__T_ 18 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER _ DRINKING FOUNTAIN -- FOOD DISPOSER _ FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK _ LAVATORY ROOF DRAIN SHOWER STALL - _ .. .• _�___ r. SERVICE/MOP SINK I TOILET URINAL WASHING MACHINE CONNECTION IN)RIOAM TON- WATER HEATER ALL TYPES AIPK WATER PIPING f OTHER � — INSURANCE COVERAGE: �s I have a wrrent liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. TE NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY El BONDQ OWNER'S INSURANCE WAIVER:I am aware lhalthe licensee does not havethe insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECKONEONLY: OWNER AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and in ar ion I have submitted or entered regarding this application are trye and accurate to the wledge t of my kno and that all plumbing work and installations performed under the permit issued for this application Will be in lance ' all jnoyinfthe Massachusetts Stale Plumbing Code and Chapter 142 afthe General Laws. PLUMBER'S NAME M LICENSE# GNATURE MP❑' JP❑ COLORATION❑#PARTNERSHIP❑ LLCa COMPANYNAME ADDRESS CRY STATE® ZIP® TEL FAX®CELL®EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICL USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: S PEj2MIT® PLA VIEW NOTES '7` SOFyi..ryrnG2ri.-•� -- — �s/�� Sfvi� �' y-00a� ✓ tel 7// roc 53 MAIN ST- FLORENCE EP-2018-1010 tit t r&bf et COMMONWEALTH OF MASSACHUSETTS lx x)01 CITY OF NORTHAMPTON Map: 17C Lot: 197 ELECTRICAL PERMIT Permit: Electrical Category: CCN&.LN'IRUSION AIARM Permit a Electrical PERMISSION IS HEREBY GRANTED TO: Project a JS-2017-001557 Est.Cost: Contractor: License.- Fc.: icense:Fee: sso.00 TODD MCNIFF Journeyman Electrician 55214 Owner. CUMBERLAND FARM, INC Applicant: TODD MCNIFF AT., 53 MAIN ST- FLORENCE AnnGcant Address Phone In.carance 15 W ILDES ROAD (603) 327-5425 C- Liability, PHPK1698230 CHELMSFORD MA01824 ISSUED ON.W19120180.00:00 TO PERFORM TILE FOLLOWING WORK: CCTV& INTRUSION ALARM Call In Date: Date Re 'ted Inspecdor, D t /S' OfP R ' e t Treach/UG: Special Instructions x Rough x $pedal Ins[ructiona Final: k y-, SBE Called In: SSnature: Fee 1v :: A oa r' D [ePaid Flectrical $50.00 6/19/2018 0:00:00 000298 212 Main Street,Phone(413)587-1244,Fax(413)587-1272- inspector of Wires -Roger Maio �. '-�.cem.hell2,� �•t.�-,mss 53 MAIN ST- FLORENCE EP-2018-0149 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 17C Lot: 197 ELECTRICAL PERMIT Perm@: Electrical Category: WIRE STORE,GAS PUMPS,LIGHTS SITE WORK AND SERVICE Permit# Electrical PERMISSIONIS HEREBY GRANTED TO: Project# JS-2017-001557 Est.Cost. Contractor: License: Fee: $910.00 LINDSAY ELECTRICAL MASTER ELECTRICIAN 11746 Owner. CUMBERLAND FARM, INC Applicant. LINDSAY ELECTRICAL AT: 53 MAIN ST- FLORENCE Applicant Address Phone Insurance P O BOX 470 (413) 575-9320 C- BRIMFIELD MA01010 ISSUED ON.-9/8/20170:00:00 TO PERFORM THE FOLLOWING WORK. WIRE STORE, GAS PUMPS, LIGHTS SITE WORK AND SERVICE Call I Date, Date Reguested Impection Date/Si Off: Reinsneot?• Trench/UG: 9-a L RPv--1 - 3 -10 I k RP.-. s Jr, ky41 '� W- C-/rr s lw3 . oo� Special Instructions - x R h Gk- 01 RPM (,L+, v01 S-/5-ICS QPM 517-4 X % oP,S,`c. o"I)s C-;r1-/f! jzi, iC-31-/d C..,.,sy, (a-lh (r,. l Special Instructions: ..1' I. -/ 4S R/' Final, 7 3 1$ N A6'a" - ive cQ (TFC.Y F-,'tjql TWA SRECulled In, 22442713 S ly -/� ��'� / - J•a-�P �� - . r,? w- .��,,� _ a / Ca7 R,f Signature: Fee Tpe- Amount DatePaid Electrical $910.00 9/8/2017 0:00:00 12545 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 53 MAIN ST- FLORENCE EP-2018-0916 ei chi'( COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 17C Lot: 197 ELECTRICAL PERMIT Permit: Electrical Category: LAW VOLTAGE FOR SECURITY AND CCTV Permit a Electrical PERMISSIONIS HEREBY GRANTED TO: Project p JS-2017-001557 Est,Cost: Contractor: License: Fee: $50.00 FBN SECURITY CO LLC System Tec ician 1484 Owner: CUMBERLAND FARM, INC Applicant: FBN SECURITYCO LL AT: 53 MAIN ST- FLORENCE Applicant Address Phone Insurance 425 WINDSOR AVENUE (860) 246-0001 C-(860 - 2 Liability, SRR16021 WINDSOR CT ISSUED ON:5/16/20180:00:00 TO PERFORM THE FOLLOWING Wt/l .te/sisinoff; LOW VOLTAGE FOR SECURITY AND C Call In Date: Date Reguested Ins e b Reins ect?: Trench/UG: Special Instructions X Rou h X Special lnstructions: Final: SRE Called In: Signature: Fi,e T Amount• D.wPaid Electrical $50.00 5/16/2018 0:00:00 7257 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 6/26/2018 City of Northampton Mail-Cumberland Farms WITHDRAWAL OF PERMIT CRYc of A Roger Malo <rmalo@northamptonma.gov> Cumberland Farms WITHDRAWAL OF PERMIT I message Joel Kent<alarmbyfbn@aol.com> Mon Jun 25, 2016 at 10:53 PM To: rmalo@northamptonma.gov Mr. Malo This is to follow up on our phone conversation of last week regarding the new Cumberland Farms in Florence, MA. FBN Security Co is NO LONGER CONTRACTED to install the BURGLAR ALARM, CCTV System or CANOPY MOUNTED GAS PUMP CAMERAS or their associated monitors. 1 This includes all devices and equipment as well as wire and cable. I have no idea if the cable we installed that you have previously inspected has been compromised in any way.. My license and insurance do not extend to any and all contractors that may work this site and I would hope that the new contractor is properly licensed and workers comp insured to do this work. (Including an S License).Also that the replacement contractor has applied fir the proper permit to do this work I want to thank you and your staff for all the cooperation I have received from you on this and past projects.Your office is always ready to assist in the timely issuance of permits....... Joel Kent FBN Security Co LLC https://mail.google.comtmaiVu/O/?ui-2&ik=1 al l294c0l&jsvergldmEFghsso.en.&cbl=gmail_fe_180619,12_p2&view=pt&search=inbox&th=1643a0294... 1/1