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32A-143 (18) 40 MAIN ST-EYE PHYSICIANS BP-2018-1279 GIS#: COMMONWEALTH OF MASSACHUSETTS MamBlock: 32A- 143 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateaorv:renovation BUILDING PERMIT Permit# BP-2018-1279 Proiect# JS-2018-002277 Est.Cost:$105000.00 Fee:$735.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Size(so.ft.): Owner: POIRIER VIRGINIA Zoning:CB Applicant. KEITER BUILDERS AT: 40 MAIN ST- EYE PHYSICIANS Applicant Address: Phone. Insurance: 35 MAIN ST _ (413) 586-8600 O WC FLORENCEMA01062 ISSUED ON.61412018 0:00:00 TO PERFORM THE FOLLOWING WORK:LIMITED INTERIOR RENOVATIONS TO EXISTING TENANT SUITE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: e Footings: Ro er Rough:(k.1)- D House# Foundation: Com' j/ r k1A Driveway Final: Final: Final: Uyrj , 1 .� Rough Frame: 7-1eR ��r. Gas: Fire Deoartmeat �l Fireplace/Chimney: Rough: On: Insulation: Final: Smoke, Final: jy0//g THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND ATIONS. -l�u� Certificate of Occu nc nature: (/7 FeeTWDe: Date Pa : Amount: Building 6/4/2018 0:00:00 $735.00 212 Main Street,Phone(413)587-1240,Far:(413)587-1272 Louis Hasbrouck—Building Commissioner MA-SSACNI TDYS UNIFORM/ F�OTRM, wP@CAS TArPERMIT TO PERFORM PLUMBING LUNEINC WyOn%R K MA DATE rPERMT# OOWNERSNAME9 BSITADDRESS �Ov6to^ �f4 r6N P /�_ OWNER ADDRESS rry���, . _ TEL[ _:jjFAMX TYPE OR OCCUPANCYTYPE COMMERCIALrt;7 EDUCATIONAL RESIDENTIAL©1 PRINT CLEARLY NEW:E RENOVATION yY' REPLACEMENT:[ PLANS SUBMITTED: YES i '- NOW! yl. FIXTURES? FLOOR e0 1 2 3 a 5 6 7 8 s 1g 11 12 13 14 BATHTUB _ t _ r. CROSS CONNECTION DEVICE _ -- '-- -- __._ I_.__ ....� ._. -,_ -_ DEDICATED SPECIAL WASTE SYSTEM _-;__ "-_ ---- - ' -- - DEDICATEDGASI01USANDSYSTEM .. .. _ __. DEDICATED GREASE SYSTEM _ i- _ Pt "... _ - . DEDICATED GRAY WATER SYSTEM -- DEDICATED WATER RECYCLE SYSTEM I71 - _ DISHWASHER - -A . ' DRINKING FOUNTAIN Z . . . FOOD DISPOSER FLOORIAREADRAIN ... . - i. . ... INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOFDRAIN _ —SERVICE IMOP SINK ( _ i..__ TOILET I_ __ -L_ - —Pr URINAL CITT URINAL ____ ._._ L._.:L_.- __ ____ .____ ,__._ -_ .__._ .__-i,_._..._ JaH 7ErT WASHING MACHINE CONNECTION : _._._ —.. -_._ _- -._ ___ __.._ _..._ _.. _.__ _ ., .- _-- WATERHEATER ALL TYPE S WATER PIPING INSURANCE COVERAGE: I have a current liability insurance policy or its substantial egmvalentwhich meets the requirements of MGL Ch 142. YES n NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHERTYPE OF INDEMNITY 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. CHECK ONE ONLY: OWNER E_1 AGENT I SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details antl information I have submittetl or entered regaNing this application are true and accurate to the beat of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be i�yOmp1ian�wiN a ll elinent IF !on of the Massachusetts State Plumbing Cade and Chapter 142 of the General Laws. `/r�,"'HpO PLUMBERS NAME m.�cytpp,l O_Yns-mn 52,_ s_,�LICENSE If SIGNATURE MEN Jp[JA CORPORATION #.J... .9 PARTNERSHIP�,11#� LLC Lj#� COMPANY NAME 'M-S. MORY3(1,`3'YlC ADDRESS5�}, ( rn S}r e+. - 1n 0 SOX 8 CITY f HR�j-1oYNt/i1� STATE ZIP 10 TEL yI"�-7roK -�o�SI jj FAX yl -21d�933S. CELL EMAIL 'r in'1__� m rn vL� t+1G. COr _ s1�S G �t{t�.oa MASSAChIUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLyLIM}BIING WORK - CITYfly"C �f '� _ MA DATE 4y AIIIP . -7 PERMIT#_y'v- t, _ f��•YY+ JOBSITEADDRESS [ r/D ,wy4y OWNERS NAME e}at PfCci9 l P �W...::: .-..�. _.. _ OWNER ADDRESS Iu �_� �.-..�� TELE_____ TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL (,Y RESIDENTIAL PRINT CLEARLY NEW:[.) RENOVATION:-x' REPLACEMEN I':[_� PLANS SUBMITTED: YES - NON" FIXTURES 7 FI-OOR- HSM 1 2 3 F4 T 5 6 7 8 9 10 11 12 13 14 BATHTUB F CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS TEM _ " - --- DEDICATED GAS/OILISAND SYS TEM DEDICATED GREASE SYSTEM - DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR,,, KWMENSINK LAVATORY ROOF DRAIN SHOWER STALL I - - SERVICE/MOP SINK Ton.cT URINAL _. I_ _.._T TF171—Ax Qj WASHING MACHINE CONNECTION WATER HEATER ALL TYPES _. .. WATER PIPING F T —i I _ OTHER INSURANCE COVERAGE: I have a current lisbili insurance policy or its substantial equivalent which meets the requirements of MGL Ch,142, YES(T' NO i IF YOU CHECKED YES,PLEASE INDICATE I HE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY XI OTHER TYPE OF INDEMNITY n BOND L,,,I, 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. —... __ CHECK ONE ONLY: OWNER Ij AGENT SIGNATURE OF OWNER OR AGENT ' I hereby ceopy that a0 of the details and informaiion I have submined rn entered regarding this app cation era tote and aa:ueafe W the beatof my kr�oxdadge and that all plumbing work and mstallationa preferred under the permit issued forthls application will be. ompliancelmh all Pertinent pr swa ofthe us Massachetts State Plumbing Code and Chapter 142 of the General Lam. tI PLUMBERS NAME m�',mael S. mori 1'{L _ LICENSE# mr j _'.-`� A... - ..SIGNATURE MPEK, JPr-� CORPCRATIONW'7#rlaigC PARTNERSHIP[I#[ LLCE:74, CCMPANY NAME VYa-5, Mouh3n, TnC. ADDRESS +j Cr CITY -144AA0n%JIii1P_ -- STATE ..JA ZIP V_.p 103 TEL y11_j6 - asl FAX yr}-j4 jS CELL v EMAIL Irvt nruy yt� �EgY1 c,,. CI`1<•-� ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ i FEE: $ PERMIT# PLANtREVIEW NOTES Qx MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE' - PERMIT# JOBSITE ADDRESS OWNER'S NAME ii9 A 9J 14,10 hJ P OWNER ADDRESS TEL FAxE-- TYPE OR OCCUPANCYIYPE COMMERCIAL EDUCATIONAL [,7 RESIDENTIALE1 PRINT CLEARLY NEW:C RENOVATIONV REPLACEMENT:[ PLANS SUBMITTED: YES 7 NQXU FIXTURES TFLOOR— esm 1 2 3 4 5 6 7 a 9 10 11 12 13 14 BATHTUB F-1 CROSS CONNECTION DEVICE DEDICATED SPECIAL WAST"E SYSTEM DEDICATED GASIOLISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED SPAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM r DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN ` INTERCEPTOR{INTERIOR) -7Z KITCHEN SINK LAVATORY -- ROOFDRAIN SHOWER STALL S---WC K ER —EIMO—PSIN — Ta,LT URINAL WASHING—MACHINE CONNECTION WATER HEATER ALL TYPES Cost- WATER PIPING 7OTHER—F-- :z: E7— f INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meats the requirements of MGL Ch.142- YES NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X OTHER TYPE OF INDEMNITY li BOND Ei 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, CHECK ONE ONLY-. OWNER ( l AGENT SIGNATURE OF OWNER OR AGENT I hereby conch,That all of the dell and information I have subaboded air entered regandidd this apoissa i;harc trueand accurate tothebest of my—k.Mdg. and that all plumbing work and installations performed under the permit issued for this application will be i ompliance with all eminentproof in Massachusetts State Plumbing Cock and Chapter 142 of the General Lam. PLIJMBER'SNAMF*��&C% 5 rAorWV%, :3 SIGNATURE in, -J-ICENSE# El MPxj jPF-j CORPORATIONERf-1049C 'IPARTNERSHIPEI#i LLCE,�I#E= COMPANY NAME M.S 111WOO, ?nC- ADDRESS Iq CITYilk STATE ZiPFC)103 C7 TEL13�-�;6 - aS�1 ] E4: FAX FqI3,Z CELL E=:_ EMIC-.�CLw� ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES —_. Yes No r THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT$ PLAN REVJFW NOtES �,lr,- �J City of Northampton z Massachusetts m` Z DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building C Northaspton. MA 01060 40 Main St. Florence 7-23-18 Dear Building Owner, During a rough plumbing inspection for the eye physician's project on 6-28-18 I noticed that there was not a drinking fountain on the first floor which is required in 248 Cmc Section 10.10 Table 1. The plumbing contractor's foreman was made aware of the issue at that 6me. The new plumbing work that is being done at this time triggers that the plumbing code requirement for a drinking fountain be met. I have enclosed a copy of table 1 for your review. Please feel free to contact me regarding this matter. (413)-587-1243. Thank you for your cooperation in this matter. Larry Eldridge City of Northampton Plumbing and Gas Inspector (413)587-1243 feldridge@northamptonma.gov cc: Richard Loyd Louis Hasbrouck 40 MAIN ST- EYE PHYSICIANS EP-2018-1019 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 32A Lot 143 ELECTRICAL PERMIT Permit: Electrical Category: OFFICE RENO.INCLUDING DATA CABLING&TELEPHONE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project u JS-2018-002277 Est.Cost: Contractor: License: Fee: $75.00 GRAHAM ELECTRIC MASTER ELECTRICIAN 15396A Owner: POIRIER VIRGINIA Applicant. GRAHAM ELECTRIC AT: 40 MAIN ST- EYE PHYSICIANS Applicant Address Phone Insurance PO Box 1 (413) 268-3636 C-(413) 212-7773 Liability, MPT8466W HAYDENVILLE MA01039 ISSUED ON.-6121120180:00:00 TO PERFORM THE FOLLOWING WORK: OFFICE RENO, INCLUDING DATA CABLING &TELEPHONE C 11 I D t • Date Recruested IwPection Date/SienOf; Reinspect?: TrenCWOG: Special Instructions x R eh - x Special Itr tis Final; 07-/ C OM SRX Called In: Sienanwe: Fee T Amount DatePaid Electrical $75.00 6/21/2018 0:00:00 2965 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo