17A-278 (14) 55 OAK ST BP-2019-0232
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-278 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2019-0232
Project# JS-2019-000374
Est.Cost: $10800.00
Fee: $70.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KUEL MCQUAID 051394
Lot Size(sq.ft.): 12240.36 Owner: DILLARD SHANNON COKER&JOHN W DILLARD
Zoning:URB(100)/ Applicant. KUEL MCQUAID
AT.. 55 Q ST
Applicant Address: Phone: Insurance:
131 FERRY ST (413) 537-5063 ()
EASTHAMPTON MAO 1027 ISSUED ON.812112018 0:00:00
TO PERFORM THE FOLLOWING WORK.KITCHEN RENO
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: g Y l ;:2, Rough: C/ /� House# Foundation:
Driveway Final:
Final: / /� Final: -� o/
/ o AA Rough Frame: OK
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: Qk 915((6 4
Finai: Smoke: Final: 01C 441 e L+`
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate oSignature:
FeeType: Date Paid: Amount:
Building 8/21/2018 0:00:00 $70.00 Q ,
10
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 S�
Louis Hasbrouck—Building Commissioner
S
Aug 30 18 05:21 p Christopher Salva P.
7U v13-277-0120 1
�. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY I Northampton --_ MA DATE i 1201Lf PERMIT# ^
JOBSITE ADDRESS L55 Oak SL OWNER'S NAME ift Dillard �7
POWNER ADDRESS — _ � TEL;4136958452 IFAX;�
TYPE OR OCCUPANCY TYPE COMMERCIAL''__] EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:F7 REPLACEMENT: ] PLANS SUBMITTED: YES(❑ NO
FIXTURES Z FLOOR— BSM 1 2 g to 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICEr '
DEDICATED SPECIAL WASTE SYSTEM r
DEDICATED GAS/01USAND SYSTEM
DEDICATED GREASE SYSTEM r _ L
DEDICATED GRAY WATER SYSTEM i l ! ` 00
DEDICATED WATER RECYCLE SYSTEM - r -- I� ` to CIE /
DISHWASHER — In Gas Inspections ^�
DRINKING FOUNTAIN A Ot060
FOOD DISPOSER ( i
FLOOR/AREA DRAIN �� --
INTERCEPTOR INTERIOR
KITCHEN SINK -- ---2_..
LAVATORY
ROOF DRAIN i Cc �'- --
SHOWER STALL i I I u, -
SERVICE 1 MOP SINK - CD
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING r�
OTHER --,;-
_ _ ¢ U Ln
INSURANCE COVERAC j W �
I have a current liability insurance policy or its substantial equivalent which meets: < x Q c
Z obi _•
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE A -
LIABIUTY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY
OWNER'S INSURANCE WAIVER:lam aware that the licensee does not have the in: H C-
Massachusetts General Laws,and that my signature on this permit application wai A:9 �� C
stn r�z Hp V p a
C~ K-• .;o< x " ry ENT G
V uc , <x
SIGNATURE OF OWNER OR AGENT I- i •_■
I hereby certify that all of the details and information I have submitted or entered regarding mowledge
and that all plumbing work and installations performed under the permit issued for this app __ _ ""w""�'° of,•the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME I Chris Salva _ J LICENSE# 15800 rr,7SIGNATURE
MP� JP i CORPORATIONS#�jPARTNER # LLC 7#1
COMPANY NAME, CTS Plumbing&Healing Co. I ADDRESS F200 Old Belchertown Rd s{
CITY Ware - J STATE j MA ZIP 01082 TEL 413-23D-9705
r14if I� l'I tEL