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31B-246 (11) BP-2019-1428 116 ELM ST- PARK ANNEX COMMONWEALTH OF MASSACHUSETTS GIS#: Ma�:Block:31 B-246 CITY OF NORTHAMPTON Lot: Blo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) CateQorY' renovation BUILDING PERMIT Permit# BP-2019-1428 Project# JS-2019-002311 Est $Cost: $33287.00 Fee: ost7 0 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: MELISSA FRYDLO 073437 Use Group: Lot Size(sa ft.): 22084.92 Owner: SMITH COLLEGE OFFICE OF TREASURER 7_onin : EU 100 /URC I( 00)/ Applicant: MELISSA FRYDLO AT: 116 ELNI ST - PARK ANNEX Applicant Address: Phone: Insurance: 123 SOUTH ST#2 (413) 320-6469 WC NORTHAMPTON MAO 1060 ISSUED ON:6/19/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMO NON LOAD BEARING WALL, RECONSTRUCT WALL AND CEILING 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: Z /9 Rough: House# Foundation: Driveway Final: Final: � i� Final: C6 ,/y-aq r Rough Frame:6 K-,3-lS '<'R- Gas: Fire Deuartment Fireplace/Chimney: Rough: Oil: insulation: Final: Smoke: Final: OK Sl` 0�l? Lt+ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULAT ONS. / L'4—�Si2nature: r Certificate of Occupancy Feer e• Date Paid: Amount: Building 6/19/2019 0:00:00 $232.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 'j CITY b 1�'Iv3 y y y a.✓ MA DATE (,�2'� 1� PERMIT# �� 2 --0 JOBSITE ADDRESS OWNER'S NAME POWNERADDRESS /Z� (�/ES7 /�✓iv.�G TEL �sy-lam$eo FAX TYPE OR OCCUPANCY TYPE COMMERCIAL IJ' EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: 1' REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM 4L- DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN `Y FOOD DISPOSER -- FLOOR 1 AREA DRAIN lactri rsp c ion INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL a SERVICE/MOP SINK NOIR N — TOILET URINAL WASHING MACHINE CONNECTION JI WATER HEATER ALL TYPES _ WATER PIPING -7N OTHER i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets 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 v OTHER TYPE 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 Massach efts Ge ral L s, nd that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER F AGENT SIGN R F OW R OR AGENT I hereby ce ify 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 plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME i Thomas JR LICENSE# 11538 SIGNATURE MP JPj CORPORATION i# 142-C PARTNERSHIP,,,,. # LLC❑#�— COMPANY NAME T J Conway Company ADDRESS26 Progress Avenue CITY Springfield STATE MA ZIP 0104 TEL 413-732-5131 -_ FAX 413-731-5365 CELL _ EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES j `�1 116 ELM ST- PARK ANNEX EP-2019-0899 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31 B Lot:246 ELECTRICAL PERMIT Permit: Electrical Category: WIRE NEW KITCHENETTE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-002311 Est.Cost: Contractor: License: Fee: $100.00 COLLINS ELECTRIC CO MASTER ELECTRICIAN 12526 Owner: SMITH COLLEGE OFFICE OF TREASURER Applicant: COLLINS ELECTRIC CO AT. 116 ELM ST- PARK ANNEX Applicant Address Phone Insurance 53 2ND AVE (413) 592-9221 () C- Liability, 5174572 CHICOPEE MA01020 ISSUED ON:6/27/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE NEW KITCHENETTE Call In Date: Date Requested Inspection Date/SianOff: Reinspect?: Trench/UG: Special Instructions x Roush -7' `l X Special Instructions: Final: 4 -// SRE Called In• Signature Fee Type:: Amount: DatePaid Electrical $100.00 6/27/2019 0:00:00 030090 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo