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