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31B-189 (4) 75 GOTHIC ST BP-2019-0642 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B- 189 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2019-0642 Proiect# JS-2019-001045 Est.Cost: $50000.00 FeB: $325.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: uje Group: ALISHA PHILLIPS 106378 L91 Size(sa. ft.): 6229.08 Owner: DIEHL WILLIAM A&J BIRDSALL Zoning:URC(100)/ Applicant: ALISHA PHILLIPS AT: 75 GOTHiCo J T Applicant Address: Phone: Insurance: 40 PINE VALLEY RD (,413) 586-5986 WC FLORENCEMA01062 ISSUED ON.1211012018 0:00:00 TO PERFORM THE FOLLOWING WORK:RENO UPSTAIRS BATH AND BEDROOM**NOTE NO CHANGE TO FOOTPRINT POST THIS CARD SO IT IS VISIBLE FROM TLIE aTREVT Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough:2� ly Rough: J�� K / House 0 Foundation; n Driveway Final: Flaal; Final: 7/9 Rough Frame: i9Ctf- a , 3-V6-Nq �ZQe-V Gas; Fireplace/Ohimneye L� Rough; � Irsulation: 0,1e. '3-24-"JZ Final: Final; d,�_/ e-I(- Iq V Q THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RWULATIONS. e rtificat f Signature: FeeT, pe: e, Date Paid: Amounti Building 12/10/2018 0:00:00 11925,00 212 Main Strut,Phone(413)587.1240, Fax: (413)587.1292 Louis Hasbrouck-Building Commissioner C✓U (c circ. -cur Cjq,Aj( 79� �� o� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK r� CITY 1 MA DATE L/-_a2-�,7j PERMIT# JOBSITE ADDRESS Go OWNER'S NAME POWNER ADDRESS . �x S T TEL FAX F TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:Ej 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 ' DEDICATED WATER RECYCLE SYSTEM DISHWASHER I Ila DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) r- KITCHEN SINK do t 'r LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION rI UPS WATER HEATER ALL TYPES WV WATER PIPING OTHER 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>,/, 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER L& AGENT SIGNATURE OF OWNER 0 AGENT I hereby certify 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 ._ a G^T �,t,�a 4�; _=LICENSE#® L SIGNATURE MP❑ JP 5. CORPORATION 0#LL PARTNERSHIP -j#; j LLC EI# COMPANY NAME /34 ADDRESS �� G� ,�z s 7- CITY CITY ,SoSTATE G' ` '' ZIP p a TEL FAX JCELLJ EMAIL6 ��j,p /l„rd,Q,f , G6.�, 75 GOTHIC ST EP-2019-0623 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31 B Lot: 189 ELECTRICAL PERMIT Permit: Electrical Category: WIRE BED&BATH REMODEL Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001045 Est.Cost: Contractor: License: Fee: $125.00 WILLY DANYLIEKO INC MASTER ELECTRICIAN 20896A Owner: DIEHL WILLIAM A & J BIRDSALL Applicant. WILLY DANYLIEKO INC AT.- 75 GOTHIC ST Applicant Address Phone Insurance 35 Meadow St (413) 586-0191 C-(413) 695-5437 Liability, ODN9083611 HADLEY MA01035 ISSUED ON:3/12/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE BED & BATH REMODEL Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Rough q-F-N x Special Instructions: Final: 7 "/I/I/ Q SRE Called In• Sip.nature• Fee Tvpe:: Amount: DatePaid Electrical $125.00 3/12/2019 0:00:00 10673 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo