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31B-069 (4) 85 PROSPECT ST BP-2020-0319 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-069 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&BATH RENO BUILDING PERMIT Permit# BP-2020-0319 Project# JS-2020-000534 Est. Cost: $60000.00 Fee: $390.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Size(so. ft.). 7492,32 _Owner_. SIMMONS RACHF1. Zoning: URC(100)/ Applicant. KEITER BUILDERS AT: 85 PROSPECT ST Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 O WC FLORENCEMA01062 ISSUED ON.9/17/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.KITCHEN AND BATH 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: .Z/ 2 0-/9 q Footings: Rough: � Rough: '] / House# Foundation: Drivewav Final: v - 1 Final: i6 Za Final: /� r_ /� Rough Frame: CHd'C< D24F?5i76V' ON 1W5ULrr 11oi--j Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 0.K (Z_S_1Gl 1'1/ 9 Final:/-�G -�b Smoke: Final: �,� �- Z�'2(�� LIP THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS�ULES AND U TIONS. • " Y1p l I ov r✓ Certificate of Geeupan Signature: FeeType: Date Paid: Amount: Building 9/17/2019 0:00:00 $390.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner AN - ow AM- I 85 PROSPECT ST EP-2020-0410 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31 B Lot: 069 ELECTRICAL PERMIT Permit: Electrical Category: WIRE IST FLOOR KITCHEN,BATH LAUNDRY RENO Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2020-000534 Est.Cost: Contractor: License: Fee: $125.00 TOWER ELECTRIC Master Al 8067 Owner: SIMMONS RACHEL Applicant: TOWER ELECTRIC AT. 85 PROSPECT ST Applicant Address Phone Insurance 578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability, BKS1656776093 FEEDING HILLS MA01030 ISSUED ON:11/6/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE IST FLOOR KITCHEN, BATH LAUNDRY RENO Call In Date: Date Requested Inspection Date/SianOff: Reinspect?: Trench/UG: Special Instructions X n Rough X Special Instructions: Final: i— �2 1- 19-0 SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 11/6/2019 0:00:00 6219 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 0jwk Iqgff)-s90f MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK Ulf - ----- CITY Northampton MA DATE 10/25/19 PERMIT# JOBSITE ADDRESS 85 Prospect St OWNER'S NAME Rachel Borson POWNER ADDRESS ;Same TEL 413-586-8600 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL _ EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: V REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES Z 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 1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN ; INTERCEPTOR(INTERIOR) _ KITCHEN SINK 1 LAVATORY 1 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILETS URINAL - WASHING MACHINE CONNECTION 1 _ WATER HEATER ALL TYPES FNi E>iN G & C.la INS-'I)1LQ7 OR WATER PIPING IVO iTF 'mPION OTHER ;g.� � _ _ INSURANCE COVERAGE: 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 0 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 AGENT SIGNATURE OF OWNER OR 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 mpliance with II Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. P PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 1SIGNATUR MP JP _ CORPORATION , # 2617C PARTNERSHIP #' LLC # -� COMPANY NAME; Elr IVS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET CITY MONSON STATE LIMA ZIP 01057 TEL x413-267-8983 FAX 413-267-4523 CELL EMAIL EWSPH@COMCAST.NET ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Ya No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: i PERMIT# PLAN REVIEW NOTES s MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY Northampton MA DATE 1/14/2020 PERMIT# JOBSITE ADDRESS 85 Prospect St OWNER'S NAME Rachel Borson GOWNER ADDRESS Same TEL 413-586-8600 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES -1 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 1 DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER h JAN 1 U ROOM/SPACE HEATER ROOF TOP UNIT TEST oct c,Plu . ,g ,is Irs ections LNSP UNIT HEATER PT UNVENTED ROOM HEATER D Mvwn WATER HEATER OTHER INSURANCE COVERAGE I have a current liability-insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES v NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY / OTHER TYPE 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 AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are t ue 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 c pliance wth �ent of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Gary Stahelski LICENSE# 9621 SIGNATURE MP v MGF JP JGF LPGI CORPORATION v # 2617C PARTNERSHIP # LLC # COMPANY NAME: EWS Plumbing&Heating, Inc. ADDRESS 339 Main Street CITY Monson STATE MA ZIP 01057 TEL 413-267-8983 FAX 413-2674523 CELL EMAIL ewsph@comcast.net d i �� i i c �� -�� p2`��l