31D-014 (9) 23 WEST ST- LILLY HAIL BP-2020-0798
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31D-014 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Plumbing BUILDING PERMIT
Permit# BP-2020-0798
Project# JS-2020-001362
Est.Cost: $17000.00
Fee: $119.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sg. ft.): 14853.96 Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning: EU(100)/URC(100)/ Applicant. KEITER BUILDERS
AT. 23 WEST ST - LILLY HALL
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON.1/14/2020 0:00:00
TO PERFORM THE FOLLOWING WORK.-RELOCATE KITCHENETTE
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: Rough: I I ,/ House# Foundation:
/ Driveway Final:
Final: i.�cf Final: f
0 Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITSXULES AND R GU TIONS.
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Certificate of ! Signature:
FeeType: Date Paid: Amount:
Building 1/14/2020 0:00:00 $119.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
23 WEST ST- LILLY HALL EP-2020-0581
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31 D
Lot:014 ELECTRICAL PERMIT
Permit: Electrical
Category: BASEMENT IMPROVEMENTS,RELOCATION OF OUTLETS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-001362
Est.Cost: Contractor: License:
Fee: $75.00 JSN SERVICES MASTER ELECTRICIAN 22634
Owner: SMITH COLLEGE OFFICE OF TREASURER
Applicant. JSN SERVICES
AT. 23 WEST ST- LILLY HALL
Applicant Address Phone Insurance
193 HOLYOKE STREET (413) 583-2227 C- Liability, 20029596
LUDLOW MA01056 ISSUED ON:1/14/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
BASEMENT IMPROVEMENTS, RELOCATION OF OUTLETS
Call In Date: Date Requested Inspection Date/Sh!nOff: Reinspect?:
Trench/UG:
Special Instructions
x
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x
Special Instructions:
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Final: � �C)� 9(v—
Final:
Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $75.00 1/14/2020 0:00:00 1212
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY Northampton MA DATE 1/6/2020 PERMIT#
JOBSITE ADDRESS 23 West St (Lilly Hall Basement) OWNER'S NAME Smith College
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: 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
DRINKING FOUNTAIN
FOOD DISPOSER 1 i;
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY
ROOF DRAIN
SHOWER STALL i
•ion
SERVICE/MOP SINK `
TOILET
URINAL PLU BING & A
S NSP CT R
WASHING MACHINE CONNECTION APTN
WATER HEATER ALL TYPES P
NOT APP
WATER PIPING
OTHER 00
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 AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application 21re 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 wi II P rtine t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 SIGNATURE
MP JP CORPORATION , # 2617C PARTNERSHIP # � LLC #
COMPANY NAME EWS PLUMBING&HEATING, INC. ADDRESS 339 MAIN STREET
CITY MONSON STATE MA ZIP 01057 TEL 413-267-8983
FAX 413-267-4523 CELL' EMAIL EWSPH@COMCAST.NET
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