39-041 (30) 15 ATWOOD DR- DENTAL OFFICE BP-2021-1541
GIs#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 39-041 CITY OF NORTHAMPTON
Lot: -001 PERSONS CON1 RACKING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2021-1541
Project JS-2021-002563
Est.Cost: $250000.00
Fee: $400.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: contractor: License:
Use Group: DEVELOPMENT ASSOCIATES 075752
Lot Size(sq. ft.): 217800.00 Owner: ATWOOD DRIVE EEC
Zoning: GB Applicant: DEVELOPMENT ASSOCIATES
AT: 15 ATWOOD DR - DENTAL OFFICE
Applicant Address: Phone: Insurance:
P 0 BOX 528 _ (413) 789-3720 _ WC
AGAWAMMA01001 ISSUED ON:6'29/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INTERIOR BUILD OUT - DENTAL OFFICE - 2884
SF
POST THIS CART) SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
= 2/ Footings:
Rough: Rough:. _ids. d I 1 House# Foundation:
w Z4 Chi L�1 tint\ay Final:
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Final:
G�2 � U.P JO /q 02 Rough Frame:3 V- re
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Pr
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
O_ )!/p�� I4t U CeFIL- ►-)c, o a it.) zz-zli((
Final: Smoke. Final:
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON U ON ATION OF
ANY OF ITS RULES AND REGULATIONS. .
e, • J •
Certificate of Occupanc i �° signature: I _
FeeTvpe: Date Paid: Amount:
Building 6/29/2021 0:00:00 $400.00
212 Main Street, Phone(413)537-1240, Fax: (413)587-1272
Louis Hasbrouck---Building Commissioner
15 ATWOOD DR - DENTAL OFFICE EP-2022-0081
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 39
Lot: 041 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALL LIGHT FIXTURES,WITCHES, SENSORS&WIRING IN OFFICES,HALLWAYS,TREATMENT ROOMS&
OPEN AREAS. WIRE EXHAUST FAN,DATA,FIRE ALARM,&RTU
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002563
Est.Cost: Contractor: License:
Fee: $75.00 DAVID R NORTHUP ELECTRICAL CONTRACTORS Electrician
12425
Owner: ATWOOD DRIVE LLC
Applicant: DAVID R NORTHUP ELECTRICAL CONTRACTORS
AT.• 15 ATWOOD DR - DENTAL OFFICE
Applicant Address Phone Insurance
P 0 BOX 249 (413) 786-8930 C- Liability, BKS58121018
AGAWAM MA01001 ISSUED ON:7/26/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALL LIGHT FIXTURES, WITCHES, SENSORS & WIRING IN OFFICES, HALLWAYS,
TREATMENT ROOMS & OPEN AREAS. WIRE EXHAUST FAN, DATA, FIRE ALARM, & RTU
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x c/
Rough el I ct,P"N.
x
Special Instructions:
Final: / 0-7?_91 1 ill �' Cam'' v� • it /, / /I. 3 .. / ✓Z IN
SRE Called In: p
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $75.00 7/26/2021 0:00:00 052347
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
1 cik.*052361/45 30
_____11c D52 Atz0009
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
Q 1— "CITY Northampton MA DATE 7/12/21 PERMIT#Pl -2AL'Z—OQ3y'
t
c�JOBSITE ADDRESS 15 Atwood Drive OWNER'S NAME Refresh Valley Dental � � ��j
DOWNER ADDRESS !15 Atwood Drive .... TEL 413 789 3720 FAX .I
TYPE OR OCCUPANCY TYPE COMMERCIAL � EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: `✓' RENOVATION: REPLACEMENT. PLANS SUBMITTED: YES NO'.
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FIXTURES 1 FL OR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE t—
—
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
-----
DEDICATED GREASE SYSTEM 1 7
DEDICATED GRAY WATER SYSTEM 1 I
.DEDICATED WATER RECYCLE SYSTEM `
�°�s, ,s --_ _ — .
DISHWASHER
DRINKING FOUNTAIN
1 ,, , _
FOOD DISPOSER
. .
FLOOR/AREA DRAIN _._
' IT
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY I
—
ROOF DRAIN
SHOWER STALL l
SERVICE/MOP SINK r
TOILET r — .__ ppRoV `13
URINAL r-- - _ ._ ..—....W. .v .
WASHING MACHINE CONNECTION / } I { 1 '
WATER HEATER ALL TYPES ,il
WATER PIPING I ,� l
OTHER .^ J <- . Si
e
Boiler
....Ai ,., ._.._...
".. .: - - - _ 3 ..-4- A'_.. opt
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.
CHE i K ONE ONLY: OWNER AGENT L
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this applicatio a - tru�:nd accurate to t best o,' y knowledge
and that all plumbing work and installations performed under the permit issued for this application will be• ompl:nce II Pert ent.pr.,5/oi if the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. J pi/
PLUMBERS NAME;Joseph P. Millett LICENSE# j10592 / SI NATURE
r'�y
MPS JP; ,` CORPORATION, I# 2322C ^ PARTN.' IP -, # LLC0# -
COMPANY NAME D.R. Northup Electrical Contrs.,Inc ADDRESS 73 Bowles Rd P.0 Box 24 9
CITYi.
Agawam STATE MA ZIP 101001 0?49 TEL 413 /86-8930
FAX 413 786-5984" GEL':� :w , , .�....F EMAIL . ._ a_-....
Permit Fee:$ 2 ao-
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