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13-073 (25) 25 COLES MEADOW RD BP-2017-1140 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 13 -073 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-2017-1140 Project# JS-2017-001934 Est. Cost: $28000.00 Fee: $196.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WILLIAM J HARNUM 102199 Lot Size(sq.ft.): 501462.72 Owner: NEW ENGLAND DEACONESS ASSOC Zoning: Applicant: WILLIAM J HARNUM AT: 25 COLES MEADOW RD Amficanr`Address;: Phone: Insurance: 53 METZYER PLACE (413) 519-3593 WC SPRINGFIELDMA01104 ISSUED ON.411212017 TO PERFORM THE FOLLOWING WORK:TURN EXISTING MULTI PURPOSE ROOM INTO 2 ROOMS, ONE INTO A COMPUTER ROOM THE OTHER INTO A SALON. ALSO TURN EXISTING ACTIVITIES ROOM INTO 3 ROOMS, TURN EXISTING SHOWER ROOMS INTO RESTROOMS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Under, round: Service: Meter: Footings: o g i-� Rough:�� . �7 House# Foundation: Driveway Final: Final: Rough Frame: .� "7 Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: rf Final: Smoke: Final: 3D THIS PERMIT MAY BE REVOKED THE CI OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES ANDREG I N Certificate of Occupancy Si nature: FeeType: Date Paiid: Amount: Building 4/12/2017 0:00:00 $196.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 3Qt F/ky�� 25 COLES MEADOW RD EP-2017-0931 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 13 Lot:073 ELECTRICAL PERMIT Permit: Electrical Category: WIRING 3RD FLOOR OFFICE SPACE RENOVATIONS,WALLS APPROX 1800 SQ FT Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-001934 Est.Cost: Contractor: License: Fee: $162.00 PIONEER VALLEY ELECTRIC MASTER ELECTRICIAN 14301A Owner: NEW ENGLAND DEACONESS ASSOC Applicant. PIONEER VALLEY ELECTRIC AT: 25 COLES MEADOW RD Applicant Address Phone Insurance PO BOX 178 (413) 532-6098 C- FEEDING HILLS MA01 030 ISSUED ON.514120.17 0:00:00 TO PERFORM THE FOLLOWING WORK. WIRING 3RD FLOOR OFFICE SPACE RENOVATIONS, WALLS APPROX 1800 SQ FT Call In Date: Date Requested Inspection Date/SianOffi Reinspect?: Trench/UG: Special Instructions X Rouah (Z x Special Instructions: Final: (&-,;Q- /-7 SRIE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $162.00 5/4/2017 0:00:00 6072 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo Ir1rASSAGHUSETTS UNIFORM APPLICATIOM FOR A PERMIT TO 1 ERFORF19 PLUMBING WORK, CITY MA. DATE '�'� r'7 PERM IT fes- - J08SITEADDRESS otS CO 1 e5 /Vt E'atll(^/ 1? OWNER'S NAME POWNER ADDRESS: � ,QCaGon s _ (ph C6/ :TEL• Sg6-c27 FAX --- - 0 �J'� -- -- --- J'aF_OR OGGUPANCY TYPE: COMMERCIALM EDUCATfONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW;❑ RENOVATION:jV REPLACEMENT:� PLANS SUBMITTED: YES❑ NO❑ FIXUTRES 7. FLOORS-}l Bsmt 1 -3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONN DEVICE r DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS f DEDICATED WATER.REUSE SYS ---- -� -- -- —- DISHWASHER DRINKING FOUNTAIN FOOD WASTE GRINDER'UNIT FLDORIAI:EA DRAIN INTERCEPTOR INTERIOR ; 1 KITCHEN SINK LAVATORY { i� ROOF DRAIN_ t_....._......_. _�.._.. ._._ I SHOWER STALL - SERVICE t MOP SINK _.. .TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING 6t toy) INSURANCE COVERAGE I have a current liabili insurance policy or its substantial-equivalent which meets the requirements of MGL.Ch.142 YES ® NO ❑. If you have checked YES,please indicate the type of coverage by checking the appropriate box below. UABILITY"INSURANCEPDLICY DTHERTYPE INDEMNEY ❑ BOND ❑ OWNEWS 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 penia application waives this requirement. CHECK ONE ONLY:_ OWNER ❑ AD�NT ❑ SIGNATURE OF OWNER ORAGENT I hereby certify that alt 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 NAME: __ n e , fgpg r J'k LICENSE# W4 _ IGNATURE COMPANY NAME: .:._ � ADDRESS: I C11 :� ��C� STATE: ZIP: D�1�q—__—_° FAX: 19 11-7. r t TEL: CELL: MASTER JOURNEYMAN❑ CORPORATION IV'_ _r[ PARTNERSHIP❑ LLC I^] J 6 11,7 "'z MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I MA DATE T-• ��t PERMIT# ! ! — JOBSITEADDRESS S� C�(e.� A •t 4x 4t-) OWNER'SNAMEJ —to,/Crc OWNER ADDRESS TELFAX TYPE OR OCCUPANCY TYPE COMMERCIAL© EDUCATIONAL [J RESIDENTIAL[] PRINT CLEARLY NEW:❑ RENOVATIONS REPLACEMENT:❑ ,pk j� PLANS SUBMITTED: YES[] NOM FIXTURES'l FLOOR— BSM 1 2 1 3 4 5 6 7 1 8 1 9 1 10 11 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM a + DEDICATED7IVATERRECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN G SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.14L YES NO [� IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[Z] OTHER TYPE OF INDEMNITY 0 BOND 0 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 G] 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 rate to the t of my knowledge and that all plumbing wo it and installations performed under the permit Issued for this application will be in all provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I Thomas J Conwa JR LICENSE# 11538 SIGNATU MPO JPQ CORPORATION[# 142-C PARTNERSHIP LLC #[ COMPANY NAME I T J Conway-Company, ADDRESS 126 Pmgress Avenue CITY I Springfield ~�STATE J ZIP F9104 — j TEL F413-732-5131 FAX 413.731-5365 CELL I . EMAIL o Q Ir INN 1 �n O �v' Y �� G1�' /lf o?0 w CX,#' /6p/S(� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PL.(U�MBINGWORK AA CITY1 t to 2 n TC-J MA DATE r I2I IV-1 I f- PERMIT# F C> .� Lll o y JOBSiTEADDRESS 2_� OWNER'SNAME� c l�rr cic � eu '2o OWNER ADDRESS %2-0 1 TELI JFAX aW LU : T E IR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL [� RESIDENTIAL[] IN o CLEAR NEW;.a RENOVATION:Q REPLACEMENT: F PLANS SUBMITTED: YES Q NOM 0 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 GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEUICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR i AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY 15 ROOF DRAIN SHOWER STALL l I o 3 SERVICE I MOP SINK TOILET f ` URINAL WASHING MACHINE CONNECTION z- WATER HEATER ALL TYPES 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 Q NO Q IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITYE] BOND 0 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 corm th all P provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I Thomas J Conwa JR LICENSE# 11538 SIG URE MPO JPQ CORPORATIONO# 142-C PARTNERSHiPQ# LLC COMPANY NAME( T J Conway Company ADDRESS 126 P rens Avenue CITY I Springfield I STATE ZIP 0104 TEL 4135732-5131 FAX 413-731-5365 CELL I — EMAIL 4 Ln m rA 6,, a co ca 7 � O _t I °7 u I`ve V. I I