22B-040 (15) 221 PINE ST BP-2019-0234
GIs#: COMMONWEALTH OF MASSACHUSETTS
luta : 1 ck:22B-040 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Building BUILDING PE RMI T
Permit# BP-2019-0234
Proiect# JS-2018-002480
Est.Cost: $10650.00
Fee: $450.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groun: JESSE BEREZIN 102213
Lot Size(sg.ft.): 145926.00 Owner: BRUSH WORKS THE LLC
Zoning: SI(115)/WP(115)/WSP(1)H Applicant. JESSE BEREZIN
Applicant Address: Phone: Insurance:
245 TANGLEWOOD DR _ (413) 374-2729 WC
LONGMEADOWMA01106 ISSUED ON:8/21/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENO BATH ON 1 ST FLOOR, RENO TENANT
SPACE ON 1ST FLOOR
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
�r Footings:
Rough: 7 Rough: �� j c(.. House# Foundation:
IA � Driveway Final: 1
Final: Final: '/ Q \
Rough Frame: 9 l 7 t 8
Mac- = � � `�� w6jF� �v
Gas: Fire Denarte o Fireplace/Cbimney:
Insulthob:
rol2�jig G�
Final: Smoke: �1 Final:
OK
� �n�ti �i
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA/TION OF
ANY OF ITS RULES AND REGULATIONS. 1'lz9fi d
Certificate o Occ�an
Si re:
FeeTyue: Date Paid: Amount:
Building 8/21/2018 0:00:00 $450.00 to
212:Main Street,Phone(413)587.1240,Fax:(413)587-1272
1 uuis 1•IasbfWck—Building Commis ux.er
Nuo i:P)o
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING'QW�ORRKp
CITY �1/tJVi•�[ '"� MA. DATE �"�'� PERMIT
I# l ``O 1
JOBSITE ADDRESS �� �fyC.t S OWNER'S NAME ! u
P i—L C_
OWNER ADDRESS��( �lrt,d 61 TEL FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL 0._� EDUCATIONAL ❑ RESIDENTIAL ElPRINT NEW: RENOVATION: Z REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO ❑
CLEARLY
FIXTURES 7 FLOOR BSMT 1 2 3 4 5 6 7 8 1 9 10 1 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GAS/OIL/SAND SYS
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS
DEDICATED WATER RECYCLE SYS
DRINKING FOUNTAIN
DISHWASHER
FOOD DISPOSER sEP 1 n mis 4
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK Electric Plumbi ig&Gi s hispo tions
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK I Uri
TOILET
URINAL
Art-ROVED —APFT=ED--
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING do
OTHER
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes !o❑
IF YOU CHECKED YES, PLEASE INDICATE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
CY
LIABILITY INSURANCE POLIOTHER 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 BOX ONLY: OWNER ❑ AGENT ❑
Signature of Owner or Owner's 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 the gpneral Laws.
PLUMBER NAME /V ZX 6V,144e_ SIGNATURE
LIC# /l'�_ MP R-"'j`P❑ CORPORATION [e/#— 74 PARTNERSHIP ❑# LLC ❑#
COMPANY NAME/ ADDRESS: Cs -_5;cee�
CITYSTATE�'I� ZIP 11'62-7 EMAIL 10.��
TEL CELL C/(35�� .��Gr7 FAX S
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
—1aA . PLAN REVIEW NOTES
221 PINE ST- SUITE 159 ARCHERY EP-2019-0156
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 22B
Lot:040 ELECTRICAL PERMIT
Permit: Electrical
Category: POWER&LIGHTING FOR INDOOR ARCHERY SPACE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000445
Est.Cost: Contractor: License:
Fee: $270.00 JAMES MAILLOUX ELECTRIC Master A16187
Owner: BRUSH WORKS THE LLC
Applicant: JAMES MAILLOUX ELECTRIC
AT. 221 PINE ST- SUITE 159 ARCHERY
Applicant Address Phone Insurance
221 PINE ST SUITE 160 (413) 585-1592 C-(413) 563-4654 ,
FLORENCE MA01062 ISSUED ON:9/4/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.
POWER & LIGHTING FOR INDOOR ARCHERY SPACE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough r1 ZT v-
x
Special Instructions:
Final: Lb-,�t(,/e' Q�
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $270.00 9/4/2018 0:00:00 12096
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo