23B-046 (268) 61teaSt 000e 1t/LW
30 LOCUST ST EP-2017-0984
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23B
Lot:046 ELECTRICAL PERMIT
Permit: Electrical
Category: ADD EQUIPMENT TO TIE INTO ACCESS CONTROL(DOES NOT INCLUDE LOCKING DEVICES)
Permit IS Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000394
Est.Cost: Contractor: License:
Fee: 850.00 EASTERN ELECTRONICS & SECURITY INC Low Voltage 1229C
Owner: COOLEY DICKINSON HOSPITAL INC
Applicant: EASTERN ELECTRONICS & SECURITY INC
AT: 30 LOCUST ST
Applicant Address Phone Insurance
540 Main St (413) 736-5181 C- Liability, CPS2248427
W SPRINGFIELD MA01090 ISSUED ON:5/25/20I7 0:00:00
TO PERFORM THE FOLLOWING WORK:
ADD EQUIPMENT TO TIE INTO ACCESS CONTROL (DOES NOT INCLUDE LOCKING DEVICES)
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final: L- s /7 far'-.
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $50.00 5/25/2017 0:00:00 35422
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
l3itta si at a Ce r
30 LOCUST ST EP-2017-0644
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23B
Lot: 046 ELECTRICAL PERMIT
Permit: Electrical
Category: HVAC
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000394
Est. Cost: Contractor: License:
Fee: $50.00 WILLIAM ROBERTS ELECTRICAL CO MASTER ELECTRICIAN
11867 A
Owner: COOLEY DICKINSON HOSPITAL INC
Applicant: WILLIAM ROBERTS ELECTRICAL CO
AT: 30 LOCUST ST
Applicant Address Phone Insurance
115 Chilson Rd. (413) 596-2868 0 C- Liability, CA000019984-01
W I LB RAHAM MA01095 ISSUED ON:1/25/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:
HVAC
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
/ �
Rough a- /7- 17 'rw
x
Special Instructions:// n
Final: (cr t - 1 7 RP
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $50.00 1/25/2017 0:00:00 11243
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
30 LOCUST ST EP-2017-0913
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23B
Lot:046 ELECTRICAL PERMIT
Permit: Electrical
Category: GRAY&YELLOW VOICEDATA CABLING
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project JS-2017-000394
Est,Cost: Contractor: License:
Fee: $25L00 PRECISION COMMUNICATIONS INC
Owner: COOLEY DICKINSON HOSPITAL INC
Applicant: PRECISION COMMUNICATIONS INC
AT: 30 LOCUST ST
Applicant Address Phone Insurance
323 COLD SPRING AVE (413) 785-1006 C-
WEST SPRINGFIELD MA01089 ISSUED ON.:4/28/20170:00:00
TO PERFORM THE FOLLOWING WORK:
GRAY& YELLOW VOICE/DATA CABLING
Call In Date: Date Requested Inspection Date/SignOf: Reinspect?:
Trench/OG:
Special Instructions
Rough
x
Special Instructions: n
Final: Cr- 8 - / 'J tt,Qt'1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $251.00 4/28/2017 0:00:00 2539
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
4-5-cp8o7a ) y„,w O �
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
Iv-,
- �d - _r-- / _' to r7 4 L
,.!'� CITY /f�OH i,_;. MA DATE , / // / ',PERMIT# dr' / 'YS
JOBSITE ADDRESS i ;; .1 4; ,(i%1 'Si OWNERS NAME CCrOCi / , '
OWNER ADDRESS f/ff2f`C, TEL Sfi5 t-.2315..__ FAX ,..
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW:'. RENOVATION: -RE r: ( CV'L) PLANSi
SUBMITTED YESfi N0
APPLIANCES 1 FLOORS-' 'BStt' 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER - -
BOOSTER - /'
CONVERSION BURNER -- —COOK STOVE (t _M" .. -
DIRECT VENT HEATER I.
DRYER
FIREPLACE
1
FRYOLATOR II �11 Q 2O1" '� }
FURNACE - - u -. -
GENERATOR J { - -
GRILLE
INFRARED HEATER
R
LABORATORY C
MAKEUP AIR UNIT -
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT - - --- - - -
TEST
UNIT HEATER
UNVENTED ROOM HEATER - -- - -
WATER HEATER F r '��J L`- '"at.
OTHER
ii or 4s,a_ 5A-1 /''sa
.7--rAne mak: 7 "Xy
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 0 L
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ' BOND 1_..
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachus tts General L an that try signature on this permit application waives this requirement.
-., -0-'"L., / 2"% F`: CHECK ONE ONLY: OWNER [ AGENT/4_
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have ubm tted or ntered regarding this application re true and accurate to the best f my knowledge
and that all plumbing work and installations performed under the permit issued for this application will ben compliancOlwth all pertinen 0 vision of
. "
to
°Massachusetts Stale Plumbing Code and Chapter 142 of the General Lawsr1 I ti UR lt
PLUMBER-GASFITTER NAMESc O7 TJW1 i'�. LICENSE#�y.3V2
SIGNATURE
MP • MGF I ,) JI7K JGF LPGI CORPORATION 1#I' PARTNERSHIPS '# LLC #
COMPANYNAME etO/e 11 '1 -ADDRESS c' L r �`-
y 3 roe ;
rt.-
COMPANY
CITY /70/�7A:i/9lL'r2/t STATE iP: r4 ZIP ' J✓ti' = TELT {- ,j2." 7 / /Lj
FAX CELL; EMAIL
. / . JU
C-06146 35? 1476 a9a
"-\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
a$
44tt! $ CITY i'µ -'-'. _ MA DATE ca/??firPERMIT 619— (0 -awl 47
ry
JOBSITE ADDRESS 3x) (,3,44-.CT OWNER'S NAME 6",_ cdbIck M _ W y4tl
GOWNER ADDRESS ,ka,y`E_t _-.- _._.. TEL 31 __. FAX
TYPE OR OQC,UPANCY TYPE COMMERCIAL >4 EDUCATIONAL RESIDENTIAL -.
PRINT /,e nit
CLEARLY -NEW+'. - RENOVATION: _ REPLACEMENT: PLANS SUBMITTED: YES _ _ NO
APPLIANCES 1 FLOORS—. USM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER 3 -_ _ ..__ __. _ '
FIREPLACE
FRYOLATOR : .__ • I 1 i 1)&2 6 c._._ j
FURNACE
GENERATOR .____ Iziar,,d p 1
GRILLE
INFRARED HEATE
LABORATORY COCKS __.. : 1 _. _.! ._ J _ ._.._ _ ._.._ __...._ ..:
MAKEUP AIR UNIT ._. _i _J _ J _....._1 _.-.. ! _-_..._'
OVEN 1 -
POOL HEATER /'� I J
ROOM/SPACE HEATED ) -. -
ROOF TOP UNIT I __J PUMBIN &GAS INSPECTC R
TEST ' _.._._T . __. , .-'
UNIT HEATER I , -(4„ - -
UNVENTED ROOM HEATER 'Y•
WATER HEATER i 6 I '
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES S 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 I_a.
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massae setts General L w and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER AGENT
SI TURE OF OWNER OR AGENT
1 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 compli9999ggqqce with all Pert/-••provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws
PLUMBER-GASFITTER NAME S c o 77 �l.vil-�Qq j LICENSE#aZ/3 D f.9 NATURE
MP ! MGF i JP XJ JGF J LPGI _.. CORPORAT,IrO-,NSPARTNERSHIP . tt i LLC ^jq
COMPANY NAME:Cea y Qrci.e.c ( K 2.Y., MSS__ i /�ci/,LL.__
CITY JVc2/t C1/II -i1 �. __. STATE MA ZIP O/O$CJ _I,TEL .51111-2---2.)/777
FAX _ CELL !EMAIL -_
°A/C aky �-c !8574/kr iron.
Alb U eer-1h e/L 7 .
• 'error cafe Oar (It"' *, iD
MASSACHUSETTS UNIFORM APPLICATION EOR A PERMIT TO PERFORM PLUMBING WORK ,
41 CITY if 1 e 11 _ j, MA. . DATE�7'_f-' _I PERMIT-It pp-11-&51S
JOBSII t ADDRESS •r T flWNER'S NAME Cpp(8.1,'D,atyep,)
P OWNERATH]RESS: _ +TEU FAX —u
•
''FRE OR , OCCUPANCY TYPE: COMMERCIAL L7/ EDUCATIONAL El RESIDENTIAL
PRINT _ �� •
C R -
ARLY NEW:❑ RENOVATION: '[ REPLACEMEM':❑ - PLANSSUBMITTED: YES D NOEr----
FIXUTRES1 FLOORS-. runt 1 2 1 3 1 4I 14
5 6 7 8 9 10 11 12 13
BATHTUB 1. -
CROSS CONN DEVICE 1 1 • •
DEDICATED SPEGIALWASIESYS 1
1 44,HtttNti : r- INSPPCTOR ----- 1 -- .
DEDICAItU GASIPIUSAND SYS _ Pr- ? NAM ON I
DEDICAI EU GREASESYSTEM P 4: 1% „j."' -`
DEDICATED GRAY WAItR SYS " 1.11110-TON, -- -
DEDICATEDWATERREIISESYS • OVE•
DISHWASHER I
DRINKWGFOUNTAW '. ,-A . 1 M .
FOOD WASTE GRINDERUNI 1 1 1_ -
FLOORIAREADRAIN
INTER:H-1 ORINTERIOR , _ _
KITCHEN SINK •
LAVATORY he - ..
•
ROOF DRAIN - -
SHOWERSTAI_t _ -
SERVICE I MOP SINK _ _ ' , _ _
_
TOILET - - y _ -
URINAL -
WASHINGMACHINECONNECTION _ ' _ ' -
WAItit HEATERALLTYPES _ • - •
WA EH PIPING - - ) • - - '
Tee-maker )
INSURANCE COVERAGE
I have a currentliabilkinsurance policy of its substantial-equivalent which meets the requirements of MCL.Ch.142 YES I1 No ❑.
It you have checked YES,please indicate the type of toverege by checking the appropriate box below:
LIABIL1PT-INSURANCE POLICY 174 OTHERIYPEINDEMNITY D BOND ❑
OWNERS INSURANCE WAIVER:t em aware that the licensee does not have the insurance coverage required by Chapter 142 of the
•Massachusetts General Laws,and thatmy signature on this permit application waives this requirement.
CHECK ONE ONLYi OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT - .
I hereby certify that al of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my, '
Y.novvledge and that all plumbing work and installations performed undertho permit issued fortis application will be in compliance with all Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. [1I .
PLUMBER NAME: PEiCh 1_ . ojZi8n JY LICENSE# nn;$}a_ /ryL IGNATURE
COMPANY NAME (AS• n'1020 _'tile, .I ADDRESS- 9 Snu-tth rilaintset —._j
CITY: _ft13L)c—._--_- --ISTATE 1yA/31 .ZIP: It OID J. FAX N13-a61<-9.31@-
TEL: 4i3-a Si-Aa.SL.I.CEi:I- --ET_ .-1 EMAIL I:irh. mvnsaQoine_ , e>srn_` - ----1
MASTERS JOURNEYMAN 9 ' CORPORATION 1.0 3I WM C 'PARTNERSHIP❑# 1 ITC❑d__ 1
I
Pie r-.a, ,4&e o . ,Osh,waivre C/0042/VIa
MASSACH USE I I S UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK If/SD
•
!resai _ /_ i /fin /� _
CHM _� -- Z•. _ __ -.__-_.t' MA. a.ATE1 II 7-/d " 3 PERMIi"t{ Y"I t6 -540
.: IOBS{TE ADDRESS _ .4Y% _- OWNER'S NAIAE L ____ CYw . _- ..,y�:.ei€S
POWNERADDRESS:L __ --------11E11 /3:- aY • /CI
TYPE OR OCCUPANCY TYPE: COMMERCIAL EDUCATIONAL 0 12ESI11/EN LALH
PRINT
C T EARLY NE1+'.0 RENOVATION:1 REPLACEMENT: PIANS SUBMI i 1 ED: YES 0 NO C
RETIRES 1 BAsscaNNDevlc.-.. e t 1 4 I _. s 7 (n 1_ ta tt tz to is
BATHTUB I.__ --
E
DPEEWEE EDICATED GA(LAL WASTE SYS _ { i 1 a ,_ II _
DEDICATED GREASE SYSTEM 1l HLT f f {...—.
ILISAND SYS
DEDICATED GRAY WATER SYS . — 1_ 1_: T L < I
DEDICATED WATER REUSE SYS I -,-1_ • _ °F _ I 1
DI'-mdv~ra.4lIER ) m __i 1 ...._
DRINKING FOUNTAIN FOOD WASTE _
LOOK/AREA TRAIN 17N1T ( - _ __
NTERC PTO DRAIN R _I_� 1 ). _ ___ _
1.---
KITCHEN SINK I _ I 1 I 1 F I -
LAVATORY 0 _),_ I
ROOF DRAIN ._- __ I_' ^1 I I —�
SHOWER STALL I h. �- I I I - I
SERVIGEt MOP RINK I._ III I- I ) . `: ` ' a rIGFAITICTOR
tr" aN
ASHTER GAT
I AGLONs CONNECTION 1 � I �.. — i......1- _...� . �� wOo._
WASHING MACHINE •
_
ER
LIef
WATRH CONE ) •
I �
i t
___ INS L INS •
URANCE COVERAGE ., 1.� __
I have a current liability insurance poi im or its substantial equaalent which nmeetstheremiirements of MG L.Ch.142 YES 1F1] NO []
3 you have checked YES,please indicate Um type of coverage by checking She appropriate box below.
LIABILITY INSURANCE POLICY i _ OTHER CAPE INDENINITY 10 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,end that my signature on this permit application waives this requirement -
,,,_. CHECK ONEONLYE OWNER ❑ AGENT ['
SIGNATURE OP OWNER OR AGENT
I hereby faddy Mak of the dar '.ls and inionnahon I hew'.submitted(or entered)regarding this app r bon are tut and ateurateio the host of my,
Knoededye and Mat all plumbing Work and installations pemarred under the permit Issued for this application will be in compliance with ell Pertinent
pruvisten of the Massachusetts State Planting Mole and(.haptei142 of the General Laws
.
PLUMBER NAME vagglleigEvcLt EkleK24En ..5,11C cl I CENSE II IL/31„1N1- IGNATURE
c.M1Pt,NY NAME Lr, cr_e;IS-_.- _i A UREas:LCL 5oukb Bial ry Street i
Ol, [Wkykresks,1te_ RAT Ln3 al PM fit j FAX 4.3 3t4- 9375
ELftTiJ3 Sas! KEIT EmAiL Fain ,li. -cAninc _e_ In
Lw NIY� � CORPORATION�rloNI t0} t: C,_ PAd1NFP uPfE
EASTER w _
LID€ 1- i J
ae. - . � 0-eST 000140
SIN- _ .:,.rim APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK •
• 6-N CITY_.Pf 1 IYo��trJ-) MA. . DATE 1P /7
•...ter !",.i`'=..__— Orr-aro/6 T�Y"� aJ - -l0
r—`=c-1.;_' yIII
DDR SS 3p 6.26.4ST sr, 1 OWNER'S NAME lest `btCtsG,a t4S 'et.
thr, 2 9 L U I� DR SS: 5:2.4J2 •
/ _ lira sw-nymki _____I
EOR OCCUPAr{CY PE: COMMERCIAL LJ EDUCATIONAL ❑ RESIDENTIAL
u__. '(, r ;, ' s NOVATION:R REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO[. ----
FIXUTRES7 FLOORS-, Esmt 1 2 3 4 5 6 7 8 9 10 11 _ 12 13 1 14
BATHTUB _
CROSS CONN DEVICE _ _
DEDICATED SPECIAL WASTE SYS 1
DEDICATED GAS/OIUSAND SYS _ _ _
DEDICATED GREASE SYSTEM - - -
DEDICATED GRAY WATER SYS _ • _
DEDICATED WATERREUSE SYS • .
DISHWASHER _ _
DRINKING FOUNTAIN
FOOD WASTE GRINDERUNIT
FLOOR/AREA DRAIN - _ .
•
INTERCEPTOR INTERIOR -
KITCHEN SINK - - . 3
-
LAVATORY D'2 _ . _ Pt. MEAD&GPS INSPECTO
SOWER — h +-' N' IC .
SHOWER STALL .'2 � — � YUV IHrPRoYE
SERVICE IMOP RINK _
TOILET
URINAL •
-
WASHINGMACHINECONNECTION _ .
WATER HEATERALLTYPES _ _ _
WAItR PIPING
INSURANCE COVERAGE .
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES I] NO ❑.
If you have checked YES,please indicate the fype of coverage by checking the appropriate box below:
• LIABILITYINSURANCE POLICY tgi 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 Q
SIGNATURE OF OWNER OR AGENT - .
I hereby catty 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 au plumbing work and installations performed under the permit issued far 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: 1'yjChyt,I 'f-.ffloRRII, .a_,j LICENSE# MI-if}a l IGNATURE
COMPANY NAME M,S, fn_2OnvrSOS.._ __ 1 ADDRESS; L. SDLJ'Hlio1f`1 a /Lilt St e 'r
CITY: Ha%etwnsiaiiC __, __I STATE: m/4_ i ZIP: - OI'In_ _1 FAX LIi3_at 1 9'33,5
TEL _ill:{-mess- aasi .9 CELL -__. ._.. -..__IEMAIL •irry rrl vnrw2unT hC. corn __
MASTER JOURNEYMAN❑ • CORPORATION NI# JD14 C : PARTNERSHIP❑4__. . _ LLC❑#I_ -____I
C. -7
t•-,,.. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
"fatrah_.5T
- d....z CITY 4. I_ 4! _ _ �, MA. DATE L3-16 0 .IPERMIT.. --(}'�
1(Q-.-`0-!
JOBSIfEADDRESS ,.r f ST 6edr t'sra. 'OWNERS NAME lead,
OWNF ADDPESSI.., ._ ._. _ TEL . ryg}yFgX
TiTU"• DR OCCUPANCY TYPE: COMMERCIAL[?,1 EDUCATIONAL E RESIDENTIAL❑
PRINT _�/ •
CLEARLY NEW:U RENOVATION:a REPLACEMENT 0 PLANS SUBMITTED: YES❑ NO 0
F7Xt7T{ZFS2 FLOORS-TT 1?imi I 1 2 ( 3 ( d ( 5 6 7 3 g )111111110.1.#14T16174P
BATHTUBCROSS GOWN DEVICE - _
DEDICATED SPECIAL WASTE SYS I ' '
_ lam—
DEDICATED GASKAUSYSSYS -
EIELGREASE9Y5TEM
Iffin7c76 'HT:
r
DEDICATED GRAY WATER SYS ��
U nnAT83 WATER REUSE SYS 3 f
DISI MASHER I 7I _ I I I
DRINKING FOUNTAIN ) T : I _.... I 1 1. 1
FOODWASTE GRINDER UNIT — I I' 3I .
.. _.__
EA
IhFt OOR TARDRAIN
(N(CRGEFTOW INTERIOR -1-
KITCHEN
KITCHEN SINK '
LAVATORY PL SING T• GASIINSPEiOR
RHOWERRSTL . I
ROOF
_
SERVICE MOP SINK '— �'.3E- i •, • 1 _
TOILET L _L
e
URINAL � I i I I
WASHING MACHINE CONNECTION _ _ _ � _I— ,
WATER IE TER ALL TYPES _ _
WATER PIPING I • .�- L I —.....1— I -....
8.0.007-CA i r . ) _! I I E , I I�_ ..
I I_ I T I
!_ _1 I IIILNIB L__. •
INSURANCE COVERAGE
I lave a CUD ent liability insurance policy or its substantial-equivalent which meets Ste requirementa of MOL Ch.148 YES ® NO []
if you have checked YES,please indicate the type of°overage by chucking the appropriate box below.
LTABIU laINSURANCE POLICY • _ OTHER TYREINDEMNITY ❑ BOND ❑
•
OWNER'S INSURANCE WAIVER:lam aware that the licensee does not have tha insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature cm this permit application waives this requirement.
CHECK ONE ONLY: OWNER L AGENT 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted(or entered)regarding this application are am and accurate to the best of my
Knowledge and Mat all plumbing work and installations performed under the permit issued forthis application will be In compliiancewith all Pertinent
Provision of the Messach setyt Stale Plumbing Code and Chapter 142 of the Genual taws. ' / i
_.
PLUMBER NAVE:�MiC G{,,t 5e1 2
P+ A2Ot LICENSE*�i'r%1- �'y� g `_ GNATURE —._—
COMPANY NAME fa\.j--M0eeAt�_SrS, __I ADDRESS i '1.5a�i4y' 1,11.4Ln St tett__ __i
1 CITY:I, a , kOlf3 , i STATE: IS„I ZIP: [ pto ( FM hWr3F ,1314
lEt 1:1113,;‘,6i- aSt 'Icaul: , _ IEmm.1 tri mtynovzean nC. , c335?)7.1
MASTER llZ1 'JOURNEYMAN) CORPORAyi YIN VI#-Toll” Alt NEPS'Hrf U#- LLC[} "I___
i f _ r
• ,� The Commonwealth of Massachusetts . A
+ >P �
City of Northampton d „,o>
Certificate of Occupanc {
In accordance with 780 CMR,(The 8th Edition of the Mass(chnseUS Shite Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified, +.
Identify Name of Building of Space Within Certificate No.
Issued to #
permit
Raymond R. Houle Construction, Inc. ar_2rmit# S
Identify property address including street member, name, city or town and county
Located at 30 Locust Street
Northampton,MA 01060
Use Group
Classification(s) Comprehensive Breast Care Center 1-2 1
This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein Specified has been inspected for
genera(fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. it
shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or,
tampering with the contents of the certificate is strictly prohibited
Conditions of Use Subject to annual Building department and Fire Department Inspections
.
Name of Municipal Date of Final Map/Plot
(Building Official Kyle J. Scott Inspection Date 246.046
0§15/2017
•
Slguture of Municipal Date of 7�,f
Building Official ap
Issuance Date M
l II..
06/15/2017 hot
30 LOCUST ST BP-2017-0235
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23B-046 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-2017-0235
Project# JS-2017-000394
Est. Cost: $1263329.00
Fee:$8841.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RAYMOND R HOULE CONST INC 066227
Lot Size(sq.ft.): 1325051.64 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning: M(991/WP(21),'URB(1)i Applicant: RAYMOND R HOULE CONST INC
AT: 30 LOCUST ST
Applicant Address: Phone: Insurance:
5 MILLER ST (413) 547-2500 ()
LUDLOWMA01056 ISSUED ON:2/7/20170:00:00
TO PERFORM THE FOLLOWING WORK:Create a Comprehensive Breast Care Center
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:2/22/7 Rough:3- 9- (7 House# Foundation:
^C Nr.. Driveway Final:
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Gas: Fire Department x,i 7 Fireplace/Chimney:
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Rough: Oil: Insulation: fir.
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Final: Smoke: Il Final: 6.45.47/ Q
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
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REGUONS.
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/ Signature:
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FeeTvpe: Date Paid: Amount:
Building 2/7/2017 0:00:00 $8841.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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