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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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`- I CITY Northampton j MA DATES 4-JANUARY-2017 I PERMIT# (..(2 P.0 - a CA
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JOBSITE ADDRESS\ Emerson Way I OWNERS NAME Sunwood Builders
GOWNER ADDRESS r84 Potwine Lane,Amherst I TELL 413-259-1000 jFAX L
TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL ❑ RESIDENTIAL -;
PRINT
CLEARLY NEW:LJ RENOVATION:i REPLACEMENT: PLANS SUBMITTED: YES NO'___
APPLIANCES 1 FLOORS—. 13SM 1 2 3 I 4 5 3 7 _ b 9 1) I '1 ' 2 . 13 14
BOILER
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BOOSTER
CONVERSION BURNER
COOK STOVE 1 .
DIRECT VENT HEATER
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DRYER 1' Jl
FIREPLACE i , I
FRYOLATOR t 1
FURNACE 1 1
GENERATOR .
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GRILLE C.,- 16:1-7_7T--./..,t3f� +; i 1
INFRARED HEATER `J�'
LABORATORY COCKS6
MAKEUP AIR UNIT
OVEN I _ _ . _. _ _
POOL HEATER +�
ROOM 1 SPACE HEATER t _ }_' • :• J
ROOF TOP UNIT
TEST t i ..1
UNIT HEATERI , # 'i
UNVENTED ROOM HEATER 1
WATER HEATER _ 1, F I .
OTHER AGO PPlnf{ I : I• s ctionsMIN '
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INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES / NO iJ
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0 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 ;J
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 perforrred under the permit issued for this appl cation will be in compl. nce with all Pertinent prr ision oflh
(:./Massachusetts State Plumbing Code and Chapter 142 of the General Laws. C( (1�!�'�"`�'�
PLUMBER-GASFITTER NAME Gary Stahelski I LICENSE#�21 C ( SIGNATURE
MP L., ; MGF❑ JP❑ JGF❑ LPG!❑ CORPORATION Q# 2617C PARTNERSHIP❑# LLC —1#
COMPANY NAME EWS Plumbing&Heating,Inc. ADDRESS 339 Main Street __
CITY Monson STATE 1ZIP 01057 TEL 413-267-8983________I
FAX 413-267-4523 1 CELL EMAIL ewsph@comcast.net
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
_ FEE: $_ PERMIT#_ _ _-
PLAN REVIEW NOTES -
(g-37 Z 0Auci I S 5 S v F21- 57-
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
=.- "-;� CITY Northampton- ' MA DATE 4-JANUARY-2017 PERMIT# - 1 I —a)9
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JOBSITE ADDRESS 16rnerson Way OWNER'S NAME Sunwood Builders
POWNER ADDRESS 84 Potwine Lane,Amherst TEL 413-259-1000 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0
PRINT
CLEARLY NEW:0 RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1 FLOOR-. T BSM 1 1 2 3 4 5 0 6 7 8 9 10 11 J 12 13 14
BATHTUB 2 1 l
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM -
DEDICATED GRAY WATER SYSTEM _` __ _
DEDICATED WATER RECYCLE SYSTEM ;�
DISHWASHER
DRINKING FOUNTAIN 1._ fir FOOD DISPOSERitil
FLOOR I AREA DRAIN01 _ y
INTERCEPTOR(INTERIOR) '�' '' I`I GAS';i a .1' C $ J KITCHEN SINK _' uv w 11'
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LAVATORY •4 inil Mee ,`� . . . ffiQ111E NMI �I
ROOF DRAIN \ MR Ill MW! Ilii. 1311Iill111W-I
SHOWER STALL tMIN i_ WOUP
SERVICE/MOP SINK
TOILET 3 :. riC mdp
, lubi to gag
-_ 1
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WASHING MACHINE CONNECTION 1 ftdi
MATER HEATER ALL TYPES
NATER PIPING1
)T1- 12 =
.
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INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO 0
'YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE FOXY 0 OTHER TYPE OF INDEMNITY ❑ BOND ❑
WNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
assachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
ereby 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
d that all plumbing work and installations performed under the permit issued for this application will be in co pliance with all Perynent,rovision
n oo the
issachusetts State Plumbing Code and Chapter 142 of the General Laws. (')iitSia! `f IGC
UMBER'S NAME GARY STAHELSKI LICENSE# 9621 NJ SIGNATURE
'0 JPO CORPORATION O# 2617C PARTNERSHIP❑# LLC[3#
MPANY NAME EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
Y MONSON I STATE MA ZIP 01057 1 TEL 413-267-8983 J
( 413-267-4523 _CELL EMAIL EWSPH@COMCAST.NET
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $_ _ PERMIT#
PLAN REVIEW NOTES
of Northampton Mail-Plumber Change- 183 Emerson Way,No... https9/maul.google.cmn/mail/u/0/?ui=2&ikg953d3f3e7a&tsver=veU...
' NoMeghan Cahill <mcahill@northamptonma.gov>
Plumber Change - 183 Emerson Way, Northampton
Chris Harlow cChris@sunwood-builders.conu Tue,Jut 11,2017 at 10:23 AM
To: mcahill@northamptonma.gov
Hello Meghan,
As I discussed with you earlier, we will not be using EWS Plumbing & Heating on our new
construction project located at 183 Emerson Way. Sadly their schedule could not
accommodate the work needed on this project. We will be working with Phillips Plumbing &
Heating, Inc, from Easthampton moving forward and they will be handing in their permit
application very shortly.
Thanks you,
Christopher Harlow
Project Manager
a!� y
SUNWOOiD
BUILDERS
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Office#413-259-1000
Mobile#413-058-5595
www.sunwood-builders,com
7/11/1?, 10:51 AM