24C-163 (2) 70 FRANKLIN ST EP-2016-0314
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24C
Lot: 163 ELECTRICAL PERMIT
Permit Electrical
Category: 200 AMP SERVICE UPGRADE MAJOR WIRING RENOVATIONS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-000997
Est.Cost: Contractor: License:
Fee: $185.00 FLYNN ELECTRICAL SERVICE Journeyman Electrician 38506 E
Owner: THOMSON KRIS
Applicant: FLYNN ELECTRICAL SERVICE
AT: 70 FRANKLIN ST
Applicant Address Phone Insurance
110 KENNEDY ROAD (413) 323-9779 C-(413) 348-0257 Liability, MP063005
BELCHERTOWN MA01007-9768 ISSUED ON.10129/20150:00:00
TO PERFORM THE FOLLOWING WORK:
200 AMP SERVICE UPGRADE MAJOR WIRING RENOVATIONS
Call In Date: Date Reauested Inspection Date/SienOff: Reinspect?:
TrenchfUG:
Special Instructions
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Fee Tvve:: Amount: DatePaid
Electrical $185.00 10/29/2015 0:00:00 12446
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
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$� MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM PLUMBING WORK
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CITY MA DATE 71 /56/anui_I PERMIT# U r7—fic
dOBSITE ADDRESS n In OWNERS�N-ASMMEJ k((CS v� Oti
P OWNERADDRESS TEL FAX
TYPE OR GCCUPANCY PE COMMERCIAL Ll EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ' RENOVATION:❑ REPLACEMENT:[-] PLANSSUBMITTED: YES❑ NO❑
FIXTURES? FLOOR- BSM t 2 ] 4 5 6 7 B 9 10 it 12 1 13 1 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIC USAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR IAREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN I
SHOWER STALL i1
SERVICEIMOPSINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATERPIPING
OTHER i
CIRCLE 1:GAS TRAP/LNDRY TRY
BACKFLOW PREY I WATER CLOSET
HOT WATER TANK
INSURANCE COVERAGE: -
I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES�!0 ❑
IF YOU CHECKED YES,PLEASE INDICATE THE T OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLIGY OTHER TYPE OF INDEMNITY BOND El
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"IV"this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and Information I have submmed or encored regarding this application are true and accurate to the bestol my knowledge
and that all plumbing work and installations performed under me permit Issued for this eppllcation lvlil bs In core 'a c WrIn ell P Alnenl vislon of the
Massachusetts Slate Plumbing Code and Chapter 142 of me General Laws,
PLU1MBFR'SNAME I LICENSE#� c SIGNATURE
MPt'J JP❑ CORPORATION[:] PARTNERSHIP #O LLC❑#�
COMPANY NAME p2 k ADDRESS
CITY Are STATE ZIP TEL 3-a
FAX D CELL D EMAIL
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY: ar4A MA.. DATE:/ 7 PERMIT#
JOBSITE ADDRESS: 71 W-22 II.IC..e/YL S/ OWNER'S NAME: KcoS TV\_NYI._vk�
GOWNERADDRESS: TEL FAX
TYPE OR OCCUPANCY PE: COMMERCIAL El EDUCATIONAL El RESIDENTIAL S--'PRRVT
CLEARLY NEW: RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
APPLIANCES? FLOOR I Bsmt 1 1 2 1 3 1 4 5 6 7 1 8 1 9 1 10 1 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOKSTOVE
DIRECT VENT HEATER
DRYER I i -r: ._
FIREPLACE . J I-
FRYOLATOR
FURNACE
i
GENERATOR I I I LI VAR 7 .L,. .
GRILLE It I
INFRARED HEATER _
LABORATORY COCK
MAKEUP AIR UNIT f
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TESTI s -aS lr SPFC1
UNIT HEATER
UNVENTED ROOM HEATER -
WATER HEATER
INSURANCE COVERAGE �
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES Er NO ❑
If you have checked YES please indicate the type of coveragebychecking the appropriate box below.
LIABILITY INSURANCE POLICY Lam' 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 ❑
SIGNATURE OF OWNER OR AGENT
hereby certify that all of the details and information I have submitted(or entered)regarding this application are tme and accurate tc the bess my
Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance With 1( r[inent
provision of the Massachusetts State Plumbing Code and Chapter
,144�2_of the General Laws.-='
PLUMBER/GASFITTER NAME: ('.hrIC Sa10tT LICENSE# 6116 �,.p 1 SIGNATURE � ,,1
COMPANY NAME: CTS UXV.bI I�DRESS: d CLO `Ll l�`L11DA JIWYL AA
CITY: Wit.�. STATE: ZIP: FAX
TEL: CELL CELL: EMAIL:
MASTER❑ JOURNEYMAN❑ LP INSTALLER❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#
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