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16A-002 (13) 300 NORTH MAIN ST-LOOK PARK BP-2018-0509 GIs#' COMMONWEALTH OF MASSACHUSETTS Ablil ock: 16A-002 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit, Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category, Bath reno BUILDING PERMIT Permit# BP-2018-0509 Proiect# JS-2018-000909 Es[ Cost $165000.00 Fee:$1155.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group KEITER BUILDERS 102457 Lot Size(sg.ft.): Owner: NORTHAMPTON CITY OF LOOK MEMORIAL PARK Zoning,URA(5H/WP(20)/I1RB(2)/HB(0)/WSP(o)/ Applicant: KEITERBUILDERS AT: 300 NORTH MAIN ST - LOOK PARK Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 O WC FLORENCEMA01062 ISSUED ON:11129/20170:00.00 TO PERFORM THE FOLLOWING WORK RENOVATE EXISTING TOILET ROOMS WITH NEW TOILET PARTITIONS, BATHROOM ACCESSORIES, SINKS, PAINT AND LIGHTING 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: Rough: House# Foundation: ,0 Driveway Final: Final: DW fdolie- Final: %(�((�-Lf. Rough Frame: I�q(1�46• Gas: � Iµt Fire Department Fireplace/Chimney: 'S'•Lq((g C.G. Rough: Oil: Insulation: ��,/ Final: Smoke: Final:1/ 1�'�� a, ;aVaarcLIN• THIS PERMIT MAY BE REVO BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND TIONS. Certificate of Occu nc lure: FeeTvpe: Date Pa Amount: Building 11/2920170:00:00 $1155.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner AMa(-3-qqTa� 4K-Q;Ll --- MASSACHUSETTS UNIFORM APPLICATION FOR iPERMIT TO PERFORM PLUMBING WORK MA DATE PERMIT#-FPA- �hjZq JOBSITEADDRESS9"41KRSNAME[L�o a P OWNER ADDRESS TELF TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY 1 11 RFNOVATIOIgrRREPLACEMENT: PLANS SUBMITTED: YES j NO[] IXT�MES-1 F1�001 Bass 1 2 3 4 5 6 7 8 9 10 it Xi"I 13, F14 BAP—ITUB ---- — r f —C $ C 111' ' g ROSS CMNNEE TIOW C�DEVIGE I DEDICATED SPECIAL WASTE E SYS TEM DEDICATED GASIO LISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAYWATER SYSTEM 1, 1 1 DEDICATED WATER RECYCLE SYSTEM --L 'J DISHWASHER I -DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN Nrr d, 1,1j,A0 Cc INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY T- ROOF DRAIN SHOWER STALL SERVICEiMCPSINK TOILET— F7—1-- URINAL tv 1W WASHING MACHINE CONNECTION WATER HEATER ALI TYPES WATER PIPING OTHERR 77=77 INSURANCE COVERAGE: I have a current habifittEmsurance policy or Its substantial equivalent which morens;the requirements of MGL Ch.142, YES[I Norl IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPMATE BOX BELOW LIABILITY INSURANCE POLICY D9 OTHER TYPE OF INDEMNITY 17 BOND El OWNER'S INSURANCE WAIVER:I am abrare,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 [I AGENT SIGNATURE OF OWNER OR AGENT I Team,emani that art arms derma firdarmaried,I ho.subrsffraf. .nbmad mtransing tnsi.,orctaidd,am and and earstems to T.bastf my imwang. and that all plumbing work and installations performed under the permit issued forthis application.,. ' �plfionsewil ar' t I f Massachusetts State Plumbing Code and Chapter 142 of the General ldes. 11 be,g) eminent�pm �oo a the LRE PLUMBER'S NAME rM ha.l S. roodbiarr. fk�. LICENSE# mptA JP 0 CORPCRATIONSJ#FIO-� j, --- PARTNERSHIPLJ#f -7 COMPANY NAME . ...0_}. CITY[-1AAAqLe1—\VI-119�--J, S LATE ZIP IL — -- --- J :3 TF _j FAXFq7j3-:�yT�31S]CFLL[ COw,, EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES 1 7 ; Yes No THIS APPLICATIONS ERVE ASTHEPERMIT ❑ ❑ FEE: $ ,RERMIT'W PLAN IdVIER"NOTES _ u z -r O MASSACHUSETTS UNIFORM APPLICAT N FOR A PERMIT TO PERFORM PIL ME1II G WORIK n— CITY' /ILI +r - -- MA DATE /1��/7 .--. PERMIT# r'tt''yY l8- �Alfl J0BSITE ADDRESS 44�?i /JvI1 D/+C OWNERSNAME LUDk POWNER ADDRESS G_3 Q «Fe TEL _ IFAX � TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL[ PRINT CLEARLY NEW:P RENOVATION:: REPLACEMENT:0 PLANS SUBMITTED: YES 7 NOS FIXTURES 1 FLOOR e5M t 2 3 4 5 s B g 10 11 12 13 14 BATHTUBr i',[- CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM _ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER E FOUNTAIN POSER READRAIN PTOR INTERIORSINKY �t4 J o1 bAIN STALL I MOP SINK T_ TOILET '. A _ URINAL WASHING MACHINE CON NECTION - 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 F-I NO 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F( OTHER TYPE OF INDEMNITY F1 BOND LI 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. CHECKONE ONLY: OWNER F-1 AGENT P SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have subminted or entered regarding this application are We and accurate to the best of my knowledge and that all plumbing Plum and installations performed under the permit issued for this application will be mpliance withall Pertinent pro�psion of th Massachusetts Slate Plumbing Code and Chhapterpten 142 of the General Laws. � PLUMBER'S NAME MI116al S. 0101 52. II LICENSE# �rnj 3�....j SIGNATE UR — .. ME JPh CORPORATION N#Fl 019 C . PARTNERSHIPF,14[ C # COMPANYNAME 0I.S. Oror1P(1, CnC. ADDRESS I q $w} ntfl 5 rest - CITY`-H �oyL\/i11e ... _ STATE ZIP ...010— 31 TEL 411-abK -�a51 iI FAX yl}-20'&13351 CELL EMAIL JIre . @ YhC(L'W71✓1C- COw1 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ 1 J,/,; �^^✓� FEE: $ PERMIT# PLAN REVIEW NOTES i 7- yvs &t1CO2 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBIN�G�WO.RK/1 CITY.-n-4/ l -. MA DATE' /y1L,1/) ..-.__. PERMIT# LQ_1- JOBSITEADDRESS [.. 40-V k tiv01 ___. OWNER'S NAME LOON Q9'v' POWNER ADDRESS _ -�Z�//t rTEL _ TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL RESIDENTIAL PRINT . YESi NO--4 CLEARLY NEW: RENOVATION:.. . REPLACEMENT: PLANS SUBMITTED FIXTURES-1 FLOOR BSM 1 2 3 4 5 s 7 8 9 10 11 12 13 IT 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM 4 _ DEDICATED WATER RECYCLE SYSTEM .,, lgi_ DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK ..... .. um PI°rrbi 9�' •' LAVATORY ROOF DRAIN SHOWER SERVICE 6LMOP SINK TOILET URINAL NE WASHING MACHINE CONCTION WATER—HEATER ALL TYPES - - WATER PIPINGI.- OTHER I _r I r I i - INSURANCECOVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES(-11 NO 71 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY IRI OTHER TYPE OF INDEMNITY P BOND [j 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 F1 AGENT r, SIGNATURE OF OWNER OR AGENT I hereby certify that all of the tletails and infornafion I have submitted or entered regarding[his 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 ipr�gompliance with all Pertinent prov'sion of the Massachusetts State Plumbing Cade and Chapter 142 of the General Laws. F�I°2''�QO /fl'/y_f',r Ip I/ PLUMBER'S NAME m--1,11l S_. m_ ursan. SyL. (LICENSE# mI �.Y.�.i_I SIGNATURE MPDt JP F1 CORPORATION 9I# 10;9C � . IPARTNERSHIPn# �LLC # COMPANYNAME M.S. MCQ,100, SnC. ADDRESS of CITY` MHq doY Me- _— - STATE �a zIP 1._.0103C7 -. - 'II TEL 411-djpg_- o1S I -: FAX yf}-Zle'd'g3�5'. CELLaI EMAIL _J 'rvl ,� ryC fpr�-1 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 i 7 w ) ac1( ,1)(pZZI MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK �y _ _ ... . I_�6 CITY' /tc. It->o,7 -V, - MA DATE );,/k)/i_ � /b)/?- -� - . PERMIT# JOBSITEADDRESS [ DOW &L414 OWNERSNAME LAD if II'i P OWNER ADDRESS TELCLLF . a _ _ _� TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL RESIDENTIALD PRINT CLEARLY NEW. P RENOVATION:. REPLACEMENT:.[■ PLANS SUBMITTED. YES NOS -' FIXTURES 1 FLOOR BSM 2 :244: 5 8 7 8 f7 to 17 12 13 14 BATHTUB � � CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASMILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR IAREA DRAIN _ INTERCEPTOR(INTERIOR) — _ KITCHEN SINK i-_ _.._ ._:._.. _ LAVATORY L r ROOF DRAIN F T iMUTItul ..:_.. SHOWER STALL SERVICE I MOP SINK TOILET _ •t : mn. omc - URINALJ__ ; I _ - WASHINGMACHINECONN _� t `I_. �— ___ WATER HEATER ALL TYPEWATERPIPINGOTHER _ __.,__ r —_-- INSURANCE COVERAGE: _ I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES�!. NO [ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X OTHERTYPE OF INDEMNITY F—I BOND F—I 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 1_1 AGENT [..� SIGNATURE OF OWNER OR AGENT I hereby cedify 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 br,ip gompliance wall Pertinent morn of the moMn. 32., wa (/ni^.'^Agt(' SIGNATURE PLUMBER'S NAME Plumbing M ci;gaGC ea;dChapler 142 of the General Laws. aLICENSE# frliy,a'�,,,,j SIGNATURE MPZC JP � CORPORATION N# 10'q C_�PARTNERSHIPQ#��Ij LLC 0# COMPANYINAMEJ M.S. mO1Z afi TnC. _ADDRESS I c{ _55m.(1Lo S eo - � 0 t O CITY`., __STATE II't7 ZIP I _0103 , TEL 413-ab FAX `♦f}-2fe8 jS1 CELL —moi EMAIL _� [r-n � m� rntYL�r+ ryC• ii 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 i i i