38B-035 (19) BP-2018-1111
30 LYMAN RD
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao-Block:39B-035 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit, Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Categom demolition BUILDING PERMIT
Permit# BP-2018-1111
Project# JS-2018-001191
Est.Cost:
Fee,$75.00 PERMISSION IS HEREB Y GRANTED TO.
Const Class: Contractor., License:
11se Group: KEITER BUILDERS 102457
Lot Sue(sq.ft_): Owner. SMITH COLLEGE OFFICE OF TREASURER
Zoning,URC(831/SC(17YGB(0)/ Applicant.• KEITER BUILDERS
AT.- 30 LYMAN RD
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 0 WC
FLORENCEMA01062 ISSUED ON:412612018 0:00:00
TO PERFORM THE FOLLOWING WOR%DEMOLISH ENTIRE BUILDING
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:
Driveway Final:
Final: �L,//1 Final:
ry v Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVO BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AN TIONS.
Certificate of Occupn tare: (J au lily
FeeTvye• Date Psi : Amount:
Building 4/26/2018 0:00:00 $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
/oo fti Uc�
d� MASSACHUSE/TTS UNIFORM APPLICATION F A PERMIT TO PERFORM PLUMBING WORK
N �/
CITY/TOWN atio^ MA DATE y-b- aol PERMIT# -4
JOBSITE ADDRESS 30 .1..-. OWNER'SNAMF 5..,:4
IC P OWNERADDRE G0kI`7; -* 9-4-q TEL Nl -roc-er,Pp FAX
i TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑
PRINT
CLEARLY NEW.,[] RENOVATION: REPLACEMENT:❑ Ne.aao PLANS SUBMITTED: YES Ll NO❑
FIXTURES 7 FLOOR' 8—S 1 2 3 4 5 6 7 8 9 16 11 12 13 14
BATHTUB
CROSS CONNECTION DEWCE
DEDICATED SPECIAL WASTE SYSTEM
I DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
Ei k"SIFT Na
DISHWASHER
DRINKING FOUNTAIN
I FOOD DISPOSER
FLOOR/AREADRAIN
I INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWERSTAII
SERVICE/MOP SINK
IT
URINAL
WASHING MACHINE CONNECTION
O WATER HEATER ALL TYPES
� WATER PIPING CAP wA1u' /
20
OTHERfW
North rn Ion.MA Ot e
INSURANCE COVERAGE:
I have a current liabilityInsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 60 NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
UABIUTY INSURANCE POLICY M OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WANFR 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 Ll AGENT ElSIGNATURE OF OWNER OR AGENT
I hereby cedar that all of the deralls and infwammallon I have submilted or entered regarding this application are hue manned accurate to the beat of my knowledge
and Mat all plumbing nk and installations performth
ed under e permit issued Tar this application x111 be m mpgp lie wird ay PeN m pravlsla W the
Massachusetts Slate Plumbing Code and Chapter 142 of the General Laws //li^'a/.r(/7/`/
PLUMBER'S NAME thi meal J. M&LAn,52. LICENSE WGNATURE 1
MP❑ JP❑ CORPORATION®# 1 O3Q C PARTNERSHIP❑#L-_ LLC❑#
COMPANY NAME-0X--S M(Det•1f). SnC _ ADDRESS 4 Sa�tY\ IyL91Y1 Curet-PO bqL,»
CITY j�p..TLlpanJl�le, STATEfIff ZIP 0103 TELgI1- ,)L,8-4QSI
FAX s{13-IVIT"`I3�'S CELL EMAIL] w1� Mam�3.wYkVa C CcSlY�
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