31B-189 (4) 75 GOTHIC ST BP-2019-0642
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B- 189 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-2019-0642
Proiect# JS-2019-001045
Est.Cost: $50000.00
FeB: $325.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
uje Group: ALISHA PHILLIPS 106378
L91 Size(sa. ft.): 6229.08 Owner: DIEHL WILLIAM A&J BIRDSALL
Zoning:URC(100)/ Applicant: ALISHA PHILLIPS
AT: 75 GOTHiCo J T
Applicant Address: Phone: Insurance:
40 PINE VALLEY RD (,413) 586-5986 WC
FLORENCEMA01062 ISSUED ON.1211012018 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO UPSTAIRS BATH AND BEDROOM**NOTE
NO CHANGE TO FOOTPRINT
POST THIS CARD SO IT IS VISIBLE FROM TLIE aTREVT
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough:2� ly Rough: J�� K / House 0 Foundation;
n Driveway Final:
Flaal; Final:
7/9 Rough Frame: i9Ctf- a , 3-V6-Nq �ZQe-V
Gas; Fireplace/Ohimneye
L�
Rough; � Irsulation: 0,1e. '3-24-"JZ
Final: Final; d,�_/ e-I(- Iq V Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RWULATIONS.
e rtificat f Signature:
FeeT, pe: e, Date Paid: Amounti
Building 12/10/2018 0:00:00 11925,00
212 Main Strut,Phone(413)587.1240, Fax: (413)587.1292
Louis Hasbrouck-Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
r�
CITY 1 MA DATE L/-_a2-�,7j PERMIT#
JOBSITE ADDRESS Go OWNER'S NAME
POWNER ADDRESS . �x S T TEL FAX F
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:Ej REPLACEMENT: PLANS SUBMITTED: YES NO,-'<
FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM �-
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM '
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER I Ila
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) r-
KITCHEN SINK do t 'r
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION rI UPS
WATER HEATER ALL TYPES WV
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! NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY>,/, OTHER TYPE OF 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 L& AGENT
SIGNATURE OF OWNER 0 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 performed under the permit issued for this application will be in compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME ._ a G^T �,t,�a 4�; _=LICENSE#® L SIGNATURE
MP❑ JP 5. CORPORATION 0#LL PARTNERSHIP -j#; j LLC EI#
COMPANY NAME /34 ADDRESS �� G� ,�z s 7-
CITY
CITY ,SoSTATE G' ` '' ZIP p a TEL
FAX JCELLJ EMAIL6 ��j,p /l„rd,Q,f , G6.�,
75 GOTHIC ST EP-2019-0623
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31 B
Lot: 189 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BED&BATH REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001045
Est.Cost: Contractor: License:
Fee: $125.00 WILLY DANYLIEKO INC MASTER ELECTRICIAN 20896A
Owner: DIEHL WILLIAM A & J BIRDSALL
Applicant. WILLY DANYLIEKO INC
AT.- 75 GOTHIC ST
Applicant Address Phone Insurance
35 Meadow St (413) 586-0191 C-(413) 695-5437 Liability, ODN9083611
HADLEY MA01035 ISSUED ON:3/12/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BED & BATH REMODEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough q-F-N
x
Special Instructions:
Final: 7 "/I/I/ Q
SRE Called In•
Sip.nature•
Fee Tvpe:: Amount: DatePaid
Electrical $125.00 3/12/2019 0:00:00 10673
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo