32C-013 (19) 108 MAIN ST-NORTHAMPTON BP-2020-0674
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-013 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2020-0674
Proiect# JS-2020-001150
Est. Cost: $3195.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RONALD PELC 74920
Lot Size(sq.ft.): 1742.40_ Owner: Penelope Silverstein
Zoniny,: CB(100)/ Applicant: RONALD PELC
AT. 103 MAIN. ST -NORTHAMPTON
Applicant Address: Phone: lnsttrance:
P O BOX 364 (413) 467-3066 WC
GRANBYMA01033 ISSUED ON:]112512019 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE PARTITION WALL & CONSTRUCT
NEW PARTITION WALL WITH DOOR
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: n
Final:Z Final: Rough Frame: �,i� �' 16-2020
K
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: J �-
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS �10
LES AND R U TIONS.
Pi Nt.�1 too I.Lc,c;9
Certificate of of si�rnariire.
FeeType• Date Paid: Amount:
Building 11/25/20190:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck--Building Commissioner
Ow'Cobq swcc)
, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
,6
, 20 - o
MA DATE PERMIT#
�. ��_ CITY� ��' _....,......
JOBSITEADDRESS �/0 �✓`pl� OWNER'S NAME
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P OWNER ADDRESS l /V� w, t�11` �4$ 1���, (��Z�,�v 1�^ TEL 1� 13 GD(,7 &AX
TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:; REPLACEMENT,<D PLANS SUBMITTED: YESN
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FIXTURES-1 FLOOR— BSM 1 2 3 4 5 6 i 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEMI _
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM — J I,w n:1 f F T.
DISHWASHER
DRINKING FOUNTAIN - IOT PF OV"-
FOOD DISPOSER
FLOOR/AREA DRAIN -
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY t
ROOF DRAIN _
I
SHOWER STALL
SERVICE/MOP SINK W
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
Na'hrmvf'o.MA 1C�,0
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESX 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 0 AGENT
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 performed under the permit issued for this application will be in compliance with t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME � v`! � (�C LICENSE# pi�� !� E
__
MPS JPL— CORPORATION #� � ;PARTNERSHIP #� LLC #
COMPANY NAME
3ADDRESS �C
CITY STATE � ZIP TEL ! 1c%
FAX I CELL EMAIL {