30B-097 (9) 139 FEDERAL ST BP-2020-0496
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30B-097 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2020-0496
Project# JS-2020-000842
Est.Cost:$32000.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 9888.12 Owner: BRUMBERG MARK D&DONNA B LILBORN
Zoning: URB(100)/ Applicant: BRUMBERG MARK D & DONNA B LILBORN
AT. 139 FEDERAL ST
Applicant Address: Phone: lnsw•nnce:
139 FEDERAL ST
FLORENCEMA01062 ISSUED ON.10/18/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:2ND FLOOR RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
/I$/9 Footings:
Rough: Rough: House# Foundation:
L-2,0 Am' llr,& ,,/ � Driveway Final:
Final: ,� /'�� Final: ,
Z ��L� / Rough Frame: 0 el Z-
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: d.V 2 Jq-2DZd JZ 12.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS�tULES AND U TIONS. s
n PL Jj'NL
Certificate of signature:
FeeType• Date Paid: Amount:
Building 10/18/2019 0:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
BP-2020-0474
139Fl39 FEDERAL ST
COMMONWEALTH OF MASSACHUSETTS
IIS 4: ock: 30B-097 CITY OF NORTHAMPTON
Lot: Blo00 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
BUILDING PERMIT,
Category' renovation
Permit# BP-2020-0474
Project# JS-2020-0.00724
Est.
$
Cost: $36500.00
PERMISSION IS HEREB Y GRANTED TO:
_Fee:_$_ost: 3
Const.Class:
Contractor: License:
Use JjQ : VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 9888.12 Owner: BRUMBF:RG MARK D& DONNA B LILBORN
7.nninf�: URk3�l00Z/ A licant: VALLEY HOME IMPROVEMENT INC
- A%': 139 FEDERAL ST
Applicant Address: Phone: Insurance:
P O BOX 60627 (41 3) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.1011612019 0:00:00
TO PERFORM THE FOLLOWING WORK:- CONVERT SINGLE FAMILY INTO TWO
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: 17-Io"Iq
Rough; Rough:', House# Foundation:
Driveway Final:
Final: Final:
Rough Frame: J
Gas: Fire Department Fireplace/Chimney:
(tough:
Oil: Insulation:
_
Final: Smoke: Final: (� �" 2- 19 ZL)ZD
CHIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND R U TIONS.
Certificate of Occu ane / Signature:
FeeType• Date Paid: Amount:
Building
10/I o 2019 0:00:00 $237.27
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck- Building Commissioner
Aftw
T_lij
The Commonwealth of Massachusetts A.
LI City of Northampton t
Certificate of Occupancy
In accordance with 780 CMR, (Tlw Ninth Edition of the Massachusetts Residential Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Identify Name of Building of Space Within, Building Owner, or Permit Holder Certificate No.
Issued to
Valley Home Improvement Inc. BP-2020-0474
Identify property address including street number, name, city or town and county
Located at
139 Federal Street
Northampton, Hampshire, Massachusetts
Use Group Two Family Dwelling
Classification(s)
This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for
general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It
shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or,
tampering with the contents of the certificate is strictly prohibited.
Conditions of Use Single Family Dwelling
All fire protection and life safety systems must be maintained, and all means of egress must be kept clear
Name of Municipal Date of Final Map/Plot:
Building Official Kevin Ross Inspection 02/19/2020
Signature of Municipal Date of
Building Official Issuance 02/19/2020 3UB-U97
Shield Industries,, Inc.
ForceField® FireGuardT" E-84 Intumescent Paint
SAFETY DATA SHEET
COMPLIES WITH USDL SAFETY AND HEALTH REGULATIONS 29CFR1910.1200
SECTION 1 COMPANY AND PRODUCT IDENTIFICATION
Product Name: ForceField FireGuard E-84 Intumescent Paint Date Printed: 8/28/2018
Product Use/Class: Intumescent Paint Product ID: F FGDE-84
Supplier: Shield Industries,Inc. Manufacturer: Shield Industries,Inc.
Address: 131 Smokehill Lane Address: 131 Smokehill Lane
Woodstock,GA 30188 -USA Woodstock,GA 30188 -USA
Telephone: 770-517-6869 24 Hour Emergency Hotline: 800-535-5053
SECTION 2 HAZARDS IDENTIFICATION
CateQory
Physical hazards: Not classified as hazardous. Not applicable
Health hazards: None Not applicable
Skin irritation Not applicable
Specific target organ toxicity, Not applicable
single exposure
Environmental hazards: Not classified.
OSHA defined hazards: Not classified.
Label elements: None Required.
Signal word: None Required.
Hazard statement: None Required
Precautionary statements: None Required
Hazard(s)not otherwise
classified(HNOC): Not classified as PBT or vPvB.
Supplemental information: None.
SDS—ForceField FireGuard E-84 Intumescent Paint
SECTION 3 COMPOSITION/INFORMATION ON COMPONENTS
COMPONENTS CAS NUMBER %
Water 7732-18-5 25 -50%
Titanium dioxide 13463-67-7 10- 15 %
Ammonium polyphosphate 68333-79-9 20-25%
1,3,5-Triazine-2,4,6-triamine 108-78-1 5 - 10%
Pentaerythritol 115-77-5 5 - 10%
Polymer(Proprietary) Trade secret* 10- 15 %
*Designates that a specific chemical identity and/or percentage of composition has been withheld as
a trade secret.
Additional Information:
Substances in the product which may present a health or environmental hazard,or which
have been assigned occupational exposure limits,are detailed below:
None
SECTION 4 FIRST AID MEASURES
Eyes: Rinse cautiously with water for several minutes. Remove contact lenses,if present and easy to
do. Keep eyes wide open and continue rinsing for at least 15 minutes. Get medical attention if
irritation develops and persists.
Skin: Not normally required. If on skin,wash thoroughly with soap and water. If on clothes,remove
clothing. Get medical attention if irritation develops and persists.
Inhalation: Not normally expected as a route of exposure. Treat symptomatically. If symptoms of
overexposure develop,remove to fresh air. If symptoms persist,consult a physician.
Ingestion: Consult a physician or local Poison Control Center immediately.Never give anything by
mouth to an unconscious person.
Most important symptoms/effects,acute and delayed:
None known.
Indication of immediate medical attention and special treatment needed:
None known.
General information:
Show this safety data sheet to the doctor in attendance,if medical assistance is sought.
2
1
z
SDS—ForceField FireGuard E-84 Intumescent Paint
SECTION 5 FIRE FIGHTING MEASURES
Suitable extinguishing media:
In case of fire: Use CO2,dry chemical,or foam.
Unsuitable extinguishing media:
None anticipated.
Specific hazards arising from the chemical:
Combustion or thermal decomposition will evolve toxic and/or irritant vapours. Forms
oxides of carbon,nitrogen,phosphorus,silicon,titanium,as well as ammonia,amines,
hydrogen cyanide and aldehydes.
Special protective equipment and precautions for firefighters:
Firefighters should use standard protective equipment including flame retardant coat,
helmet with face shield,gloves,rubber boots,and self-contained breathing apparatus
(SCBA).
Fire-fighting equipmentlinstructions:
Move containers from fire area if you can do so without risk. Containers should be
cooled with water to prevent vapour pressure build up.
Specific methods:
Use standard firefighting procedures and consider the hazards of other involved
materials.Move containers from fire area if you can do so without risk. In the event of
fire and/or explosion do not breathe fumes.
General fire hazards:
None known.
SECTION 6 ACCIDENTAL RELEASE MEASURES
Personal precautions,protective equipment and emergency procedures:
Keep unnecessary personnel away. Avoid skin contact. Do not get in eyes. Keep people
away from and upwind of spill/leak.Wear appropriate protective equipment and clothing
during clean-up.
Environmental precautions:
Avoid release to the environment. Contain spillage with sand.Do not allow to enter
drains,sewers,or waterways. Inform appropriate managerial or supervisory personnel of
all environmental releases.
Methods and materials for containment and cleaning up:
Contain spillages and then collect with sand,earth,diatomaceous earth,vermiculite,or
any other suitable adsorbent material. Collect spillage. Transfer to a container for
disposal or recovery. Following product recovery,flush area with water. If possible
prevent water running into sewers.
Reference to other sections:
For waste disposal,see section 13 of the SDS.
3
SDS—ForceField FireGuard E-84 Intumescent Paint
SECTION 7 HANDLING AND STORAGE
Precautions for safe handling:
Avoid contact with skin and eyes. Wear appropriate personal protective equipment.
Smoking,eating and drinking should be prohibited in the application area. Wash hands
thoroughly after handling.Avoid release to the environment.Observe good industrial
hygiene practices.
Advice on protection against fire and explosion:
None—Product is non-combustible
Conditions for safe storage,including any incompatibilities:
Keep cool.Do not store at temperatures exceeding 122 °F(50°C). Protect from
freezing. Containers which are opened must be carefully resealed and kept upright to
prevent leakage. Observe label precautions. Avoid storing in the presence of strong
acids.
SECTION 8 EXPOSURE CONTROLS/PERSONAL PROTECTION
Occupational exposure limits:
US.ACGIH Threshold Limit Values
Components CAS Tyne Value
None established. Unlikely to be hazardous by inhalation.
Appropriate engineering controls:
Not normally required.
Individual protection measures,such as personal protective equipment:
Eye/face protection:
Wear safety glasses with side shields(or goggles).
Hand protection:
Wear appropriate chemical resistant gloves(Butyl rubber,Neoprene,or Natural
rubber). Check with protective equipment manufacturer's data.
Skin protection/Other:
Wear appropriate chemical resistant clothing.Use of an impervious apron is
recommended.
Respiratory protection:
Not normally required.
Thermal hazards:
Not normally required.
General hygiene considerations:
When using,do not eat,drink or smoke. Always observe good personal hygiene measures,such
as washing after handling the material and before eating,drinking,and/or smoking.Routinely
wash work clothing and protective equipment to remove contaminants.
Environmental exposure controls:
Do not allow to enter drains,sewers,or waterways.
4
SDS—ForceField FireGuard E-84 Intumescent Paint
SECTION 9 PHYSICAL AND CHEMICAL PROPERTIES
Appearance:
Physical state: Liquid
Form: Viscous,opaque emulsion.
Color: White to off-white.
Odor: Characteristic,Mild.
Odor threshold: Not available.
pH: 8.0-9.0
Melting point/freezing point: Not available.
Initial boiling point and boiling range Not available.
Flash point: >200 OF(93 °C)
Evaporation rate: Aproximately 1 (water= 1)
Flammability(solid,gas): Not applicable.
Upper/lower flammability or explosive limits:
Flammability limit—lower(%): Not available.
Flammability limit—upper(%): Not available.
Explosive limit-lower(%): Not explosive.
Explosive limit-upper(%): Not explosive.
Vapor pressure: Not available.
Relative Vapor density: Not available.
Relative density: 1.35+/-0.02
Solubility(water): Dispersible in water.
Partition coefficient(n-octanol/water): Not available.
Auto-ignition temperature: Not applicable.
Decomposition temperature: Not available.
Viscosity(kinematic cSt @ 40°C): Not available.
Explosive properties: Not explosive.
Oxidizing properties: Not oxidizing.
Other information:
VOC Level: <0.3%(weight/weight)
VOC Content: 4.08 g/1
Solids: 52-55 %
SECTION 10 STABILITY AND REACTIVITY
Reactivity:
The product is stable and non-reactive under non-nal ambient conditions of use, storage and
transport.
Chemical stability:
Material is stable under normal conditions.
Possibility of hazardous reactions:
None anticipated.
Conditions to avoid:
Avoid contact with heat,and incompatible materials.
Incompatible materials:
Strong acids.
5
1
SDS—ForceField FireGuard E-84 Intumescent Paint
Hazardous decomposition products:
At temperatures over 200 C,or under fire conditions,thermal decomposition will evolve toxic and
irritant vapours. Forms: oxides of carbon,nitrogen,phosphorus,silicon,titanium,as well as
ammonia,amines,hydrogen cyanide,aldehydes and other low molecular weight organic compounds.
SECTION 11 TOXICOLOGICAL INFORMATION
Information on likely routes of exposure:
Skin contact: May cause very mild skin irritation.
Eye contact: Direct eye contact may cause mild irritation to the eyes
Symptoms related to the physical,chemical and toxicological characteristics:
None known.
Information on toxicological effects of components:
Acute toxicity:
Components CAS# Test Species Test Results
Titanium 13463-67-7 Acute Oral LD50 Rat >5,000 mg/kg
dioxide Inhalation Risk LC50 Rat >6.82 mg/I(4 hr. air)
Skin corrosion/irritation: Not likely to cause skin irritation and/or dermatitis.
Serious eye damage/eye irritation: Not likely to cause eye irritation.
Respiratory or skin sensitization:
Respiratory sensitization: Not expected to cause respiratory sensitation.
Skin sensitization: This product is not expected to cause skin sensitization.
Germ cell mutagenicity: No data available.
Carcinogenicity: Product is not expected to be a carcinogen.
(Component data): IARC* ACGIH NTP OSHA
Titanium dioxide(CAS# 13463-67-7) 2B No No No
* IRAC Group 2B—Possibly carcinogenic to humans.
OSHA Specifically Regulated Substances(29 CFR 1910.1001-1050):
Not listed.
Repeated dose toxicity:
No data.
Specific target organ toxicity-single exposure:
No data.
Teratogenicity:
No data.
Aspiration hazard:
No data.
6
i
SDS—ForceField FireGuard E-84 Intumescent Paint
SECTION 12 ECOLOGICAL INFORMATION
Ecotoxicity: Toxicity to aquatic life is expected to be minimal based upon components.
Acute Toxicity(Component data):
Components/CAS Test Species Test Results
Titanium Dioxide Aquatic Fish LC50 Fathead minnow > 1,000 mg/l, 96 hr.
Aquatic invertebrates LC50 >500 mg/1,48 hr.
Long Term Toxicity:
No data available.
Persistence and degradability:
No data available.
Bioaccumulative potential:
No data available.
Mobility in soil:
No data available.
Results of PBT and vPvB assessment:
Not classified as PBT or vPvB.
Other adverse effects:
None known.
SECTION 13 DISPOSAL CONSIDERATIONS
Waste treatment/disposal instructions:
Disposal should be in accordance with local,state,or national legislation. Consult an accredited
waste disposal contractor or the local authority for advice.
Waste from residues/unused products:
Do not dispose of waste into sewer. Do not contaminate ponds,waterways or ditches with
chemical or used container. Send to a licensed waste management company. Dispose of in
accordance with local regulations.
Contaminated packaging:
Exercise caution as empty containers or liners may retain some product residues. Do not re-use
empty containers. Empty containers should be taken to an approved waste handling site for
recycling or disposal.
SECTION 14 TRANSPORT INFORMATION
DOT
UN number: Not applicable
UN proper shipping name: Refractory Paint
Transport hazard class(es):
Class: Not applicable
Subsidiary risk: -
Label(s): Not applicable
Packing group: Not applicable
Special precautions for user:
7
SDS—ForceField FireGuard E-84 Intumescent Paint ,
Read safety instructions, SDS and emergency procedures before handling. Read safety
instructions, SDS and emergency procedures before handling.
Environmental hazards: No
Special provisions: None Assigned
Packaging exceptions:
None—Not classified as dangerous for transportation
Packaging bulk:
Transport in bulk according to Annex II of MARPOL73/78 and the IBC Code:
Not applicable.
IATA
UN number: Not regulated
UN proper shipping name: Refractory Paint
Transport hazard class(es):
Class Not regulated
Subsidiary risk -
Label(s) Not regulated
Packing group Not regulated
Environmental hazards No
ERG Code Not regulated
Special precautions for user:
Read safety instructions, SDS and emergency procedures before handling.Read
Safety instructions, SDS and emergency procedures before handling.
Packaging bulk:
Transport in bulk according to Annex II of MARPOL73/78 and the IBC Code:
Not regulated
IMDG
UN number: Not applicable
UN proper shipping name: Refractory Paint
Transport hazard class(es):
Class: Not applicable
Subsidiary risk: -
Label(s): Not applicable
Packing group: Not applicable
Environmental hazards:
Marine pollutant: No
Special precautions for user:
Read safety instructions, SDS and emergency procedures before handling.Read safety
instructions, SDS and emergency procedures before handling.
Packaging bulk:
Transport in bulk according to Annex II of MARPOL73/78 and the IBC Code:
Not applicable
SECTION 15 REGULATORY INFORMATION
US federal regulations:
This product is not a"Hazardous Chemical"as defined by the OSHA Hazard Communication
Standard,29 CFR 1910.1200.All components are on the U.S. EPA TSCA Inventory List or
polymer exempt.
8
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SDS—ForceField FireGuard E-84 Intumescent Paint
CERCLA Hazardous Substance List(40 CFR 302.4)
No Listed materials.
SARA 311/312—Superfund Amendments and Reauthorization Act of 1986:
Hazard categories:
Immediate Hazard No
Delayed Hazard No
Fire Hazard No
Sudden Release No
Reactivity No
SARA 313—Toxic Chemicals(40 CFR 372):
No Listed materials.
SARA 302 Threshold Planning Quantity:
Not regulated.
Other federal regulations:
Clean Air Act(CAA)Ozone-Depletion Potential:
This product neither contains,nor was manufactured with a Class I,or Class II ODS as
defined by the U.S.Clean Air Act Section 602(40 CFR 82, Subpt. A,App.A+B).
US state regulations:
California Proposition 65:
This product does not contain any chemicals known to the State of California to cause cancer,
birth,or any other reproductive effects.
NEW JERSEY:
Titanium dioxide CAS 13463-67-7
Pentaerythritol CAS 115-77-5
PENNSYLVANIA:
Titanium dioxide CAS 13463-67-7
1,3,5-Triazine 2,4,6-Triamine CAS 108-78-1
Pentaerythritol CAS 115-77-5
SECTION 16 OTHER INFORMATION
NFPA RATING: HEALTH: 1 FLAMMABILITY: 0 REACTIVITY: 0
Personal protection rating to be supplied by user depending on use conditions.
PREPARATION INFORMATION:
DATE CREATED: 01/01/2006 LAST REVISION: 08/28/2018
CREATED/REVISED BY: R.Lasnik
This information relates only to the specific material designated herein and does not relate to use in
combination with any other material or in any process. Such information is to the best of our knowledge
and belief,accurate and reliable as of the date compiled.However,no representation,warranty or
guarantee is made as to its accuracy,reliability,or completeness. It is the user's responsibility to satisfy
himself as to the suitability and completeness of this information for his own particular use.We do not
accept liability for any loss or damage that may occur from the use of this information nor do we offer
warranty against patent infringement.
End of SDS
9
139 FEDERAL ST EP-2020-0306
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 30B
Lot:097 ELECTRICAL PERMIT
Permit: Electrical
Category: ADD ADDITIONAL NEW 100 AMP SERVICE,WIRE REMODEL TO MAKE SFH INTO TWO FAMILY
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000724
Est.Cost: Contractor: License:
Fee: $185.00 DAN WHITELEY INC Master A7975
Owner: BRUMBERG MARK D & DONNA B LILBORN
Applicant: DAN WHITELEY INC
AT: 139 FEDERAL ST
Applicant Address Phone Insurance
52 Cottage St (413) 527-1440 C-(413) 297-6467 Liability, 8500056029
EASTHAMPTON MA01027 ISSUED ON:10/10/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
ADD ADDITIONAL NEW 100 AMP SERVICE, WIRE REMODEL TO MAKE SFH INTO TWO FAMILY
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough (2f— 1 1
X
Special Instructions:
Final: 3- .. ?'0 9—
SRE Called In:C1911 � 2 53 1 11 -/3 -
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $185.00 10/10/2019 0:00:00 16839
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
-CN- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TOPERFORM PLUMBING WORK G
CITY
y
�!'��__a..� MA DATE PERMIT#
JOBSITE ADDRESS '�-
OWNER'S NAME]
OWNER ADDRESS ' y FAX F
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:, REPLACEMENT:' PLANS SUBMITTED: YES. NO, ;
FIXTURES Z FLOOR --BSMT-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
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK /
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET 8,0
t,s
URINAL
WASHING MACHINE CONNECTION /
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 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 D
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.
C
SIGNATURE OF OWNER OR AGENT HECK ONE ONLY: OWNER 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 rMitchell Matusiewicz52 f
LICENSE# 9523 _I SIGNATURE
MP JP ------
C_ CORPORATION � # 2543 PARTNERSHIP LLC 1#[Y__-�'
COMPANY NAME AWPM Plumbing and Heating,Inc. ADDRESS I PO Box 527,46 Prospect Street
CITY Hatfield ..STATE L "_'^ _J ZIP 01038 — TEL L413-247-5502
FAX 413-247-5544 CELL, 95--Ow-' EMAIL I..ampmplumbing@vedzon.net