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39A-053 RECORDS REQUEST Fwd: Northampton building permit copies 9 -053-� 1 Subject: Fwd: Northampton building permit copies From: Kim Carson <kcarson@northamptonma.gov> 7 L 1f 7f A/ R b Date: 9/29/2021, 12:24 PM To: Beth Willard <bwillard@northamptonma.gov> eln'Uk4C opus 09fz9Jzaa/ Kim Carson Northampton Building Department 413-587-1240 Forwarded message From: Melissa Allis <mjallis911@gmail.com> Date: Wed, Sep 29, 2021 at 11:50 AM Subject: Northampton building permit copies To: kcarson@northamptonma.gov <kcarson@northamptonma.gov> Hello, I am looking for copies of 2 building permits. I hope you can help me or point me in the right direction. 1. Gas permit #GP-2020-0230 78 Lyman Rd. Northampton, dated 11/13/2019 2. Plumbing permit #PP-2020-0196 78 Lyman Rd. Northampton, dated 11/13/2019 Thank you, Melissa Allis (413)824-0214 (413)824-0214 c (413)369-4305 h @missieallis 1 of 1 9/29/2021,3:09 PM MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK `AV CITY Norlhcoi pion MA DATE Il f v i i PERMIT# to-. '/0 1L ''ter JOBSITE ADDRESS "7$ L j,,,..,. ( tQ ISi 4 (`Lt4WNER'S NAME .c : r,,,„l p, POWNER ADDRESS TEL q t3-5 -7511 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL P1 EDUCATIONAL n RESIDENTIAL, PRINT r� CLEARLY NEW: '._„ RENOVATION: -1 REPLACEMENT:kJ PLANS SUBMITTED: YES I I NOI ] FIXTURES- FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I' r 1! CROSS CONNECTION DEVICE pp DEDICATED SPECIAL WASTE SYSTEM II--- DEDICATED GAS/OIL/SAND SYSTEM r !PPP!! . DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM j� DEDICATED WATER RECYCLE SYSTEM 1 i -- '' _,RII , DISHWASHER j al i I 1 DRINKING FOUNTAIN ,o FOOD DISPOSER _ - , FLOOR/AREA DRAIN - IIIIM11111 INTERCEPTOR(INTERIOR) um C I II KITCHEN SINK ; .. 1 LAVATORY , ROOF DRAIN �! 111100mminam SHOWER STALL 1ii0v SERVICE/MOP SINK : 77 ' IIII u u TOILET ;: t1 HI' i ° A`I INS EC rren '.ate.,', ___ URINAL I 1t1Uum ,i li f•� WASHING MACHINE CONNECTIONILiiL•J;I� ( • jiit•J;;1d3.a WATER HEATER ALL TYPES �,�� i � ~� WATER PIPINGW I_I��,�ili�l�� III OTHER1-1! .ndp!1,1, 1 I r___,, ,,i, ,r___1/1,' !II!IP IP! RIII,P 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. ! .,,(I r./ <%n„2,...,,_ - CHECK ONE ONLY: OWNER 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 accurat to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co pliance with all ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME ; ?\ � 5 LICENSE# <2✓55 7 S NATURE MP L JP, CORPORATIONn# PARTNERSHIP # LLC❑# COMPANY NAME I ADDRESS ;-35( 3,06.actg 1 S. R . , CITY GS(1WCJU>✓1 STATE Mil ZIP 0 'Z7 ' TEL Li 3—2q 6- iuSU FAX CELL EMAIL ir11.i iLAcriq0 9-0.4i li Conte I 3-6M — D53 • ; 71 (( 9 0 14717 E-C-4 47)2- e_67� 2 c7J /izr Agier7 2'°4'2' c.__. e k,_ r 4 Lill, t- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK aNi®>, CITY c c, MA DATE; Vg/i,X;. PERMIT# �� Z- Q JOBSITE ADDRESS Z� • ` ' s1GOWNER'S NAME 'G OWNER ADDRESS TEL I� ,� � FAX TYPE OR OCCUPANCY TYPE COMMERCIAL „ EDUCATIONAL RESIDENTIAL K PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: / PLANS SUBMITTED: YES NO APPLIANCES 7 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER J CONVERSION BURNER COOK STOVE I — , -- 1 DIRECT VENT HEATER DRYER h FIREPLACE i I 3 FRYOLATOR FURNACE GENERATOR I� 111 GRILLE MI INFRARED HEATER - LABORATORY COCKS MAKEUP AIR UNIT I OVEN POOL HEATER �® f ROOM/SPACE HEATER __,..4 ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER -_ � I OTHER ; a•ara , i 1 _ t — INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO , I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE 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. L CHECK ONE ONLY: OWNER 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 t the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com fiance with all P nent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME .k..„ ; -1, LICENSE# 2.c c I ATURE MP MGF , .e,,r JP JGF „ LPG' CORPORATION #' i PARTNER IP # LLC # COMPANY NAME,.... -5.�e �. A\\` ADDRESS ''\1 . ..,W_.. .. CITY ' STATE ZIP l Ir , 1TEL; U I Ct S p, FAX ELL !EMAIL I A�� VJ ‘(� pCt ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES p car 41 A. 2 -G