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25C-006 (9) 134 NORTH ST BP-2017-0942 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C-006 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-2017-0942 Project# JS-2017-001614 Est. Cost:$8000.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 33149.16 Owner: REITER JENNIFER B&ADAM RABB COHEN Zoning: URB(101)1! Applicant: REITER JENNIFER B &ADAM RABB COHEN AT: 134 NORTH Si Applicant Address: Phone: Insurance: 351 PLEASANT ST PMB 222 NORTHAMPTONMA01060 ISSUED ON:2/10/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE CABINETS AND CEILING REPAIRS 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: FinaI:O - /9 /1 Final: 7//// - Rough Frame: Gas: Fire Department Fireplace/Chimney: Oil: Rough: Oil: Insulation: oat Smoke: Final: 5:- ! — 1 7 Pr , �s- THIS PERMIT MAY BE REVOKED BY THE CI ,I ORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RE AT NS 4" Certificate of Occupancy signature: �' ✓a °`'` '�''r`'� _ FeeTv pe: Date Paid: Amount: Building 2/10/2017 0:00:00 S65.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Nurika.µP i-+', MA. DATE d��9 PERIvIIT# Pr - t1-Lia° S �.ar ] JOBSITE ADDRESS $314 ) oc+ Sc., OWNER'S NAME, C A eA) OWNER ADDRESS i3 WaTth S+ TEL • FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL©' PRINT NEW:0 RENOVATION:❑ REPLACEMENT:Er PLANS SUBMITTED: YES❑ NO ier CLEARLY F)XTURES 7 FLOOR-. ) BSMT 1 1 2 1 3 ) 4 I 5 6 7 I 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS ! I---;\ r,4 (�` r 1 DEDICATED GREASE SYS ; i t DEDICATD GRAY WATER SYS .� _DEDICATED WATER RECYCLE SYS 1 DRINKING FOUNTAIN �„t al 1 Ilka . I __J_ DISHWASHER 1 _ FOOD DISPOSER FLOOR/AREA DRAIN t::::ctrc,rlumbii;re.c.;;.,>trrscec= s _ INTERCEPTOR(INTERIOR) KITCHEN SINK _I _ _ _ LAVATORY _ _ ROOF DRAIN , SHOWER STALL SERVICE/MOP SINK TOILET , _ PLUMBING Pi GAS INSWIQR f URINAL N•- •MFTON * D NOTAPPROVED WASHING MACHINE CONNECTIONYP ,iii WATER HEATER ALL TES WATER PIPING / , _ 1 , , ._. ,. OTHER 1 1 Hii I 1. , INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes 0 No 0 : IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY at/ OTHER TYPE OF INDEMNITY 0 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 BOX ONLY: OWNER 0 AGENT 0 1 Signature of Owner or Owner's 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 2 of the General Laws. PLUMBER NAME B\(r )4 dt1 e 1.v K Z- SIGNATURE /�/ciAK i /"F aciecii5 LIC#a00--)1, MP 0 JP_Az CORPORATION ❑# _ PARTNERSHIP ❑# LLC 0# SSI COMPANY NAME 1% )4 AAz t-tws CI_ 7'1-IA ADDRESS: '° 155' Sq"• _ CITY ,A)l)i4 ka414. STATE1V1A" ZIP 0310 b0 EMAIL TEL S t-4 " It)P CELL al)--I 470 FAX 1 ROUGII PLUM, INSPECTION NOTES TINS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No /�79 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ � '4 Q`(— PEE: $ PERMIT# PLAN REV I I \V N(YI'I'S