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12C-092 (9) 7 MARY JANE LN BP-2017-1156 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C-092 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: FIRE RESTORATION BUILDING PERMIT Permit# BP-2017-1156 Project# JS-2017-001945 Est.Cost: $81500.00 Fee: $489.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KYLE SAVAGE 100069 Lot Size(sq.ft.): 10018.80 Owner: LEAF BRIAN J&GWENDOLYN L 7.oninn• R1f1001/1_IPA(j 11]y'til�l7-nf A r: ,. ._ KYLE 3AVAGE AT: 7 MARY JANE LN Applicant Address: Phone: Insurance: 62 MOUNTAINVIEW DR (413) 687-9751 WC BELCHERTOWNMAO1007 ISSUED ON:4/14/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:GUT SINGLE LEVEL HOUSE TO STUDS, ENCAPSULATE & REPLACE TO MATCH EXISTING FINISHES POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspeutpr 7 - `g 77 77 ��'L f Underground: Service: Meter: )g J�" —7 4144, Footings: Rough: 011 7 Rough: II ' j House# Foundation: r7 a r, Driveway Final: Final: Final: J t;. /1 159-i 404 G+ fG ,2 ., Rough Frame: 7 Gas: r/� �7�Department (.sem' G'/"Lr-- \--:/ k Fireplace/Chimney: (j91 Q. Rough: /7�T Oil: f, N4 i Insulation: iSt'FC1SOkS-41-17G Final: �! Smoke: Final: 61- 00"1° /, THIS PERMIT MAY BE REVOKED Y THE C i Y OF NORTHAMPTON UPON VIOLATION OF A:z: RULES ANDR L yig!//7 Occupancy / Y. Signature: (2"7-"--1" 1 , ::'._--:-- FeeType: Date Paid: Amount: Building $489.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 • Louis Hasbrouck—Building Commissioner trAj7 /-7/e4-1) z- / 1-6 /Z 5'2 - l 7frlCel-c -1.21 yv T1 s C�YlrZL�7 D w T/rte ,,��• �. � j��i� Gni ¢e /E L/gyc� $t7 o3 �. . m . , �. .. ,. . .. . �......U • _... ,,..m. �. ........., ...,f.. '', t=n GCITY N!/f�yjy/ -n/L- 1 MA DATE /,-1/ X0/ 7 PERMIT# Pe-11 - `'ia.I JOBSITE ADDRESS I 17 l! laL J Jan.tA sv 1 OWNER'S NAMED _ ' Ili POWNER ADDRESS I a TEL[27/2(0 - ?(J 2 f iFAXI j TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL IT RESIDENTIAL Id! PRINT / CLEARLY NEW:❑ RENOVATION:f J✓ REPLACEMENT: PLANS SUBMITTED: YES L 1 NO!fl FIXTURES 1 FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I CROSS CONNECTION DEVICE _in's=an=!� ' � DEDICATED SPECIAL WASTE SYSTEM !'�_�='I�i'� I=_ DEDICATED GAS/OIL/SAND SYSTEM _ ===I I I DEDICATED GREASE SYSTEM l DEDICATED GRAY WATER SYSTEM ��`Ui __ I i l DEDICATED WATER RECYCLE SYSTEM =1=,= 1 =1=I Ie WI ' ' DISHWASHER �____='MIItiLl S 1 DRINKING FOUNTAIN l --" F000 DISPOSER _� �MMI= - FLOOR/AREA DRAIN -_=,M_ Iai'i-' ROOHDRNKINTERCEPTOR INTERIOR ____ S = � SHOWER STALL _�=1��l;l,i� i SERVICE/MOP SINK TOILET e111 . URINAL yr • 1 WASHING MACHINE CONNECTION 111111111•11•11111 I I WATER HEATER ALL TYPES m_ WATERPIPING1n�1=_�='S S OTHER �_�� _ lar 1� n=n _ �SW ,l INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL Ch.142. YES:./I NO _!. IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 1,?_, OTHER TYPE OF INDEMNITY 'i 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 LI AGENT '_ SIGNATURE OF OWNER OR AGENT I hereby certtby that all of the details and information I have submitted or entered regarding this application are hue 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 complian I Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. C// ---0 (/�.-- PLUMBER'S NAME Ad Zukowski LICENSE# 10008 SIGNATURE MPI✓ JPL?, CORPORATION ✓l#1686 PARTNERSHIP-T/1 )LLCI`_I# _! COMPANY NAME A.R Zukowski Plumbing 8 Heating, Inc. ADDRESS 94 High Meadow Drive CITY West Springfield STATE MA ZIP 01089 TEL 413-733-6716 FAX 413-827-0241 CELL 413-246-1047 EMAIL arzukowskfiggmail.com Sf/7 / (#r -G ofbi7 /k'/rriifn. . crca wr e->.., Try�r- CmTl r7 oP rrer 4-rvFLorenc7 n720 6A/2 7 •V,y1 l/ , C� ,. -47:9/ CIU_CLy&7c/ '5 C(r-OCI ip - _—, CITY i }} _ MA DATE',, /1 z1'7()/TPERM1T# G12-0-Lial JOBSITE ADDRESS majt aAI UAL ___ _IOWNER'S NAME ITO,(AXLs741J/071,. _ -_j GOWNER ADDRESS _i TEILG-ge2.g�FAXill: TYPE OR OCCUPANCY TYPE COMMERCIAL 1. EDUCATIONAL!_1 RESIDENTIAL'L..e' PRINT CLEARLY --INEW: I RENOVATION:L_-I REPLACEMENT:LPLANS SUBMITTED: YESrJJ. NOF APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 7 9 10 11 12 13 14 BOILER _O —T i ? --THE---f BOOSTER ` t_ I _._ CONVERSION BURNER a \\. -� COOK STOVE I, �._ _ _ R _ �#_ - ' Fc' _ DIRECT VENT HEATER —_'��—) yy um AM DRYER t -_-p- _ 7 .T—'k` 11n T__ _ - - I FIREPLACE FRYOLATOR r 1.—�H � 1 J, ____t F FURNACE _ 4, { GENERATOR � ` Je- Y _ t1 GRILLE - _, INFRARED HEATER _ •i l —' -� - '�-- LABORATORY COCKS -1 - � MAKEUP AIR UNIT .-- -1i 1._ r L 7 1f �` '` __ MAKE POOL HEATER ROOM/SPACE HEATER ' i LL _ -1 1 ROOF TOP UNITS t, p sr, ,S__ I I TEST $ I -._.__. 'M. �.,,�R I _:_ 1 UNIT HEATER s L -1 i l_. ,11/a1.A -4"F. T1�� Ani -'. UNVENTED ROOM HEATER r 1 ' -1 - - - WATER HEATER ----._ r ` _. f z _ A._ OTHER i -__ _- ___}IL r _1 _ t 1 Pi k INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ✓_-NO 1 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 14.4j 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 CHECK ONE ONLY: OWNER I. ' 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 all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ✓ vr-• PLUMBER-GASFITTER NAME Ad Zukowski LICENSE# 10008 SIGNATURE MP I MGFI I JP71 JGF:`, LPGI!0--', CORPORATION # 1686 PARTNERSHIP_'#- - 'LLC `41 COMPANY NAME:AR.Zukowski Plumbing&Healing, Inc. ADDRESS 94 High Meadow Drive; CITY West Springfield STATE MA ZIP 01089 TEL 413-733-6716 FAX 413-827-0241 CELL 413-246-1047 EMAIL anukowski@gmal.com 3`9/ `/9'it'll 79 Egi 5/7/7 1A45S--4.E �r, 7 MARY JANE LN EP-2017-0859 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 12C Lot 092 ELECTRICAL PERMIT Permit: Electrical Category: ISOLATE PANEL&INSTALL GFCI RECPTS FOR AIR DRYING EQUIPMENT TO REPAIR FIRE DAMAGE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-001945 Est.Cost: Contractor: License: Fee: $65.00 JAMES FLEMING MASTER ELECTRICIAN Al 6712 Owner: LEAF BRIAN J & GWENDOLYN L Applicant: JAMES FLEMING AT: 7 MARY JANE LN Applicant Address Phone Insurance 7 Meadowood Drive (413) 533-5076 C- Liability, 4561610 SOUTH HADLEY MA01075 ISSUED ON:4/12/2017 0:00:00 TO PERFORM THE FOLLOWING WORK: ISOLATE PANEL & INSTALL GFCI RECPTS FOR AIR DRYING EQUIPMENT TO REPAIR FIRE DAMAGE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/CC: Special Instructions x Rough x Special Instructions: Final: SRE Called In: C aft .1 I`—� — t/- /3 - / / 62r Signature: Fee Type:: Amount: DatePaid Electrical $65.00 4/12/2017 0:00:00 3347 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 7 MARY JANE LN EP-2017-0884 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 12C Lot:092 ELECTRICAL PERMIT Permit: Electrical Category: FIRST FLOOR REWIRE Permits Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-001945 Est.Cost: Contractor: License: Fee: $125.00 THOMAS ROBERT HERBERTJourneyman Electrician 52843 Owner: LEAF BRIAN J & GWENDOLYN L Applicant: THOMAS ROBERT HERBERT AT: 7 MARY JANE LN Applicant Address Phone Insurance 82 WEST GLEN ST (413) 977-0349 0 C- HOLYOKE MA01040 ISSUED ON:4/20/2017 0:00:00 LUCK-hoc 06-cif TO PERFORM THE FOLLOWING WORK: FIRST FLOOR REWIRE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UC: Special instructions Rough N' ai- ( 7 ,Ct, x Special Instructions: qq Final: tic /7 RP NN I//'' UA .x 6- M - , Wim . (,4CW ris.“`1 SRECalled In: (- 1 ✓d4 I G-1 /7 0.41h Signature: Fee Type:: Amount: DatePaid Electrical $125.00 4/20/2017 0:00:00 3463 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo