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30A-046 (11) 37 LEXINGTON AVE BP-2018-0049 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block: 30A-046 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv:•ADDITION BUILDING PERMIT Permit# BP-2018-0049 Project# JS-2018-000089 Est. Cost: $26600.00 Fee: $172.90 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RONALD LAMAGDELEINE 101704 Lot Size(sq.fr.): 15812.28 Owner: SOUTHERLAND MICHAEL&DEBRA HERTZ Zoning: URBL300 / Applicant: RONALD LAMAGDELEINE A1: 3/ LEXiNG i ON HVE Applicant Address: Phone: Insurance: 112 LAUREL HILL RD (413) 527-8169 WESTHAMPTONMA01027 ISSUED ON:7/24/2017 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD 14X12 ADDITION TO EXISTING HOUSE AT FRONT LEFT SIDE 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:.,Ja, •/-, House# Foundation: nn P Driveway Final: Final: Final: aC _ I I Rough Framer R/IS /0 Gas:/2 --17 /7 Fire Department Fireplace/Chimney: R.Cu.bh: 6/ L'�!: Insuintion: Final: Smoke: Final: �/ — �`7 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND ATIONSk�nature: ; Certificate of Occu anc J ' � � � `' �� FeeTyne: Date Paid: Amount: Building 7/24/2017 0:00:00 $172.90 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner r C? C MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO ERFORM GAS FITTING WORK Fi CITY 1 ' � MA DATE PERMIT# ro � JOBSITE ADDRESSI U OWNER'S NAME GOWNER ADDRESS � TYPE OR OCCUPANCY TYPE COMMERCIAL" EDUCATIONAL ._ RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:;,,- REPLACEMENT: PLANS SUBMITTED: YES NOF APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1301LER 1300STER CONVERSION BURNER -� - COOK STOVE - DIRECT VENT HEATER —r - -- DRYER --- , -T +— -1- FIREPLACE FRYOLATOR _ FURNACE -7- �-_� - �- -----� -- - i GENERATOR GRILLE -- INFRARED HEATER - I LABORATORY COCKS _ MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER -- ROOF TOP UNIT.-- — Y TEST - - -- UNIT HEATER - UNVENTED ROOM HEATER 3 WATER HEATER �- OTHER ; _...;;.: i - _ - INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES _ NO El 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. SIGNATURE OF OWNER OR AGENT CHECK 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 nf mul knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com ce with all pti t isi o Massachusetts State Plumbing Code and Chapter 142 of the Geer Laws f PLUMBER GASFITTER NAME C LICENSE#i� Ct SIGNATURE MP,l MGF JP�� JGF LPGI CORPORATION # PARTNERSHIP n� #I LLC Lj#aN " COMPANY NAME: CL ADDRESS S� CITY STATE ZIP bC� STEL - a FAX CELLEMAIL w F 0 z z 0 U W a a z w a Z❑ z o N❑d � ~ W O w O w va u) w Z U) a LLI w Q W cn .� Z A. Q O a a � U J a H rA W F J z 0 U ^ a iz z INQ c� x \^ o � x 37 LEXINGTON AVE EP-2018-0151 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 30A Lot: 046 ELECTRICAL PERMIT Permit: Electrical Category: ADD 14X12 ADDITION TO EXISTING HOUSE AT FRONT LEFT SIDE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2018-000089 Est.Cost: Contractor: License: Fee: $65.00 JAMES MAILLOUX ELECTRIC Master Al 6187 Owner: SOUTHERLAND MICHAEL & DEBRA HERTZ Applicant. JAMES MAILLOUX ELECTRIC AT. 37 LEXINGTON AVE Applicant Address Phone Insurance 55 MAIN ST- 2ND FLR (413) 585-1592 C-(413) 563-4654 Liability, MPT0721 Q FLORENCE MA01062 ISSUED ON.•9/11/2017 0:00:00 TO PERFORM THE FOLLOWING WORK: ADD 14X12 ADDITION TO EXISTING HOUSE AT FRONT LEFT SIDE Call In Date: Date Requested Inspection Date/SianOff: Reinspect?: Trench/UG: Special Instructions X q Roush ! " / )L - /? .z p I-\ x Special Instructions: Final: % D--/y-/ 7 k '`- SRE Called In• Signature: Fee Type:: Amount: DatePaid Electrical $65.00 9/11/2017 0:00:00 11746 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo