23D-085 (5) BP-2018-0864
41 WARNER ST
COMMONWEALTH OF MASSACHUSETTS
GIs#:
MaRBlock:23D-085 CITY OF NORTHAMPTON
Lot: Blo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
KITCHEN RENO BUILDING PERMIT
Category.• K
Permit# BP-2018-0864
Project# JS-2018-001585
Est $Cost: $43000.00
Fee:Cost:
0 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: KRIS THOMSON 084152
Lot Size(sq.ft.): 24524.28 Owner: BERCUVITZ DEBRA T&
Zoning: URB(100)/ Applicant: KRIS THOMSON
ltL: �4 I 1I��t"cfS14ER X 1
Applicant Address: Phone: Insurance:
362 KENNEDY RD (413) 549-1027 O WC
LEEDSMA01053 ISSUED ON:2/23/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-REMODEL KITCHEN AND LAUNDRY
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: �rue4fj
Rough: J f t Rough: ���b House# Foundation:
Driveway Final:
Final: �f" Final:
Rough Frame:
Gas: Fire Departm 6n > Fireplace/Chimney:
✓t1� l�
Rough: Insulation:
Oil: p
Final:� f� ��`
Smoke: Final: 0dk- ! 1�� �► t'{
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. 9C-W`16'
PGETcl
Certificate of Cy ���-'"t Signature:
FeeType• Date Paid: Amount: SEN-C
Building 2/23/2018 0:00:00 $279.00
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 I Florence _ _ � MA DATE 4124/18 ]PERMIT#
JOBSITE ADDRESS 41 Wamer St OWNER'S NAME Kris Thomson_-
Y OWNER ADDRESS i 362 Kennedy Rd Leeds,MA 01053 TELA 413-695-6487 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL E1
PRINT
CLEARLY NEW:0 RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES 0 NOQ
FIXTI IRFC-1 FI nr1R--+ I RAKA I 1 1 7 1 -A I A I5I PC 1 7 1 A 1 Q 1 1r1' 11 1 V) I 13 I 1A
BATHTUB
CROSS CONNECTION DEVICE -
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
n�nlrnTGn r-Qev%AIATGR rGCTFnA
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTFRrFPTnP fINTFRIr1Rl '
KITCHEN SINK
LAVATORY lectric, Ulu
ROOF DRAIN a
SHOWER STALL
SERVICE/MOP SINK 1143 1 F131vir-Lill
TOILET JV J1dVj[-jArjrtjU
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES E] NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Ejj OTHER TYPE OF INDEMNITY Q BOND Ej
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 0 AGENT 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application a e Irue 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 pliance with all inen provi io of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 GNATURE
MP El JP 0 CORPORATION M# 2617C PARTNERSHIP LLC F-
COMPANY NAME I EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
CITY MONSON STATE MA ZIP 101057 TEL413-267-8983
FAX 413-267-4523 CELL EMAIL EWSPH COMCAST.NET
1
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yea No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEES"'$ PERMIT# '
f PLAN REVIEW NOTES
F
19 I�
1-0MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY Flo rence MA DATEI4124/18 w PERMIT# CPO
_._
JOBSITE ADDRESS i 41 Warner St OWNER'S NAME Kns Thomson
OWNER ADDRESSKenned Rd Leeds MA 01053 w w 1 TEU 413-695-6487 FAX
a
„ ... ! m z � w w
TYPE OR OCCUPANCY TYPE COMMERCIAL' w$ EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY
NEW: s ,, RENOVATION d,:,,, REPLACEMENT PLANS SUBMITTED: YES k„ N& ,
APPI IANCFS Z FI OORS--# BSM 1 1 1 2 1 3 4
5 � 7 A 9 1'D'"' '11 19 13 14:
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
I �
DIRECTVENT HEATER
r1RYFR _.._
�.,.M.
__n. .,. .....
-FIREPLACE
FRYOtATOR
,I
FURNACE I
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/SPACE HEATER --, �� I
ROOF TOP UNIT
TEST .. . .u., __ '
ELT
UNIT HEATER
UNVENTED ROOM HEATER
- I
WATER HE
M
OTHER � _._
_....._.r ._...._...
3
3 A
,,.. „_,,....� ...� ,...._ .,.... .. ....«.. .,. ..... ..sem ..,,, .„.s,.,,„ ..,..... <...... ..... .....
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
_f,j 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 .a..,.n 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 co an with all Pe ine t pro isiq of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ,
PLUMBER-GASFITTER NAME 1 Gary Stahelskl I LICENSE# 9621 n SIGNATURE
__..
MP, MGF JP° JGF � LPGI{ CORPORATION" # 2617C PARTNERSHIP- #i LLC ,� #
W..,. �� t . r ,.....
COMPANY NAME EWS Plumbing&Heating, Inc ADDRESS 339 Main Street
CITY ;Monson STATE j y MAJ ZIP b 01057 STEL 413-267-8983
._. .__;.. .. ...:_. --
FAX 413-267-4523 ICELLI ewsph comcastnet
BOUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ 0
EE: i PERMIT#
PLAN REVIEW NOTES
41 WARNER ST EP-2018-0812
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23D
Lot:085 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE KITCHEN RENO AND NEW HOUSE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001585
Est.Cost: Contractor: License:
Fee: $125.00 BEN'S ELECTRICAL SERVICE Master 12981 A
Owner: BERCUVITZ DEBRA T&
Applicant: BEN'S ELECTRICAL SERVICE
AT 41 WARNER ST
Applicant Address Phone Insurance
PO BOX 578 (413) 527-3760 C-(413) 531-0617 Liability, MPT54344
BECKET MA01223 ISSUED ON:4/18/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
REWIRE KITCHEN RENO AND NEW HOUSE
Call In Date: Date Requested Insuection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X
Routh
X
Special Instructions:
Final: 9— -2 —r4( R,Pk-.
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 4/18/2018 0:00:00 6094
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo