17C-281 (5) 107 NORTH MAPLE ST BP-2019-0262
GIS#: CO IMC:'IlVV FAITH OF MASSACHUSETTS
Map-.Block: 17C-281 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTIN'C V✓ITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS -r, 7! GUARANTY FUND (MGL c.142A)
Category: ALTERATION_ UVDI1 \ G PERMIT
Permit# BP-2019-0262
Project# JS-2019-000422.
Est.Cost: $76000.00
Fee: $494.00 PER WISSIONI Y GhANTED TO:
Const.Class: Contractor: License:
Use Group: JESSE MONTGOMERY 077410
Lot Size(sa.ft.): 9060.48 Owner: DEVLIN MARK
Zoning URB(100)/ Applicant: JESSE M, )NYGOMERY
AT: 107 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
PO BOX 329 (413)374-2787 0
LEEDSMA01053 ISSUED ON:9/10/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONVERT SINGLE FAMILY DWELLING TO TWO
FAMILY DWELLING
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: � i3�los1p
Rough: /��6 �� Rough�� .-/6 -� C House# Foundation:
Driveway Final:
As /0 44
Final: Final: l l LY It 4
r Rough Frame: L ) , 1 —2)4�
as: Fire Denartment Fireplace/Chimney:
Z 9�J-7--
Rough*. \ Oil: Insulation:
Fina • Smoke: Final:I,K i-3-1G. K,17
12 2p
THIS ERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND WULATIONS.
Certificate of Occupancy Si nature: a
FeeTyne: Date Paid: Amount:
Building 9/10/2018 0:00:00 $494.00
212 Main Street,Phone(4 13)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
"'YOOI QON-,>l Q�W
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY rIT I MA DATE I Ct J<W JPERMIT# a1.
JOBSITE ADDRESS OWNER'S NAME
POWNER ADDRESS j TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL J RESIDENTIALK]
PRINT
CLEARLY NEW: ❑ RENOVATION:® REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN Ga Inspo 0
SHOWER STALL N
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
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.
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 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.
Yom`
PLUMBER'S NAME, �[ wap E LICENSE#® SIGNATURE
MPN� JP❑ CORPORATION(&a#�PARTNERSHIP O# LLC 71#
COMPANY NAME�C�n _QZ I JADDRESSI �- I
CITY STATE[ ZIP r(j �I TEL — — g
FAX ELL I' EMAIL �� I►�11 Nti
c � .V4/
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11 1f ( f
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK_
xw CITY f/0 e4- , Li C Z MA DATE (0 l'9 j JI V PERMIT# LSG 1q—(bS
JOBSITE ADDRESS O �� r T 4 j O 1 z O NER'S NAME
s � TK
5 `75
GOWNER ADDRESS S /'�'Z TELT't 3 FAX
IP€#38 I r�craaat
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CLEARLY NEW: �ENOVATIqN-. REPLACEMENT: PLANS SUBMITTED: YES NO
APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 1 8 1 9 1 10 1 11 1 12 1 13 14
BOILER
BOOSTER
COOK STOVE
nIQGrT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
GENMTCR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OWN _
ROOM I SPACE HEATER 1
ROOFTOP UNIT
TEST
UNIT HEATER lett ic,Plu bin i SPE 30T W�11
L �OTT
1WVAIER MAIM E 19
071 9F
I F YOU CHECKED YE%PLEASE 99WATE71IIIETVIOEOFCOVERAIGE BY CH1909M7M APPROPMATE 80xwUw
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND
OIA ff"INISLVAKICEONVEILI=atlaml!WAafi:�dam nahmilwhowamm ammop rmpdmd byChapter142ofdw
CIiECKONEONLY- OWNER ASM
SIGAfATURE Of 0YOIER OR AGOff
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*mibkV work and Installiabom pined urxW the pem d issued for this application will be in +wrth alt Perlin t provision of the
�Sf�+Pl ffb Code at l
nd wwitr 142 of the Gwmal Laws
PL m -`rte LAw tiAA xf-,, UCEWE# 3a56
MP MGF " LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME: r'` L_A N�4 N-Pv��&�C— ADDRESS V`"1 S'('
CITY (—\�'Z v"Y N Mw STATE N% ZIP 4 L-J 1,, TEL �3 J JS l0�
FAX CEL EMAIL
--,�.�-���r vim..! d�z
107 NORTH MAPLE ST EP-2019-0241
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17C
Lot: 281 ELECTRICAL PERMIT
Permit: Electrical
Category: CONVERSION OF SFH TO 2FH AND ADD SECOND METER
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000422
Est.Cost: Contractor: License:
Fee: $275.00 FRANK WDOWIAK MASTER ELECTRICIAN 20409A
Owner: DEVLIN MARK
Applicant: FRANK WDOWIAK
AT. 107 NORTH MAPLE ST
Applicant Address Phone Insurance
938 BRIDGE RD UNIT 3 (413) 588-2756 () C- Liability, ART 507048201
NORTHAMPTON MA01060 ISSUED ON:10/3/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.
CONVERSION OF SFH TO 2FH AND ADD SECOND METER
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Roush /o " C
x
Special Instructions:
Final: �112$0 e (moi
SRE Called In: 27179497
Signature:
Fee Type:: Amount: DatePaid
Electrical $275.00 10/3/2018 0:00:00 1100
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo