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17A-226 (9) 0 LAKE ST BP-2018-1009 .JIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-226 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit . Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) categoKy:ADDITION BUILDING PERMIT Permit# BP-2018-1009 Project# JS-2018-001832 Est.Cost: $195000.00 Fee: $1267.50 PERMISSION IS HEREB Y GRANTED TO: Const.Class: Contractor: License: Use Group: MICHAEL M POWELL 093015 Lot Size(sa. ft.): 20865.24 Owner: MALONE PATRICK M&SHERYL A Zoning:URB(100)/ Applicant: MICHAEL M POWELL AT: 117 - 119 LAKE ST Applicant Address: Phone: Insurance: 149 POMEROY LANE (413) 374-0963 AMHERSTMA01002 ISSUED ON:4/24/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL EXISTING 2 FAMILY WITH NEW ADDITION AND GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: r Footings: �.:/ Rough: � J� Rough: r, P 4 House# Foundation: e' ap- Driveway Final: Final: Final: - 19 /C�- �Q .1Rough Frame: �'K P�►�ol SEC f! 1'� c Gas: Fire Department Fireplace/Chimney: fit; �s � a 70 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMB I /� NG WORK " CITY/TOWN 1 L�o� f ty AQr-, �I MA DATE /��/v �PE,RRMIT# JOBSITE ADDRESS �� I �Q Y �� OWNER'S NAME 1'�9 ��, �le�n� P OWNER ADDRESS i i el �� f z r TELq)3-- L-9 Z(,'�j _ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ❑ RENOVATION:ff] REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO JD FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB / CROSS CONNECTION DEVICE LE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM ;I C DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM 2 S DISHWASHER Iectr lum in; » s^ cions DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK ! LAVATORY ROOF DRAIN SHOWER STALL / SERVICE/MOP SINK TOILET / N( tliari . URINAL N PEC MR WASHING MACHINE CONNECTION / / IVIFTON WATER HEATER ALL TYPES A PH VIED NOT Al"PROVED WATER PIPING / OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YE&O NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY-b 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 ofmy knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co wit!Zion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME �' �K�X`� LICENSE# 2,3�;�f� SIGNATURE MP❑ JP i _ CORPORATION❑# PARTNERSHIP❑# ` LLC El # COMPANY NAME �U� C��r� ' ADDRESS ht�'� ��7 > CITY �I� ��e STATE ZIP TEL FAX CELL EMAIL lug lul ' Y y (6 , uv - MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CIN (�l� �' nC MA DATE f PERMIT# JOBSITE ADDRESS /�� /_ake 5(1e14 OWNER'S NAME ,�r �k G OWNERADDRESS �� /-Q -1r,e) TEL //3--i)U - FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW: ❑ RENOVATION: REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO O APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 B 1 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE GAINSEC ORDIRECT VENT HEATER DRYER MP ON FIREPLACE AF PROIVED NCT AP RO ED FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER I ROOM/SPACE HEATER Ipdric, tumbin & as s ROOF TOP UNIT TEST / L ' UNIT HEATER UNVENTED ROOM HEATER ii .^oct ns WATER HEATER N ,thwT,G� � OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES BINO ❑ 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F' 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 ❑ 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 Pertine provlision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �� PLUMB ER-GASFITTER NAME LICENSE#;j�$(L,� SIGNATURE MP❑ MGF❑ JP EI'JGF❑ LPGII❑ CORPORATION ❑# rr` PARTNERSHIP❑# I LLC❑# COMPANY NAME CCSADDRESS CITY (';cQ OCE STATE ZIP Z TEL FAX CELL EMAIL '' �� J � � � � / f ._..,........._.w...�..� .�. 1'� f' +1 f r -. w� 117 - 119 LAKE ST EP-2018-0827 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 17A Lot:226 ELECTRICAL PERMIT Permit: Electrical Category: WIRE 2 FAMILY HOUSE RENO AND NEW 2 CAR GARAGE,REWORK AND ADD NEW CIRCUITS AS NEEDED Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2018-001832 Est.Cost: Contractor: License: Fee: $375.00 BENJAMIN J PERREAULT Journeyman Electrician 53179 Owner: MALONE PATRICK M & SHERYL A Applicant: BENJAMIN J PERREAULT AT. 117 - 119 LAKE ST Applicant Address Phone Insurance 88 SORBI CIRCLE (413) 588-8833 C- Liability, BOP1082124 SOUTH HADLEY MA01075 ISSUED ON:4/23/2018 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE 2 FAMILY HOUSE RENO AND NEW 2 CAR GARAGE, REWORK AND ADD NEW CIRCUITS AS NEEDED Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Rough 9 l I1-/ >ll NC) kJ X Special Instructions: Final: /0)—�6 QGw� SRE Called In• Sip-nature: Fee Type:: Amount: DatePaid Electrical $375.00 4/23/2018 0:00:00 135 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo