12C-052 (8) 20 CLOVERDALE ST BP-2019-0441
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12C-052 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2019-0441
Project# JS-2019-000716
Est.Cost: $29000.00
Fee: $189.00 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: EDWARD RICKEY 96159
Lot Size(sa.ft.): 11499.84 Owner: ANNETTE E GRIFFIN&SUSAN D REARDON
Zoning_RI(100)/URA(100)/WSP(100)/ Applicant: EDWARD RICKEY
AT. 20 CL.OVERDALE ST
Applicant Address: Phone: Insurance:
P O BOX 62 (413) 695-7059
WILLIAMSBURGMA01096 ISSUED ON.1011212018 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENO KITCHEN
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: T Rough: 1�" �i�"�� House# Foundation:
VN Driveway Final:
Final: Final:
Rough Frame: L)K �I I
I
Gas: Fire Department Fireplace/Cbimney:
Rough: Oil: Insulation: 0,k/, WIG-1B L,H.
Finai: -11c5 /'q Smoke: Finai: ate. tfZ5`1a k/-,Q
THIS PERMIT AY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND T TIONS.
, f
Certificate of OccuDanev S1 nature:
FeeType• Date Paid: Amount:
Building 10/12/2018 0:00:00 $189.00
212 Main Street,Phone(413)587-1240,Fzx: (413)587-1272
Louis Hasbrouck—Building Commissioner
Auk, J5Lma -3 ()c
-C-\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY Cr h �,� MA DATE 1( 1j=PERMIT#
"V,
JOBSITE ADDRESS ,� fD LSC-V C'r��A I Q Sf 1 OWNER'S NAME` ��AKd o t�
POWNER ADDRESS TELL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL j EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO,
FIXTURES Z 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 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION I FM PTS
WATER HEATER ALL TYPES V
WATER PIPING
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
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY t 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. f/�!` , —// J
PLUMBER'S NAME I 1_a 1�t e�,' C LICENSE# OCj?la SIGNATU E
MP, JP CORPORATION
#[:�=,PARTNERSHIP:D#[=LLC Lj#
COMPANY NAMEJ f3111 Mh(, ,-PL0► P-+ ADDRESS so Cr{C►S► '
CITY STATE ZIP )p TEL
FAX CELL a3�EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#._.._.
PLAN REVIEW NOTES �_ ,
OAP C 5gcj/o �
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
b CITY h IMI cd,✓ ry MA DATE PERMIT#
JOBSITE ADDRESS' b CICU pr' aIe ct OWNER'S NAME ', i�SAd/ stifelo,
OWNER ADDRESS L CIp�P I rt ......._ TEL .FAX:
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: V° PLANS SUBMITTED: YES?, NO
APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
.. t
MAKEUP AIR UNIT
OVEN _
POOL HEATER , .bin91 Gas h
ROOM/SPACE HEATER LT
ROOF TOP UNIT
TEST Irt' m-
UNIT HEATERAf" `a
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO w..
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.
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 ap Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws
PLUMBER GASFITTER NAME I1 LICENSEc7� SIGNAT16RE
MP MGF JP -_� JGF LPGILj
CORPORATION__...# PARTNERSHIP', #` LLC #_
COMPANY NAME: II A(iLCI eWi L !( ,ADDRESS _ (> CROS I
fT
CITY �� (tt,6� STATE ',ZIP (j►n�c� STEL
FAXCELL ► -)6 EMAIL
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
c
20 CLOVERDALE ST EP-2019-0355
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot:052 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW KITCHEN/DINING ROOM AREA;OUTLETS AND LIGHTS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000716
Est.Cost: Contractor: License:
Fee: $65.00 D L POWERS ELECTRIC INC Electrician A20247
Owner: ANNETTE E GRIFFIN & SUSAN D REARDON
Applicant: D L POWERS ELECTRIC INC
AT. 20 CLOVERDALE ST
Applicant Address Phone Insurance
1140 FLORENCE RD (413) 584-3533 C-(413) 575-9491 Liability, SCP 08132922
FLORENCE , MA01062 ISSUED ON:11/13/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW KITCHEN/DINING ROOM AREA; OUTLETS AND LIGHTS
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough 11-1q-1V
x
Special Instructions:
Final: /d,-
SRE Called In:
Signature
Fee TV
pe•• Amount: DatePaid
Electrical $65.00 11/13/2018 0:00:00 1379
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo