16B-001 (6) I MARK WARNER-UNIT A BP-2019-0438
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mav,Block: 16B-001 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category,renovation BUILDING PERMIT
Permit# BP-2019-0438
Proiect# JS-2019-000713
Est Cost-572000.00
Fee,$468.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(w.ft.): Owner: INTILE ANGELO
zoning SR/URA/WSP Applicant: KEITER BUILDERS
AT: 1 MARK WARNER - UNIT a,
ApplicantAddress: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON.•10/7Z,2018 0:00:00
TO PERFORM THE FOLLOWING WORK.•REMODELING EXISTING MASTER BATH
CLOSET AND POWDER ROOM
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:%,/z� �� Rough: fl-dHouseM Foundation:
rzo, Driveway Final:
Final: Final: 3/_t',
Rough Frame: 0,1-/. I l'Zl-i 8 Il•f?
��z� au k-,
Gas: Fire Department Fireplace/Chimney:
Rough: Q)i Insulation:
Final: Smoke: Final: DiK 2-1-19 K.L?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RFGUyQTIONS.
rtfcate of Occupancy /bl/ (// signature: /Y�Yt.vwc�Tv
FeeTvw: Date Paid: Amount:
Building 10/12/20180:00:00 $468.00
212 Maio Street,Phone(413)587.1240,Fax:(413)587.1272
Louis Hasbrouck—Building Commissioner
I MARK WARNER- UNIT A EP-2019-0387
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 16B
Lot:001 ELECTRICAL PERMIT
Permit. Electrical
Category: WIRE RENOVATIONS TO I ST FIR BED,BATH,KITCHEN AREAS
Perron# Electrical
PERMISSION IS HEREBY GRANTED TO.
Project# JS-2019-000713
Est.Cost: Contractor: License.,
Fee: 8125.00 CHENEVERT ELECTRIC INC Master 16972A
Owner: INTILE ANGELO
AppUcant: CHENEVERT ELECTRIC INC
AT. IMARKWARNER- UNITA
AonUcantAddress Phone Insurance
16 FAIRVIEW ST (413) 883-5350 () C-(413) 883-5350 Liability,
68000OK965949
LUDLOW MA01056 ISSUED ON:77127/20780:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE RENOVATIONS TO 1ST FLR BED, BATH, KITCHEN AREAS
C R In Date, Date Requested I o ctiD t /S' Off: Reinspect':
Trench/UG:
S eeiel Instructions
x
R.g
h 11 I-Lo 1 Z (Wt
x
Special Instructions:
Final, / -7/'/9 JeQ `>
SRE Called In:
S'2m
Fee T e:: Amouut: DatePaid
Electrical $125.00 11/27/2018 0:00:00 8921
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Mato
/LLri
jL, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLU�MMNNG WORK
�
CITY �k'�-�+'Fe1/mZ,rIJ ,�..!! MA DATE !i—�L- 7� r€ PERMIT#_f''J=lR1y
—1
JOBSITE ADDRESS_L#'' + LUJCC/TLQ/_ OWNER'S NAME
P OWNERADDRESS TEL FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL Q�
PRINT
CLEARLY NEW:❑ RENOVATION:[1j-' REPLACEMENT:C3 PUNS SUBMITTED: YES El NO❑
FIXTURES T FLOOR- BSM 1 2 3 4 5 9 7 e 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVCE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR i AREA DRAIN It
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN _W
SHOWER STALL y
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES AIVI
WATER PIPING
OTHER
WSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meas the requirements of MGL Ch.142. YES[3—NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LMSItTTY INSURANCE POLICY [}/ OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee Roes not hive Lha etsuance coverage required by Chapter 142 of the
Massachusens General Laws,and that my signore on this Mama application waives;this miqui er ent.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑
I hereby cerft ae1 as or mdata"aha wRamweon I have W iftetl or wdwee eaardbp e"application ate true aha accurate,In the beat Nay lowwkidae
dna Net are PIMM ig work am Inawlalbns Pw64rmed War the Permit issued ire ml9 epplio'" n YAI M in uapeart[a wlUt all Ppaeant Pmblon or me
MaaerMMae"SINS PlurEsg COM and Chapter 142 0IM General tan. .�_\X,�,E-��� C
PLUMBER'S NAME _'�'�17_ 61�141 LICENSE a/O r)Z
SIGNATURE
MP g� JP❑ ^ CORPORATION&r#.S438_O PARTNERSHIP❑A LLC❑Y
COMPANYNAMECwcirr.,� �wr1.Sw� ADDRESS_ Qcx 36G
CITYeggEwiw�r , STATE 1,4 21P 016Z77 TEL
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FAX CELL _ EMAIL . 3cb'L Cre.cr,cc:Tr4_C•r.�t
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