38B-291 (6) 284 SOUTH ST BP-2019-0151
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-Block:38B-291 CITY OF NORTHAMPTON
Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:KITCHEN&BATH RENO BUILDING PERMIT
Permit# BP-2019-0151
Proiect# JS-2019-000259
Est.Cost: $15000.00
Fee: $97.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Croup: Homeowner as Contractor
Lot Sizes . ft. : 4094.64 Owner: CAMPBELL CATHERINE
'gig=nr. t;;,;;i leu► Applicant:`Cr'MPOELL CATHERINE
AT. 284 SOUTH ST
Applicant Address: Phone: Insurance:
284 SOUTH ST
NORTHAMPTON MAO 1060 ISSUED ON.81712018 0:00:00
TO PERFORM THE FOLLOWING WORK.-KITCHEN AND BATH RENO AND NEW
WINDOWS
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: Rough: - House# Foundation:
Driveway Final:
Final: 7�Z �� Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: 71 y /y� Smoke:
Final:
THIS PERMMME REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature
FeeType: Date Paid: Amount:
Building 8/7/2018 0:00:00 $97.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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284 SOUTH ST BP-2019-0459
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B-291 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: FIRE DAMAGE BUILDING PERMIT
Permit# BP-2019-0459
Protect# JS-2019-000740
Est.Cost: $95000.00
Fee: $617.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BAYSTATE RESTORATION GROUP 056785
Lot Size(sg. ft.): 4094.64 Owner: CAMPBELL CATHERINE
Zoning: URB(I00)/ Applicant: BAYSTATE RESTORATION GROUP
4-T. 2 +';O, ITS! %o-r
Applicant Address: Phone: Insurance:
69 GAGNE ST (413) 532-3473 WC
CHICOPEEMA01013 ISSUED ON:10/18/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPAIRS FROM FIRE - REPAIR AND REPLACE
AFFFECTED AREAS INCLUDING MECHANICALS
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: %9 Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire De2artment Fireplace/Chimney:
nal. Insulation:
Final: Smok e ° Final: AIS
TIIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Shmature:
FeeType: Date Paid: Amount:
Building 10/18/2018 0:00:00 $617.50
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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284 SOUTH ST EP-2020-0018
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot:291 ELECTRICAL PERMIT
Permit: Electrical
Category: 60A SUB PANEL IN BASEMENT
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000740
Est.Cost: Contractor: License:
Fee: $60.00 JEFFREY P MIKUCKI Journeyman Electrician 27598
Owner: CAMPBELL CATHERINE
Applicant. JEFFREY P MIKUCKI
AT. 284 SOUTH ST
Applicant Address Phone Insurance
40 CEDAR LANE (413) 645-2185 C-
WESTFIELD MA01085 ISSUED ON.7/5/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
60A SUB PANEL IN BASEMENT
Call In Date: Date Requested Inspection Date/SiznOff: Reinspect?:
Trench/UG:
Special Instructions
x
RouEh
x
Special Instructions:
Final: 7-16 -I Q 9?1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $60.00 7/5/2019 0:00:00 7319
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
284 SOUTH ST EP-2020-0087
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot:291 ELECTRICAL PERMIT
Permit: Electrical
Category: IN GROUND POOL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-002387
Est.Cost: Contractor: License:
Fee: $65.00 MARION ELECTRIC INC MASTER ELECTRICIAN 20753 A
Owner: CAMPBELL ALYSIA
Applicant: MARION ELECTRIC INC
AT. 284 SOUTH ST
Applicant Address Phone Insurance
394 MOUNTAIN RD (413) 533-1996 () C-(413) 552-8733 Liability, MPV89179
HOLYOKE MA01040 ISSUED ON:7/29/2019 0:00:00
TO PERFORM THE FOL L O WING WORK:
IN GROUND POOL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG: nP--\
Special Instructions
X
Roush
x
Special Instructions:
Final: 7-30 -/1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 7/29/2019 0:00:00 1561
212 Main Street,Phone(413)587-1244,Fax(413)587-1272- Inspector of Wires - Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITY (/n �N. .✓� / MA DATE _
�� I
�, f f.- I � -a-i -/9 PERMIT# 9 - Jo l
,,V
JOBSITE ADDRESS _ 6 1� St OWNER'S NAME�rv�
OWNER ADDRESS _ _: TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL EE33 RESIDENTIAL -
PRINT
CLEARLY NEW: . RENOVATION:. REPLACEMENT: PLANS SUBMITTED: YES ' N0El
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 /
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) I
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION p
WATER HEATER ALL TYPES /
WATER PIPING APP OV D
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES N
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 71 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 complian;wi all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME -1 /►'YYK.c �i :_ LICENSE# SIGNAT RE
MPP CORPORATION# PARTNERSHIP®# LLC #I 1s-(VST
COMPANY NAME,2 ��� ter- ADDRESS 7—"-- �L' 13T-
CITY STATE LAU ZIP o> v„ TEL
FAX �=CELL 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
D
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
' CITY MA DATE '� PERMIT# l� ��
JOBSITE ADDRESS 8 �c�� / OWNER'S NAME ('/, IyevlgPl(
GOWNER ADDRESS TEL FAX
TPS OR NT OCCUPANCY TYPE COMMERCIAL' EDUCATIONAL RESIDENTIAL"-
CLEARLY NEW: RENOVATION:--- REPLACEMENT: PLANS SUBMITTED: YES NO
APPLIANCES 7 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 � I
GRILLE _
INFRARED HEATER
LABORATORY COCKS i
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM I SPACE HEATER
ROOF TOP UNIT a
TEST T"� OA
UNIT HEATER
UNVENTED ROOM HEATER No"r APPROVED
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
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 a Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME LICENSE#"'
SIGNAT RE
MP E�-VIGF''- JP L JGF LPGI CORPORATION '# PARTNERSHIP # LLC ' #
COMPANY NAME: ADDRESS
CITY STATE ZIP TEL
FAX CELL 'EMAILi
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
4
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.`� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
UlfCITY Northampton MA DATE 8/24/2018 PERMIT# 1 `�
JOBSITE ADDRESS 284 South St OWNER'S NAME Leo Campbell
POWNER ADDRESS 284 South St TEL[413-320-9872 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL 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 1
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 1
LAVATORY 1
ROOF DRAIN
SHOWER STALL t1 G< Irspocion
SERVICE/MOP SINK N _
TOILET 1
URINAL PL,UME IN
WASHING MACHINE CONNECTION NORTFAMPTON
WATER HEATER ALL TYPES Q PR VED N
WATER PIPING 1
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 cu a to he best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be c pliancg P Hent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Geryk LICENSE# 16079 _"_TttRE
MP , JP I CORPORATION # PARTNERSHIP # 1295560 LLC #
COMPANY NAME John T. Geryk Plumbing&Heating, LLC ADDRESS 89 Oak St
CITY Florence STATE MA I ZIP 01062 TEL 413-727-3057
FAX CELL 413-336-3893 EMAIL john@johntgerykplumbing.com
CNN Of
( t Fa�m��pfore Larry Eldridge <leldridge@northamptonma.gov>
l
Permit cancellation 284 South St
1 messece
John Geryk <john@johntgerykplumbing.com> Mon, Feb 25, 2019 at 7:17 PM
To: leldridge@northamptonma.gov
Hi Larry.
Will you cancel the plumbing permit for 284 South St under John T Geryk Plumbing & Heating. Thank
you, John.
John Geryk
Owner/Licensed Plumber
John T. Geryk Plumbing & Heating
Work: 413-727-3057
Cell: 413-336-3893
Email:john@johntgerykpiumbing.com
Web Site: www.johntgerykpiumbing.com