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24D-062 (4) 12 PERKINS AVE BP-2019-1048 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block:24D-062 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 RENO BUILDING PERMIT Permit# BP-2019-1048 Proiect# JS-2019-0017_09 Est. Cost: $10000.00 F 65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sa.ft.): 4617.36 Owner: AGAN LORI MARIE&ADIN MAYNARD .Zoning: URB(100)/ Applicant: AGAN LORI MARIE &ADIN MAYNARD A7�• 12 PERKINS AVE Applicant Address: Phone: Insurance: 12 PERKINS AVE NORTHAMPTONMA01060 ISSUED ON:3/26/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-KITCHEN RENO 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: -17-�rf House tt Foundation: Driveway Final: IG Finpla� Final: Rough Frame:�•K' y `1-7, l Q FW&--6'-Ex K uL 0".s v (&-XJ-a-tca� Garr Fire Denartment Fireplace/Chimney: Rough: Insulation: G�9/ Final: Final: (� _ )S-ZpZp k/ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UI-oN VIOLATION OF ANY OF ITS RULES ANDRE L ONS. CoHPI.�'�o� Certificate of Signature: FeeTvpe: Date Paid:—Amount: Building 3/26/2019 0:00:00 $65,00 212 Main Street,Phone(413)587-1240,Fax: (413)587.1292 Louis Hasbrouck-Building Commissioner 12 PERKINS AVE EP-2019-0700 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 24D Lot:062 ELECTRICAL PERMIT Permit: Electrical Category: WIRE KITCHEN RENO Permit# Electrical PERMISSION IS HEREB Y GRANTED TO: Project# JS-2019-001709 Est.Cost: Contractor: License: Fee: $65.00 CHESTER C GOLEC Journeyman 32699E Owner: AGAN LORI MARIE & ADIN MAYNARD Applicant. CHESTER C GOLEC AT. 12 PERKINS AVE Applicant Address Phone Insurance 402 SPRING STREET (413) 586-8745 C-(413) 320-1156 Liability, MP053756 FLORENCE MA01062 ISSUED ON:4/16/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE KITCHEN RENO Call In Date: Date Requested Inspection Date/SianOff: Reinspect?: Trench/UG: Special Instructions x Rough V X Special Instructions: Final: /Ub SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 4/16/2019 0:00:00 1196 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo q J�uo vd MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY 1 MA DATE — PERMIT# JOBSITE ADDRESS OWNER'S NAME:' _. POWNER ADDRESS i y TEL wS8— _q7FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTI PRINT CLEARLY NEW: — RENOVATION:Ll REPLACEMENT�C PLANS SUBMITTED: YES NO FIXTURES Z FLOOR— BSM 1 2 3 4 5 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND 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 SHOWER STALL SERVICE/MOP SINK TOILET URINAL , WASHING MACHINE CONNECTION E WATER HEATER ALL TYPES WATER PIPING OTHER f --_ 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 E] 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 com liance all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ` PLUMBER'S NAME / 2 aluu��� LICENSE# � SIGNATURE MPF JP® CORPORATION ;#:PARTNERSHIP[ # LLC I]# COMPANY NAME P yQLY S S !ADDRESS! I Wt- CITY � E�1 STATE -! ZIP ._ TEL -(� - a-- FAX I CELL; EMAIL 1 ` City of Northampton Sys �-.•Sj�, A Massachusetts '.w A DEPARTMENT OF BUILDING INSPECTIONS sAa ` 212 Main Street • Municipal Building Northampton, MA 01060 ss ti0 INSPECTOR INSPECTOR: LARRY ELDRIDGE, JR. DATE: END MILEAGE: START MILEAGE: PLBG PASSED GAS PASSED MTG TIME ADDRESS R F Y N R F Y N 9:15 10:00 0:45 �Z r 11:30 z 12:00 'Z, !tom 1:45 3 6 :30 3 00 COM NTS: SIGNED: