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: