36-128 (6) BP-2020-1172
279 BROOKSIDE CIR
COMMONWEALTH OF MASSACHUSETTS
GIS#:
CITY OF NORTHAMPTON
Map:Block: 36- 128 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Lot: lo
0 1
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv' KITCHEN RENO
BUILDING PERMIT
Permit# BP-2020-1172
Project-# JS-2020-000996
Est.Cost: $5100.00
Fee: 65.00 PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
Const.Class:
Homeowner as Contractor
Use Group:
Lot Size(sclft.): 31188.96 Owner: LEAVITT MARIAN
Zonin
Applicant: LEAVITT MARIAH
AT. 279 BROOKSIDE CIR
Phone:
Ji1Sl/1'[�iteL':
Applicant Address: (413) 586-0583
279 BROOKSIDE CIR
FLORENCEMA01062 ISSUED ON:6/1/2020 0.00.00
TO PERFORM THE FOLLOWING WORK.-KITCHEN RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring D.P.W.
Underground: Service: Meter:
Footings:
Rough: House# Foundation:
h:
Rough: g � J Driveway Final:
Final: Final: G3,- � Rough Frame: t ,� -7_( Zv20 l�
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Gas: Fire Department
Fireplace/Chimney:
Insulation:
Rough: Oil:
Final:
Smoke: Final: O.V. 8-3-Z6Z6 6F
THIS PERMIT MAY BE REVOKED BY THE CITY OF N RTH MPTO UP N VIOLATION OF
ANY OF ITS RULES AND R U IONS. .
Got-
Si/ Si natur
Certificate of
Feer e: Date Paid: Amount:
Building 6/1/2020 0:00:00 $65.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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SSACFIUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CI MA DATE '7 =� �O PERMIT# mrO f�o -
n �_"�D`fir
OWNERS NAME
CD o�
JOB ITE DDRESS WNE
11 q__{�r �cs�
CID
o N N OW DDRESS _ _ TEL _-- ---
- EOR OCC CY TYPE COMMERCIAL Q EDUCATIONAL El RESIDENTIALFJ
LtAR C RENOVATION: REPLACEMENT.El PLANS SUBMITTED: YES[I NOE]
FIXTURES 7 FLOOR- BSM 1 2 3 1 4 5 6 7 8 1 9 10 1 11 12 1 13 14
—BATHTUB LDL—
CROSS
CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER �- L (- (-~I
Y.
DRINKING FOUNTAIN V I Y
FOOD DISPOSER
E D
FLOOR!AREA DRAIN
INTERCEPTOR INTERIOR _._ _ -3(- ;?I -_j w_.__; _-�-_
KITCHEN SINK r��.._7 _
LAVATORY I` ( I- ��[�I
_� . _ F �`
F= r
ROOF DRAIN
SHOWER STALL
SERVICE!MOP SINK
TOILET,
- -
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URINAL
I
WASHING MACHINE CONNECTION (-) I- I. 3 _ -.• , ,- -_- <_. __: T=
WATER HEATER ALL TYPES (- i -_ (- - -;r {-• �--- -- `
WATER PIPING
OTHER
s ,
INSURANCE COVERAGE:
I have a current liabif insurance policy or its substantial equivalent which meets the requirements of MGL Ch,142. YES Q NO Q
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY E 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 0 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 perfonned under the permit issued for this application.will be in rn iance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A*
PLUMBER'S NAME Ro�er� �• S 4-'r _ _. _. LICENSE# .g t7 O - - SIGNATURE
Mpg] JP® CORPORATION W#- Lj PARTNERSHIP# _. _ .. LLC
COMPANY NAME 'der-?I-+6Zr%q a-Heoklnq, Sr+c.,; ADDRESS `h�0 'Bok 3a3
CITY filar tdenvi ll� .STATEF—A---1 ZIP (010 3q� TEL 000 aL
� - -
e oo .cA�-►
FAX !�3)x(.%-cjL&77 CELL EMAIL
279 BROOKSIDE CIR EP-2021-0005
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot: 128 ELECTRICAL PERMIT
Permit: Electrical
Category: KITCHEN RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000198
Est.Cost: Contractor: License:
Fee: $65.00 ERIK PRAETZ ELECTRIC MASTER ELECTRICIAN 16155
Owner: LEAVITT MARIAH
Applicant. ERIK PRAETZ ELECTRIC
AT. 279 BROOKSIDE CIR
Applicant Address Phone Insurance
200 SKINNER RD (413) 522-1788 C-(413) 624-8955 Liability, BGCZTB
SHELBURNE MA01370 ISSUED ON:7/2/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough —7- C
X
Special Instructions:
Final: K -3 -2v Q�1`
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 7/2/2020 0:00:00 3086
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo