36-259 (12) 131 MAPLE RIDGE RD BP-2022-0025
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-259 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:: Bath reno BUILDING PERMIT
Permit ft BP-2022-0025
Project# JS-2022-000042
Est.Cost: $18000.00
Fee: $117.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MAT CHEW KOZUCH 106644
Lot Size(sq. ft.): 44431.20 Owner: MCGRATH JOHN E&NANCY T
Zoning: Applicant: MATTHEW KOZUCH
AT: 131 MAPLE RIDGE RD
Applicant Address: Phone: Insurance:
6 HIGH ST (413l341_8893 0_ WC.
FLORENCEMA01062 ISSUED ON:7/7/20210:00:00
TO PERFORM THE FOLLOWING WORK:BATHROOM 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:
Ro1h:L3Rough: House# Foundation:
g Driveway Final:
Final: inal:
— Rough Frame:6,e 6.) 3-2 1 l 0
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 8.-I 3-2 t IC Q
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS //RULES AND REGULATIONST
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TIDY r, ? •:4.• ''' • •V
Certificate of '//''/ sit;na ,I
FeeTvpe: Date Paid: Amount:
Building 7/7/2021 0:00:00 $117.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck- Building Commissioner
I
131 MAPLE RIDGE RD EP-2022-0117
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot: 259 ELECTRICAL PERMIT
Permit: Electrical
Category: REPLACE BATHROOM EXHAUST FAN
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2022-000042
Est.Cost: Contractor: License:
Fee: $65.00 IAN T DURYEA ELECTRICIAN Journeyman Electrician 13109B
Owner: MCGRATH JOHN E & NANCY T
Applicant: IAN T DURYEA ELECTRICIAN
AT: 131 MAPLE RIDGE RD
Applicant Address Phone Insurance
120 MORGAN ST (413) 262-0142 C- Liability, MPT9085E
HOLYOKE MA01040-2016 ISSUED ON:8/9/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
REPLACE BATHROOM EXHAUST FAN
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final: f -/(-oZ I o M
SRE Called In:
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $65.00 8/9/2021 0:00:00 0811
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
C I .'4 1 q 6°1 4 2a°=
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
is
®�,t4. CITY am ton MA DATE 8/10/2021 PERMIT# I ' -2,0ZZ-007
JOBIREt DDRESS L1,31 Maple Rld e Rd OWNER'S NAME John Mcgrath
OWNER DRESS 131 Maple Ridge Rd TEL 413-584-5173 FAX
ITYRE ORS OCC rP_� CY TYPE COMMERCIAL .I EDUCATIONAL RESIDENTIAL I
PRINT
CLEARLY NE ifir4 RENOVATION: „' REPLACEMENT: PLANS SUBMITTED: YES El NOD
FIXTURES l LOOR— 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 ( -i
INTERCEPTOR(INTERIOR) - 6___.,
KITCHEN SINK
LAVATORY w-....1
ROOF DRAIN . - k ...-�.. . _
SHOWER STALL 1 PLUMBING &r AS SPECTOR
SERVICE/MOP SINK
NORTHAIIPTC�I .
TOILET 1 APPROVED NOT AP*-O Q
URINAL
WASHING MACHINE CONNECTION _ � ` G-
WATER HEATER ALL TYPES LL
WATER PIPING
OTHER
r
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 tr an a(Q 't- o the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in ianc wi is II •ertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBERS NAME John T.Geryk I LICENSE# 16079— IL 1 URE
MP JPLI CORPORATION #— PARTNERSHIP -1295560 LLC - #[�d�,
COMPANY NAME t John T.Geryk Plumbing&Heating,LLC ADDRESS!5 Crescent St
CITY Northampton ]STATE`---MA l ZIP ,01060 TEL 413-727 3057
FAX [ CELL 413-336-3893 I EMAIL John@lohntgerykplumbingcom
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