38B-186 (3) 202 SOUTH ST BP-2016-0094
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B- 186 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2016-0094
Project JS-2016-000167
Est.Cost: $68000.00
Fee:$442.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DAVID ANDREW POWELL 156125
Lot Size(scLft.): 20386.08 Owner: CUMMINGS JAMES J
Zoning:URB(1001! Applicant: CIUMMINGS JAMES J
AT: 202 SOUTH ST
Applicant Address: Phone: Insurance:
202 SOUTH ST WC
NO RT HAM PTO N MA01060 ISSUED ON:7/28/201 S 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE KITCHEN, MSTR BEDROOM &
CONVERT SCREEN PORCH TO MUDROOM
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:
F
Rough: O� S"" Rough:C.' �, -f Sr- House# Foundation:
nn Driveway Final:
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Final:/..-2// ///r- Cl�
/ Final: l ,
uRough Frame:
/ 1(e< 0 9 '02e Ac -
Gas: Fire Department FireplacelChimney:
Rough: Oii: Insulation:( /A —/1
Final: Smoke: Final: Ofavteek,i44,Watasui q
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. y LnA,41C
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 7/28/2015 0:00:00 $442.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
er-"Liast # L-14
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
1 ='- ,
_.- I i., -0
--A CITY Northampton MA DATE 81212015 PERMIT# '63-"P— `l6'
LL".• JOBSITE ADDRESS 202 South St. tOWNER'S NAME Jim Cummings
Ili 1 OWNER ADDRESS 202 South St. TEL 646-831-6903 FAXT
'�TYP Q
OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
cc � PINT
CLE tv Y" NEW: RENOVATION:' ' REPLACEMENT: PLANS SUBMITTED: YES - NO
• APPLIANCES: FLOORS BSM 1 1
2 3 4 5 6 7 8 9 'Q 11 12 13 '4
BOILER
BOOSTER
CONVERSION BURl�ER
COOK STOVE � - Gci 4Jwt' I
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
•
GRILLE • i
INFRARED HEATER
LABORATORY COCKS j ;
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/SPACE HEATER as INSPECTOR
ROOF TOP UNIT PLU_tiiD�IN�G�w G
TEST _HpMPTG�V
UNIT HEATER 1. NOT APPROVE
UNVENTED ROOM HEATER 7r�
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 with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME John T.Geryk LICENSE# 16079 SIGNATURE
MP .• MGF JP JGF LPG'Li CORPORATION # PARTNERSHIP LI# 1 LLC #L__ �
COMPANY NAME: John T.Geryk Plumbing&Heating 3 ADDRESS 20 Jackson First Floor
CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057
FAX /CELLI 413-336-3893 EMAIL john@johntgerykplumbing.com i
F76/6--- y'r
CICS` q aI fk cl,D
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
ii�m' QP- iU Co
",'; �� CITY Northampton MA DATE 18/212015 PERMIT#
JOBSITE ADDRESS 202 South St. I OWNER'S NAME Jim Cummings j
P OWNER ADDRESS 1202 South St. -
TEL 646-831-6903 - FAX
Iiii�
TYPE OR OCCUPANCY TYPE COMMERCIAL L,..-,_ EDUCATIONAL L RESIDENTIAL i
I PRINT
CLEARLY NEW:Li RENOVATION:; REPLACEMENT:7 PLANS SUBMITTED: YES; NOD
FIX I UKtS 1 FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB r_ -----r- y 1 t,—
CROSS CONNECTION DEVICE --1 - ' _ --_
DEDICATED SPECIAL WASTE SYSTEM _
DEDICATED GAS/01USAND SYSTEM -F__-_ I_ '1
DEDICATED GREASE SYSTEM . i
_ .
DEDICATED GRAY WATER SYSTEM i'
DEDICATED WATER RECYCLE SYSTEM T T_ --_ 1.
DISHWASHER 1
DRINKING FOUNTAIN L ,
FOOD DISPOSER '-- — _,____ ---
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) __
KITCHEN SINK ,
LAVATORY ;__ �} TOR
�_ -
ROOF DRAIN I -�
T9N __.
SHOWER STALL ,I
SERVICE
? PROUF 4OT APPROVEt7
SERVICE/MOP SINK i �' ;! SIM
TOILET _-- �_._ I._.....--
Eli
t .- —
URINAL --`
WASHING MACHINE CONNECTION ---'` 11111_
WATER HEATER ALL TYPES
WATER PIPING _.1i .4,
OTHER ( ,
r ter.
t
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES i NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY LE OTHER TYPE OF INDEMNITY L i 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 Ell
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 with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
-- ---------------- ---
PLUMBERS NAME John T.Geryk LICENSE# 16079 - SIGNATURE
MP`EI JPLJ CORPORATION # PARTNERSHIPQ# ]LLC,,J# f
COMPANY NAME John T.Geryk Plumbing&Heati I ADDRESS 1 20 Jackson St.First Floor
CITY�orthampton I STATE MA I ZIP .01060 I TEL 413-727-3057
•
FAX I CELL 1413-336-3893 EMAIL john@johntgerykplumbing.com
11/4k R4,4,41
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202 SOUTH ST EP-2016-0107
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 386
Lot: 186 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN, MUDROOM&BEDROOM ABOVE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-000167
Est.Cost: Contractor: License:
Fee: $125.00 BRADFORD OSGOOD ELECTRICAL SERVICES Journeyman
Electrician 11878 B
Owner: CUMMINGS JAMES J
Applicant: BRADFORD OSGOOD ELECTRICAL SERVICES
A T: 202 SOUTH ST
Applicant Address Phone Insurance
12 MCKINLEY AVE (413) 320-8185 C- Liability, MPF7952E
EASTHAMPTON MA01027 ISSUED ON:8/12/2015 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN, MUDROOM & BEDROOM ABOVE
Call In Date: Date Requested Inspection Date/SignOIT: Reinspect?:
Trench/UG:
Special Instructions
x
Rau2h ce ,?0'!C Re"n
x
Special Instructions:
Final: 3 - H - IGL. rel
SRH Called In;
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 8/12/2015 0:00:00 90
212 Main Street, Phone(413)587-1244, Fax(413)587-1272-Inspector of Wires -Roger Malo