38B-002 (33) 21 PAQUE 1 FE AVE BP-2017-0585
`its#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B-002 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: INTERIOR DEMOLITION BUILDING PERMIT
Permit# BP-2017-0585
Project# JS-2017-000948
Est. Cost:$42000.00
Fee:$273.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DAVID JAGODZINSKI 106068
Lot Size(sq ft.): 95962.68 Owner: DEAN MARK S& ELLEN CADY
Zoning: URC(100)/WP114Z Applicant: DAVID JAGODZINSKI
AT: 21 PAQUETTE AVE
Applicant Address: Phone: Insurance:
P O BOX 204 (413) 230-9160 WC
NORTH HATFIELDMA01066 ISSUED ON:11/1/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE ALL EXISTING INTERIOR WALLS,
RECONFIGURE & NEW FINISHES
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:,2//,717 Rough: House# Foundation:
Driveway Final:
Final: / • 7 Final:1J'9- 17-
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Gas: Fire Department Fireplace/Chimney:
Rough: Oil: insulation:
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Final: Smokeye7S Final: it is/../-7 0
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111
THIS PERMIT MAY BE REVOKED BY THECIT I F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU T .4„
Certificate of Occupancy 7
.&,- ,v.ignature: « f, L=.J wJt,°�
FeeTvpe: Da Paid: Amount:
Building 111/2016 0:00:00 $273.00
- - 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
21 PAQUETTE AVE EP-2017-0689
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot: 002 ELECTRICAL PERMIT
Perms: Electrical
Category: WIRE APARTMENT RENOVATION
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000948
Est.Cost: Contractor: License:
Fee: $125.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner: DEAN MARK S & ELLEN CADY
Applicant: STEVEN KEYES
AT: 21 PAQUETTE AVE
Applicant Address Phone Insurance
3B STATE RD (413) 422-1220 0 C-(413) 695-4968 Liability, R1216217A
SOUTH DEERFIELD MA01373 ISSUED ON:2/10/20170:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE APARTMENT RENOVATION
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UC:
Special Instructions
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Rough a ' /Z - / 7 Oh
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Special Instructions: q
Final: t/� /q- /7 07Th
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 2/10/2017 0:00:00 4290
212 Main Street,Phone(413)587-1244,Fax(413)587-1272- Inspector of Wires -Roger Malo
,i . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY A)0C-1-hompt)0 ... 1 MA DATEr11111/Tin PERM #__132-1_,-n11-1S-1 I,
JOBSITE ADDRESS ,ej/ j-t:10.1L{c 11 i c r-F1111-11 OWNER'S NAME • 5 (, v - c t, R
OWNER ADDRESS ] ('O BcYc I TEL y133O //(PO FAX�1✓
TYPE OR OCCUPANCY TYPE COMMERCIAL.Li EDUCATIONAL V RESIDENTIALX
PRINT �
CLEARLY NEW Li RENOVATION Z11 REPLACEMENT.Irv; PLANS SUBMITTED: YES NOILI
FIXTURES? FLOOR I ESM 1 2 fl 4 5 6 7 g 9 10 14
BATHTUB ......— an. IS �.�....
CROSS CONNECTION DEVICE __ ir '
DEDICATED SPECIAL WASTE SYSTEM IM1111111111.1111S'i I �T—
DEDICATEDGASIONSANDSYSTEM ^"r— Yi4
DEDICATED GREASE SYSTEM alai
DEDICATED GRAY WATER SYSTEM s
DEDICATED WATER RECYCLE SYSTEM misy TM _ I
DISHWASHER � I,�®� -
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DRINKING FOUNTAIN . S l 'r l� _I�A
FOOD DISPOSER -_ � r L. , g
FLOOR/AREA DRAIN Isinemmumwmixim
INTERCEPTOR INTERIOR n ?,
KITCHEN SINK1111.11114.111111111. l� " 1
LAVATORY �' '�Ma ' �—
ROOFDRAIN "r ,1thee, , _ ��..�
SHOWER STALL.
SERVICE I MOP SINK �. I .' - �..MI I��_ r -.__II� . ..
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WATER PEANGRALL TYPES i _
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES D6 NO Li
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABIU IY INSURANCE POLICY 2 OTHER TYPE OF INDEMNITY ❑ BOND 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not Iltay 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 certity 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 .:.-r+
r { � (LICENSE#j}u ga / SIGNATURE
MP'4 JP CORPORATION( -#i 113...3/7iPARTNERSHIP❑#i ILLC❑# 7
COMPANY NAME( 04ng81( O \ c. -1111.........—ADDRESS 5 Lop �0/// p, �4
CITY /L,rial'�A-u4111 STATE',1,11,,,e4,_ IZIP C111 POO TELZ4 �,-�
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