31A-096 (5) 57 VERNON S7'
BP-2017-0673
GIS#: COMMONWEALTH OF MASSACHUSETTS
Lot:-0011 31 A-096 CITY OF NORTHAMPTON
Lot: -0PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv: KITCHEN RENO BUILDING PERMIT
Permit# BP-2017-0673
Proiect# JS-2017-001101
Est.Cost: $21000.00
Fee: $136.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: NICHOLAS JONES 066878
Lot Size(sq. ft.): 29620 80 Owner: Pamela Lawrence
Zoning:URB(100)/WP(4.88i' A licant:_NICHOLAS JONES
AT: 57 VERNON ST
Applicant Address• Phone:
P O BOX 515 Insurance:
413 665-7927
WHATELYMA01093 ISSUED ON.1111612016 0:00:00
TO PERFORM THE FOLLOWING WORK.-KITCHEN RENO - NEW CABINETS, KITCHEN
FLOOR, NEW PANTRY
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service: Meter:
RFootings:
Rough:g Rough-// House# Foundation:
J2�� Driveway Final:
Final://i J/ Final:
7 �
Rouh Frame:
Gas: Fire Department Fireplace/Chimney:
Insulation:
Final: 14 Smoke 2g L-7 Lk
Final: 01C8
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc I't 11U 0:_nature:
FeeT-ype: Date Paid• Amount
Building 11/16/20160:00:00 $136.50
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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57 VERNON ST EP-2017-0477
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31 A
Lot:096 ELECTRICAL PERMIT
Permit: Electrical
Category: REMODEL KITCHEN AREA
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001101
Est.Cost: Contractor: License:
Fee: $125.00 ERMAN ELECTRICAL CONTRACTORS Electrician 12053A
Owner: Pamela Lawrence
Applicant: ERMAN ELECTRICAL CONTRACTORS
AT. 57 VERNON ST
Applicant Address Phone Insurance
18 WEST STREET (413) 665-2930 C-(413) 695-5651 Liability, BKS56838353
SOUTH DEERFIELD MA01373 ISSUED ON.1112812016 0:00:00
TO PERFORM THE FOLLOWING WORK:
REMODEL KITCHEN AREA
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
x
Special Instructions: !�
Final: ?" 7yc
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 11/28/2016 0:00:00 5876
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
cig L 1655
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY c� 11� Q . MA DATE PERMIT#
JOBSITE ADDRESS
f }� � OWNER'S NAME
OWNER ADDRESS L_ s� 1�` r _ _ TELFAX _
TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL E] RESIDENTIAL
PRINT
CLEARLY NEW:n RENOVATION:1j REPLACEMENT. PLANS SUBMITTED: YES Ll NO
FIXTURES I FLOOR- BSM 1 2 3 4 fi67 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE -
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM m
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM -
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR N,.rtt
KITCHEN SINK _
LAVATORY
ROOF DRAIN
E
SHOWER STALL j
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
CIRCLE 1:GAS TRAP/LNDRY TRY
BACKFLOW PREV/WATER CLOSET
HOT WATER TANK
INSURANCE COVERAGE: _
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142, YES N0 „]
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY t__.1 BOND EJ
OWNER'S INSURANCE WAIVER:I an///,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 a9curo to the best of my Kbedge
and that all plumbing work and Installations performed under the permit issued for this application will bai Banca itf i Pa ' et p ovisi o a
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LICENSE# S ATURE
MP[� JP CORPORATION#[: �PARTNERSHIPD#�_ LLCEl#r
COMPANY NAME, 4 � c��C`si 1 ADDRESS
CITYSTATE ZIP C _. TEL
FAX CELL v,� EMAIL
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PER ORM GAS FITTING WORK
CITY MA DATE i'4�1 \-�'- PERMIT#
JOBSITE ADDRESS �J� \Ie� OWNER'S NAME
GOWNER ADDRESS TEL��`� 0�—���. FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NOK
APPLIANCES Z FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKSFf
- r�
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER No,t,WTV6r.N�lA 01 60
UNVENTED ROOM HEATER
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 El AGENT F-1SIGNATURE 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 cawliance with in provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME :,— �j LICENSE#-3\ SIG TURE
MP❑ MGF❑ JP\9
JGF❑ LPG[E:1 CORPORATION❑# PARTNERSHIP E]# LLC[:1#
COMPANY NAME ,,\\ P� �i,C�� ADDRESS
CITY L� STATE_ ZIP CL\C:S: TEL(\-w�)
FAX CELLEMAIL
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