02-021 (7) 671 NORTH FARMS RD BP-2018-0548
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Blmk:02-021 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
Peron BP-2018-0548
Proiem# JS-2018-000984
Est.CosC S27500.0
Fee: $175.0 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group- AARON PUNSKA 105542
Lot Size( p ft.)- 174240 00 Owner: GOGGINS DENISE M
.zoning: WSP(lo5)lRa(100)/SR(U Aoplicant: AARON PUNSKA
AT: 671 NORTH FARMS RD
Applicant Address: Phone: Insurance:
111 KINGS HIGHWAY 413 626-6033
WESTHAMPTONMA01027 ISSUED ON.1"2120170:00.00
TO PERFORM THE FOLLOWING WORK.KITCHEN & LIVING ROOM RENOVATION
POST THIS CARD SO ITIS VISIBLE FROM THE STREET
Iospec[or of Plumbing Inspector o[Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: �� /7 _Rough: House Foundation:
J / ter Driveway Final:
Final:� � Final: 7_ /(/ /
Rough Frame:
Gas: Fire Department FireplacelChimney:
Rough�T' il:
Insulation:
Final: � � Smoke: Fina1:0('t. � Z1271/�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATION
Certificate of Occupancy/ s' to f2
FeeType: Date Paid' Amount.•
Building 1122/20170:00:00 $175.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT I U PERFORM PLUMBING WORK
CITY Or Y.✓� MA DATE, / !`/ PERMIT# J -d
JOBSITE ADDRESS j, d OWNER'S NAME ��
P OWNERADDRESS j'— , L LZ /h FI I TELFAX
r
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ REUDENTIAL(,R
PRINT PLANS SUBMITTED: YES[j NO❑
CLEARLY NEW:❑ RENOVATION:® REPLACEMENT:F1
FIXTURES I FLOOR- 18SMI 1 2 1 3 1 d 1 5 1 S 7 8 9 70 11 12 13 14
BATHTUB
CROSSCONNECTION DEVICE - -
DEDICATED SPECIAL WASTE SYSTEM _ l -
DEDICATED GASIOIUSANOSYSTEM -- --
DEDICATED GREASESYSTEM --. -- ---
DEDICATED GRAY WATER
DEDICATED WATER RECYCLE SYSTEM I — -- -- -
DISHWASHERDRINKING FOUNTAIN ---- _ -
- --- -'�-- --
FOODDISPOSER
FLOOR I AREA DRAIN
INTERCEPTOR INTERIOR -
---
KITCHENSINK - - ---
LAVATORY
ROOF DRAIN _--
SHOWERSTALL — --
SERVICE I MOP SINK —
TOILET
URINAL _ r
WASHING MACHINE CONNECTION L
WATERHEATERALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
Itianneacunhantilabilityinsumnce policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES ' NOLD
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABIUTY 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 cerafy,mat all of the details and i normanion I haw:submiaed or entered regarding this applinaon ere Mae aM accurate to IM1e best of my knowledge
and Nat all plumbing work and installations performed under the permit Issued for this appllcetion will No in compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Fa k�`�'�`�� 0-
PLUMBER'S NAME � LICENSE# (,j �C IGIJATURE
MPI] JP❑ CORPORATION❑#PARTNERSHIP❑# LLC❑#�
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COMPANY NAME--1 4 ADDRESS G. .—�1c
CITY (p (T�fY (STATE® ZIP Q/G „ TEL
FAX CELL EMAIL --....�
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY DCnecs i MA DATE i i;' ti,� ; IPERMIT#
JOBSITE ADDRESS Cal/ A-G rA e ��v._. OWNER'SNAME .
GOWNERADDRESS r CC wgY TEL _ FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL❑ EDUCATIONA_ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION:10 REPLACEMENT. PLANS SUBMITTED: YES NO
APPLIANCES I FLOORS— a ' e �.� r 1 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR _
FURNACE
GENERATOR
GRILLE i
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM f SPACE HEATER _
ROOF TOP UNIT
TEST
UNIT HEATER -- -- -
UNVENTED ROOM HEATER
WATER HEATER
OTHER._.
._... .. INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalenlwhich 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 ii BOND L7
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 :3 AGENT El
SIGNATURE OF OWNER OR AGENT
I hereby,certify that all of the details and information I have submi ted or entered regarding this application are hue and accurate N 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. -
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PLUMBER-GASFITTER NAME 15 n,n�LICENSE# US-N' SIGNATURE
MP Ey MGF❑ JP❑ JGF❑ LPGI❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#=
COMPANY NAME( /'f P/u ,L;„o < ;mss ADDRESS
CITY OrYwtt STATE ZIP O/0 TEL y(3 S3b� G£r
FAX CELLEMAIL '
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671 NORTH FARMS RD EP-2018-0460
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 02
Lot:021 ELECTRICAL PERMIT
Perm t: Electrical
Category: WIRE KITCHEN RENO
Pcrmit m Electrical
PERMISSION IS HEREBY GRANTED TO:
Project 4 JS-2018-000984
Est,Cost: Contractor: License:
Fee: $65.00 JAMES MAILLOUX ELECTRIC Master At 6187
Owner: GOGGINS DENISE M
Applicant: JAMES MAILLOUX ELECTRIC
AT: 671 NORTH FARMS RD
Applicant Address Phone Insurance
221 PINE ST SUITE 160 (413) 585-1592 C-(413) 563-4654 Liability, MPT0721Q
FLORENCE MA01062 ISSUED ON.-12115120170:00;00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN RENO
Call la Date Date Requested I ti DWS' Ott' R ' t"'
TrenchfUG:
Special Instructions
x
Routh Irk'/8- 11 �
x
Special lnstructionrs:
Final:
SRE Called In:
Sisnature:
Fee Type:: Amount: DmaPaid
Electrical $65.00 12/15/2017 0:00:00 11844
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of W fres -Roger Malo