35-247 (6) 19 LADYSLIPPER LN BP-2018-0928
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 -247 CITY OF NORTHAMPTON
Lot: -001 PERSOivS CONI RACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO T tiE GUARANTY FUND (MGL e.142A)
Category: renovation DCALDING PERMIT
Permit# BP-2018-0928
Project# JS-2018-001695
Est.Cost: $111000.00
Fee: $721.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MIKE KRASNOV 102047
Lot Size(sq_ft.): 51836.40 Owner: REAGAN MICHAEL
Zoning: Applicant. MIKE KRASNOV
r'1 R 1 1
Applicant Address: Phone: Insurance:
32 MERWIN ST (413) 328-1778 WC
SPRINGFIELDMA01107 ISSUED ON:3/21/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPLACE ROOF, WINDOWS, REPAIR STAIR
DECKING AND INTERIOR RENOVATIONS
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: 1/-j � `� Rough:�J- 3�`' House# Foundation:
i
VP r Driveway Final:
1 `
Final: Final: Vz
l� $� ;W-4 Rough Frame� �
Gas: Fire Department Fiireplace/Chimney::
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULtT 0 S.
Certificat &0 cuanc signature: fU
Feer e: Date Paid: Amount:
Building 3/21/2018 0:00:00 $721.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
19 LADYSLIPPER LN EP-2018-0743
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 35
Lot:247 ELECTRICAL PERMIT
Pennit: Electrical
Category: KITCHEN RENO,CIRCUIT BREAKER&PANEL CHANGE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001695
Est.Cost: Contractor: License:
Fee: $65.00 FRANK WDOWIAK MASTER ELECTRICIAN 20409A
Owner: REAGAN MICHAEL
Applicant: FRANK WDOWIAK
AT: 19 LADYSLIPPER LN
Applicant Address Phone Insurance
938 BRIDGE RD UNIT 3 (774) 487-8787 C- Liability, ART 507048201
NORTHAMPTON MA01060 ISSUED ON:3/23/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO, CIRCUIT BREAKER & PANEL CHANGE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench[UG•
Special Instructions
x
Rough 7 3 0
x
Special Instructions:
G
Final: � _ � � (-
!5 ' / �►^�
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 3/23/2018 0:00:00 1011
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
0'�Uwc yt 4
ICIN MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PL G WORK
CITY , 2fG�CO MMA. DATE 7 / / / PERMIT#
JOBSITE ADDRESS ��7 �Ll��c�f� L OWNER'S NAME
POWNER ADDRESS TEL �9 l�7y FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL El EDUCATIONAL El RESIDENTIAL Ll'
PRINT NEW:❑ Imo
RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑
CLEARLY
FIXTURES Z FLOOR-* BSMT 1 2 3 4 5 6 7
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GAS/OIL/SAND SYS
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS
DEDICATED WATER RECYCLE SYS
DRINKING FOUNTAIN
DISHWASHER
FOOD DISPOSER
FLOOR/AREA DRAIN V IE
INTERCEPTOR(INTERIOR)
KITCHEN SINK /
LAVATORY APR 1 2 2018
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK Elodric,Plumbir'g 8 Gas Insoections
TOILET tJo tr,,n,o+on,MA 01060
URINAL -PLUMBING & GAS INSPECTOR
WASHING MACHINE CONNECTION NORTHAMPTON
WATER HEATER ALL TYPES APPROVED NOT APPROVED
WATER PIPING
OTHER rL0
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes tj--�No❑
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY M1__1" 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 BOX ONLY: OWNER ❑ AGENT ❑
Signature of Owner or Owner's 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 withallPertinent provision of the 1Massachusetts State Plumbing Code and
/Chapter 142 off theGeneralLaws.
PLUMBER NAME ! �� U�lIL `�- SIGNATURE
LIC# 3-2 MP❑ JP❑' CORPORATION ❑# PARTNERSHIP ❑# LLC ❑#
COMPANY NAME �1 � ADDRESS:
CITY (iv 1� STATE IVI ZIP 060CF] EMAIL
/ C
TEL f ( CELL FAX
ROUGH PLUMBING INSPECTION NOTES T1IIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
Of
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