38B-274 (3) 11 REVELL AVE BP-2019-1312
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B-274 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Bath reno BUILDING PERMIT
Permit# BP-2019-1312
Project# JS-2019-002120
Est.Cost: $24976,00
Fee: $163.00 PERMISSION IS HEREB Y GRANTED TO:
Cons j. CI s: Contractor: License:
Use Group: HOME DEPOT AT HOME SERVICES 101342
Lot Size(sq. ft.): 6838.92 Owner: COOK ALLISON A
Zoning:URB(100`/ Applicant: HOME DEPOT AT HOME SERVICES
AT. 11 REVELL AVE
Applicant Address: Phone: Insurance:
5 RIVERVIEW DR (401)935-2633 O Workers Compensation
NORTH PROVIDENCER102904 ISSUED ON.5/21/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-BATH RENO
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: /� Rough:U-_Ir'./�/ House# Foundation:
n Driveway Final:
Final: Final: (��j`
?As �� Rough Frame: to -IG
Gas. Fire Degartment Fireplace/Chimney:
Rough: il: Insulation:0 Kz—//-- ( CA-L
Final: Smoke: Final: 6,V. 7-- 25-i q kl1?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RUGUL IONS.
L�nA-a�ou
Certificate of Qgqi Si nature:
FeeType: Date Paid: Amount:
Building 5/21/2019 0:00:00 $163.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
11 REVELL AVE EP-2019-0778
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot: 274 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE IST FLOOR BATH REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001300
Est.Cost: Contractor: License:
Fee: $90.00 SEAN MURPHY ELECTRIC Electrician 30961 E
Owner: COOK ALLISON A
Applicant. SEAN MURPHY ELECTRIC
AT. 11 REVELL AVE
Applicant Address Phone Insurance
67 SHAW RD (413) 648-9920 () C-(413) 522-6151 Liability, MPP4898A
BERNARDSTON MA01337 ISSUED ON:5/14/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE IST FLOOR BATH REMODEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough A10 - 11 N 6-t dv�, ��/ ��`c��1 S\,J U�L AIP&J, 4. om uJJ
X
Special Instructions:
e
Final: -7'/?—/1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $90.00 5/14/2019 0:00:00 1096
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
$E0 OD
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
l
CITY MA DATE % -S PERMIT#
JOBSITE ADDRESS I zz ((�—�U� OWNER'S NAME / -o r
POWNER ADDRESSLa)r (n i TELF FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL D4
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES® NO[]
FIXTURES-1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB . - —
CROSS
DEVICE
NNECTIO
DEDICATEOD SPECIAALIWASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
u _
DEDICATED GREASE SYSTEM
_ ,DEDICATED GRAY WATER SYSTEM
-'
DEDICATED(MATER RECYCLE SYSTEM �� � ��`-
DRINKIN :IF NTAIN
W FOOD DI ER
FLOOR/ DRAIN
W INTERC (INTERIOR) --
KITCHE SIS
iW LAVATO
� ROOF D§0
..
SHOWE T LL -
SERVICE I MOP SINK
URINAL _ --
WASHING MACHINE CONNECTION _
WATER HEATER ALL TYPES
WATER PIPING --.-....-. — _ r
i
OTHER-F— _`T
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY- OTHER TYPE OF INDEMNITY BOND 0
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 [DAGENT
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 compli with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME n LICENSE# SIGNATURE
mpg JP 0 CORPORATION Q# PARTNERSHIP # �=LLC #
COMPANY NAME ADDRESS
CITY Ry r-r L 1 STATE ZIPQld 2 TEL
FAX I CELL --� EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
w _ Yes No
THIS APPLICATION SERVESIS_T,ERMIT ❑ ❑
FEE: $ ORMIt-#
PLAN R TES
JIF
zS
IAI
� l /V,)
-CN- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TOPERFORMPPEERFORM PLUMBINGWORK
k1riit 0
CITY❑�— �/ —� MA DATE ` �PERMIT#
JOBSITE ADDRESS OWNER'S NAMEJ jf111Sr i
P OWNER ADDRESS TEL FAX 0
TYPE OR OCCUPANCY TYPE COMMERCIAL ] EDUCATIONAL ❑ RESIDENTIAL '
PRINT
CLEARLY NEW: ❑ RENOVATION:I-] REPLACEMENT:JV PLANS SUBMITTED: YES❑ N�
FIXTURES Z FLOOR- BSM 1 1 2 3 4 5 6 7 8 9 10 1 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OlUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM _ _
DEDICATED WATER RECYCLE SYSTEM _
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE I MOP SINK _
TOILET /
URINAL In o
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES _
WATER PIPING _
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES '' NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 'T OTHER TYPE OF INDEMNITY LJi 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 compli ith all P isi f the
Massachusetts State Plumbing Code and C.haappter 142 of the General Laws.
PLUMBER'S NAME �ooie�,�d _ LICENSE# O ' 'SIGNATURE
MPDO JP L1 CORPORATION❑#PARTNERSH7IP—❑#� LLC
COMPANY NAME ADDRESS
CITY ISTATEFoov I ZIP I ®/ /-� TEL 'y/3.- .3(j 7-aeI7
FAX CELL AIL t �n/f,�d/��o,�„r i.,••9 G- /�cAR/�� �ow� _
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