29-177 (5) 191 BROOKSIDE CIR BP-2019-0167
GIs#: COMMON' `,ALTH OF MASSACHUSETTS
Map:Block:29- 177 C `3'F' OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING `KITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO -1-HE GUARANTY FUND (MGL c.142A)
Category:renovation UILDING PERMIT
Permit# BP-2019-0167
Project# JS-2019-000283
Est. Cost: $17300.00
Fee: $116.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KEVIN WERNER 085114
Lot Size(sq. ft.): 16901.28 Owner: JONES DALE
Zoning: Applicant: KEVIN WERNER
t n L!nnnI.{Cir'% r
Applicant Address: Phere: Insurance:
197 PARMENTER RD (413) 834-0488 WC
BERNARDSTONMA01137 ISSUED ON.8/17/2018 0:00:00
TO PERFORM THE FOLLOWING fWORL':ADD A BATH AND 3/4 BATH, RE-DO KITCHEN
ADD BEDROOM IN BASEEMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector ofPlumbingInspector of Wiring D.P.W. Building Inspector
Unje fls Service: Meter:
Footings:
Rougi�:�/b�.� Rough: _ (� House+: Foundation:
Driveway e'im.k
Final: , Final: j (�'2
7, /9 , �l 7: 9 Routs Frame: j�
G! 7 /v c) -:7- (cg02 'Flat k0 cue-@
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: Qlz 8-13-Iq'ef?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ANDULATIONS.
aHPL&Tiau
Certificate of Si nature:
FeeTvpe: Dade Paid: Amount:
Building 8/17/2018 0:00:00 $116.00
212 Mau:Street,Phone(413)_587-1240, Fax: (413)'87-1272
Louis HasbrouA—Building Ccc:missioner
74
- ---------- ------ -----
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBINOWORK
` x CITY Go t1� �� MA DATE — I Z- PERMIT#
JOBSITEADDRESS pct k_��L<<�' ; OWNER'S NAME
POWNER ADDRESS V TEL E _
TYPE OR OCCUPANCY TYPE COM ERCIAL EDUCATIONAL ❑ C 100 4SIDENTIALIV
PRINT .
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES r` NO
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 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 G
DISHWASHER --
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET y
URINAL
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 OTHER TYPE OF INDEMNITY L BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachuse Ge eral Law�,and th m signature on this permit application waives this requirement. /
U/,(lam/ CHECK ONE ONLY: OWNER J AGENT J
SIGNATURE OF 9YER OR AGENT
I hereby certify that all of the detailstafid information I have submitted or entered regarding this application are true nd accurat to th best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will in pli ce ith all rtin provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. j
PLUMBER'S NA L. ;�;) � LICENSE# SIGNA R
MP JP CORPORATIONS# PARTNERSHIP❑#F LLC❑#
COMPANY NAME ADDRESS f_e_-
CITYF o„J STATE® ZIP 10( TEL I 4ff Q Lf, q U
FAX CELLI EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yea No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT N
PLAN REVIEW NOTES
/ 9 -t
1 !d vL
_141
391 BROOKSIDE CIR EP-2019-0379
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 29
Lot: 258 ELECTRICAL PERMIT
Permit: Electrical
Category: SERVICE UPGRADE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001012
Est.Cost: Contractor: License:
Fee: $60.00 MARNEY ELECTRICAL SERVICES Master 17123A
Owner: POOLE LINDA J
Applicant. MARNEY ELECTRICAL SERVICES
AT. 391 BROOKSIDE CIR
Applicant Address Phone Insurance
175 MAIN ST (413) 584-0737 C-(413) 535-8905 Liability, BKS55761053
LEEDS MA01053 ISSUED ON:11/20/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
SERVICE UPGRADE
Call In Date: Date Requested Inspection Date/SivnOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roueh
X
Special Instructions:
Final:
SRE Called In: 27462595 0, L
Sisnature:
Fee Type:: Amount: DatePaid
Electrical $60.00 11/20/2018 0:00:00 9367
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
191 BROOKSIDE CIR EP-2019-0287
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 29
Lot: 177 ELECTRICAL PERMIT
Permit: Electrical
Category: FULL HOUSE CLEAN-UP,RE-WIRE BASEMENT ETC
Permit# Electrical
PERMISSION IS HEREBY GRAN ED TO:
Project# JS-2019-000283
Est.Cost: Contractor: License:
Fee: $125.00 ADAMS ELECTRIC MAST ELECTRICIAN 15246A
Owner: JONES DALE
Applicant: ADAMS ELECTRIC
AT. 191 BROOKSIDE CIR
Applicant Address Phone Insurance
PO Box 2775 (413) 367-9278 () C-(41 -7017 Liability, BOP2740694
AMHERST MA01004-2775 ISSUED ON:10/19/2018 0:00:
TO PERFORM THE FOLLOWING WORK:
FULL HOUSE CLEAN-UP, RE-WIRE BASEMEnat
C
Call In Date: Date Requested Inspection SinOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough ,'C> 1-IS a
X
Special Instructions:
Final:
SRE Called In:
Shmature•
Fee Type:: Amount: DatePaid
Electrical $125.00 10/19/2018 0:00:00 25371287088
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
City of Northampton Mail- 191 Brookside Circle https:Hmail.google.com/mail/u/0?ik=953d3f3e7a&view=pt&search...
City Of(►� r �N Meghan Cahill <mcahill@northamptonma.gov>
rf
191 Brookside Circle
1 message
Dale J. <partycake27@hotmail.com> Mon, Apr 29, 2019 at 3:21 PM
To: "mcahill@northamptonma.gov" <mcahill@northamptonma.gov>
Hello. This Dale Jones the owner of 191 Brookside Circle in Florence. Permit number BP-2019-0167. Please
remove Richard Adams as my electrician. A new permit has been applied for with my new electrician. Thank
you.
413-335-2320 if you have questions. Dale Jones.
Sent from my iPhone
1 of 1 4/29/2019, 3:21 PM