38B-231 (2) 58 FORT ST BP-2019-1071
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B-231 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
Permit# BP-2019-1071
Proiect# JS-2019-001738
Est. Cost: $, 25.00
Fee: $380.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: HAYDENVILLE WOODWORKING & DESIGN INC
Lot Size(s9. ft.): 34325.28 Owner: MUZIO CHERYL&ANDREA FISKE C/O CHERYL A MUZIO
Zoning:_SC(56)/IjRB(44)/ A."nflc int- HA
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AT. 58 FORT ST
Applicant Address: Phone: Insurance:
P O BOX 1070 (413) 253-3229 Workers Compensation
AMHERSTMA01004 ISSUED ON:4/3/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-KITCHEN, BATH AND LAUNDRY ROOM 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:. 9 Rough:L/ GHouse# Foundation:
Driveway Final:
Final: Final:
Rough Frame::' r7-i5-►`� K Q
Gas: Fire Department Fireplace/Chimney:
Rough-7, InsuI tic-..:
6, t'.
Final: 1r/j//`j/, Smoke: Final: (j.e, B-15- 117 Y iO,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE ULATIONS.
Certificate of t Signature:
FeeType: Date Paid: Amount:
Building 4/3/2019 0:00:00 $380.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
S� 7'
58 FORT ST EP-2019-0732
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot: 231 ELECTRICAL PERMIT
Permit: Electrical
Category: KITCHEN,BATH AND LAUNDRY ROOM RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001738
Est.Cost: Contractor: License:
Fee: $65.00 EASTHAMPTON ELEC SERVICE INC MASTER ELECTRICIAN
20977
Owner: MUZIO CHERYL & ANDREA FISKE C/O CHERYL A. MUZIO
Applicant: EASTHAMPTON ELEC SERVICE INC
AT. 58 FORT ST
Applicant Address Phone Insurance
P.O. Box 789 (413) 527-2400 C- Liability, BKS57110161
EASTHAMPTON MA01027 ISSUED ON:4/26/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN, BATH AND LAUNDRY ROOM RENO
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X
Roush Y -a
X
Special Insstructioorns:
Final: 7'29—/y /W 9,��64nw. fir(-C,2- 7-31-/9 W'`
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
� f-
Electrical $65.00 4/26/2019 0:00:00 10337
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACH
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//SETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITY/TOWN v►�*�Aafi7 MA DATE `/ ` Z— y PERMIT#
JOBSITE ADDRESS i�/►'6 �� � OWNER'S NAME C�-k'�11 n v-2'1��
P OWNER ADDRESS TEL q, 3"�A.—'0915 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT ^�
CLEARLY NEW:ED RENOVATION:Lid REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 S 9 1 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND 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/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION A RO ED
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[/'RO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 9' 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 certify that all of the details and information I have submitted or entered regarding this application are true and accurate the bes Wedge
and that all plumbing work and installations performed under the permit issued for this application will be liance with all rti nt f the
Massachusetts State Plumbing Code and apter 142 of the General Laws.
J� �/ r
PLUMBER'S NAME RWC f 41 LICENSE# U�_ SIGNATURE
MP JP❑ CORPORATION ❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME TTt iP 1 U j � 4f,(V+)� ADDRESS
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CITY N40W -�A 14wA STATE YK 14 ZIP 0 l 3 S//► TEL
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FAXg1:y-SyW Sti O CELL �7 -x(13 -17�'� EMAIL 4ii, hf'"f7.g►��87L I•►, GOry
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY_ 1 h1/l ;" MA DATE C��f—G„�--' `1 PERMIT#
JOBSITE ADDRESS ��'- OWNER'S NAME C he/j'3� Ij v-j�D
GOWNER ADDRESS TEL We FAX
PPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL El RESIDENTIAL
CLEARLY NEW:❑ RENOVATION: E111— REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
APPLIANCES 7 FLOORS BSM 1 2 3 4 5 6 7 8 s 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR _
GRILLE
INFRARED HEATER -
LABORATORY COCKS
MAKEUP AIR UNIT Ilk
OVEN
POOL HEATER
ROOM/SPACE HEATER -
ROOF TOP UNIT ' r
TEST 19
UNIT HEATER I
UNVENTED ROOM HEATER
AP MOVED NU I APFJHUVED---
WATER HEATER
OTHER
r
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES FVO ❑
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY V 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 ❑ 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�my o e
and that all plumbing work and installations performed under the permit issued for this application will be in compliance ' II Pertinentprov io
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME [-s�'�+�`L ``'� ftLICENSE# 11�j�/ SIGNATURE
MPX MGF❑ JP r❑ f1 JJ{ y'GF❑ LPGI❑ CORPORATION❑# PARTNERSHIP E]# LLC❑#
COMPANY NAME �itJ I�I` j,z ��✓yn��s%.�14
���1.1 ADDRESS }� ��iti�tl L� S'ti�, sw✓1
CITY iVw �Gt /�� STATE /' n ZIP U TEL .[
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FAX 7 -5Ny`—S�c�v' CELL � ' -u+� ..- /'�y EMAILic,��u'f' iZi����'''�L'i �il
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