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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 YI)FM/II i . ._��_ 1ZI% 1G « uc�IyN ilVc, 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 ��U //SETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK /L 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 —� CITY N40W -�A 14wA STATE YK 14 ZIP 0 l 3 S//► TEL S nny /��/''� FAXg1:y-SyW Sti O CELL �7 -x(13 -17�'� EMAIL 4ii, hf'"f7.g►��87L I•►, GOry � � '/��� ���£� C./ 06 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 .[ r FAX 7 -5Ny`—S�c�v' CELL � ' -u+� ..- /'�y EMAILic,��u'f' iZi����'''�L'i �il N�- -11-2Z �-