38B-095 (12) 20 MUNROE ST BP-2019-0336
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-095 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:ADD BATH BUILDING PERMIT
Permit# BP-2019-0336
Project# JS-2019-000546
Est. Cost: $40197.00
Fee: $260.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THOMAS MALONE 055236
Lot Size(sa. ft.): 12501.72 Owner. LAFORTE JACK T&NANCY J KNUDSEN
Zoning. URB(100)/ Applicant: THOMAS MALONE
AT. 20 MUNROE ST
Applicant Address: Phone: Insurance:
128 RYAN RD (413) 885-9038 WC
FLORENCEMA01062 ISSUED ON:12/21/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD BATHROOM ON 2ND FLOOR OF CARRAGE
HOUSE, NEW WINDOWS, FINISHES
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: 6/ZY/ Rough: 5-17- I 1 House# Foundation:
91 " Driveway Final:
Final:/Z/ I Final: ?-,2 /, /p
// // Rough Frame:Ok/ 5 Zg - )q we
GAP")
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ANDU IONS.
�-OHGL�ilou L
Certificate of Si nature:
FeeType: Date Paid: Amount:
Building 12/21/2018 0:00:00 $260.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
20 MUNROE ST EP-2019-0790
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot:095 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW BATH ON 2ND FLR OF CARRIAGE HOUSE/BARN
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000546
Est.Cost: Contractor: License:
Fee: $65.00 PACIOREK ELECTRIC INC Master 20318
Owner: LAFORTE JACK T & NANCY J KNUDSEN
Applicant. PACIOREK ELECTRIC INC
AT. 20 MUNROE ST
Applicant Address Phone Insurance
45 LINSEED RD (413) 247-0334 () C-(413) 563-7724
WEST HATFIELD MA01088-9998 ISSUED ON:5/16/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW BATH ON 2ND FLR OF CARRIAGE HOUSE/BARN
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Roush 20
X
Special Instructions:
Final: 9 -a 1` /y tz(%_1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 5/16/2019 0:00:00 7789
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
CUA C 4A(IU 3-7 o, o )
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITYMA DATE PERMIT#
! JOBSITE ADDRESS OWNER'S NAME'
L
Pj OWNER ADDRESS ��.rv,Q, TEL FAX
TYPE OR j OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: _ RENOVATION: ' REPLACEMENT: PLANS SUBMITTED: YES 7 NO
FIXTURES Z FLOOR BSM ? 2 3 4 5 6 7 8 9 10 , tt 12 13 14
BATHTUB
CROSS CONNECTION DEVICE -
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASlOIUSANDSYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM — -
DEDICATED WATER RECYCLE SYSTEM i -DISHWASHER
DRINKINGDRINKING FOUNTAIN
FOOD DISPOSER —
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) - -- -- —
KITCHEN SINK
LAVATORY lects Ptum n & s Ins ionto.. �—
ROOF DRAIN -
SHOWER STALL 1
SERVICE/MOP SINK a ;I
TOILET -
URINAL
WASHING MACHINE CONNECTION -
WATER HEATER ALL TYPES OR144A °
WATER PIPING
OTHER
t
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NC
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW Y
LIABILITY INSURANCE POLICY R. OTHER TYPE OF INDEMNITY _ BOND_
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not hove 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
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 with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME1 .40LICENSE# SIGNATURE
MP JP;_ CORPORATIONS; iPARTNERSHIP #-- LLC #:
COMPANY NAME !ADDRESS a c� l f' rJ
CITY> STATE ZIP
>
C _ toG� _ TEL
FAX , 5-t-7-0 -QCELL - 1 EMAIL