24C-048 (4) 21 WOODLAWN AVE BP-2019-1318
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C-048 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2019-1318
Project# JS-2019-002127
Est. Cost: $200000.00
Fee: $1300.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sq. ft.): 35893.44 Owner: ROTH KATZ MATTHEW&ESTHER
Zoning: URA(100)/ Applicant: KEITER BUILDERS
AT. 21 WOODLAWN AVE
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON:5/24/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-KITCHEN REMODEL,NEW DORMER,NEW ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
G Footings:
Rough: Rough: 02 / House# Foundation:
`�,� � P � Driveway Final:
Final: J f � Final: ��� v Iq
Rough Frame: d )z �-Z5"lp 1 x,4
Gas: ire Department Fireplace/Chimney:
Rough:�/ �� Oil: Insulation:
Final: Smoke: Final:
THIS PERMI MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND GULATIONS. r`
CONQLri 10�'
Certificate of A/Z Si nature:
FeeType: Date Paid: Amount:
Building 5/24/2019 0:00:00 $1300.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
21 WOODLAWN AVE EP-2019-0869
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24C
Lot: 048 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE KITCHEN,BASEMENT&BATHROOM,ADD NEW OUTLETS AND LIGHTING
Permit# Electrical
PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2019-002127
Est.Cost: Contractor: License:
Fee: $125.00 TOWER ELECTRIC Master Al 8067
Owner: ROTH KATZ MATTHEW & ESTHER
Applicant: TOWER ELECTRIC
AT. 21 WOODLAWN AVE
Applicant Address Phone Insurance
578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability,
BKS1656776093
FEEDING HILLS MA01030 ISSUED ON:6/18/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.•
REWIRE KITCHEN, BASEMENT& BATHROOM, ADD NEW OUTLETS AND LIGHTING
Call In Date: Date Requested Inspection Date/SiznOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough &,( - 1 w M'I �-O
x
Special Instructions: p
Final: 7'.3a
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 6/18/2019 0:00:00 6136
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
ektr,L /951rvo(A' L P?5? 1
Q. MASSACHUSETTS UNIFORM APPLICATION FOR A-PERMIT TO PERFORM PLUMBING WORK
CITY Northampton MA DATE 5!21/19 PERMIT#
JOBSITE ADDRESS 21 Woodl Ave I OWNER'S NAME;Mattfiew Roth-Kratz
POWNER ADDRESS same TELC845-518-6015 'FAX�y �
TYPE OR OCCUPANCY TYPE COMMERCIAL! EDUCATIONAL RESIDE=NTIAL
PRINT
CLEARLY NEW:i I RENOVATION:Ljl REPLACEMENT:I I PLANS SUBMITTED: YES FI NOD
FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6' 7 y-$-— - - 4 2 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM s i i i ii
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK 1
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE I MOP SINK -' BI &-U—A—S INSPECT .�_
TOILET TH MP T 0 N
URINAL APPRM ED Not APPROVED
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES 1
WATER PIPING
OTHER i i I 1I
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Lj NO L
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE-POLICY 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 a 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:ktompliance I Pe inent ro ision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LGARY STAHELSKI _ LICENSE# 9621 SIGNATU
MPI'j JP� _i CORPORATION j ;#i 2617C PARTNERSHIP j __#I j LLC 0#
COMPANY NAME EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
CITY' MONSON STATE MA ZIP 01057 TEL 413-267-8983
FAX 1413-267-4523 ,CELL I EMAIL !EWSPH@COMCAST.NET
ROUGHPLUMBINGINSPECTION NATES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yea No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
S' ��'t'p
1V2� 7
r,
i
LAS. a�
A PERMN6 To pErFOR
rvj GAg FIT-FII1tG WDIRK
CITY ,
--- MA bATF ���� PERNfITµ. -
JOBSITE ADDRESS OWNER'S NAMH Wo& aj)Q(�1h-
OWNERADDRESS&, L)= M)0 0\1 tib,____.TELS�6 t(R-((I ' FAX
Til WF, OCCUPANCYTYPE COMMERCIAL[] EaUWi10NAL
$ M ❑ RESIDENTIAL
�1AJRl[,' NEW:❑ RENOVATION:❑ REPLACEMENT:
PLANS SUBMITTED:YES❑ NO❑
APPLIANCES I FLOORS-+ BSM 1 2 3 4s 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOKSTOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER c. lumbir g&Gt s Insp ctions
ROOM/SPACE HEATER _
ROOFTOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAG);
I have a currentLiabili insurance policy or its substpttaI equivalent which meets the requirements of MGL.Ch,442 YE8 o No ❑
I IFYOU CHECKED YES,PLEASE INDICATE THE TYPE:OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE~POLICY N OTHER TYPE~INDEMNITY❑ . BOND ❑
OWNER'S INSURANCE WAIVER-I am aware fhat the licerisee does not have the insurance coverage required by Chapter'14-Tof the
Massachusetts General Laws,and that mysignature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY; OWNER ❑ AGENT ❑
I hereby cerfifythat all ofthe details and informafion!hive submitted or entered regarding this application aretrue and accurate to the besf ofmy knowledge
and that alf plurbfng work and installations performed under the permit issued forthfs applfcation W11 be in co fiance M P I tprovisfon ofthe
Massachusetts State Plumbing Code and Chapter't42 of the General Laws.
PLUMBER-GASFITTER NAME micMe,I J Min,da- LICENSE#Ivi
3 GNATURE
MP❑ MGF❑ JP❑ JGF❑ 'LPGI❑ CORPORATION N# t 011 C PARTNERSHIP❑# LLC❑
COMPANYNAME m-5- iy)MPnl TnC. ADDRESS 11 SpU4-h Mam.n Strew
CITY_ [ApkC(PAUIljC— STATE Mo ZIP 01()31 TELto k- -42 S1
FAX Y 13-ato K- 9315 CELL EMAIL Iva