29-612 (2) 629 BURPS PIT RD BP-2019-1099
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map.Block:29-612 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2019-1099
Proiect# JS-2019-001784
Est. Qost: $12500.00
Fee: $81.00 PERMISSION IS HEREBY GRANTED TO:
Const. Classes Contractor: License:
Used. GARY J RUEL 97190
Lot Size(sq ft): 30012.84 Owner: KATZ ELIZABETH& LUT ICIA MUNOZ
Zoning: Applicant: GARY J RUEL
AT. 629 BURTS FSI f RD
Applicant Address: Phone: Insurance:
50 SUNBRIAR LANE ---(4!a519-5465
LUDLOWMA01056 ISSUED ON.41412019 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO BATH AND INSTALL 2 NEW WINDOWS IN
MASTER BEDROOM
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: Z. Rough: Jia -/1 House# Foundation:
2j) Rrivoway Final:
Final: Final:
o ., Rough Frame: 7 3-Iq
Gas: Fire DBDadMgM Fireplace/Chimney:
Rough: oil- 1�<�?.�x;w ;jle,
Final: /_IX--/ Finals k" i2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND GULATIONS.
COHPi.c=�o�
Certificate of s; nature:
FeeType: Date Paid,. Amount:
Building 4/4/2019 0:00:00 $81.00
212 Main Street, Phone(413)587-1240, Fax;(413)587-1272
Louis Hasbrouck—Building Commissioner
/�� fAV s
629 BURTS PIT RD EP-2019-0850
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 29
Lot:612 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BATH RENO&SUB PANEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001784
Est.Cost: Contractor: License:
Fee: $125.00 KENNETH KING Journeyman Electrician 27937
Owner: KATZ ELIZABETH & LETICIA MUNOZ
Applicant. KENNETH KING
AT: 629 BURTS PIT RD
Applicant Address Phone Insurance
676 FULLER STREET (413) 246-8012 C-
LUDLOW MA01056 ISSUED ON:6/10/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATH RENO & SUB PANEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough Ak) o 1 ANQe l Vh
x
Special Instructions:
Final: /0 - a?q - /9 Qq-,
SRE Called In:
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $125.00 6/10/2019 0:00:00 7275
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY Northampton MA DATE 10/9/19 j PERMIT#
JOBSITE ADDRESS 11 629 Burts Pitts Road Florence OWNER'S NAME Leticia Munoz
OWNER ADDRESS 629 Burts Pitts Road Florence ____j TEL[ jFAXL
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO[,
APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER 1
BOOSTER
CONVERSION BURNER I
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE c `
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN _
POOL HEATER
ROOM/SPACE HEATER g�;�f SpecG ns
ROOF TOP UNIT
TEST
UNIT HEATER P UM ING GA IN PEC OR
UNVENTED ROOM HEATER N RT AIVI TON
WATER HEATER A PR VED N T AFIPROVED
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES , NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY , 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 of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in nce wit Provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME LClaUde Bisson LICENSE# 12453 SIGNATURE
MP , MGF JP -A JGF LPGI L3 CORPORATION Lj# 2285 PARTNERSHIP # LLC #
COMPANY NAME: Bisson Inc ADDRESS 44 Allen Street
CITY Hampden STATE MA ZIP 01036 TEL 413-566-2929
FAX'; CELL 413-427-6344 EMAIL plumberbis2@aol.com
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'La,i(Cou
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITYrrOWN E/_o>^ vt e--c- MA DATE PERMIT#
JOBSITE ADDRESS G a 0�'�s �' RL OWNER'S NAME /' C t z
OWNER ADDRESS _�O a�1 'T.�u,�s t TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO[4
FIXTURES-1 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/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAINUuj
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN ,s
SHOWER STALL ✓ ioct"0' mnt n,MA 10G
SERVICE/MOP SINK
TOILET
URINAL P MB G & GASINSDIECTOR
WASHING MACHINE CONNECTION NORTH MP ON
WATER HEATER ALL TYPES AFPRO E
WATER PIPING
OTHER
INSURANCE COVERAGE:
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 LIQI'l 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 ON�"b LY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT /
I hereby certify that all of the details and information I have submitted or entered regarding this appli ion ar ue nd accurate tht;bes y wledge
and that all plumbing work and installations performed under the permit issued for this application wjtl be in tarice i II e n vi on f�
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME C�n-k 2 "R0 ;S SO t, LICENSE# vZl VQ SIGNATURE(((
MP(, JP❑ CORPORATION Rj# o� �S� PARTNERSHIP ❑# LLC❑#
COMPANY NAME /',S S U h —E�rr L ADDRESS /V //`? t, S i
CITY ,fi a m en STATE Mci ZIP O )C 3 to TELI-D
FAX CELL 'I1,3' 7 a' 63 � EMAIL / y m z b,-,5, 0
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