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38B-148 (4) 47 COLUMBUS AVE BP-2020-0458 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B- 148 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinn DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2020-0458 Proiect# JS-2020-000776 Est.Cost: $26500.00 Fee: $172.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KENT HICKS 66104 Lot Size(sq.ft.): 5749.92 Owner: WOOD KARA Zoning: URB(100)/ Applicant: KENT HICKS AT. 47 COLUMBUS AVE Applicant Address: Phone: Insurance: P O BOX 57 (413) 296-0123 O WC WEST CHESTERFIELDMA01084 ISSUED ON.10/10/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-ROOF AND PORCH REPAIR, BATH 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: ,j-ZZ/� Rough:�� -��- House# Foundation: Driveway Final: Final: Final:j-� .-/— Z Z —ZU Rough Frame:J,K, 2'� I'Z6ZU Y� Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: ems. Smoke: Final:Q K. 6j-Z7--20W A -2Z-Zp 1014a THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND ZRITIONS. Certificate Of Si nature: " FeeTvpe: Date Paid: Amount: Building 10/10/2019 0:00:00 $172.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 47 COLUMBUS AVE EP-2020-0670 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 38B Lot: 148 ELECTRICAL PERMIT Permit. Electrical Category: kitchen and bath reno Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2020-000776 Est.Cost: Contractor: License: Fee: $100.00 GRAHAM ELECTRIC MASTER ELECTRICIAN 15396A Owner: WOOD KARA Applicant: GRAHAM ELECTRIC AT. 47 COLUMBUS AVE Applicant Address Phone Insurance PO Box 1 (413) 268-3636 C-(413) 212-7773 Liability, MPT8466W HAYDENVILLE MA01039 ISSUED ON:2/19/2020 0:00:00 TO PERFORM THE FOLLOWING WORK: kitchen and bath reno Call In Date: Date Requested Inspection Date/SianOff: Reinspect?: Trench/UG: Special Instructions X Rough x Special Instructions: Final: S_- r 3 - ' Q� SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $100.00 2/19/2020 0:00:00 3696 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo C'o C: "C' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK - CITYI­4 �.��' ivy ' MA DATE _J I -C .�,. PERMIT# JOBSITEADDRESS „C(j� ��} a W00 Jvh II e OWNER'S NAME P OWNER ADDRESS ' _ TELF � FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ID RESIDENTIAL;L/ PRINT CLEARLY NEW: RENOVATION: / REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES Z 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 DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY _ ROOF DRAIN SHOWER STALL `1 SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION - WATER HEATER ALL TYPES ) _ V J y H WATER PIPING ! ' OTHER ED NO APPROVED ED INSURANCE COVERAGE: I 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 TH,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 i 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 complia with a rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. _ PLUMBER'S NAME�h LICENSE# I S / LglURE MPn JP[I CORPORATION' # PARTNERSHIPI # LLC # COMPANY NAME � `nti�]�..py+111 �I �ti/'`� f�.7��1h� ADDRESS 6�y CITY ►� STATE ZIP ° d 10 TEL FAXI CELL yij m Z(�-Zq7 EMAIL F ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES z ✓VJ r.IJ V.vb'l:.LHON._ i rile.. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK l CITY F� u,t1 MA DATE) ti Z PERMIT# r JOBSITE ADDRESS _ 111 Sr. :OWNERS NAME e. j 't.... _ _. OWNER ADDRESS TEL ��FAX a..N TYPE OR OCCUPANCY TYPE COMMERCIAL PRINT „ EDUCATIONAL RESIDENTIAL ' CLEARLY NEW:Lj RENOVATION: REPLACEMENT:Ll PLANS SUBMITTED: YESLNO APPLIANCES I FLOORS— 8SM 1 2 3 4 5 6 - BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR ............ . FURNACE GENERATOR GRILLE �... . . , �. �. INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL NEATER ROOM!SPACE HEATER ROOF TOP UNITOK I = TEST UNIT HEATER y UNVENTED ROOM HEATER ' WATER HEATER OTHER ��.. s . INSURANCE COVERAGE I have a current I"abii' insurance policy or its substantial equivalent which meets the requirements of MGL,Ch.142 YESLl NO �- v I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERApE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY r OTHER TYPE INDEMNITY �-1 BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance covers e Massachusetts General Laws,and that my signature on this permit application waives this requirement. by Chapter t42 of the t SIGNATURE OF OWNER OR AGENT — CHECK ONE ONLY: OWNER �" AGENT I hereby certify that alt of the details and information i have sutunitted or entered regarding thi and that all plts appilcation are true and accurate t9 t of my knowledge urtbing work and insfaltatioits Wormed under the permit issued for this application will be in compliance 19' Pert` Massachusetts State Plumbing Code and}Chapter 142 of the General Laws. provision of the PLUMBER-GASFITTER NAME I LICENSE L ,.� Sl A""7�E MP 1✓ MGF JP JGF LPGI€ CORPORATION; # — PARTN#ERFaNIPLLC COMPANY NAME _.. ._ ..... N.._ �.�..� .. � iAODRESS CITY STATS `1 ZIP i � ILL i I � �0 5 0 50 � � %-ZZ-moo ✓�%�� a� a �