22B-020 (8) • ,
13 MEADOW AVE • BP-201 9-1251
GIS#: • COMMONWEALTH OF MASSACHUSETTS
Map:Block:22B-020 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGiS T ERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2019-1251
Project# JS-2019-002016
Est.Cost: $210000.00
Fee: $1365.00 PERMISSION IS HEREBY Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: DOUGLAS THAYER 107699
Lot size(sq.ft.): 17816.04 Owner: HILEINK TOM •
Zoning: URB(100)% Applicant: DOUGLAS THAYER
Al: iJivEADDCWAVM
Applicant Address: Phone: Insurance:
P O BOX 60322 (.13) 530-4785 () .
FLORENCEMA01062 ISSUED ON:5/9/201 9 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO OF ENTIRE STRUCTURE
**SEE NOTES***
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector 7/0(i g tit
Underground: Service: Meter: ()1� /N J P6O A rT
Footings: F.o ft m• l 07e��� (hiLL'
Rough:/ /'Y/9 Rough//-/.24) s House# Foundation: A te;,!1'«c p
Drive+,v?y Final: `Stetf i(i7/6-,Cn'-`-
Final:`5 20 20 Final: 11:'- lti-730
Rough Frame: F-Ait-CD !-3-2026Va --3
Gas: Fire Department Fireplace/Chimney:
Rough: OA: Insulation: i,) -V. I-?'30 -Zo LV X 4
Final: Smoke: CAL. S`-jf d inal: i� ►pc G. S-ZZ-ZDZ.c>ic ie
k e --�i
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate cfOccufrpfacy /C si2n2'.nrz:
FeeTvpe: Date Paid: Amount:
Building 5/9/2019 0:00:0G S1365.06
• 212 Main Street,Phone(413)537-1240,Fax:(413)5S7-1272
Louis Hasbrouck—Build:ag Commissioner
410
:a_ �►.
•
- LW- Nfr9 i sf 1:1421g NA1,4-
• J�IU12�+CA 77 t-5 f-115 5 0 4-c
v14i�5
- AP 576,Pwc 'F'j,2a Bcvc r,,,c /S` Fes, l,JALI./C67t /r-c 7"+ ' r 42" )Q
Wilvoctas ✓p5T14145 2erre f3iogooki ;v ea-4, OPr ja1,Nc, Leh i�oN £-
- t4),,N_oaco. 81 8 NtrT t /.,tepS IG 1C "�t:e !t &I) j-
- '►- '1,FJuT 1f.)5LJLMTio�JI/
:MKS + 5i►9r!<'�
3
13 MEADOW AVE EP-2020-0423
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 22B
Lot:020 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE WHOLE HOUSE RENO AND NEW 200 AMP SERVICE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-002016
Est.Cost: Contractor: License:
Fee: $200.00 DANIEL A YOUNG Journeyman Electrician 10728B
Owner: HILBINK TOM
Applicant: DANIEL A YOUNG
AT: 13 MEADOW AVE
Applicant Address Phone Insurance
208 RESERVOIR RD (413) 315-0606 C- Liability, MPT2646P
WESTHAMPTON MA01027 ISSUED ON:11/12/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE WHOLE HOUSE RENO AND NEW 200 AMP SERVICE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/LIG:
Special Instructions
Rough //2-/RU ��i'- AA-P
x
Special Instructions:
Final: C-/l '"
SRE Called In: 29237632 //' /„2 - /ef
Signature:
Fee Type:: Amount: DatePaid
Electrical $200.00 11/12/2019 0:00:00 1673
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
Cka ,'c sr 5 o O 0
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
'uljZY 4 CITY f lover(' 1 II MA DATE —PERMIT# • ZtY L2D
JOBSITE ADDRESS )' ? / I Bede . �1 OWNER'S NAME
P .OWNER ADDRESS rA OK,, _ _ ._ v< TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL(_�,' EDUCATIONAL ❑ RESIDENTIAL,W1
PRINT CLEARLY NEW:LI RENOVATION:[ REPLACEMENT:_1 PLANS SUBMITTED: YES❑ NOCJ
FIXTURES 1 FLOOR—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB ,,,. "----i . ____._E
--. —,
__
CROSS CONNECTION DEVICE I f[—_
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM sI
DEDICATED GREASE SYSTEM
y ,.
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM I I
DISHWASHER
DRINKING FOUNTAIN —
FOOD DISPOSER r i
FLOOR/AREA DRAIN o. a mod;.
INTERCEPTOR(INTERIOR) (
KITCHEN SINK 71 "' ._ '`
LAVATORY Iif
I t'` !t I
ROOF DRAIN ° ' 1_
q 1 a� 'fi ( { ;� i
SHOWER STALL
i .
SERVICE/MOP SINK
TOILET e --, �------ ( t r. ..... .,
URINAL ? I
WASHING MACHINE CONNECTION / } PL.• I I. •
WATER HEATER ALL TYPES
WATER PIPING j , r --• A�
'� P PR• II _tr-
OTHER r—=3,__=
L 11
t _.. 11_... IT-11- 11
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES L ] NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY L.1 OTHER TYPE OF INDEMNITY I BOND Li
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.
XCHECK ONE ONLY: OWNER Lj AGENT Li
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 co •
ncem'th all Pe ent provision of the
Massachusetts State Plumbing Code and Ch pter 142 of the General Laws. .
PLUMBER'S NAME eitt") (rC " 6 JLICENSE#{/f b' SIGN URE
4
MPI/§ JP[J CORPORATION[]# IPARTNERSHIP1 1# LLC(„�,#r J
COMPANY NAME C(,r✓ 4 !"� _ ADDRESS A 11 14f4Si. Uri 1 - /�
CITY et;f brYl'0^} STATE 4 ZIP ! 0 l D 1 TEL TEL j
FAX T CELL I v3J-7.51EMAIL
4v7-_2
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