38B-171 (12) 17 MADISON AVE COMMONWEALTH OF MASSACHUSETTS BP-2021-1906
Map:Block:Lot:38B-171-
001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2021-1906 PERMISSION IS HEREBY GRANTED TO:
Project# 2021 BATHROOM RENOVATION Contractor: License:
Est. Cost: 10000
Const.Class: Exp.Date:
Use Group: Owner: BARNHART CLARA E
Lot Size (sq.ft.)
Zoning: URB Applicant: E BARNHART CLARA
Applicant Address Phone: Insurance:
17 MADISON AVE
NORTHAMPTON, MA 01060
ISSUED ON:09/21/2021
TO PERFORM THE FOLLOWING WORK:
RETILE EXISTING SHOWER FLOOR & WALLS, RETILE BATHROOM FLOOR, ADD RADIANT FLOOR HEATING
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: Rough: House # Foundation:
Driveway Final: Final:�.. c:??hha�)
Final: Rough Frame:O.V Q 2s Zi u R
Gas: 9f Fire Department Fireplace/Chimney:
Rough: Oil: Insulation,:
Final: Smoke:
Final: OK i0/1-1/a,I d,c41,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
' y/CS - •
QT
I
Fees Paid: $65.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
17 MADISON AVE COMMONWEALTH OF MASSACHUSETTS EP-2021-1342
Map:Block:Lot:38B-171-
001 CITY OF NORTHAMPTON
Permit: Elect Renovations
Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
ELECTRICAL PERMIT
Permit # EP-2021-1342 PERMISSION'S HEREBY GRANTED TO:
2021 BATHROOM
Project# RENOVATION Contractor: License:
Est. Cost: MICHAEL LONG ELECTRICIAN 50407E
Exp.Date:07/31/2022
Owner: BARNHART CLARA E
Applicant: MICHAEL LONG ELECTRICIAN
Applicant Address Phone: Insurance:
17 DICKINSON ST (413)584-7665 MP197313
NORTHAMPTON, MA 01060-1503
ISSUED ON: 09/23/2021
TO PERFORM THE FOLLOWING WORK:
ADD FLOOR HEAT&T STAT TO BATHROOM
Call In Date: Date Requested Inspection Date/SiunOff: Reinspect?:
Trench/UG:
Special Instructions
a
Rough
x
Special Instructions:
Final: / "c 1 'c 1 R'
SRE Called In:
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1244,Fa x(413)587-1272-Inspector of Wires
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--J) MASSACHUSETTS UNIFORM APPLICATION FOR AIPERMIT TO PERFORM PLUMBING WORK
CAW, di_ OWN MA DATE c--\(o1C>i ,\ PERMIT#PP z,07i1^05e6
J E ADDRESS \� \�pC�\ \ � _ OWNER'S NAME Gaxz3..--Zra1c'N
N L u 6
R ADDRESS TEL‘,a.) 7—k-1o� EAX
TYPE OCCU ANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL X
s; PRINT •
CLEARLY_`._.NEW: RENOVATION: REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO
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FIXTURES 7_- 1 _.. FLOOR-0 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 t PLUMBING & G S INSPbCTOR
SERVICE/MOP SINK NORTHAMPTON
TOILET t APPRQ D NOT APPROVED
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
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 THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER: I am aw re 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 knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance w h all P ent pro ' on of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. T)
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PLUMBER'S NAME` LICENSE# SIGNATURE
MPX JP CORPORATION ❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME cc' V\\ysk\b\c`<i) _ ADDRESS \5 `3
CITY ` � 1 STATE \rk ZIP C>\ .5-kT TEL (All`b''5 -AV:\\
FAX CELL G.\--) -C��"-Aq EMAIL c ,f3yrocsA\d, L\\c \\�
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