38D-025 (6) 24 HAMPDEN ST BP-2016-1497
GIS n: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38D-025 CITY OF NORTHAMPTON
Lot:-001 PERSONS CON I ItACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:GARAGE BUILDING PERMIT
Permit 4 BP-2016-1497
Proiectk JS-2016-002557
Est.Cost:$390.00
Fee:$390.00 PERMISSIONIS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groum ELEMENTAL CARPENTRY& CONSTRUCTION INC 110800
Lot Size(sa.fn6882.48 Owner: SLOLU I KELLY&RUTH VON GOELER
Zodnw URB(100)t Applicant.• ELEMENTAL CARPENTRY & CONSTRUCTION INC
AT: 24 HAMPDEN ST
AvolicantAdd_ess_ - Phone: Insurance:
118 HAWLEY ST (413) 323-8837
NORTHAMPTONMA01060 ISSUED ON:6/16/1016 0:00:00
TO PERFORM THE FOLLOWING WORK:BUILD 30 X 26 GARAGE
POST THIS CARD SO IT IS VISIBLE FRONT rHE STREET
Inspector of Plumbing Inspector of Wiring O.P.W. Building Inspector s
Underground: �x Service: }teter.
Footings:
Rough Rough:4�7 � �¢ H
- -� ouse# Foundation:
/P4( 9p t, ::riv..y Final:
Final: Rongh Frame:
/ Final:/1-� , /fc
li o �6 /b
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: S:roke: Final: �'
fnwl OK 116
THIS PERMIT MAY BE REVOKED BY THE C TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG ATI
Certificate of Occupancy _ siEnamre:
FeeTvne: Date Paid: Amount:
Building 6/16/20160:00:00 539000
212 Main Sheet,Phone 1413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
07/01/2016 14:21 14135871272 idTDN BLD DEPT PAGE 02102
�cx7OWNER
SAOHUSETTS UNIFORM APPLICATION FOR A PERMlT TO PERFORM PLUMBING WORK
)Q"T}{-N�'{LyV\( (S(]'L1� MA�_'�GAT{E` , 1 �P/ERMIT
DRESS �'1 TT f4'h'1�r- .,7.::f,_.,_ OWNER'S NAME 'R C, L-L Y 4S Lake. rl
DRESS TEL_ FAX--
P
AX ----
TYPE OR OCCUPA/N''CYTYPE: COMMERCIAL CI EDUCATIONAL El RESIDENTIAL ,.,/
PRINT
CLEARLY NEW:ZI RENOVATION:Ll REPLACEMENT:❑ PIANSSUBMITTED: YYES[] NOy�
FIXTURESI FLOOR— SSMT 1 2 1 3 4 6 6 1 S B 10 11 12 13 14
BATHTUB _ .
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GAVOILEAND SYS
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS
DEDICATED WATER RECYCLE SYS
DRINKING FOUNTAIN
DISHWASHER _
FOOD DISPOSER
FLOOR f AREA DRAIN c
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY _ y
ROOF DRAIN
._SHOWER STALL ...
SERVICE I MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER I
INSURANCE COVERAGET �..
I have a currant 15abiliu,Insurance policy or its substantial equivalent which,meats 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 C2
OWNER'S INSURANCE WAIVER:i am aware that the licensee dons not h ve the insurance coverage required by Chapter 142 of the
Massachuseds General Laws,and that my signature On this permit application waives this requirement
CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑
S._2rungra of Owner or Owna's Agont „
i hereby cerllly that ail of the details and Information I have submitted(ar entered) regarding this application are true and accurate to the
best of my Knowledge and that alt plumbing work and installations performed under the permit Isa Ved for this application will be in
nompgance wiftya\\ll-FaRinent provi\siI a4m.VassachwuOts State Plumbing Code and Chapter 142.f he General LLaaws.
PLUMBER NAME IaLAYV..I(� L, /�'f.�k-�W�IG SIGNA'U •`�' "`
LID 4j'Z—S MPM JP❑ GQRPO TION PARTN SHP �k�,COM6LC �q
PANYNAME r— LY m l2Gtr 1 t A1M1St(S,1gp0RE "��"'"'
CITY,-x�Z�f/.Cr1=f'LIE.' ">.J STATE_Lka ZIP_y,;y,�_1.,,->EMAIL
CELL, FAX CY7b ' 3'71.f.)
.7� � U.v4rm.6zovv�4 -f,0 .
i
24 HAMPDEN ST EP-2017-0058
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38D
Lot 025 ELECTRICAL PERMIT
Permit Electrical
Category: FEEDERS TO GARAGE(UNDERGROUND)WIRE FEW GARAGE
Permit Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-002557
Est.Cost: Contractor: License:
Fee: 890.00 POISSANT ELECTRIC MASTER ELECTRICIAN 20303A
Owner: SLOUGH KELLY & RUTH VON GOELER
Applicant: POISSANT ELECTRIC
AT: 24 HAMPDEN ST
Applicant Address Phone Insurance
193 NORTON HILL RD (413) 628-3320 C-(413) 325-1607 Liability, BOP2714232
ASHFIELD MA01330-9601 ISSUED 0,N.712012016 0:00:00
TO PERFORM THE FOLLOWING WORK
FEEDERS TO GARAGE (UNDERGROUND) WIRE NEW GARAGE
Call In Date: Date Requested Inspection Date/SirmOff: Reinspect":
Trench/tIG: 7_ ' J to '/[P1--,
Special Instructions
X p
Rough
t
Special Instructions:
Final: 7 ('013' /4
SHE Called In:
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $90.00 7/20/2016 0:00:00 6035
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo