36-215 (3) 20 BIRCH LN BP-2017-0335
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 36-215 CITY OF NORTHAMPTON
Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category Bathrenp BUILDING PERMIT
Permit BP-2017-0335
Proiect# JS-2017-000549
Est Corr$37000.00
Fee,$25900 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Droop, SOUP TO NUTS CONSTRUCTION CORP 004599
Lot Size(sp ft), 60112 80 Owner.• MALEK THADDEUS B&EUGENIE A
Zoning, Annlrcanl• SOUP TO NUTS CONSTRUCTION CORP
AT: 20 BIRCH LN
AnolicantAddress: Phone: Insarance:
10 MCKINLEY AVE (413) 527-5359 Liabiliri
EASTHAMPTONMA01027 ISSUED OM-911412016 0:00:00
TO PERFORM THE FOLLOWING WORK.RECONFIGURE EXISTING MASTER
BATHROOM
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:g/yP/ Rough:U,_Z�� �(Q House# Foundation:
^ � Driveway Final:
Final: Final: Rough
Gas: Fire-Department Fireplace/Chimney:
Rough: Gii: Inaulatipn4_,►'\.r�"�J�
Final: Smoke:
THIS PERMTI MAY BE REVOKED THE C OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG I
Certificate of Occupancy signature:
Fee1WDe• Date Paid: Amount:
Building 9114/20160:00:00 $259.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
-A
MASSACHUSETTS UNIFORM APPLICATION FOR A PER T TOP FORM PLUM[BM6 WORK
[0WVNER
p MA, DATE / PE,MRMIT#J T 1"' 1'7-13T
TE ADDRESS 20 t RG L�.etr.,--- OWNER'SNAME dlele K
P ADDRESS TEL fSy- (�� 32 �— CJ Jia
TYPE OR PANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT ❑ RENOVATION:ILS" REPLACEMENT.❑ PLANS SUBMITTED: YES❑ NO ❑
CLEARLY
FIXTURES 7 FLOOR BSMT 1 2 3 4 5 6 1 6 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GASlOILISAND SYS —
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS
DEDICATED WATER RECYCLE SYSTF-
DRINKING FOUNTAIN
DISHWASHER
F000 DISPOSER
FLOORIAREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN PLU BINGE GAJ INSPtCTORI
SHOWER STALL M TON
SERVICE I MOP SINK
TOILET
URINAL
WASHING NACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
GTHER
INSURANCE COVERAGE:
I have a current liablifty insurance policy or its substantial equivalent which,masts 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 2 OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER: lam 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 BOX ONLY: OWNER ❑ AGENT ❑
Si nature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered)regarding this application are true and accurale to the
best of my Knowledge and that all plumbing work and Installations performed under the permit issued for this applic don will be in
...Pi
lance wiN all Pertinent provisioj�/9f th Ma�(aLchuselfs Stale Plumbing Code and Lh 142 of the a La
PLUMBERNAME �Q�U.1/ Tl '1 SIGNATURE
LIC# MP�IX JP❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑#
COMPANY NAME ADDRESS: 01�y �e{ �
!/
CITY STATEZIP Q� EhWL
TEL o — �`' CELL /7• I3 FAX
ROUGH PLUMBING TNSPEMON NOTES THIS PAGE FOR INSPECTOR OSE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
_ FEE: $ PERMITR
Z 9 �� tryy✓Ls7 — 6- PLAN REVIEW NOTES
_—
20 BIRCH LN EP-2017-0265
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Let 215 ELECTRICAL PERMIT
Pcont Electrical
Category: WIRE BATHROOM/BEDROOM REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project JS-2017-000549
Esc Cost: Contractor: License:
Fee: $65.00 KURT MENGEL ELECTRICIAN Journeyman 34878E
Owner: MALEK THADDEUS B & EUGENIE A
Applicant: KURT MENGEL ELECTRICIAN
AT: 20 BIRCH LN
Applicant Address Phone Insurance
73 COUNTRY RD (413) 532-6217 C-(413) 532-6217 Liability, 680438OL590
HUNTINGTON MA01050 ISSUED ON:9/21/20160:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATHROOM/BEDROOM REMODEL
Call 1. Date: Date Requested Inspection Date/Si-.Off: Reinspect?:
TrenchNG:
Special Instructions
x
Rough 9- .Q7-/ Q eat\
x
Special Tnstructions: ��pp
Final: Q-/(o1/(4- ofy-,
SRE Called In:
Signature:
Fee TM,r:: Amount: DatePaid
Electrical $65.00 9/21/2016 0:00:00 2830
212 Main Street,Phone(413)587-1244, Fax(413)587-1272-Inspector of Wires -Roger Malo