38B-222 (8) 31 FAIRVIEW AVE BP-2016-1516
cis to: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-222 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:KITCHEN RENO BUILDING PERMIT
rPe m,t' a BP-2016-1516
Protect ti JS-2016-002582
Fa.Cost:$3000.00
Fee:$0,84)9 PERMISSION IS HEREBY GRANTED TO:
Comt.Clens: Contractor: License:
We Group: Andy Cole
Let Size(su.a.): 5532,12 Owner: FOUNDS STEVE&SANDRA C/O ADELINE HOOPER
_ _
AT: 31 FAIRVIEW AVE
ApplicantAddress: Phone: Insurance:
469 Main Road (413) 325-1383
G I LLMA01354 ISSUED ON,:670/7016 0:00:00
TO PERFORM THE FOLLOWING WORK: Kitchen
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring U.Y.W. Building Inspector
Underground: Service: [VI el en
Footings:
Roaga: ?AA Reoghi7/, � Hv:.,e n Foundation:
yR " un.o„ny Final:
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Final:/04 ,6 FTnaI:(� }0 _� Rough Frame: jdk7 2! ( �
Gas:' //�__r'' IG Fire Department Fireplace/Chimney:
.gGe,ro rte' ✓
9-31 Insulation:
Final• mice: Final: ps"a7•1C7 ( J ,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ANDRE TTON
Certificate of Occuoancv G3/I sleaaturc, ��
FeeTvpe: Date Paid: Amount:
Building 62020160:00:0 $0.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
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07/05/2016 8:56 AN FAX 4136658770 JARROWSWI PLL7i83NG e 0001/0001
07/81/2816 14;21 141:3511/1'!/'1
I st„y MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY SI c7tc rik7An140-Ma.) mo, tDATE„1. L__,.___.__ PERMIT# — { t� '
JOBSITE ADDRESS....931 CAW , VL{?,WJ 19f OWNER'S NAME P rSicai,r,_ttt'A1flc.lt
POWNER ADDRESS ` ,�_ TELSADA FAX
TYPE OR • OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENtAL0
PRINT NEW:[] RENOVATION:Or REPLACEMENT:0 PLANS SUBMITTED: YES NO Er"
CLEARLY f
FIXTURES1 FLOOR-' BSMI 1 2 3 4 5 6 7 B 0 10 11 12 -13 14
BATHTUB
IT CROSS CANNCTIONOENCEDEDICATEDSPECIALWASTESYSO tiCATFDDSYS0 DICATED GREASEMIN IllallaallDEDIcATD GRAY WAWR SYSDEDICATED WATER RECYCLE SYS
DRINKING FOUNTAIN
DISHAV+ASHER
I FOOD DISPOSER
._
I E100RlAREA GRAIN L...._' INTERCEPTOR(INTERIOR) .l r _ ,
KITCHEN SINK I
LAVATORY ' J
ROOF DRAIN ..._rt_ _ _
SHOWER STALL III - . YYtLUivirsi1Nb 6 G sINa�'tc.'OH
SERVICE I MOP&NT( — -14„%
.MPTO( i
TOILET �� HOT AfY'ftOtK0 .
URINAL I
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES {
WATERPIPING V
OTHER r
I
____� INSJRANCE tocEPAGE; _
t have a currant Jjabits insunmca policy er Its substantiaf equivalent which,masts the mquiremenis of Mel Ch.142. Yes D Na D
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE RY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0. - OTHER TYPE OF INDEMNITY 0 BOND 0
OWNER'S INSURANCE WAIVER; am aware that the iicenaee doh nektma the insurance tentage required by Chapter 142 of the
theme:huseHe General Lawn,and that my signature on this permit applicafcn waives this requirement
CHECK ONE BOX ONLY: OWNER ( J AGENT 0
Signature of Owner or Owners Apent
I hereby Cartlfy that all of the details and knfermatien I Have Ambmltted Tor cratered)regarding this application are true and accurate to the
bout of my Knmvtedge and mat an ptomaine work and 1netvtations parfo..Nd under the Pormit settee ter this ahhhhhhon van he in
compllanc,ewiI J LPertlnent prevlsi n of the Massachusetts State Plumbing Cede an• napter 142 offthe/General true,
PUtaGRNAMB'.`-.T res-VIE L Ia't3\Little° ��i,Caa- s1GNATURL�` L(/§t/✓.-Lt4......�,'
LICA MP�JP❑ CORPORATION MP PAR ' SHIP # 2//,� , LLC []A�.
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COMPANY NAME V-Hrt1chif , CCh21a.E. / IFTtIE�= a. a t
CITY:J� RAP ate., 3,..rt, SiATR Ut' ZIP.034323 EMAIL ----
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Cr-44 10610
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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`: =I:._-y' an 00en1tn't.(ZTOI•3 MA DATE a.4 IL, PERMIT#_VP` { 1-a
JOBSITE ADURESStr,-41 Ave.Cpn eV ibai7 OWNER'S NAME /' ELL y,1EVOPFs(
GOWNER ADDRESS-3 t TEl'3-5B6-2F14FAx
TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL ❑ RESIDENTIAL 0.---
PRINT
CLEARLY NEW:❑ RENOVATION:1;3' REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO❑
APPLIANCES 1 FLOORS-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE I
DIRECT VENT HEATER
DRYER
FIREPLACE __. __ . ..
FRYOLATOR =MOM L -L.--_s 1
FURNACE tent � r ._
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT ..
OVEN
POOL HEATER
ROOM I SPACE HEATERLJ 18;N3
R
TEST GAS!NS aECTdR
ROOF TOP UNIT H t.UV 141.11 APPROVE-I)
UNIT HEATER
E
ROOM HEATER
WATER HEATER ,.,
OTHER 1 „C
INSURANCE COVERAGE
I have a current liability insurance policy or As substantial equivalent which meets the requirements of MGL.Ch.142 YES hi NO ❑
I IF YOU CHECKEGYES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSLKANCE POLICY E OTHER TYPE INDEMNITY ❑ BMW 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not hen 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 0 AGENT 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that an of the details and infomnailon 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 compliance vltM1 1 PeNnent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /�� � ! -1,-1,--4,—.‘.
PLUMBER-GASFITTER NAME LICENSE#
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MP❑ MGF 0 JP❑ JGF❑ LPG'❑ CORPORATION a'p,� PARTNERSHIP❑it LLC❑¥
COMPANY NAME.. A11V .cm;.niiI' (t-61yN5,1 1'\fr)T 'ADDRESS iti 5 t vtA-iii :`_{
CITY./ '. STATE MA ZIP 013 1 '2, TEL_ - '7 %,;11
FAX (c7 i'r "Li() CELL _ EMAIL
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31 FAIRVIEW AVE EP-2017-0022
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot: 222 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE KITCHEN
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project it JS-2016-002582
Est.Cost: Contractor: License:
Fee: $65.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner: FOUNDS STEVE & SANDRA CIO ADELINE HOOPER
Applicant: STEVEN KEYES
AT: 31 FAIRVIEW AVE
Applicant Address Phone Insurance
3B STATE RD (413) 422-1220 0 C-(413) 695-4968 Liability, BDXGXZ
SOUTH DEERFIELD MA01373 ISSUED ON:7/8/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
REWIRE KITCHEN
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
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Rough 7- //- /'L 12? k.
Special Instructions:
Final: 9 /��- 20 -/ G 62 ' %)
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 7/8/2016 0:00:00 5106
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo