31B-085 (4) 65 HENSHAW AVE BP-2017-0466
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B-085 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:GARAGE BUILDING PERMIT
Permit it BP-2017-0466
Project# JS-2017-000775
Est.Cost:$54780.00
Fee: $356.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALDER CONSTRUCTION INC 071067
Lot Size(sq.ft.): 5662.80 Owner: SCOTT JACQUELINE L&RICARDO B METZ
Zoning: URC(100)! Applicant: ALDER CONSTRUCTION INC
AT: 65 HENSHAW AVE
Applicant Address: Phone: Insurance:
35 JEFFERY LANE (508) 246-4533 WC
AMHER5TMA01002 ISSUED ON:10/13/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT BASEMENT STORAGE INTO FUTURE
GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of WiringD.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough:/`/eh Rough:// r4%'(-6 House# Foundation:
691-" Driveway Final:
Final: � Final: r- LJ - /-j
Rough Frame:
<--..?)/C977 RV' - /6/ eCt- 614C0
Gas: Fire Department FireplacelChimney:
Rough: Oil: Insulation: JOgaO(�
�9 fyti�Y/
Final: Smoke: Final: /1"...„741,11.>
THIS PERMIT MAY BE REVOKED BY THE CI F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG • 1 -
//%
Certificate of Occupancy / i Signature:
FeeTyue: ate Pa d: Amount:
Building 10/13/2016 0:00:00 $356.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
'N
C hi CA 1;3(.o 3690.00
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY V RI- J u 1 I,' MA. DATE 1' 1 lb PERMIT# P 1 11' ( 1S9
JOBSITE ADDRESS ) �jHeilkic: li`k J OWNER'S NAME `[ e��
POWNER ADDRESS ✓ TEL FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL
PRINT
CLEARLY NEW:0 RENOVATION:4 REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO
FIXTURES 1 FLOOR- BS?.',T l 1 2 3 4 5 6 7 j 8 ' 9 10 I 11 12 13 14
BATHTUB I I
CROSS CONNECTION DEVICE 1 I 1 ! IP E r:l --4
DEDICATED SPECIAL WASTE SYS I I I t`
DEDICATED GAS/OIL/SAND SYS
DEDICATED GREASE SYS i 3 i
DEDICATD GRAY WATER SYS I I
' DEDICATED WATER RECYCLE SYS I _-_ _-- `
DRINKING FOUNTAIN rar; ins
DISHWASHER 1 r
FOOD DISPOSER i I
FLOOR/AREA DRAIN I I
INTERCEPTOR(INTERIOR)
KITCHEN SINK
I LAVATORY '
ROOF DRAIN 1 }.
SHOWER STALL .
SERVICE 1 MOP SINK 1 r f 7 J^vT AP P P:0',.41:1-_--7.)
TOILET 1 1 I
URINAL I `Z
WASHING MACHINE CONNECTION I
• ,
WATER HEATER ALL TYPES •
WATER PIPING
OTHER .
1 I I 11 1 i
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes141 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 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 0 AGENT 0
Signature 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 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 with all Pertinent provision
�/of�the Massachusetts State Plumbing Code and C -pter 142 of the General L ws.
PLUMBER NAME ti `vE' R I V ARV V SIGNATURE Its,"
LIC# iticp MP 0. JP 0 CORPORATION 0# PARTNERSHIP 0# LLC 0#
COMPANY NAME j YA/ L} t ADDRESS: l t) P ACO i
CITY i 0 STATE"I!ll't ZIP 1O7ZMAIL ' M
TEL CELL /3r) A ct (q 4 FAX
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
/1f1 6 � f'7 6 FEE: $ PERMIT#
PLAN REVIEW NOTES
2-//7 1L,Z)
,Y )•s c
/d/7 �wJ-yC
65 HENSHAW AVE EP-2017-0420
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31B
Lot:085 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BASEMENT,KITCHEN&GARAGE; 100 AMP SUB PANEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000775
Est.Cost: Contractor: License:
Fee: slzs.00 ALEXANDER BIELUNIS Master A8653
Owner: SCOTT JACQUELINE L& RICARDO B METZ
Applicant: ALEXANDER BIELUNIS
AT: 65 HENSHAW AVE
Applicant Address Phone Insurance
8 SEQUOIA DR (413) 562-2988 Q C-(413) 204-3762 Liability, MPB4272S
HOLYOKE MA01040 ISSUED ON:11/7/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BASEMENT, KITCHEN & GARAGE; 100 AMP SUB PANEL
Call In Date; Date Requested Inspection Date/SignOf: Reinspect?:
Trench/UG:
Special Instructions
Rough /f'Q- / lx RP
Special Instructions:
Final: /— / (a (Zp•.1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 11/7/2016 0:00:00 2001
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
65 HENSHAW AVE EP-2017-0719
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31B
Lot:085 ELECTRICAL PERMIT
Permit: Electrical
Category: CHANGING FROM OVERHEAD TO UNDERGROUND SERVICE
Permax Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001659
Est.Cost: Contractor: License:
Fee: $60.00 ALEXANDER BIELUNIS Master A8653
Owner: SCOTT JACQUELINE L & RICARDO B METZ
Applicant: ALEXANDER BIELUNIS
AT: 65 HENSHAW AVE
Applicant Address Phone Insurance
8 SEQUOIA DR (413) 562-2988 0 C-(413) 204-3762 Liability, MPB4272S
HOLYOKE MA01040 ISSUED ON.:2/22/20170:00:00
TO PERFORM THE FOLLOWING WORK:
CHANGING FROM OVERHEAD TO UNDERGROUND SERVICE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG: a- 23 " ) 7 {[Qh
Special Instructions -
Rough
x
Special Instructions:
Final: o
SRE Called In: a 2 c -o Co 3 ') - 1 - 17 ac"-
Signature:
Fee Type:: Amount: DatePaid
Electrical $60.00 2/22/2017 0:00:00 2028
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo