12C-092 (9) 7 MARY JANE LN BP-2017-1156
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12C-092 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: FIRE RESTORATION BUILDING PERMIT
Permit# BP-2017-1156
Project# JS-2017-001945
Est.Cost: $81500.00
Fee: $489.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KYLE SAVAGE 100069
Lot Size(sq.ft.): 10018.80 Owner: LEAF BRIAN J&GWENDOLYN L
7.oninn• R1f1001/1_IPA(j 11]y'til�l7-nf A r: ,. ._ KYLE
3AVAGE
AT: 7 MARY JANE LN
Applicant Address: Phone: Insurance:
62 MOUNTAINVIEW DR (413) 687-9751 WC
BELCHERTOWNMAO1007 ISSUED ON:4/14/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:GUT SINGLE LEVEL HOUSE TO STUDS,
ENCAPSULATE & REPLACE TO MATCH EXISTING FINISHES
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspeutpr 7 - `g 77
77 ��'L f
Underground: Service: Meter: )g J�"
—7 4144,
Footings:
Rough: 011 7 Rough: II ' j House# Foundation:
r7 a r, Driveway Final:
Final: Final: J t;. /1
159-i 404 G+ fG ,2 ., Rough Frame:
7
Gas:
r/� �7�Department (.sem' G'/"Lr-- \--:/ k Fireplace/Chimney:
(j91 Q.
Rough: /7�T Oil: f, N4 i Insulation: iSt'FC1SOkS-41-17G
Final: �! Smoke: Final: 61- 00"1°
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THIS PERMIT MAY BE REVOKED Y THE C i Y OF NORTHAMPTON UPON VIOLATION OF
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RULES ANDR L yig!//7
Occupancy / Y. Signature: (2"7-"--1" 1 , ::'._--:--
FeeType: Date Paid: Amount:
Building $489.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
• Louis Hasbrouck—Building Commissioner
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GCITY N!/f�yjy/ -n/L- 1 MA DATE /,-1/ X0/ 7 PERMIT# Pe-11 - `'ia.I
JOBSITE ADDRESS I 17 l! laL J Jan.tA sv 1 OWNER'S NAMED _ ' Ili
POWNER ADDRESS I a TEL[27/2(0 - ?(J 2 f iFAXI j
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL IT RESIDENTIAL Id!
PRINT /
CLEARLY NEW:❑ RENOVATION:f J✓ REPLACEMENT: PLANS SUBMITTED: YES L 1 NO!fl
FIXTURES 1 FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB I
CROSS CONNECTION DEVICE _in's=an=!� ' �
DEDICATED SPECIAL WASTE SYSTEM !'�_�='I�i'� I=_
DEDICATED GAS/OIL/SAND SYSTEM _ ===I I I
DEDICATED GREASE SYSTEM l
DEDICATED GRAY WATER SYSTEM ��`Ui __ I i l
DEDICATED WATER RECYCLE SYSTEM =1=,= 1 =1=I Ie WI ' '
DISHWASHER �____='MIItiLl S 1
DRINKING FOUNTAIN l --"
F000 DISPOSER
_� �MMI= -
FLOOR/AREA DRAIN -_=,M_ Iai'i-'
ROOHDRNKINTERCEPTOR INTERIOR ____ S = �
SHOWER STALL _�=1��l;l,i� i
SERVICE/MOP SINK
TOILET e111 .
URINAL yr • 1
WASHING MACHINE CONNECTION 111111111•11•11111 I I
WATER HEATER ALL TYPES m_
WATERPIPING1n�1=_�='S S
OTHER �_�� _
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL Ch.142. YES:./I NO _!.
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 1,?_, OTHER TYPE OF INDEMNITY 'i 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 ONLY: OWNER LI AGENT '_
SIGNATURE OF OWNER OR AGENT
I hereby certtby that all of the details and information I have submitted or entered regarding this application are hue 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 complian I Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. C// ---0 (/�.--
PLUMBER'S NAME Ad Zukowski LICENSE# 10008 SIGNATURE
MPI✓ JPL?, CORPORATION ✓l#1686 PARTNERSHIP-T/1 )LLCI`_I# _!
COMPANY NAME A.R Zukowski Plumbing 8 Heating, Inc. ADDRESS 94 High Meadow Drive
CITY West Springfield STATE MA ZIP 01089 TEL 413-733-6716
FAX 413-827-0241 CELL 413-246-1047 EMAIL arzukowskfiggmail.com
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ip - _—, CITY i }} _ MA DATE',, /1 z1'7()/TPERM1T# G12-0-Lial
JOBSITE ADDRESS majt aAI UAL ___ _IOWNER'S NAME ITO,(AXLs741J/071,. _ -_j
GOWNER ADDRESS _i TEILG-ge2.g�FAXill:
TYPE OR OCCUPANCY TYPE COMMERCIAL 1. EDUCATIONAL!_1 RESIDENTIAL'L..e'
PRINT
CLEARLY --INEW: I RENOVATION:L_-I REPLACEMENT:LPLANS SUBMITTED: YESrJJ. NOF
APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 7 9 10 11 12 13 14
BOILER _O —T i ? --THE---f
BOOSTER ` t_ I _._
CONVERSION BURNER a \\. -�
COOK STOVE I, �._ _ _ R _ �#_ - ' Fc' _
DIRECT VENT HEATER —_'��—) yy um AM
DRYER t -_-p- _ 7 .T—'k` 11n
T__ _
- - I
FIREPLACE
FRYOLATOR r 1.—�H � 1 J, ____t F
FURNACE _ 4, {
GENERATOR � ` Je- Y _ t1
GRILLE - _,
INFRARED HEATER _ •i l —' -� - '�--
LABORATORY COCKS -1 - �
MAKEUP AIR UNIT .-- -1i 1._ r L 7 1f �` '` __
MAKE
POOL HEATER
ROOM/SPACE HEATER ' i LL _
-1 1
ROOF TOP UNITS t, p sr, ,S__ I I
TEST $ I -._.__. 'M. �.,,�R I _:_ 1
UNIT HEATER s L -1 i l_. ,11/a1.A -4"F. T1��
Ani -'.
UNVENTED ROOM HEATER r 1 ' -1 - - -
WATER HEATER ----._ r ` _.
f z _ A._
OTHER i
-__ _- ___}IL
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INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ✓_-NO 1
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 14.4j OTHER TYPE 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 ONLY: OWNER I. ' 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 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 Chapter 142 of the General Laws.
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PLUMBER-GASFITTER NAME Ad Zukowski LICENSE# 10008 SIGNATURE
MP I MGFI I JP71 JGF:`, LPGI!0--', CORPORATION # 1686 PARTNERSHIP_'#- - 'LLC
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COMPANY NAME:AR.Zukowski Plumbing&Healing, Inc. ADDRESS 94 High Meadow Drive;
CITY West Springfield STATE MA ZIP 01089 TEL 413-733-6716
FAX 413-827-0241 CELL 413-246-1047 EMAIL anukowski@gmal.com
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7 MARY JANE LN EP-2017-0859
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot 092 ELECTRICAL PERMIT
Permit: Electrical
Category: ISOLATE PANEL&INSTALL GFCI RECPTS FOR AIR DRYING EQUIPMENT TO REPAIR FIRE DAMAGE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001945
Est.Cost: Contractor: License:
Fee: $65.00 JAMES FLEMING MASTER ELECTRICIAN Al 6712
Owner: LEAF BRIAN J & GWENDOLYN L
Applicant: JAMES FLEMING
AT: 7 MARY JANE LN
Applicant Address Phone Insurance
7 Meadowood Drive (413) 533-5076 C- Liability, 4561610
SOUTH HADLEY MA01075 ISSUED ON:4/12/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:
ISOLATE PANEL & INSTALL GFCI RECPTS FOR AIR DRYING EQUIPMENT TO REPAIR FIRE
DAMAGE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/CC:
Special Instructions
x
Rough
x
Special Instructions:
Final:
SRE Called In: C aft .1 I`—� — t/- /3 - / / 62r
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 4/12/2017 0:00:00 3347
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
7 MARY JANE LN EP-2017-0884
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot:092 ELECTRICAL PERMIT
Permit: Electrical
Category: FIRST FLOOR REWIRE
Permits Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001945
Est.Cost: Contractor: License:
Fee: $125.00 THOMAS ROBERT HERBERTJourneyman Electrician 52843
Owner: LEAF BRIAN J & GWENDOLYN L
Applicant: THOMAS ROBERT HERBERT
AT: 7 MARY JANE LN
Applicant Address Phone Insurance
82 WEST GLEN ST (413) 977-0349 0 C-
HOLYOKE MA01040 ISSUED ON:4/20/2017 0:00:00
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TO PERFORM THE FOLLOWING WORK:
FIRST FLOOR REWIRE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UC:
Special instructions
Rough N' ai- ( 7 ,Ct,
x
Special Instructions: qq
Final: tic /7 RP NN I//'' UA .x 6- M - , Wim . (,4CW ris.“`1
SRECalled In: (- 1 ✓d4 I G-1 /7 0.41h
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 4/20/2017 0:00:00 3463
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo