24C-083 (6) 15 MASSASOIT ST
BP-2017-1044
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man:Block:24C-083 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2017-1044
Project# JS-2017-001793
Est. Cost: $65000.00
Fee: $422.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor:
License:
Use Group KEITER BUILDERS 102457
Lot Size(sQ ft.): 7492-32 Owner: RA OKE MARY BETH
Zoning: URB(100)/ Applicant: KEITER BUILDERS
AT.• 15 MASSASOIT ST
Applicant Address• Phone:
35 MAIN ST Insurance:
FLORENCEMA01062 ISSUED ON.•3124120170g00 0000 WC
TO PERFORM THE FOLLOWING WORK:KITCHEN AND BATHROOM RENOVATION.
REMOVE AND REPLACE EXISTING DECK
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D•P.W
Building Inspector
Underground- Service: -y Meter:
Rough: 6 / i 7 Rough: �{ ( House# Footings:
Foundation:
(� rl-, Driveway Final:
Final: Fi ' ( / ,
nal: (( 17
-7 0 n��� Rough Frame:
Gas: -7 O
Fire Department �•
Fireplace/Chimney:
Rough: Oil:
Insulation:
Final: Smoke:
Final: CK g(Ijt+ l,7
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
9/zyl17
Certificate of Occu anc
Signature:
FeeType: Date Paid• Amount
Building 3/24/2017 0:00:00 $422.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
15 MASSASOIT ST EP-2017-1029
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24C
Lot: 083 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001793
Est.Cost: Contractor: License:
Fee: $65.00 MODERN CASTLE INC Electrician 20583
Owner: RADKE MARY BETH
Applicant: MODERN CASTLE INC
AT.- 15 MASSASOIT ST
Applicant Address Phone Insurance
592 B CENTER ST (413) 583-2227 C- Liability, 1261000470-1
LUDLOW MA01056 ISSUED ON:6/12/2017 0:00:00
TO PERFORM THE FOLLOWING WORK.
WIRE KITCHEN REMODEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough �D `� 17 !C
x
Special Instructions:
Final: (v 92- j-
SRE Called In•
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 6/12/2017 0:00:00 2224
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY _.. ... R .._ - -_.__._.._....w --'° MA. DATE - PERMIT#
JOBSITE ADDRESS /^�91!A_fed l _ OWNER'S NAME
OWNER ADDRESS;L-41--.4t :TEL FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALV
PRM
CLEARLY NEW: ❑ RENOVATION:*1 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ N0.0
FIXUTRES 7. FLOORS--} bsmt 1 2 3 4 5 6 7 8 9 1 D 11 12 13 14
BATHTUB
CROSS CONN DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GAS/OIUSAND SYS
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYS
DEDICATED WATERREUSE SYS
DISHWASHER
DRINKING FOUNTAIN
FOOD WASTE GRINDER'UNIT
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR I = J Yl. ,' -- `,
KITCHEN SINK
LAVATORY '
ROOF DRAIN ' 1
SHOWER STALL
SERVICE/MOP SINK -
TOILET 1 r
URINAL
WASHING MACHINE CONNECTION '
WATER HEATER ALL TYPES
WATER PIPING { ``
INSURANCE COVERAGE
I have a current liabilitv insurance policy or its substantial'equivalentwhich meets the requirements of MGL.Ch.142 YES ® NO ❑.
If you have checked YES,please indicate the type of coverage by checking the appropriate box below.
LIABILITY INSURANCE POLICY? 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 ❑ AGENT Fl-
SIGN JURE OF OWNER ORAGENT
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 forthis application will be in compliance with all Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws,
PLUMBER NAME: e C_ e 9 : ='�1om�1-._ ._i LICENSE# � *IIA IGNATURE 61
COMPANY NAME: tel: ._P�� t� _ ADDRESS: main
CITY: STATE: ZIP: FAX:
CELL: EMAIL: _ L
MASTEIR;?q JOURNEYMAN❑ CORPOP.ATION�YI. �I�`$c%d _ PARTNERSHIP❑ LLC❑
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