22D-101 89 BLISS ST (wrong map block on card) 89 BLISS ST -3-2017-1386
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35-040 CITY OF NORTHAMPTON
Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: _ Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2017-1386
Proiect# JS-2017-002311
Est. Cost: $53000.00
Fee: $344.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin_ SHAUN GIBERSON 149915
Lot Size(sa. fr.): 485415 00 Owner: COYLE DANIEL
zonine: SR/WSPII Applicant: SHAUN GIBERSON
Applicant Address: Phone: Insurance:
P-0 BOX 2178 (413) 237 4048 WC
V.,IESTFIELDMA01086 ISSUED ON.6/1/2 017 0:00:00
TO PERFORM THE FOLLOWING WORK.-FRAME NEW WALLS, DRYWALL, ADD STAIRS
TO ATTIC, NEW FLOORING, NEW KITCHEN CABINETS
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: �� ugh: —a`o� ` 1 House# Foundation:
Driveway Final:
Final: d�����-- Final:
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Gas: Fire Deaartment Fireplace/Chimney:
Fasuiatioll: /
Final: 10 Smoke:
Cfs���J7i�f�� Final: � �Z 0�%n
THIS PERMIT MAY BE REVOKED BY THE u'TY OF NORTHAMPTON N VIOLATION OF
ANY OF ITS RULES AND REGU ATIONS. 147
Certificate of Occu anc .< L
FeeTvpe: Date Paid: Amount:
Building 6/1/2017 0:00:00 $344.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis I lasbrouck—Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITYCOP 11 6)
w fZ / MA DATE PERMIT#
JOBSITE ADDRESS OWNER'S NAME C �5,et
OWNER ADDRESSf — TEL amm /rte FAX
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TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL E' RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
APPLIANCES I FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE _
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER �— -
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO
I IF YOU 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
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. �?y
PLUMBER-GASFITTER NAME' �� a�S C«L//'LICENSE# + 'c_/ SIGNATURE
MP MGF,_____v JPJGF LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME /' i ADDRESS,
CITY STATE ZIP TEL
FAX CELL: EMAIL:
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89 BLISS ST EP-2017-1035
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 35
Lot:040 ELECTRICAL PERMIT
Permit: Electrical
Category: REMODEL KITCHEN,WIRE NEW BATHROOM,ADD CEILING FANS IN BEDROOMS,ADD SMOKES,WIRING
THROUGHOUT THE HOUSE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002311
Est.Cost: Contractor: License:
Fee: $125.00 VASILY MOROZOV Journeyman Electrician 12080 B
Owner: COYLE DANIEL
Applicant. VASILY MOROZOV
AT. 89 BLISS ST
Applicant Address Phone Insurance
138 ARTISAN ST (413) 330-6706 C-
CHICOPEE MA01013 ISSUED ON.6113120170:00:00
TO PERFORM THE FOLLOWING WORK
REMODEL KITCHEN, WIRE NEW BATHROOM, ADD CEILING FANS IN BEDROOMS, ADD
SMOKES, WIRING THROUGHOUT THE HOUSE
Call In Date: Date Requested Inspection Date/Si2nOff- Reinspect?:
Trench/UG:
Special Instructions
x
Rough ,Q 7
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Special Instructions:
Final: I Y - / 7 W-\,N
SRE Called In:
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $125.00 6/13/2017 0:00:00 1304
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires Roger Maio
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY V u., ' MA DATE,,,--,—_,,!_ PERMIT#
JOBSITE ADDRESS 3 L i 5 ; , OWNER'S NAMEf��tl/E=E CDS
P
OWNER ADDRESS B
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FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL ,, EDUCATIONAL Fli RESIDENTIAL!,—
PRINT
ESIDENTIALAPRINT
CLEARLY NEW: RENOVATION: ..' ! REPLACEMENT: „N PLANS SUBMITTED: YES NO"
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
_....
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM _.•. ' ....
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN SAWAJ
INTERCEPTOR(INTERIOR)
KITCHEN SINK _
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
_...; ...
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES"0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 1, 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.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER LAGENT P
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.
PLUMBER'S NAMES �ZU�t j c �Ccl�c LICENSE# yc)i/
SIGNATURE
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CORPORATION _,,,#° PARTNERSHIP # LLC I #
COMPANY NAME �i1IGP�If- jGT � '-ADDRESS / � �� !�
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CITY! 'STATE ��1, ZIP U/c�
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