25A-163 (4) 239 NORTH ST BP-2017-1455
GIs#: COMMONWEALTH OF MASSACHUSETTS
MM:Block:25A- 163 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,
Permit# BP-2017-1455
Project# JS-2017-002417
Est.Cost: $15000.00
Fee: $97.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MATTHEW KOZUCH 106644
Lot Size(sq. ft.): 13416.48 Owner: LITWILLER LAURA
Zoning:_URB(100)/ Applicant: MATTHEW KOZUCFI
AT. 239 NORTH ST
Applicant Address: Phone: Insurance:
6 HIGH ST (413) 570-3279 O
FLORENCEMA01062 ISSUED ON:6/16/2017 0:00:00
TO PERFORM THE FOLLOWING WORK.KITCHEN REMODEL - CHANGE CABINETS
FLOORING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service:d G!/r Meter:
- Footings:
Rough:/,�:ff, ` I, Rough: House# Foundation:
Driveway Final:
Final: Final: ! —/7, 7
�/�(�04 kZfi`''Z�' Rough Frame:
Gas: 9/ Fire Department Fireplace/Chimney:
Rough: oil: Insulation:
Af
Final: /d `� Smoke: Final: /0/10/17
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu an Z (' Signature:
FeeTyne: Date Paid: Amount:
Building 6/16/2017 0:00:00 $97.50
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
239 NORTH ST EP-2017-1114
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25A
Lot: 163 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN REMODEL AND REPLACE SERVICE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002417
Est.Cost: Contractor. License:
Fee: $125.00 ROBERT MAJOWICZ Electrician 15316A
Owner: LITWILLER LAURA
Applicant: ROBERT MAJOWICZ
AT. 239 NORTH ST
Applicant Address Phone Insurance
PO Box 80796 (413) 563-9182 () C-(413) 784-0445 Workers Compensation,
08WECCP8755
SPRINGFIELD MA01138-0796 ISSUED ON:6/30/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN REMODEL AND REPLACE SERVICE
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough 1-7 , LZ Qq t\
X
Special Instructions• L41+64k //l tL-4472 rz C SkDlliAlle, w%QO�/�
Final Z/
SRE Called In: 24368787 lJ
Sip-nature:
Fee Tvae•• Amount: DatePaid
Electrical $125.00 6/30/2017 0:00:00 10250
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
r� 7j 0C)
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
...
CITY Northam ton MA DATE 16/26/2017 PERMIT
JOBSITE ADDRESS 239 North St OWNER'S NAMES Laura Litwdler
POWNER ADDRESS 239 North St I TEL.312-421-0425 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL'--'
PRINT
CLEARLY NEW: RENOVATION:!. ,= REPLACEMENT: PLANS SUBMITTED: YES N0 ,
FIXTURES-1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB A _
CROSS CONNECTION DEVICE '
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM I
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM I
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
i
FLOOR/AREA DRAIN '
INTERCEPTOR(INTERIOR) �. ._ .............
_ I-
KITCHEN SINK 1
LAVATORY �F
E_
ROOF DRAIN
SHOWER STALL - .u„� F
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION &GA I T04F e,
WATER HEATER ALL TYPES
WATER PIPING
;t-
OTHER ; _ry
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY L] BOND L
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�.trye an cup e the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be it!c00lian II ertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r
- -� !�—
PLUMBER'S NAME John T.Geryk LICENSE# X16079 S GNATURE
i
_.
MP_ JP CORPORATION # N PARTNERSHIPt „#j =LLC #
.N _.d,.., �. w...... .
COMPANY NAME John TGeryk Plumbing&Heating I ADDRESS 20 Jackson St First Floor
CITY'Northampton ISTATEI MA I ZIP 101060 TEL r 413 727 3057 ?
FAX CELL413-336-3893 EMAIL john aohntgerykplumbing.com
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
uv,; CITY Northampton MA DATE"6/26/2017 PERMIT# P- {'1--bLf
JOBSITE ADDRESS 239 North St OWNER'S NAME Laura Litwiller
OWNER ADDRESS 239 North St TEL 312-421-0425 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL
PRINT RESIDENTIAL
CLEARLY NEW: RENOVATION , , REPLACEMENT. " PLANS SUBMITTED: YES 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 1 _.,W:_ .� _�: :� __. .: tint
DIRECT VENT HEATER "
DRYER
FIREPLACE
W
FRYOLATOR
FURNACE
GENERATOR _w: _.
GRILLE -51
INFRARED HEATER
:
LABORATORY COCKS
MAKEUP AIR UNIT
y 7 1 .;orc
OVEN
POOL HEATER
.-.. �.. ....; ... ::
ROOM/SPACE HEATER -
ROOF TOP UNIT
TEST __..._
1
UNIT HEATERP1 11MIMNI'll
UNVENTED ROOM HEATER
ON
,..
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 f:
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.
C
SIGNATURE OF OWNER OR AGENT HECK ONE ONLY: OWNER AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application ar ue aye a e to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in co plia e I Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
----------------------
PLUMBER-GASFITTER NAME John T Geryk LICENSE# 16079 SIGNATURE
MP.° MGFJGF LPGI CORPORATION
JP z#" PARTNERSHIP' #, LLC #`
COMPANY NAME John T Geryk Plumbing&Heating ADDRESS"20 Jackson First Floor
CITY Northampton.-,—,,
. .,. .. _,.„ ., ....,_.: ,,n " STATE MA ..ZIP 01060 TEL 413-727-3057
FAX CELL 413-336-3893 EMAIL john@johntgerykplumbing.com
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