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22B-015 (3) 56 MEADOW ST BP-2014-1377 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-015 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv: ADDITION BUILDING PERMIT Permit# BP-2014-1377 Project# JS-2014-001743 Est.Cost: $126500.00 Fee: $759.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MICHAEL_ J BEHRENS 053760 Lot Size(sa. ft.): 18251.64 Owner: BEHRENS MICHAEL Zonim_': URti000)% Agpikant: Mi'HAEL J BEHRENS AT: 56 MEADOW ST Applicant Address: Phone: Insurance: 164 NORTH FARMS RD (413) 559-1812 () NORTHAMPTONMA01060 ISSUED ON.6/26/2014 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2ND FLR ADDITION (3 BEDRMS & BATH), RENOVATE ENTIRE 1ST FLR (ADD 1/2 BATH/LAUNDRY) 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: � Rough:,, House# Foundation: Driveway Final Final: 6, }� Final: ;% $� Rough Fr me: .rl o Gas: Fire Department Fireplace/Chimney: Rough: nil: Insulation: �- . �/fir �/'V'✓ Final:(� 'r �� Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. / / Certificate of OccupancyT_ Signature: FeeType: Date Paid: Amount: Building 6/26/2014 0:00:00 $759.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK utl CITY N2xi�t� MA DATE F 9--,x PERMIT#-,N -1 JOBSITE ADDRESS 1 5-6 OWNERS NAME ,,l,�,,.L POWNERADDRESS 1 L64 P*AA-, I TEL y:3 - I-T-C - Ira taFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL F-1 RESIDENTIAL'19 PRINT CLEARLY NEW:17 RENOVATION:n REPLACEMENT: PLANS SUBMITTED: YES F-1 NoF-1 FIXTURES I FLOOR— BSM 1 2 3 4 5 6 7 8 9 1 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 I AREA DRAIN 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 NO F-1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[Z OTHER TYPE OF INDEMNITY � BOND F-1 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 F-1 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. PLUMBER'S NAME LICENSE# �j SIGNATURE MPNQ JPM CORPORATION[]g# r 3 PARTNERSHIPF—J# LLCE]#[�= COMPANY NAME 10'rj'��Lqal( ADDRESS STATE ZIP[ e2 TEL CITY I Aa:6 FAX I 5-n-rAqaCE1LL'j EMAIL F_4S,> e-oContje .C—\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY_ � �'�' MA DATE ° ` PERMIT# JOBSITE ADDRESS C "` �� OWNER'S NAME POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[ PRINT CLEARLY NEW:❑ RENOVATION:)V REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES 7 FLOOR BSM 1 2 3 4 s 6 7 a 9 14 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM7 _ DEDICATED GAS/OiUSAND SYSTEM _ n._,_ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER OF eur DRINKING FOUNTAIN - ^M FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK w LAVATORY 9 ROOF DRAIN !EO SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER —4— INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.14Z YES❑ 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 wanes 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'installation performed under the permit issued for this application will be in complianco,with all Pertinent pyovision of the Massachusetts State Plumbing Co' ,Chapter 142 o the General Laws. PLUMBER'S NAME C ('GII LICENSE#I / ' 2 SIGNATURE MP( JP❑ �I 4ewri4e CORPORATION[:1# PARTNERSHIP❑# LLC El# COMPANY NAME (. P3"�" jYv 'i•' ADDRESS Lf 7 t ?q ,^ CITY. 5 STATE zip 010,o17 TEL Y 4 I FAX CELL �� "?3 s�'7 EMAIL Q /y �� G��'" r .�' �y, �-.� :yam `� a a ..,. .� 2- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE S-a-c-i PERMIT# Iwo JOBSITE ADDRESS 'OWNER'S NAME -rhick,,A AX i OWNER ADDRESS TE !;: TYPE OR OCCUPANCY TYPE COMMERCIAL—' EDUCATIONAL RESIDENTIAL PRINT CLEARLY ; NEW: RENOVATION: REPLACEMENT: APPLIANCES FLOORS- 2 3 4 5 6 j 8 9 ?0 111 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR f FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN PCXX HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have i current liability insurance policy or its substantial equivalent YES t.^NO which meets the requirements of MGL.Ch.142 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY 7 BOND X 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 1 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 compiiance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFIT ER NAME LICENSE#i k SIGNATURE T (a MP MGF Jr" JGF LPG] CORPORATION 5C # PARTNERSHIP—# G C LLC COMPANY NAME: ADDRESS )(,+�sli � 'TEL L 'Y STATE, ZIP�4ACk A6, .......... FAX CELL En is 56 MEADOW ST EP-2015-0203 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 22B Lot: 015 ELECTRICAL PERMIT Permit: Electrical Category: WIRE NEW HOUSE Permit# Electrical PERMISSION IS HEREBY GRANTED TO. Project# JS-2014-001743 Est. Cost: Contractor: License: Fee: $200.00 CHESTER C GOLEC Journeyman 32699E Owner: BEHRENS MICHAEL Applicant: CHESTER C GOLEC AT. 56 MEADOW ST Applicant Address Phone Insurance P O BOX 193 (413) 586-8745 Liability, MP053756 LEEDS MA01053 ISSUED ON:8/29/2014 0:00:00 TO PERFORM THE FOLL OWING WORK. WIRE NEW HOUSE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X II Rough -e-1A X Special Instructions: Final: G-3L SRE Called In: IO a �0 Op�Q l �01 ' Signature: Fee Type:: Amount: DatePaid Electrical $200.00 8/29/2014 0:00:00 1028 212 Main Street,Phone(413)587-1244, Fax(413)587-1272 -Inspector of Wires - Roger Malo