31A-162 (2) 105 MAYNARD RD
BP-2018-0265
GIs#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 31A- 162 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-2018-0265
Proiect# JS-2018-000474
Est. Cost:$131500.00
Fee: $852.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Sizes . ft. : 15463.80 Owner: ANDREWS CHRISTINE/NASON KATIE
Zoning:UR133(1OOI Avolicant: KEITER 1-3UILnFRS
AT. 105 MAYNARD RD
Applicant Address•
35 MAIN ST Phone: Insurance:
FLORENCEO WC
MA01062 ISSUED ON.•912212017 0.00.00
TO PERFORM THE FOLLOWING WORK:LIVING ROOM & DINING ROOM REMODEL
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service: Meter:
Rough: Footings:
V17 Rough:/��'q'�� House# Foundation:
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rj►"1 Driveway Final.
Final: Final:
/��17- Rough Frame: 1111117
Gas: Fire Department��� `��� DeparFireplace/Chimney:
Rough: Oil:
Insulation:
Final: Smoke: Final:
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. `` /
Certificate of Occu anc �t' 'D �7� ��`u-�v
Si nature:
FeeTvne: Date Paid: Amount:
Building 9/22/2017 0:00:00 $852.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
V
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY DL ) MA DATE PERMIT# ��—
,._.
JOBSITE ADDRESS OWNER'S NAME[�� _.....
....
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OWNER ADDRESS
TELL� � FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL
PRINT EDUCATIONAL RESIDENTIAL
CLEARLY NEW: ,r RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES N0
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 E
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER I _.
DRINKING FOUNTAIN
FOOD DISPOSER -- _... . '
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK I � r
LAVATORY
'.- . _.. IF
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK 1
TOILET E
URINAL mm— 1
WASHING MACHINE CONNECTION
I
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
1 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 OTHER TYPE OF INDEMNITYBOND
LJ
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 ac urate 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 lianc ith all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME i- LICENSE# SIG URE
MPkJP CORPORATION El
# PARTNERSHIP # =LLC # �,,
COMPANY NAME I _ ADDRESS' -,�
CITY i STATE ZIP TEL
FAX CELL EMAIL
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY �
MA DATE '71G PERMIT# �
JOBSITE ADDRESS OWNERS NAME � { �' ��
OWNER ADDRESS TELA FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL
PRINT EDUCATIONAL RESIDENTIAL'
CLEARLY NEW: RENOVATION: REPLACEMENT: -
PLANS SUBMITTED: YES NO ;.
APPLIANCES Z FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 T121 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 A; 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.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 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 P:20dinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER GASFITTER NAME .A LICENSE# 5 SIGNATURE
MP MGF, JP--l"i JGF LPGI CORPORATION # PARTNERSHIPLj# , LLCM# �
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COMPANY NAME: ADDRESS l _ G
CITY
STATE
Lo ZIP€ STEL
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FAX CELLI � .M .
. � ___kEMAIL_
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105 MAYNARD RD EP-2018-0345
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31 A
Lot: 162 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE REMODEL OF KITCHEN,DINING ROOM&LIVING ROOM
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-000474
Est.Cost: Contractor: License:
Fee: $125.00 MODERN CASTLE INC Electrician 20583
Owner: ANDREWS CHRISTINE / NASON KATIE
Applicant. MODERN CASTLE INC
AT. 105 MAYNARD RD
Applicant Address Phone Insurance
193 HOLYOKE ST (413) 583-2227 C- Liability, 1261000470-1
LUDLOW MA01056 ISSUED ON:11/8/2017 0:00:00
TO PERFORM THE FOLLOWING WORK.
WIRE REMODEL OF KITCHEN, DINING ROOM & LIVING ROOM
Call In Date: Date Requested Inspection Date/SignOffi Reinspect?:
Trench/UG:
Special Instructions
X n
Rough
x
Special Instructions:
Final: /-/(i'
SRE Called In•
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 11/8/2017 0:00:00 1026
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo