17C-038 (2) 24 HIGH ST BP-2018-0399
GIS#: COMMONWEALTH OF MASSACHUSETTS
Men'Block: 17D-038 CITY OF NORTHAMPTON
La: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category:KITCHEN RENO BUILDING PERMIT
Permit BP-2018-0399
Proiect# JS-2018-000714
Est.Cost:$67542.00
Fee:$439.00 PERMISSIONIS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Groun: MICHAEL PHILLIPS 082683
Lot Size(sp. ft.): 5749.92 Owner: GANTZ JEREMY
Zon-&-URBC100Y Applicant: MICHAEL PHILLIPS
AT.- 24 HIGHS I
AoolicantAddress: Phone: Insurance:
P O BOX 514 (413) 250-7990 O WC
GOSHENMA01032 ISSUED ON-10/23/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN - DEMO - FOUNDATION
REPAIR WORK
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: h J'
Rough:�z �y�7 Rough: -�I- /7 House# Foundation:
Driveway Final:
Final: Final: Polo yv,G 'f 1 -161 r-1
Rough Frame:cric- lqLr It
Gas: Fire Department Fireplace/Chimney:
Rough: / ' �{//} = InsuL::icn:�(/2L /2/z4;7
Final: , Smoke: Final: �'�l{-t3j�f 7�1/511 rY
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG A ION
Certificate of Occu an namreo
FeeTYoe: Dat aid: Amount:
i
Building 102320170:00:00 $439.00
212 Main Sneet,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
24 HIGH ST EP-2018-0478
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17D
Lot: 038 ELECTRICAL PERMIT
Perron: Electrical
Category: WIRE KFFCI-IPN RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project l: JS-2018-000714
Est.Cost: Contractor: License:
Fee: $65.00 TIMOTHY ROCKETT
Owner: GANTZ JEREMY
Applicant. GANTZ JEREMY
AT.- 24 HIGH ST
Applicant Address Phone Insurance
24 HIGH ST C-(413) 563-4659 Liability, MPP0861 V
FLORENCE MA01062 ISSUED 0AW2121120I70:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN RENO
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
TrenchfUG:
Special Instructions
x
Rough
x
Special Instructions,
/1,
SRE Called In:
Signature:
Fee TfpeAmounC DatePaid
Electrical $65.00 12/21/2017 0:00:00 3728
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of W ices -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WOR–KY C
CITY[tJhamplon.. � MA DATE 12t&2017 ]PERMIT#
l
- JOBSITE ADDRESS 24 High street OWNER'S NAME Jeremy Gertz
P «.�.T_.....—_.._.__ _..... ___.. ._._
OWNER ADDRESSsame � T64: .. IFAX ___
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ''.__I RESIDENTIAL%'.
PRINT _
CLEARLY N€W _ RENOVATION:,'; REPLACEMENT.; PLANSSUBMITTED YES" NO!
FIXTURES 1 —FLOOR– BSM 1 2 3 4 5 6 7 3 9 10 11 12 13 td
BATHTUB t _
CROSSCONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATFO GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER t
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
IUTERCEPTOR{NTERIOR _ _
KITCHEN SINK 1
LAVATORY 2 – – - -
ROOF DRAIN 1
SHOWER STALL
SERVICE t MOP SINK
To
2
URNAi.
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES _
WATER PIPING
OTHER '
INSURANCE COVERAGE:
1 have a current ISibilitynsurance policy or Its substamiat 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 POUCYw OTHER TYPE OF INDEMNITr[ Who L3,
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 walVesthis requirement.
CHECK ONE ONLY: OWNER i_ I AGENT 4_]
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and infU'matem I have subm eed or entered regarding this aPP1101 ion are true and accurate to the best of my knowledge
and mat all pkanGng vele and me ishmens performed ureter the based issued for this alies"tlon w ii Ce in come ueY.h ail Pertlne tov of the
Meserehuseas State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Kawn S Purmton ]LICENSE#X15295 (, RE
MP JP❑ CORPORATION r 1#'� JPARTNERSHIP`„#� iU-C^l#.
COMPANY NAME Amold C.-Punt.Plumbing&Heetlng ::j ADDRESS L4 Gleeson Brook Road ___
CITYCharlemontSTATE ZIP 101339TEL 413 625-8194
FAX 453$7258353�j CELL 413834-7356-7358 ENAtL
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
-t CITY Northampton MA DATE 12/5/2017 PERMIT#
JOBSITE ADDRESS 24 High Street .OWNER'S NAME Jeremy Gantz
GOWNERADDRESS same. TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL
PRINT EDUCATIONAL RESIDENTIAL
CLEARLY NEW: RENOVATION: r REPLACEMENT PLANS SUBMITTED: YES NO
APPLIANCE$ I FLOORS— BSM l 2 3 4 5 6 ] B 9 to 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE -
DIRECT VENT HEATER - -
DRYER
FIREPLACE -
FRYOLATOR - -
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS La
MAKEUP AIR UNIT -
OVEN
POOL HEATER
ROOM I SPACE HEATER - Eles .i,PE, - r;" itss fomll.
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 cenay that all of Ne details and i arrmation I have submitted or entered regarding the application are true add accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will bein compliance 11 all Pertinent vi o of the
Massachusetts State Plumbing Code and Chapter 142 of the General Law,.
PLUMBER-GASFITTER NAME Kevin SPunnton LICENSE# 15295 SICXATORE
MP 1 MGF 1P I JGF LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME: Arnold C.Purinton Plumbing&Heeling ADDRESS 4 Gleason Brook Road
CITY Chademont STATE MA ZIP 01339 TEL 413825-8194
FAX 413625-8353 CELL.413-834-7358 EMAIL mkitsimple@aolcom