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10-002 (4) 401 KENNEDY RD BP-2017-0184 GIS w: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 10-002 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv' ACCESSORY APARTMENT BUILDING PERMIT Permit# BP-2017-0184 Proiect4 JS-2016-002159 Est Cost$19700.00 Fee: $179.06 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: Use croup: Homeowner as Contractor_ Lot Size(sa. fl.J: 83199.60 Owner: PALCHES JAKE Zoning,RR(100)[WSP(I60V Applicant: PALCHES JAKE AT. 401 KENNEDY RD ApolicantAddress: Phone: Insurance: 401 KENNEDY RD (617) 43-60010 LEEDSMA01053 ISSUED ON:3/13/20170:00:00 TO PERFORM THE FOLLOWING WORK.CONTRUCT 24 X 12 DET ACCESSORY APARTMENT 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: Fipald2 Fina L• _��_ I-r 420�, Rough Frame: - Je �CFs^ — ZS/ Fire Department FireplaceXhimney: Rough: Oil: Insulation: /-p�t/n/ / p Final: Smoke: 11L . jyl a_b-18 Final: C'/'K'�v z(� 1/D/ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES ANDD GU�LATIO/NS. ' Certficate of Occunana///lAti./A k—c Signature: FeeTFoe: Date Paid: Amount: Building 3/1320170:00:00 $179.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner Y�r�j v�-�-zx s��,�-irr��� r oD S\ MASSACHUSETTS UNIFORM APPLICATION FOR A,,PENMTTTO PERFOtN8I�WW�OR'K'� � CITY _� MA DATE'_C^ ftVq PE JOSHEADDRESS �OOW`N""NEE''RTT7{5TT7��S NNNS - P OWNER ADDRESS � T � - TYPEOR OCCUPANCYTYPE COMERCIAL❑ EDUCATIONAL ❑ RESIDENPRINTCLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: PLANS []. NO[]FIXTURES] FLOOR- 69A1 2 B 4 5 6 ] 8 9 Is 1eBATHTUB _ —�CROSS CONNECTION DEVICE - DEDICATEDSPECMLWASTESVSTUA _ TYL - DEDICATED GASIOIUSANDSYSTEAI DEDICATWGREASESYSTEM DEDICATED GRAYWATER SYSTEM DEDICATED WATER RECYCLESYS7B! - DLSHWASHERDRINKING FOUNTAINI"DISPOSER FLOORIAREAMAN INTERCEPTOR - gTCHEN SINK LAVATORY ROOF DRAIN E SHOWER STALL SERVICE TMOPSRIK - __ -- TOILET " - -� URINAL WASHING MACHNECONNECTION WATERHFATERALLTYPES WATE PPING OTHER - CIRCLEf:GASTRAPYUIDRYTRY BACI(FLOW PREY f WATER 0.0SET HOTWATERTANK e INSDRANCE COVERAGE: I have a current Ilebflity immmnce policy or its substantial equivalent which meets the rttryiremmKs of NGL Ch.142. YES ND❑ WYOUCHECKEDYE%PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKINGTHE APPROPRIATE BOXBELOW LIABIUTYINS"NCEPOLICY� OBER TYPE OF m0EMN1TY n BOND I__I - OWNER'S INSURANCE WAIVER:I am aware that The licensee does not have the insurance coverage required by Chapter 192 of the Mdssachuse s,General Laws,and that my 3 ignalure on this permit application waives this requirement. CHECK ONE ONLY: OWNER [D AGENT ❑ SIGNATURE OF OWNER OR AGENT Iherear®ary UM aadUcuesse antliMamWionlhave submaetlw¢Meretl regaed'm9 nes appliwnen are nue entl acrairale lomeh.1mmyk.• and Dwl all plunit°8r+wk ami 4¢UW4orts PaRwmetl NWa Ne Pamin lssuetl rorlNsaPPr 1®n yin Ce in wmonarc ae ' em Ora w.ae nveew stela Plmm�9 caaeam aarue.uzama-ce—�..l—tri... �G PLUMBER'SNAMEL� / / � �o/t. J.fL-CEN—SE#-!/6:29h SIGNATURE MPO JP❑ CORPORATION❑#C�PARTNERSHIPO#F--- LLC[]# __-�—�I COMPANY NAME ADDRESS E CITY i I�/ /.Ju/_--�:P LI - STATE J Zip FAX 2 1 � l> 1I/D f/- o�jyyvil' L I C 401 KENNEDY RD EP-2017-0840 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 10 Lot:002 ELECTRICAL PERMIT Pennit: Electrical Category: INSTALL 2ND METER ON HOUSE FOR ACCESSORY STRUCTURE-SEE NOTES ON PERMIT Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project ft JS-2016-002159 Est.Cost: Contractor. License: Fee: $150.00 JAMES MAILLOUX ELECTRIC Master A16187 Owner: PALCHES JAKE Applicant: JAMES MAILLOUX ELECTRIC AT. 401 KENNEDY RD Applicant Address Phone Insurance 55 MAIN ST -2ND FLR (413) 585-1592 C-(413) 563-4654 Liability, MPT0721Q FLORENCE MA01062 ISSUED ON.•415120170:00:00 TO PERFORM THE FOLLOWING WORK: INSTALL 2ND METER ON HOUSE FOR ACCESSORY STRUCTURE - SEE NOTES ON PERMIT (7211 IDate: Date Requested Inspection D te/S'®OR' Reinspect?: Trench/UG: Lp—�— I7 PSI-h Special Instructions - - — --' x /� Rough ( 17 erh x Spur+sl instructions: Final: I�� - C! Rn " sREcihdl • 4ZR.?64�/3 Sutn Feer Amount DatePaid Electrical $150.00 4/5/2017 0:00:00 11580 212 Main Street,Phone(413)587-1244,Fat(413)587-1272-Inspector of Wires -Roger Malo 401 KENNEDY RD EP-2017-0970 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 10 Ins:002 ELECTRICAL PERMIT Permit: Electrical Category: HOOK-UP FOR WATER HEATER Perna 4 Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-002220 Est.Cost: Contractor: License: Fee: $35.00 THOMAS ROBERT HERBERT Journeyman Electrician 52843 Owner: PALCHES JAKE Applicant. THOMAS ROBERT HERBERT AT. 401 KENNEDY RD ADolicant Address Phone Insurance 82 WEST GLEN ST (413)977-0349() C- Liability, MPT7127Q HOLYOKE MA01040 ISSUED ON:5/18120170:00:00 TO PERFORM THE FOLLOWING WORK. HOOK-UP FOR WATER HEATER Call In Date: Date Reguested InspeLtion Date/SicnOffl Reinspect?: Trensh/UG: Special Instructions x Roueh x Special Instructions: Final: S �a.2 ' 1 RQ SRE Called lo: Sienamre: Fee T{De:: Amount: DatePaid Electrical $35.00 5/18/2017 0:00:00 3466 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo