38B-002 (35) 22 PAQUETTE AVE - BP-2017-1525
GIS 4, COMMONWEALTH OF MAS-SACHUSETTS
Mao.Block:38B-002 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTAACTING WITH UNREGISTERED CONTRACTORS
Permit Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL r. 142A)
Category,renovation BUILDING PERMIT
Pemit# BP-2017-1525
Project f JS-2017-002552
Est.Cost:$54500.00 '
Fee:$354.00 PERMISSION IS HEREBY GRANTED TO.-
Const.
O:const.Class: Contractor: License:
Use Group: DAVID JAGODZINSKI 1996068
Lot Size(sa.ft.): 95962.68 Owner. PUTNAM ELLEN
Zoning;.URC(100 /)wwta)/ Applicant. DAVID JAGODZIN$KI
A7:• 22 PAQUETTE AVE
Applicant Address. Phone: - Insurance:
P O BOX 204 (413) 230-9160 WC
NORTH HATFIELDMA01066 ISSUED ON•7120/20170:00:00
TO PERFORM THE FOLLOWING WORK.•REMODELING INTERIOR OF 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:9/2 C? l7 Rough: ?•aC'f-17 House so Foundation:
(P P Driveway Final:
Final: Final: lK 3— 7 -1k Rough Frame:
!Z \
Gas/: ���OOOiiiyyy!llyyyi��Llll Fire Department Fireplace/Chimney: .J
Rough: O_I: Insulation:
Final: - Smoke: 54> Finak (B-
°y/��� j3e�J �
THIS PEILMIT MAY BE REVO3D 11 THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULE REGULATIONS.
Certificate of Oeeo aR ya, �
Siaoature•
FeeTvoe: Date Pair: Amount: -
Building 7/202017 0:00:00 $354.00
t
212 Main Stn we Phone(413)587-1240,Fax:(413)587-1272
LouijHasbrouck—Building Commissioner
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yrs MASSRCHUSET7Sj//yJy;-N't)FONM APPLICATION FORA PERMIT TO PERFOR f�1;UM,�31fIWORK
CITY MA MA GATE j(27 _ PERMIT# LQ.-.(2_
JOBSPE ADDRESS ,�k. r G}L'F�t OWNER'SNAME /774 `K
YOWNERauaREss_ �VV'Onat $, NafPti €L�� .FAX, _,_
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL Q RESfDENTLAI.[ "�
PRINT
CLEARLY Nc4Y.-L.a , RENOVATION_ R0LACEMENr,0 PLANSSUSMITTFD: YES( NO(
FIXITIR€SYfLGQR" 95M. a a 5 s T 2. 9 ta. ..tl 12 IJ
CROSS CONNECTION OEIACE
DEDICATED SPE, WASIE SYSTEM `"'` '�✓s _
DE2]ICA TED C SK)IUSAND SYSTEM
10EfXATED GREASE,SYSTEM
OEOICATEO GRAY WATER SYSTEM _
OEDICATM WATER RECYCLE SYSTEM
DISHWASHERf1--
ORtN10NGFOUNTAW _
FOOD CISPOSER
FL00RIARPAORAIN
WTERCFPTOR INTERIOR _
LA
KITCHEN INK
S
LA
VATATORR Y
ROOF SPAIN.,
SHOWER-ITAU.
SERVICEt MOP SINK
T04-ET _
uwNM.
WASH WG MACFIINECONNECTION
WA"I i1EiTER A4 TYFES
WATER MENG —� PE TOR _
ORtEi —..
INSURANCE COVERAGE: �,/
I have a cement gSeyy insurance poky or its.suh5antial equivalent which meets the requirements o(MGL Ch.14Z YES Ltd x'10 Q
' -- - IF YOU CHECKED YES;PIEASEINVICATE THH PE 4F COVERAGESY CHIEWNG THE APPROPRIATE HOX BELOW
OAEIUTY INSURANCE POUCY pX OTHER YPEOFMOENMTY ❑ _ SONO ❑ .
OWNER'S INSURANCE WAIVER:I aul asearethat the licensee does not have(tie insurance coverage requirectby Chapter T4Z of rhe
Massachusetts General Laws,and Na[my signature on O's pemit application waives this regcin menc
_ CHECK ONE ONLY: OWNER Q AGENT
SIGNATURE OF OWNER OR AGENT
AV lh-z usCllz51,..,nbinheC llS afA Gtro.RaHnnRl^eVe sub plamitrisse4 r lhis aiPpNifr¢applvfKn are�cca �e0y5ltllm si9e
_.. arq Nat Nl PlwS(.I.war%arM C"doN tiu ChWiteed uodeNM1e gar ^S Caliun wtll UP in cUmplren[v wiar IIIPert
g roe ane Cha re w2 of Ne Genc.al laws. is s�l
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PLUMHER'SNAME bfWCL
Lk)E!i {/TI'S LICENSE# x 8567 /f SIG NATURE
MP&(/, JP 7 CORPORATION Ej# PARTNERSHIP❑R t1C❑N
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COMPANY NAME lltl V' P�yh hra ADDRESS_ {23 l V--s' `
�CITY STATE m'4" ZIP 1113 TEL 4� `5yY"
Ar T'"S LF-Sll�c CELL
81917
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POWNFRA
EADOkE55EFORMAPPLICATION FpATINGWORK
DDRESSPRPSE OR , ,NNC`Y TYPE COMMERCIALI! EDUCATIONAL RESIDENTIAL
CLEARLY NEW;L{J RENOVATION;[ I REPIACEMENT:jj] PLANS SUBMITTED: YES!1 NOL]
APPLIANCES'I FLOORS,J SSM ? 2 3 a 5 fi T 8 4 IO 11 72 13 14
BOILER
CONVERSION BURNER! r
COOK.S7QVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE .... -
GENERATOR
..G�LLE�.. ; . I fl. K. IHI n U FA
_ a
INFRARED HEATER
LABORATORY COCKS I
MAKEUP ALR UNIT '
OVEN I
ROOM I SPACE HEATER_ 3
ROOF TOP UNIT _ i
TEST
UNIT HEATER ........�.... — ..—
UNVENTED ROOM HEATER _
WATER HEATE
0_TE1FR 4
• INSURANCE COVERAGE
I have a current Hubei[ insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES f—I NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF CQVERAGF.BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY U OTHER TYPE INDEMNITY� eOND 0
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 B d my signature on[his permit application waives this requirement.
,_, CHECK ONE ONLY OWNER (1 AGENT f
SIGNATURE OF OWNER Oft AGENT
t he b ceNt,that BU of Ne details and f mt lion l fls I,1t d m e terod regarding Ins appl' s r,are true a d accurate to the best of mY knowledge
d Ihat alt pturbmg uwk amt n Nif uh -Pert +mad d the P n`v- ed for iha ap "'nh 8 be in�wka wiN aylf'�YL�y�n o(lne
Massachusalls SI31e Plumbinq Cade Intl Ch-1W 142 0!In tie al Law,
PLUMBER-GASFITTER NAME LnEe Whifier LICENSE(I{ 178P'_1 SIGNATURE ��--------TT
MPJ MGF0 JP I=] JGF0 LPGI� CORPORATION[ # PARI'NERSHIP L�k[- LLC #I
COMPANY NAME`INN Iter Plumbing 8Healing �AODRESS I 423 Daniel Shays Hwy.
CITY [New Salem — STATESMA ZIP,D1155 �TEL X97&544-7878 �7
FAX 978-544-5480 CEL' g78b11-ilOd—jEMAIL 6whittier987@pmaiLcom �� _— J
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22-Z4-PAQUETTE AVE EP-2018-0021
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38B
Lot:002 ELECTRICAL PERMIT
P..it: Electrical
Category: WIRE MAJOR RENOVATION
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-000070
Est.Cost: Contractor: License:
Fee: $125.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner. A & S BUILDERS
Applicant- STEVEN KEYES
AT. 22-24 PAQUETTE AVE
Applicant Address Phone Insurance
13 STATE RD (413)422-1220 () C-(413) 695-4968 Liability, R1216217A
SOUTH DEERFIELD MA01373 ISSUED ON.-7/II/20I70:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE MAJOR RENOVATION
Call In Date Date Requested Inspection Date/SienOff: Reinspect?:
Treach/UG:
spceial Instructions
x
Rough -! -'q`y / 2 a.--
x
Special Iww.sti.nv
Final:
SRE Called In:
Signature:
Fee Twe:' Amount Dat.Paid
Electrical $125.00 7/11/2017 0:00:00 5971
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo