25C-252 (10) BP-2018-0689
37 FAIR ST
GIS 4' COMMONWEALTH OF MASSACHUSETTS
Mau'Block:25C-252 CITY OF NORTHAMPTON
Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACfORS
permit. Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
category;renovation BUILDING PERMIT
Pemlit4 BP-2018-0689
Project JS-2018-001251
Est Cost 568000.00
Fee' $469.00 PERMISSION IS HEREBY GRANTED TO:
const.Class: Contractor: License:
Use Group: CARL WOODRUFF 109983
Lot Sin(sa fu: 21170.16 Owner: KARNEY STEPHEN
zonine: SC(100V Applicant• CARL WOODRUFF
AT, '37 FAIP RT
ApplicantAddress: Phone: Insurance:
30 PINE ST 2ND FLOOR (315) 854-4024 WC
EASTHAMPTONMA01027 ISSUED M.-112/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL OF KITCHEN & 1ST FLOOR BATH
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:
' House Foundation:
Rough: Rough:j,- )P
p Qa Driveway Final: L ,
Fins 1:+��j�p Final: .l�f�l,en..
Rough Frame
Gas:
Rough: Oil:Fire Department Fireplace/Chimney:
Insulation:() �
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Final: `�/1°.Jpl'Jc�' Smoke: Finl�N" ej 1
THIS PERMIT MAY BE REV KED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND L TIONS. /
Certificate of Occu an Si nature:
FeeTvoe• Date P id: Amount:
Building 1/220380:00:00 $469.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
ZIZ6 17 G✓�*ZL �Ov6
?S
�, MASSACHUSETTS UNIFORM APPLICATION FORA PERII TO PERFORM PLUMBING WORK
WORK
MA DATE P # YY'IS - a—L
6
JOBSITEADDRESS T OWNEWSNAME KiI
P OWNER ADDRESS TEL
FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL El [EDI j=EjVED SID
CLEARLY NEW:❑ RENOVATION:9 REPLACEMENT:oT Jm 2 3 BMIfTED: YES❑ NO❑
FIXTURES FLOORS I BSM 1 1 2 3 8 B 7 8 oil 110 17 12 19 14
BATHTUB --.i 111 9
CROSS CONNECTION DEVICE --'
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOLISAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOORIAREADRAN
INTERCEPTOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE MOP SNC
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER TYPES
WATERPIPING
OTHER
INSURANCE COVERAGE:
I have a current liability Insurance policy or Its substantlal equlvalent which meets the requirements of MGL Ch. 62 YE3Ef NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LAB ILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Q BOND❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by plar 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY:' OWNER El AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby mrt fy that WE the chiefs end infamaeon I have subrutte i or enWac regarding this appio n ere we and emu au to 0u beet of my knowledge
and that al Plumbing work ax!lrWalletloe perfmrrd under the panne Imad for this applkMlon Mll be In compilar0.9vAM IIP Mrt nW Mme
Massachusetts State Plumbing Codo arM Chapter 142 Adie Gmeral Laws.
PLUMBER'S NAME I Paul Duda LICENSE#® TURE
I JP❑ CORPORATION❑#1091 PARTNERSHIP❑ LLC❑#
COMPANY NAME Boula re Plumbing&HeatIng,Inc 1 ADDRESS IPO Box 89,373 Main Street
CITY Eastham ton STATE®ZIP 01027 TEL 413-527-32
FAX 413-529-9387 CELL EMAIL caeswell a Wmbin Q.corn
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MWACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM OAS RmNQ woRK
CITY I c Rw\C) (Y11 I MA DATEPERMR# ('o.l''l&LAQ>
imiTEADDREssl l r —IOWNERSNAAIE d- r
GOWNER ADDRESS rFAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL F-1 RESIDENTIALn
PRIMO'
CLEARLY NDN:❑ RENOVATION:F1 REPLACEMENT:❑ PLANS SUBMITTED: YES NOD
APPLIANCES I FLOORS I BOM I 1 1 2 1 8 1 I 1 6 1 4 7 S 1 B 1 10 1 11 72 19 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPUIQE _
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AR UNIT
OVEN
POOL HEATER
ROOM I SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER
OTHER
INSURANCMCOVMERAGE
I have a current liabilityInsumnce policy or Its substantial equivalent WYME1
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY D' OTHER TYPE INDEMNITY U BOND U
OWNER'S INSURANCE WAVER:I am aware that the licensee does not have the Insumnce coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNPRQ AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby candy,tad a of the dabilli,aM Information I Asve submitted or edwW regarding this apploadon are We and assume to On best of my knowledW
mM awls WaMMp wakendawe aril pwbmrtl under on pemd Weed for Oft ap{icatlan qyk Na wlgtaSPMYryt prwbWi oflM
Mdthat all
SYete Plumbing nd Code arid Clrpbrle2AMon General purit ww _�yJ,1�4uC//
PUUMBER-GASFITTER NAMEPeul Duda LICENSE#8864 V SIGNATURE
MP LJ MGF❑ JP[3 JGF❑ LP01❑ CORPORATION❑+ # 1BBiC PARTNERSHIP❑# ULC 0#
COMPANY NAmEABotionmes mumbing&Hea8 Inc ADDRESS 1P0 Box 89.373 Main Sheet
CITY Eastlamptore STATE®7JP01027 TEL 1413-527-3240 —I
FAX 413-298987 CFILOEMAIL ocreawe9Obouiangemplumbing.00m
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