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42-043 (10) BP-2018-1040 669 WESTHAMPTON RD # COR.91o"i.(biVFv'JEALTH OF MASSACHUSETTS GIs : GIs# ock:42-043 ITT OF NORTHAMPTON Lot. ,B1 PERSONS COt:7 RAC i'7AG WITH UNREGISTERED CONTRACTORS Permit. Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catew",KITCHEN RENO IIS ILDING PERMIT Permit# BP-2018-1040 Proiect# JS-2018-001884 Est Cost 515000.00 Fee:$97.50 PERIIISSIONIS HEREBY GRANTED TO: Const Class: Contractor: License: Use Grouo: DANIEL K DACRI 105989 ,I of Size(sn R Y 25047.00 Owner. ICHNSON FRANCIS&.LUCY HARTRY zoninz int: DANIEL K DACRI AT: 669 WESTHAMPTON RI-1 Amlicant Address:_ Phone: Insurance: 247 RIVERSIDE DR (617)543-2843 Workers Compensation FLORENCEMA01062 ISSUED ON:4/I212018 0:00:00 TO PERFORM THE FOLLOWING WORK.-KITCHEN RENO - COUNTER TOPS AND REPLACE CABINETS POST THIS CARD SO IT IS VISIBLE FROM TIIE STREET Inspector of Plumbing Inspector of Wiring D.P.W.t Building Inspector Underground: Service: Meter: ( Footings: Rough: Rough:V.-, - House# Foundation: Driveway Roal: F10a1:k0 Final: Rough Fram443,4J— Gas: Fire Deoartuent Fireplace/Chimney: / Rough: Oil: Insu!ation: / Final: Smoke: Final: o1r, 1(2`I8 Lu THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REG�UL,(ATIONS.__ _e -� )All 8 ya* v Certificate of OccuoanU��r Q Y�`sia signature: a !2 FeeTv e• Date Paid: Amount: Building 4/12120180:00:00 $97.50 212 Main Saee4,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner „ t ' o s A W° ,+n t P f s� s5 roof F'�kM x .� ca ,+' � n><p d�`'�p+� �e F Y � +ba � r '.r "�•+ 9 j t � y. a� F �'t d ��k +w kreTt� +�E£t,� �, •Rr- �Y�, a � 4. { iT- f rt tb ti or IY” ��» �d >•¢y �� � M1 nY � y L� y ltd ? ?I n .p t� iS K N S S JC° Nk9Y `�l• i 1f. � a L� -4 70 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY NorthamptonI MA DATE X5/1/2018 ----.]PERMIT# JOSSITE ADDRESS 669 Westhampton Rd OWNERS NAME Frandy Johnson P ......_._____ OWNER ADDRESS fi69,Westhamplon Rd TEL 413-2377390 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL,_._I EDUCATIONAL _ RESIDENTIALi,j PRINT CLEARLY NEW:n RENOVATION.'_ ( REPLACEMENT. - PLANS SUBMITTED: YES El NDE] FIXTURES-1 FLOOR— BSM 7 1 2 3 a y s 7 e 9 10 11 12 13 14 BATHTUB t CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM L DEDICATED GASIOILISAND SYSTEM ` DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM _% DISHWASHER 1K ' DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN _ INTERCEPTOR INTERIOR KITCHEN SINK 1 LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET INSIPEC OR 111A URINAL WASHING MACHINE CONNECTION 'tT AhPF'O "EC WATER HEATER ALL TYPES WATER PIPING ; P If INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES E] NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY U OTHER TYPE OF INDEMNITY ((j BOND L-,] 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 ONL OWNER ❑ AGENT Q SIGNATURE OF OWNER OR AGENT I hereby certify Nat all of the details and information I have submhted cr entered regarding this application ar Rand e e best of my knovAedga and that all plumbing work and installations performed under the permit issued for this application All be in ,ance 'th inept provision of the Massachusetts State Plumbing Code and Chapter 142 of me General Laws. PLUMBER'S NAME John T.Ge LICENSE# 16079 NATURE MI JPQ CORPORATION©# PARTNERSHIPQ# 1295560 LLC Q#� COMPANY NAME FTMT.Geryk Plumbing 8teaft LLC ADDRESS 120 Jack—son St.First Floor CITY I Northam ton STATE MA ZIP 01060 ! TEL 413727-3057 FAX [�CELL 4----3893 I EMAIL john&Amtgerykplumbmg.com 669 WESTHAMPTON RD EP-2018-0805 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 42 1 t:043 ELECTRICAL PERMIT Permit Electrical Category: WIRE KITCHEN RENt) Permil n Electrical PERMISSIONIS HEREBY GRANTER TO: Project4 JS-2018-001884 Est.Cost Contractor. License: Fee: $65.00 ANDY GIROUARD Electrician 5975 Owner: JOHNSON FRANCIS & LUCY HARTRY Applicant.- ANDY GIROUARD AT: 669 WESTHAMPTON RD Applicant Address Phone Insurance 21 ALLEN COIT RD (413) 667-8812 () C- Liability, BKS56383247 Huntingdon MA01050ISSUEDON:4/77I2018O.-M-00 TO PERFORM THE FOLLOWING WORK WIRE KITCHEN RENO CR In Daft: Date Regaested I tion D t/S' Ott R ' t TreneldUCi: Special lnstructtnns X Rough 3 Special instructions: Fim1- C..--1S< /.Fi te— SIZE Called In: Sigtl mm: Fee Twe:: Amo t D t P 'd Electrical $65.00 4/17/2018 0:00:00 1107 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo