23A-061 (5) 63 MAPLE ST BP-2018-1174
GIs#: COMMONWEALTH OF MASSACHUSETTS
MM:Block:23A-061 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2018-1174
Proiect# JS-2018-001944
Est. Cost: $65000.00
Fee: $455.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sq.ft.): 12458.16 Owner: KEITER SCOTT
Zoning: GB(100)/ Applicant. KEITER BUILDERS
AT. 63 MAPLE ST
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON:5/9/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-MOVE STAIRS, MISC FRAMING, INSULATION,
DRYWALL, ELECTRICAL, FLOORING, WINDOWS AND DOORS
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: 7- 'P Rough:7--/ ' �� House# Foundation:
n Driveway Final:
Final: � Final: U�- '►
Rough Frame: 71uI<c,;�
(2
n
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 712011,6 Y/, t,—
Final: Smoke: (� Final: 0/S ren,, Fb 8 3111 L
l
THIS PERMIT MAY BE RE OKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. 4`y j
Certificate ofccu anc signature:
FeeType: Date Paid: Amount:
Building 5/9/2018 0:00:00 $455.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
cju'�� lDS / v 0
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY MA DATE PERMIT# �1" �—O I
JOBSITE ADDRESS ti OWNER'S NAME '�TT-- r
POWNER ADDRESS TEL= =FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL "�' RESIDENTIAL ,
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED. YES NO
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM 1
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY No APPTO
ROOF DRAIN AP
OVEDNOT APP OV D
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER ,
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO L
IF YOU CHECKED YES,PLEASE INDICATE T E TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY, OTHER TYPE OF 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 certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complian all Pe 'nent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LICENSE# SI URE
MP, JP CORPORATION# PARTNERSHIP# LLCM#�
COMPANY NAME �J�� �— ADDRESS
CITY STATE ZIP Q z TEL ( 2 .2q 26
�-�
FAX CELLIEMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE US u N& FINAL INSPECTION NOTES
Yep { No
THIS APPLICATION SERVES AS THE PERMfr [] ❑
-4
FEE: $ PERMIT# : S
-4ap
PLAN REVIEW NOTF�ra
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0'a �' �
63 MAPLE ST EP-2018-0897
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23A
Lot: 061 ELECTRICAL PERMIT
Permit: Electrical
Category: ROUGH AND FINISH OFFICE WIRING
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001944
Est.Cost: Contractor: License:
Fee: $125.00 GRAHAM ELECTRIC MASTER ELECTRICIAN 15396A
Owner: KEITER SCOTT
Applicant. GRAHAM ELECTRIC
AT. 63 MAPLE ST
Applicant Address Phone Insurance
PO Box 1 (413) 268-3636 C-(413) 212-7773 Liability, MPT8466W
HAYDENVILLE MA01039 ISSUED ON:5/10/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
ROUGH AND FINISH OFFICE WIRING
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
X
Special Instructions:
Final: ( - 30
SRE Called In:
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $125.00 5/10/2018 0:00:00 2890
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo