36-014 (8) 47 FOREST GLEN DR BP-2019-0214
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-014 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2019-0214
Proiect# JS-2019-000351
Est.Cost: $76400.00
Fee: $496.60 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 13982.76 Owner. KAUSCHEN KAREN&ERIC
Zoning: Applicant. VALLEY HOME IMPROVEMENT INC
AT. 47 FOREST GLEN DR
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.8/30/2018 0:00:00
TO PERFORM THE FOLLOWING WOR .BASEMENT RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
FGotings:
Rough: 9 � ' /,�`� Rough: �� �p —� House# Foundation:
`v Driveway Final:
s Q1�
Fi `' Final:C/p.
`� n�n Rough Frame: 0j< 91 ZI't v- L
I�
Gas: Fire Department Fireplace/Chimney:
Kough: Oil: Insulation. o K
c,j< 9(2q(16
Final: Smoke: Final: OK— 111.40 t-tt
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. / p
1 (1.
1
Certificate of ACy 1Sateere:
FeeType: Date Paid: Amwint:
Building 8/30/2018 0:00:00 $496.60
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
e" , /,), -�7 Ca /�/ //7�- 0--�
Q�l MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_
CITY MA DATE 1'11(� /8 PERMIT# '" Iq -i V 1
JOBSITE ADDRESS
IZ y ( /�r�r- .�Pa OWNER'S NAME1 .
P OWNER ADDRESS TEL, FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL[�] EDUCATIONAL w RESIDENTIAL
PRINT 3-1
CLEARLY NEW:[ „ RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 8 9 T0 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM _
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
ons
TOILET
URINAL i
WASHING MACHINE CONNECTION
-
WATER HEATER ALL TYPES N T A _.
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
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPMATE13OX 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 ccurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in com h all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAMEP� aul Graham LICENSE#F11422 SIGNATURE
MP JP CORPORATJPARTNERSHIP #=LLC 0#
COMPANY NAME`Paul's Plumbing Er Heating ADDRESS;P.O.Box 303
CITY Huntington STATEMA ZIP 01050 TEL 141308-0303
FAX CELL413.626-2745 EMAILI pauisptgxhtg�ad.com
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nel
47 FOREST GLEN DR EP-2019-0200
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot:014 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BASEMENT RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000351
Est.Cost: Contractor: License:
Fee: $125.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: KAUSCHEN KAREN & ERIC
Applicant. TIMOTHY J ROCKETT
AP 47 FOREST GLEN DR
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 () C-(413) 563-4659 ,
FLORENCE MA01062 ISSUED ON:9/18/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BASEMENT RENO
Call In Date: Date Requested Inspection Date/SisnOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough C"- D-0
X
Special Instructions:
Final: /U• a(� -/ sf
SRE Called In:
Si¢nature•
Fee Type:: Amount: DatePaid
Electrical $125.00 9/18/2018 0:00:00 4082
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo