38B-092 (5) 10 MUNROE ST BP-2019-0049
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B-092 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:ADDITION BUILDING PERMIT
Permit# BP-2019-0049
Proiect# JS-2019-000066
Est.Cost: $50000.00
Fee: $325.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group: STEPHEN YOSHEN 88490
Lot Size(sa. ft.): 4965.84 Owner: HALPER SARAH
Zoning:URB(100)/ Applicant: STEPHEN YOSHEN
AT. 10 M_ UNROE ST
Applicant Address: Phone: Insurance:
P O BOX 41 (413) 695-7801 ()
CUMMINGTONMA01026 ISSUED ON.7/16/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-DEMO EXISTING & ADD NEW MUDROOM
&RENO KITCHEN
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: ��6 �� Rough: House# Foundation: �-
Re'-\ Driveway Final:
Final: 2/2rle�� Final: l , / /�
CRW-ri i Rough Framer Q)i
�t_�
Gas:/��7/ Fire Deaartment Fireplace/Chimney:
g 9 (?I(,�J '5 (.h
Rough: Oil: Insulation: �, �(,
Final: / /zt7 r Smoke: Final: 0,J4. 1-3-1q eof
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RIYGATIONS.
Certificate of Occupancy / si nature:
FeeTyim Date Paid: Amount:
Building 7/16/2018 0:00:00 $325.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
0-7-0
4C\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY/TOWN �,^`f st �cn MA DATE �5��y�l PERMIT# tOP' ~(`��y5(1
JOBSITE ADDRESS 4/0 '2-A L7 n-C t��� OWNER'S NAME 5,9&4A H,9vlQ2 r
POWNER ADDRESS J __ TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL PRINT R RESIDENTIAL
CLEARLY NEW: ❑ RENOVATION: REPLACEMENT:❑ Ell/� [P-
D: YE ❑ NO
FIXTURES Z FLOOR BSM 1 2 3 4 5 1 6 71 8 9 10 11 'It 1 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM ioNS
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER j
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET INSPECTOR
URINAL ON
WASHING MACHINE CONNECTION RO ED Notr API R01 fED
WATER HEATER ALL TYPES
WATER PIPING l
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 APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY [j 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 1 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 compliance with all Pertinent p visio bf the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME � 62t Yl�� LICENSE# IS Z!S- GN URE
MP 0 JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME 1:1C. 4 +oh �(�(, 1 R-1a ADDRESS 4 C Ie-C. fool
CITY &&(e 11404J STATE r.i N ZIP Q/ 3,72 _ TEL yZ f (Zs, r,V y
FAX CELL /,I S;:� EMAIL--III ,J< -i � �(� Q el /Qkn
/21-, �
T)w
y.
CA�&30 o,, . o v
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
- s
CITY E � �� �,�� MA DATE PERMIT#
1
JOBSITE ADDRESS I e? it t i OWNER'S NAME
GOWNER ADDRESS ( TEL[__ FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL a RESIDENTIAL;X
PRINT
CLEARLY NEW: RENOVATION: ►] REPLACEMENT. PLANS SUBMITTED: YES NO
APPLIANCES 1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER ,__
BOOSTER
CONVERSION BURNER
COOK STOVE —
DIRECT VENT HEATER � ��
DRYER
FIREPLACE �- _
r
FRYOLATOR �--r---� ...
u:
7777
FURNACE __...-
GENERATOR
GRILLE
INFRARED HEATER j
LABORATORY COCKS i., &
MAKEUP AIR UNIT Cs a
., _.
OVEN I
POOL HEATER - ..
''.__
ROOM/SPACE HEATER
ROOF TOP UNIT �'' �
TEST
UNIT HEATER }
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY iX OTHER TYPE 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 compliance with all Pertinen rovision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. j
PLUMBER-GASFITTER NAME', e ,� S- �y n LICENSE# 71� , SIGNATURE
MP ',Y MGF JP JGF LPGI ' CORPORATION # _�=jPARTNERSHIP # LLC!. # .
COMPANY NAME: v{ .+ I t } ADDRESS C'lez r
CITY yZ a g7 STATE.l �q ZIP 6/33 . TEL ZS S i 94
FAX CELL 3-f3 -7ffx'EMAIL
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
D FEE: $ PERMIT# IF
�-- -_
p f, PLAN REVIEW NOTES