24A-119 (12) 26 CALVIN TER BP-2019-0124
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A- 119 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2019-0124
Project# JS-2019-000202
Est.Cost: $39819.00
Fee: $260.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 112166
Lot Size(sq.ft.): 8450.64 Owner: Marybeth Haberkorn
Zoning. URA(100)/ A,anlicant: VALLEY HOME IMPROVEMENT INC
A7 26 CALVIN TER
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.7/31/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-KITCHEN RENO WITH EXPANDED CASED
OPENING, NEW CABINETS & FIXTURES & NEW BAY WINDOW
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: Rough: 9-_?v _1g House# Foundation:
P U
Driveway Final:
Fina l�0����� Final: 16'1��1�
JL �/ Rough Frame: vn /,T('
Gas: Fire Department Fireplace/Chimney:
R ugh: Oil; in�►_i�*inns �`� `�! r p /!
Final:// Smoke: Final: (ftL t i 16
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of�ecul, y 4=jzj2 Signature:
FeeType: Date Paid: Amount: �.
Building 7/31/2018 0:00:00 $260.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITYOSA/ _ MA DATE/LA%/ PERMIT#
y I � �/t /i/ __.._ ........_...._..
JOBSITE ADDRESS +�/�� OWNER'S NAME..
OWNER ADDRESS 3 TELI FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL;At
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
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
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 k NO
IF YOU CHECKED YES,PLEASE INDICATE THE 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 'sent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LICENSE# �oZ7v? SIGNA
MP JP p CORPORATION #�. PARTNERSHIP # =LLC #
COMPANY NAME ADDRESS Q d3
CITY �STATE ZIP Q/0—T-V TEL
FAX CELL AIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
�� PLAN REVIEW NOTES
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTINGWORK
� l(�L
CITY t:' MA DATE d /-1 PERMIT# p —I O
JOBSITE ADDRESS OWNER'S NAME �T
OWNER ADDRESS x L TELT FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
INT
CLEARLY NEW: RENOVATION:, , REPLACEMENT: ;; PLANS SUBMITTED: YES NO
APPLIANCES 7 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
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER _ _a
ROOM/SPACE HEATER % tv `0fG,
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 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 st of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance e t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME SQL/ _'i¢ jq/z LICENSE#4,22--42- SIGNATUR
MP MGF JP JGF LPGI[] CORPORATION # PARTNERSHIP,—J#D LLC J#
COMPANY NAME: ADDRESS
w
CITY i / ,y -- STATE ZIP�1-- G�zTEL I / —
FAX CELL EMAIL
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
U FEE: $ PERMIT
r!,SPLAN AEVIE ES
en / `77YLLS 6�-a l7J�i i
i y
r -_
26 CALVIN TER EP-2019-0145
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24A
Lot: 119 ELECTRICAL PERMIT
Permit: Electrical
Category: KITCHEN RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000202
Est.Cost: Contractor: License:
Fee: $65.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: Marybeth Haberkorn
Applicant. TIMOTHY J ROCKETT
AT. 26 CALVIN TER
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 () C-(413) 563-4659 Liability, MPP0861 V
FLORENCE MA01062 ISSUED ON:8/29/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
x
Special Instructions: /
Final: /e16—/l'P
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 8/29/2018 0:00:00 4057
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo