23A-061 (7) 63 MAPLE ST-APT 2 OP.2019-0929
cls#: COMMONWEALTH OF MASSACHUSETTS
Maj lock:23A-061 CITY OF NORTHAMPTON
c-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Penner: Bulldina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catogorv� GAS BUILDING PERMIT
Permit 4 BP-2019-0929
Proiect ft JS-2019-001441
F,tt,Cost, $8000,0
Feng S 100 0o PERMISSION IS IIEREBY GRANTED TO:
const.Class• Contractor: Lkense:
Use Group: KEITER BUILDER8_1024
Lut Slca(sa. f.): 12488.16 Owner., 63 WAKE,Sl;,t;,Lt
Zm 6ia:63il(X)i 4volicara: KFITER BUILDERS
AT• 63 MAPLE ST APT 2
AvollegniAdirhone: Insurance;
35 MAIN ST (413) 586-8600 0 _ WC
FLORENCEMA01062 ISSUED ON.3/612019 0:00:00
TO PERFORM THE FOLLOWING WORK:BATH RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. [ /
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FeeTvae: Dote Paid: Amount:
Building 3/6/2Ql9Q;W;00 $10Q.90
3 1 Mein 6[eeeb((harm(417)ip7,124Q,Fan: (413)367-P72
Louis Hasbruuck --0plldin4Ccmmissiuner
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63 MAPLE ST-APT 2 EP-2019-0617
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23A
Lot 061 ELECTRICAL PERMIT
Permit Electrical
Category: WIRE BATHROOM RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO.-
Project
O.Project k JS-2019-001441
Est.Cost: Contractor: License:
Fee: $65.00 BLANCHARD & DALY ELECTRIC Master A20164
Owner: 63 MAPLE ST LLC
Applicant: BLANCHARD & DALY ELECTRIC
AT. 63 MAPLE ST-APT 2
AaoUcant Address Phone Insurance
34 RURAL ROAD (413)527-1234 C{413)246-0320 Liability, 8500062408
BELCHERTOWN MA01007ISSUED ON:3/7/20790:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATHROOM RENO
Call In Date: Date Reauested Inspecfion Dete/SienOff: Reimpeel?:
TrenchNG:
Special Instructions
x GG
Rooeh Rp-
x
Special Instructions:
Fin.[: 1 '�-)1'�y 2P^
SHE Called In:
Sienature:
Fee Ty pe" Amount: DetePeid
Electrical $65.00 3/7/2019 0:00:00 23763
212 Main Street,Phone(413)587-1244,In(413)587-1272-Inspector of Wires -Roger Malo
63 MAPLE ST EP-2019-0593
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23A
Lm:061 ELECTRICAL PERMIT
Permit. Electrical
Category. WIRE 2 NEW GAS BOILERS&ONE BASEBOARD HEATER
Permit# Electrical
PERMISSIONIS HEREBY GRANTED TO.
Project# JS-2019-001441
Est.Con: Contractor: License.
Fee: $65.00 BLANCHARD & DALY ELECTRIC Master A20164
Owner: OMASTA HELEN B
Applicant: BLANCHARD & DALY ELECTRIC
AT. 63 MAPLE ST
Annlicant Address Phone Insurance
34 RURAL ROAD (413) 527-1234 C{413)246-4320 Liability, 8500062408
BELCHERTOWN MA01007 ISSUED ON:2/2620190:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE 2 NEW GAS BOILERS & ONE BASEBOARD HEATER
Call In Date: Date Reauested Inspection Date/SianOff: Reinspeet7:
Trench/UG:
Special Instructions
x
Routh
a
Special Instructions:
Final: 3 - 1- /1 RF -.
SRE Called In:
Signature:
Fee T49e:: Amount: D.tePaid
Electrical $65.00 2/26/2019 0:00:00 23751
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
C
jc�, MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM PLUMBING WORK
CITYrrOWN� MA DATE I—J(— `pPERMIT#
JOBSITEADDRESS �3 ! l� Se` OWNER'SNAME SC00"t !�liiel`
P OWNERADDRESSf �GTELyI3�r10AX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1 FLOOR, BW 1 2 3 4 5 6 7 B 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASiOlUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOORIAREADRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION sun
WATER HEATERALLTYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
Ihave a current lixbfll Insurance policy or Its substantial equWalentwhich meets the requirements of MGL Ch.142. YESM NO [I
IFYOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOXBELOW
1-01111-TY INSURANCE POLICY 4 OTHERTYPEOFINDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:I am aware that the licenses 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 carry Nat all dine deta0a and Wormation I have submitted or entered regarding this application are we and accurate to Ne best of my knowledge
and Nal all plumbing work and irutallatlons performed underthe inherit issued for Ws applbarran will be in mplia ay PediOeraprovisionofihe
Massachusetts State Plumbing Code and Chapter 142 of Ne General ��l a-�"�.ilA'7_
PLUMBER'S NAME MitxlAel 52• UCENSE# M "X WGNATURE
MP[I JP❑ CORPORATION®if PARTNERSHIP❑# LLC❑# '
COMPANY RAME M.SrhtYtan. anc . ADDRESS 4 50w1 r Mah6 S'r (Ot-PO W sae
CITY op, STATEBt 71P 0103'1 TEL y13- 268-Ia51
FAX KL3-�1stC-�3�'S CELLEMNLj;,�, MaMCRA6N C. CkYY \
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