12C-041 (7) 234 SPRING GROVE AVE BP-2019-0834
GIs#: COMMONWEALTH OF MASSACHUSETTS
MV Block: 12C-041 CITY OF NORTHAMPTON
Lot:-00I PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cmeaorv: ADD BATH BUILDING PERMIT
Permit# BP-2019-0834
Project# JS-2019-001381
Esc Cost:$10000.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License.
Use croup: Homeowner as Contractor_
Lot Sim(aa.R.): 13503.60 Owner, KRUEGER MARJORIE R&MICHAEL P LEAHAN
Zoning:RInoOVUPA(100)/WSP(100)/ Applicant. KRUEGER MARJORIE R & MICHAEL P LEAHAN
A T. 234 SPRIN G GROVE AVE
Applicant Address: Phone: Insurance:
234 SPRING GROVE AVE
FLORENCEMA01062 ISSUED ON:1/25/2019 0:00:00
TO PERFORM THE FOLLOWING WORK INSTALL A FULL BATH IN BASEMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough:2 ZFe Rough.-I . /q House# Foundation:
mr�- s., Driveway Final:Final:3/L1 y' Final:? `YG. /q
L �9' I Rough Frame: 0,1( ZZ$-Iq K�
Q(' h
Gav Fire Department FlrephuxlChhaney:
Rough: Oil: Insulation:
Final: Slpnke: meal: &. . 3-Z2-49 KP
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITSULES AND� IONS. // 0,
Honor+ G`
Certificate of()Cc Signature:
FeeTvpe: Date Paid: Amount:
Building 12520190:00:00 $65.00
212 Main Street,Phone(413)587-1240,In:(413)587.1272
Louis Hasbrouck—Building Commissioner
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234 SPRING GROVE AVE EP-2019-0542
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot:041 ELECTRICAL PERMIT
Permit Electrical
Category: WIRE BASEMENT BATHROOM.ADD GFCI RECEPTACLE IN BOB FR ROOM
Permit s Electrical
PERMISSIONIS HEREBY GRANTED TO:
Projects JS-2019-001381
Est.Cost: Contractor: License:
Fee: $65.00 FLYNN ELECTRICAL SERVICE Joumeyman Electrician 38506 E
Owner. KRUEGER MARJORIE R & MICHAEL P LEAHAN
Applicant: FLYNN ELECTRICAL SERVICE
AT: 234 SPRING GROVE AVE
Aoolicant Address Phone Insurance
110 KENNEDY ROAD (413)323-9779 C-(413)348-0257 ,
BELCHERTOWN MA01007-9768 ISSUED ON.1131120190:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BASEMENT BATHROOM. ADD GFCI RECEPTACLE IN BOILER ROOM
Call In Date: Date Rm.ested Inspection Date/SienOff: ReiWDKt?:
TreneWUG:
Special Instructions
x
Rough Q-��
x
Special Instructions:
Final: I all-/ ?
SRE Called In:
Skutt".•
Fee Ttve:: Amount: DatePaid
Electrical $65.00 1/31/2019 0:00:00 3348
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
R0 $ BQaa
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY nod l —� MA DATE dl PERMIT# �
JOBSITE ADDRESS Z h ro OWNER'S NAMEI ,/"/, �R .tit r —�
POWNER ADDRESS TELL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL j]`--
PRINT
CLEARLY NEW:&K RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO
FI7(TURESI FLOOR BSM 1 2 34 s fi ] B 9 70 11 12#13t14
BATHTUB
CROSS CONNECTION DEVICE - -
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOILISAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN — -
INTERCEPTOR INTERIOR I
KITCHEN SINK
LAVATORY - - -
ROOF DRAIN j
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION _
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Ej �N0
IF YOU CHECKED YES,PLEASE INDICATE THETYPEOF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
UABIUTY INSURANCE POLICY ✓ OTHER TYPE OF INDEMNITY ❑ BCNC
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 candy that all of Ne details and information I have submitted or entered regarding this application are true and accurate to Ne hest of y e sdge
and Nat all plumbing wok and ire telalions performed under Ne permit issued for this application will bein vith I Panne vi ion dela
Massacnusees State Plumbing Cade and Chapter 142 of the General Laws.
PLUMBER'S E LICENSE# ,�y SIGNATURE
MP 7ZJP❑ CORPORATION❑#PARTNERSHIP❑# LLC❑#
COMPANY NAME ADDRESSI QIftir Q
CITY STATE JXW 1 ZIP® TEL
FAX L�CELL E-- EMAIL