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32C-161 (10) I KINGSLEY AVE BP-2018-0946 GIs a: COMMONWEALTH OF MASSACHUSETTS Map-.Block:32C- 161 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT pe nm to BP-2016-0946 Prosect# JS-2018-001729 Est.Cost:$56750.00 Fee,$368.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: UseGrouD: KEVIN NETTO CONSTRUCTION INC 1317 Lot Size(so.ft.): 3005.64 Owner: SIENKIEWICZ CHARLENE Zoning:URC(100k Applicant. KEVIN NETTO CONSTRUCTION INC AI: 'I KI NGSLE t:A(E Applicant Address: Phone: Insurance: 90 Southampton Rd. (413)527-3168 Workers Compensation WESTHAMPTONMA01027 ISSUED ON.312812018 0.00:00 TO PERFORM THE FOLLOWING WORK.NEW INTERIOR DOOR, NEW WOOD TRIM ON WINDOWS & DOORS KITCHEN CABINETS & TOPS, BATH FIXTURES, WOOD FLOORS, DRYWALL AND PLASTER POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meer: Footings: Rough: /Cj �P Rough: House 00 Foundation: Llvc-r Driveway Final: Flood: ' /� F1aa1• Zpr`' Rough Frame: Gas; //Oj ��7 Fire Department FireplacstChimney: Rough: Q� Insulstion8/p/�m Final: Z/� Smoke: Final: 0.14 7--ios(-/) ' THIS PERiKITMAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND UygTIONS. ,' p // Certificate of Occuoan /4 Signature: FeeTvpe: Date Paid: Amourt: Building 3/28120180:00:00 8768.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner QftQC- qolcuo rr0 ridpa +dFl ON 1 KINGSLEY AVE EP-2019-0040 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 32C Lot: 161 ELECTRICAL PERMIT Pemt¢: Electrical Category: WIRE 2 FAMILY HOME;NEW L1GH1S,OUTLETS&SMOKES TO CODE;NEW SERVICE Permit# Electrical PERMISSION IS HEREBY GRANTED TO. Project M JS-2018-001729 Est.Cost: Contractor: License. Fee: x250.00 BRADFORD OSGOOD ELECTRICAL SERVICES MASTER ELECTRICIAN 21798 Owner: SIENKIEWICZCHARLENE Applicant: BRADFORD OSGOOD ELECTRICAL SERVICES AT. 1 KINGSLEYAVE AnnUcantAddress Phone Insurance 12 MCKINLEY AVE (413)320-8185 C- Liability, MPF7952E EASTHAMPTON MA01027 ISSUED ON:7/I22018 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE 2 FAMILY HOME; NEW LIGHTS, OUTLETS & SMOKES TO CODE; NEW SERVICE Call In Date: Date Requested Inspection Date/SlanOff: Reinspect?: TrenchNG: Special Instructions I R.,eh x Special Instructions: Final: -) —/ -/4 Qr' SIRE Called In: Sienature: Fee IN w:: Amount DatePaid Electrical $250.00 7/12/2018 0:00:00 1745 212 Main Stmt,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo QAi / b2 X30 _Q1, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUM13ING WORK �1 CIN NoMam MA DATE 5/1/2018 PERMIT# �Q—j0"45S JOBSITE ADDRESS [Kingsley Ave OWNER'S NAMEJ Chadene Sienkawia POWNER ADDRESS EjiMley Ave _::] TEL 602.697-3789 FAX TYPE OR OCCUPANCY TYPE COMMERCIALi,_ EDUCATIONAL ❑ RESIDENTIAL El PRINT CLEARLY NEW:❑ RENOVATION:[,,-.I REPLACEMENT:❑ PLANS SUBMITTED: YES Q NO❑ FIXTURES? FLOOR— esN I 2 1 a5 e s m II 12 13 1 14 BATHTUB 2 CROSS CONNECTION DEVICE _ DEDICATED SPECIAL WASTE SYSTEM _ DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM _ DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER Miami z _ DRINKING FOUNTAIN FOOD DISPOSER t22 FLOOR I AREA DRAIN INTERCEPTOR INTERIOR _ KITCHEN SINK LAVATORY ROOF DRAINSHOWER STALLSERVICE/MOPSINKTOILET I SPE TO URINALWASHING MACHINE CONNECT OT PPRIOVE WATER HEATER ALL TYPESIWATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Q NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY C'j 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 mat all of the detaiN and information I have submitted or entered regarding It application are an a to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in an Pertinent provision of the Massachusetts State Plumbing Cade and Chapter 142 of the General Laws. j PLUMBER'S NAME'John T.Geryk _....� LICENSE#[16091 SIGNATURE MPQ JP[,f CORPORATIIXI❑# PARTNERSHIP - # 1295580 LLC❑# COMPANY NAME John T. Geryk Plumbing 8 Hearing,LLC ADDRESS 20 Jackson St First Film CITY Northampton STATE® ZIP 01080 TEL 413-727-3057 FAX�CELL 41333&3893 EMAIL kplumbing.com 4 L s IL, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r CITY Northampton MA DATE 511/2018 PERMIT# tXr��' 11J JOBSITE ADDRESS IKingsley Ave OWNER'S NAME Charlene Sienkaw¢z GOWNER ADDRESS 1 Kingsley Ave TEL 602-697-3789 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES'l FLOORS— BSM t 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 2 DIRECT VENT HEATER DRYER 2 FIREPLACE FRYCLATOR FURNACE 2 , IR GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS r. ... I MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST 2. ]PLUMBING & 5AS UNIT HEATER NO THA PTON UNVENTED ROOM HEATER APPROVED NO APPhi WATER HEATER2 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. CHECKONEONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT I hereby owft mat all of the detail and intomlation I he"submitted or entered regarding this application are au a to a beat W my knowledge and Mat all plumbing work and Installations performed under the permit issued for this application will be in is wi neM proN&on of Ma Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME John T.Geryk LICENSE# 16079 SIGNATURE MP , MGF JP JGF LPGI CORPORATION # PARTNERSHIP I# 1295560 LLC # COMPANY NAME: John T. Geryk Plumbing&Heating,LLC ADDRESS 20 Jackson First Floor CITY Northampton STATE MA ZIP 01060 TELi'413-727-3057 FAX CELL 413-336-3893 EMAIL john@johntgerykplumbing.com �J-�'��',�- wv,.'z..�'1�� fie% r,,��Q..s -zu��ww arm-�r�� l- �� -��ns�'v� ��o�