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24C-047 (3) 17 WOODLAWN AVE BP-2019-0764 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:24C-047 CITY OF NORTHAMPTON Lot,-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:KITCHEN RENO BUILDING PERMIT Permit# BP-2019-0764 Proiect# JS-2019-001261 Est.Cost,$112825.00 Fee: $733.00 PERMISSION IS HEREBY GRANTED TO: Const.Class, Contractor., License: Use Group ROBERT WALKER Lot Slze(sp. R). 36808 20 Owner: EPSTEIN NOAH Zoning,URA(1001/ Applicant: ROBERT WALKER AT: 17 WOODLAWN AVE Applicant Address: Phone. Insurance: 36 Service Center (4131584-1224 NORTHAMPTONMA01060 ISSUED ON.11412019 0:00:00 TO PERFORM THE FOLLOWING WORK REMODEL KITCHEN, REMOVE BEARING PARTION WALL 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: �/`rJ� Rough: House House# Foundation: Qv M Driveway Final: Final "'� : Flat]: QPr cr9/� 1-.31 - /9 Rough Frame: !?.R 2 14-lq KZ r,- Gas: Fire Department Fireplace/Chimney: Rough: 11: Insulation: Final: /�-a Smoke: Final: O � 531-)CI Kli THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS, LES ANDONS. H Pt.eTlau � Certificate 049eeneaw, Sie atnre FeeTvpe: Date Paid; Amount: Building 1/4/20190:00:00 $733.00 212 Main Street,Phone(413)587.1240,Fax:(413)587.1272 Louis Hasbrouck—Building Commissioner �yU /r4y7 /.t/.6* 1-161cr G NH�bT /91vd J/i/T1Yk� C 0 y—re avJ p t/ Irl oL�YG� r 7 ,/z 17 WOODLAWN AVE EP-2019-0070 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 24C Lot:047 ELECTRICAL PERMIT Permit. Electrical Category. WIRE MINI SPLIT A/C AND ASSOCIATED CONDENSATE PUMPS IN BASEMENT Permits Electrical PERMISSION IS HEREBY GRANTED TO: Projects JS-2019-000185 Est.Cost: Contractor: License: Fee: $35.00 PACIOREK ELECTRIC INC Master 20318 Owner. EPSTEIN NOAH Applicant. PACIOREK ELECTRIC INC AT.. 17 WOODLAWN AVE Applicant Address Phone Insurance 45 LINSEED RD (413)247-0334 () C-(413) 563-7724 Liability, BKS57530832 WEST HATFIELD MA01088-9998 ISSUED ON.712617018 0:00:00 TO PERFORM THE FOLLOWING WORK WIRE MINI SPLIT A/C AND ASSOCIATED CONDENSATE PUMPS IN BASEMENT Call In Pate: Ono,Reguested l tiD te/SienOlf: Reimpect": Trench/DG: Special Instructions x Rou2h x Sped.1lnstructions: Final; SPE Called In: Sienature' Fee T Amount: DatePaid Electrical $35.00 7/26/2018 0:00:00 7499 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM GAS FITTING WORK CITY Northampton MA DATE 119119 PERMIT# 6 — — JOSSITEADDRESS 17Woddlewn Ave OWNERSNAME Construct Assmialeal Wakes GOWNERADDRESS 36 Service Center,Northampton MA 01060 TEL 413-538.1754 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL + PRINT CLEARLY NEW. RENOVATION: + REPLACEMENT: PIANS SUBMITTED: YES NO APPLIANCES 1 FLOORS— Bath 1 2 3 4 5 B 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 1 DIRECT VENT HEATER - DRYER FIREPLACE FRYOLATOR FURNACE --- GENERATOR GRILLE INFRARED HEATER LABORATORYCOCKS MAKEUP AIR UNI OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNI TEST UNI HEATER _ — UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liabilily insurance policy a 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 I 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 oemty mat all of the dMaib am information I have submitted or entered regarding this application are im d amumte to the best of my knontedge and that all plumbing wok and installation perloamed under the FermR issued for mie application will tx m eamFl� ca wnh aq Pfminem Provision Of the Massachusetts State Plumbing Cade and Chapter 142 of me General Laws. 1 t, PLUMBER-GASFITTER NAME Gary Stahelski LICENSE# 9621 SIGNATURE MP + MGF JP JGF LPGI CORPORATION + # 2617C PARTNERSHIP # LLC # COMPANY NAME: EWS Plumbing&Heading,Inc. ADDRESS 339 Main Street CITY Monson STATE MA ZIP 01057 TEL 413-267-8983 FAX 413-2674523 CELL EMAIL ewaph@comcastnet ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Y. Ne THIS APPOCAWN SERVES AS THE PERRR ❑ ❑ G FEE F PERRH F P REVIEW NOTES mss' z3 rY ran /Ucta [�� 377 A oD � O P MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TERFORM PLUMBING WORK -- CITY Northampton _ _j MK DATE 11 119 PERMT# 1C "7 (0Q READDRESS 17Wocdlawn Ave — OWNER'SNAME Construct Associates l Walker POWNERADDRESS 36 Service Center, Northampton,MA 01060 TEL 413-538-1754 FAX TYPE OR OCCUPANCYTYPE COMMERCIAL:_] EDUCATIONAL RESIDENTIAL + PRINT CLEARLY NEW: RENOVATION: ' REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR— BSM 1 1 2 1 3 4 5 1 fi 1 7 0 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER 1 DRINKING FOUNTAIN FOOD DISPOSER FLOCRIAREADRNN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MO'SINK TOILET URINAL WASHING MACHINE CONNECTION XOV A WATER HEATER ALL TYPES N WATER PIPING NOTAMbrivrn OTHER 1 INSURANCE COVERAGE: I have a cu enl liability inwance policy a its substantial equivalent which meets the requirements of MGL Ch.14Z. YES ' 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. CHECKONEONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT I hereby certify Mal all tithe details and information I have subrnilted or entered regarding Me appieatlon ant a ahe accurate to the hest of my knovAedge and that all plumbing vodr and installations performed under Me permit nestled for Me appliceuon gill be in c pliance xith all Pedinenl provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laos, PLUMBER'S NAME L2ARY STA_HELSKI LICENSE# 9621 � SIGNATURE MP + JPCORPORATION ' # 2617C PARTNERSHIP�]# LLC❑#E_ COMPANY NAME EWS PLUMBING It HEATING, INC. ADDRESS 339 MAIN STREET CITY MONSON STATE MA ZIP 01057 TEL 413-267-8983 FAX 413-2674523 CELL EMAIL EWSPH@COMCASTAET /00--lG-