17A-138 (4) 225 CHESTNUT ST BP-2019-0899
GIS H: COMMONWEALTH OF MASSACHUSETTS
MO.Block: 17A- 138 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND•(MGL c.142A)
Category:Bath reno BUILDING PERMIT
Permit# BP-2019-0899
Proiect 4 JS-2019-001499
Est Cost, S20137.00
Fee: $131.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groum THOMAS MALONE 055236
Lot Size(so.ft.): 17816.04 Owner: CHOLAKIIS KATE&SEV
Zoning; URA(100)/ Applicant. THOMAS MALONE
AT.- 225 CHESTNUT ST
ApplicantAddress: Phone: Insurance:
128 RYAN RD (413) 885-9038
FLORENCEMA01062 ISSUED ON.2/25/2079 0:00:00
TO PERFORM THE FOLLOWING WORK.-BATHROOM REMODEL
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: �aS_/y Hou"0 Foundation:
Driveway Final:
Final: ZIA��9 Fbml:y-aZ_/9
Q(ry Rough Frame: Q:j� 4-5- �'t �.W OWC�/
Gas: Fire Department Fireplace/Chimney: //1/
Rough: 0-1-1 !ssu!a;iar.: v.,e. q-S-(R F/K.
Final: Smoke: Final: J.K q-Zq-)q Kio
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS#ULES AND REG
LA NIS.
Certificate of-AeeBDailw- Signature:
FeeTvpe: Date Paid: Amount:
Building 22520190:00:00 $131.00
212 Main Street,Phone(413)587.1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
14,.OdQ,5-�mae, p ,)r) 7f)_-ydi9
=I0 � /l17� Or r1M
o ,
225 CHESTNUT ST EP-2019-0639
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 138 ELECTRICAL PERMIT
Permit: Electrical
Catego7 WIRING FOR BATMOOM RENO
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO.-
project#
O:Project# JS-2019-001499
Est.Cost: Contractor: License:
Fee: $65.00 PACIOREK ELECTRIC INC Master 20318
Owner. CHOLAKIIS KATE & SEV
AppUcant: PACIOREK ELECTRIC INC
AT: 225 CHESTNUT ST
AoalicantAddress Phone Insurance
45 LINSEED RD (413)247-0334 () C-(413) 563-7724 ,
WESTHATFIELD MA01088-9998 ISSUED ON.-311912019 0:00:00
TO PERFORM THE FOLLOWING WORK.
WIRING FOR BATHROOM RENO
Call In Date: Due Requested Inspection Date/SiunOff: Reimwt?:
TrenchfUG:
Special Ipstrurdom
x
Rough 3 aS-19 2f�
x
Special Imtrucdom:
Final: Y-42-/? 2a,"
SRE Called In:
Signature:
Fee Twe:: Amount DatePaid
Electrical $65.00 3/19/2019 0:00:00 7732
212 Main Street,Phone(413)587-1244,Fax(413)587-1272.Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY 4— MA DATE 3 -do-I T PERMIT# r• v
JOSSITEADDRESS I 1?5 Ch"4,, S4 OWNER'S NAME
POWNERADDRESS a R oo.Z TEL N? -8115 -Qu) FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALPRINT
I�
CLEARLY NEW:F-1 RENOVATION:IpI REPLACEMENT:❑ PLANS SUBMITTED YES❑ NO[]
FIXTURES'l FLOORS BEM 1 2 g 4 1 5 1 B 7 1 8 1 9 10 14
BATHTUB I E1_11 IL
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIIJSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR I AREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL —..
SERVICE I MOP SINK
TOILET
URINAL err
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® NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIASUTY INSURANCE POUCY®. OTHER TYPE OF INDEMNITY BOND[:I
OWNER'S INSURANCE WAIVER:I am trial 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 oerdfy,that all of the details and thformaecn I have submaled or entered regarding thb application are nue and accurate b Me best of my knovildge
and that all plumbing Work and installations performed under the permit issued for this application"I W in rompllance With all Pertinent provision of the
Massachusetts Slate Plumbing Code and!Chapter 142 of the General Leers. _
PLUMBER'S NAME UCENSE#® SIGNATURE
MPN� JP F1 CORPORATION5]Yc ®PARTNERSHIP❑# LLC❑#E�
COMPANY NAME ADDRESS
CIN STATE FA-4� ZIP LS.2{ll�l/� TELI y(�j
FAX CELL EMAIL
0/y
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