16D-022 (15) 141 NORTH MAIN ST BP-2019-0866
CIS#' COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 16D-022 CITY OF NORTHAMPTON
Lot.-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category*renovation BUILDING PERMIT
Permit# BP-2019-0866
Project# JS-2019-001447
Est,Cost,$105000.00
Fee:$715.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: GERALD ARCHAMBAULT 010788
Lot Size(sa.ft.): 24611.40 Owner: KIRKPATRICK REALTY LLC
Zoning,URB(292U Applicant: GERALD ARCHAMBAULT
AT. 141 NORTH MAIN ST
ApplicantAddress: Phone: Insurance:
68 AMHERST ST (413)552-7410 O Workers Compensation
GRANBYMA01033 ISSUED ON:212112019 0:00:00
TO PERFORM THE FOLLOWING WORK.•RENO KITCHEN, BATHROOM, FINISH
BASEMENT WITH BATHROOM, NEW SIDING, ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: A_ �. 3 D'Iq K(e
r Footings:
R a u g It Rough:?�jj7-7La House# Foundation:
Driveway Final:
Final: G�y Final:
-_ �fi� rl(Lt'^•
Rough Frame;('aor7nioQcy G,K.JQ'12-)q k:Q
Cas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: de 99-19 V.P
y� p•v 62t-.14 KV
Smoke: Flaal+naSIHc G• ( . OFinal
-19 1Ce
/11- / l/01'//( H'ANDRHt, To LoUjfW1N00W ST 7lN,e.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OFPem To
ANY OF ITS RULES AND REGULATIONS. rl a Tera pa".
Certificate of Oceuoanev Sienature:
FeeTvve: Date Paid: Amount:
Building 2/21120190:00:00 $715.50
212 Main Street,Phone(413)587.1240,Fax:(419)587.1272
Louis Hasbrouck-Building Commissioner
(moi�.y�ns ^/f t�19
�nprw,st�i� �r�tiJ bl-Z "h
M"J(119PLI J 00
MASSACHIIUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBINGr�,/�1~WORK
CITYITOWN T4DFa u&— ^R '4
.09- Ow " MA DATE ?—�, - rP � PERMIT# L�,Sn3
JOBSITEADDRESS�t�il IV6�,l;: ^j" S4-, OWNER'S NAME�t�1 c�✓�'�
P OWNERADDRESS y 1 rAL°
TYPE OR OCCUPANCY TYPE COMM AL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FUQURES 1 FLOOR— BSM 1 2 3 4 5 9 7 9 9 10 11 12 13 14
BATHTUB /
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER 1
FLOOR IAREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE I MOP SINK
TOILET 0 .
URINAL p
WASHING MACHINE CONNECTION EC OR
WATER HEATER ALL TYPES
WATER PIPING E N AP RO ED
OTHER
INSURANCE COVERAGE:
1 have a current liabilityinsurance 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
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.
lI
e...V.V .,.c1..� & CHECK ONE ONLY: OWNER ❑ AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and Information I have submitted or entered regarding this application are Wa and accurate to the best of my knomedge
and mat all plumbing work and installations performed under the permit issued for mis application will be in compliance Wth all Pertinent p vision of the
Massachusetts State Plumbing Code and Chapter'142 of me General Laws. n
PLUMBER'S NAME •+ f J e0 1.'Pr IO✓ LICENSE#_a�(.4� l SIGNAT
MP❑ JPA CORPOR�AjTIONN EI IIPARTNERSHIP❑# LLC/❑If
COMPANY NAMME�r/ / ADDRESS 177 AI,-1 -/ <-;'- l
Wr
CITY F/A �F/l 10 / I py�STATE-L)j ZIP61 /g 99—� TEL
FAX CELL "S3'r°%I EMAIL J 2 i/ /0/h.CW
1 _
141 NORTH MAIN ST EP-2019-0627
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 16D
Lot:022 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE HOUSE RENO&NEW SERVICE
Permit a Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001447
Est Cost: Contractor. License:
Fee: $185.00 CHESTER C GOLEC Journeyman 32699E
Owner: KIRKPATRICK REALTY LLC
Applicant. CHESTER C GOLEC
AT.- 141 NORTH MAIN ST
AaalicantAddress Phone Insurance
402 SPRING STREET (413) 586-8745 C-(413) 320-1156 Liability, MP053756
FLORENCE MA01062 ISSUED ON.-3/13/20190:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE HOUSE RENO & NEW SERVICE
Call In Date: Date Requested laspectloa Date/SiaaOff: Reinspect?:
Trench/UG:
Special lastructioas
x 1/
Rough 3 -/1 '/& lrB F(eoiL �S1 /leo4 QRh �ag- iy
x
Special Instructions:
Final: 5 '41'/ 4 Q TB
SRE Called I.:
Signature:
Fee Twe:: Amount: DatePaid
Electrical $185.00 3/13/2019 0:00:00 1193
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
I