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38B-277 (10)
27 REVELL AVE BP-2019-1076 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-277 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Bath repo BUILDING PERMIT Permit# BP-2019-1076 Project# JS-2019-001746 Est. Cost: $32029.00 Fee: $208.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KIM RESCIA 022464 Lot Size(sq. ft.): 7187.40 Owner: WERTH BARRY A&KATHY J GOOS Zoning: URB(100)/ Applicant: KIM RESCIA AT: 27 REVELL AVE Applicant Address: Phone: Insurance: 311 Locust St (413) 320-1831-0 FLORENCEMA01062 ISSUED ON:3/29/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENO BATH WITHIN IN EXISTING FOOT PRINT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: �I Footings: Rough: Z� Rough: y-�/ " / House# Foundation: 29 }4� Driveway Final: Final: 7/ Final:(' 3 /q Rough Frame: J,e y-24-V r— 42 Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: (),K, [f-Zy, )a LIR Final: �►:z,h:: Final: �,I� 7-1 q-/4 &/t2 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RE IONS. Conr'i�s�o►� G ' Certificate of Si nature: FeeTyne: Date Paid: Amount: Building 3/29/2019 0.00:00 $208.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner - AW (.eU U� 176 v D MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I No _ ri MA DATE _y h- PERMIT# JOBSITE ADDRESS 27 iZe-v,01 OWNER'S NAME Goy.: P OWNER ADDRESS j TEL _ _ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL[Q EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT.L PLANS SUBMITTED: YES[] NOO FIXTURES-1 FLOOR— BSM 1 2 3 4 5 6 7 1 8 9 10 11 12 13 14 BATHTUB - 7— --- - - CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASl01USAND SYSTEM - — DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM r DEDICATED WATER RECYCLE SYSTEM - DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER a FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) - KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK — - TOILET URINAL WASHING MACHINE CONNECTION ± orthew' WATER HEATER ALL TYPES WATER PIPING PRE OTHER - s __ r- - - 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 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER L j AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME , } (3• S4,m .•d r LICENSE#Fqt'?O SIGNATURE MPC JP0 CORPORATION Z] 14423 PARTNERSHIP(# LLC_ ,#I - COMPANY NAME a der"t�1,...bt„g Ej�,�,� S�+e ADDRESS Sark 3a3 CITY} STATE ZIP 10103cl TEL C`ti3 a�P- 000a FAX .413)�re�I�g7 CELL — 'EMAILI Spy 1�3y e y oc•Conn 10� 27 REVELL AVE EP-2019-0674 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 38B Lot:277 ELECTRICAL PERMIT Permit: Electrical Category: WIRE BATHROOM REMODEL Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001746 Est.Cost: Contractor: License: Fee: $65.00 DAN WHITELEY INC Master A7975 Owner: WERTH BARRY A & KATHY J GOOS Applicant. DAN WHITELEY INC AT. 27 REVELL AVE Applicant Address Phone Insurance 52 Cottage St (413) 527-1440 C-(413) 297-6467 Liability, 8500056029 EASTHAMPTON MA01027 ISSUED ON:4/5/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE BATHROOM REMODEL Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Rough ��—� /�1 29--\ x Special Instructions: Final: (Q,-3 -/g SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 4/5/2019 0:00:00 16783 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo