17C-315 (5) 19 LAKE ST
BP-2019-0111
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 17C-315 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADD BATH BUILDING PERMIT
Permit# BP-2019-0111
Proiect# JS-2019-000181
Est.Cost:$2200.00
Fee: $143.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor:
License:
Use Group: Homeowner as Contractor -
Lot Size(sa. ft.): 10585 08 Owner: COLES TERENCE
Zoning: URB(100) Applicant: COLES TERENCE
A1: 19 LAKE ST _��--�--
Applicant Address• Phone:
74 WASHINGTON AVE Insurance:
NORTHAMPTONMA01060 ISSUED ON.8/2/2018 0:00:00 617 833-5531
TO PERFORM THE FOLLOWING WORK.•ADD 2 DORMERS, ENLARGE BATHROOM - 2ND
FLOOR
I POST THIS CARD SO I
T IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D•P.W. _
Building Inspector
Underground: Service: Meter:
Rough: �� [ Rou h: '1 House# Footings:
g -/l
Driveway Final:
Foundation:
Fina Q / Final: Z_ 17
I 3 Z'1-
�Ph Rough Frame: ►roc. G �.- -t4 W-"
Gas: Fire Department
Fireplace/Chimney:
Rough: 01: �)
Insulation:U� 1-14-Al,
14-/C/ lee
Final: Smoke:
Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS I4JLES AND U�j TIONS.
oh,�c.rr�o� ��J
Certificate of -
Si nature•
FeeType: Date Paid: Amount
Building 8/2/2018 0:00:00 $143.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
h�ac%C�v /WXLuo PA-f5
►� 1724e,—i-5 i-6 YF
19 LAKE ST EP-2019-0564
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17C
Lot:315 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BEDROOM&BATHROOM RENO
Permit# Electrical
PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2019-000181
Est.Cost: Contractor: License:
Fee: $125.00 IAN T DURYEA ELECTRICIAN Journeyman Electrician 13109B
Owner: COLES TERENCE
Applicant: IAN T DURYEA ELECTRICIAN
AT. 19 LAKE ST
Applicant Address Phone Insurance
120 MORGAN ST (413) 262-0142 C- Liability, MPT9085E
HOLYOKE MA01040-2016 ISSUED ON:2/14/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BEDROOM & BATHROOM RENO
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
X
Special Instructions:
Final: 5,-a -t1T QP
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 2/14/2019 0:00:00 646
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
C,r* $Dy 1 3-0 t ie t io f''yo .
-CN- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
ate: -
-- -
CITY 1 o rtw't G e MA DATE PERMIT# I'Y'` �� 25
cc -
JOBSITE ADDRESS OWNER'S NAME[
P OWNER ADDRESS _ _ 1
TEL[b FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW:1-11 RENOVATION:[u; REPLACEMENT. PLANS SUBMITTED: YES LNO
FIXTURES 1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB _ ....i, 1 _._ _._a, _..I_.. _L.._.. . ...
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
777—
ZDEDICATED GREASE SYSTEM -- L.
DEDICATED GRAY WATER SYSTEMi '
I�
DEDICATED WATER RECYCLE SYSTEM - _;If _W. 1r:::::..... _ : .., -- C - -- ----
DISHWASHEP, f l
DRINKING FOUNTAIN (
FOOD DISPOSER -II
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR) I -
KITCHEN SINK
LAVATORY --- - — -.
5.. . L
I
ROOF DRAIN 1 -- -- )
SHOWER STALL C 1 r . I-
SERVICE I MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION Tl,
WATER HEATER ALL TYPES _... �i..._..__. .. ._.
FtTvi F-1%j
_
WATER PIPING
OTHER
I have a current liabili Insurance policy or its substantial equivalent which meets
INSURANCE COVERAGE:
_�L� p Y q 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 ,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.
SIGNATURE OF OWNER OR AGENT
CHECK ONE ONLY: OWNER LJ AGENT 'L.-]_
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 wit al ertinent vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME �� w�- GS ► �- 1 LICENSE# 33 SIGRf TURE
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Mj? JP[d- CORPORATION'_^j#[ _;PARTNERSHIP(y #� LLC� # � w
COMPANY NAME �q�`5.�'� lu__n _f.�j 1_.. - 'n ADDRESS
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CITY, --,--�-I _, �
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STATE ' TEL C
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FAX Ili��t 3g Coy CELL f yl3 EMAIL