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25C-069 (6) 30 DAY AVE BP-2020-0058 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C-069 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: renovation BUILDING PERMIT Permit# BP-2020-0058 Project# JS-2020-000092 Est. Cost: $30000.00 Fee: $210.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHADD MEERBERGEN 103548 Lot Si sg. ft.): 8189_28 Owner: ABDUL-RASOOL HALA_&CARL KNERR Zoning: URB(100)/ Applicant: CHADD MEERBERGEN AT: 30 DAY AVE Applicant Address: Phone: Insurance: 51 LINCOLN AVE (508) 221-4609 NORTHAMPTON MAO 1060 ISSUED ON:7/18/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INTERIOR REPAIRS TO WALLS, REMOVE KNOB AND TUBE, RENO 2ND FLOOR BATH POST THIS CARD SO IT 1S VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: raw �� Footings:ough: de Rough: House# Foundation: Driveway Final: Final: Final:,'{? _j 0- / G Rough Frame:( 6'lq-1"L f_/fe 121r�- Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation:6,t( Final: Smoke: t ta; Final: d IZ 1-;orr 7 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RE 'ULATIONS. r- COMPL(tWN ( �- Certificate o Signature: FeeType: Date Paid: Amount: Building 7/18./2019 0:00:00 $210.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck--Building Commissioner i 30 DAY AVEC EP-2020-0078 3 - COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 25C Lot: 069 ELECTRICAL PERMIT Permit: Electrical Category: REMOVE KNOB&TUBE& Permit# Electrical PERMISSION IS HEREB Y GRANTED TO: Project# JS-2020-000092 Est.Cost: Contractor: License: Fee: $125.00 STEVEN KEYES MASTER ELECTRICIAN 21213A Owner: ABDUL-RASOOL HALA & CARL KNERR Applicant. STEVEN KEYES AT.• 30 DAY AVE Applicant Address Phone Insurance 13 STATE RD (413) 422-1220 () C-(413) 695-4968 Liability, R1216217A SOUTH DEERFIELD MA01373 ISSUED ON.7/25/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.• REMOVE KNOB & TUBE & Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x /� n Rough x Special Instructions: Final: /0 36 SRE Called In: Signature: Fee Type:: Amount: DatePaid Ntzk 1Q/,C- . Electrical $125.00 7/25/2019 0:00:00 7701 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 91 51 C2 3 xs $3000 A14cr MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO lPERFORM PLUMBING WORK Al(M� CITY/TOWN MA DATE IZ -1� –` PERMIT#Y 01'9' 360 JOBSITE ADDRESS '2)Q 'LlCkrA Qk U-e— OWNER'S NAME Ro s S c" POWNER ADDRESS_5M M f— TEL y 13' 56 h` 400& FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL R� PRINT CLEARLY NEW: ❑ RENOVATION: REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ N0IX FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM r DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM I' DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN Ga Inspe 'one FOOD DISPOSER Elac HL"Pit" FLOOR/AREA DRAIN North•rnpton.IIA 010';0 INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL ► SERVICE/MOP SINK TOILET PL MB N URINAL NC RTH MP ON WASHING MACHINE CONNECTION APPROVED N T A PR 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 X NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X 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. 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 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 complia ce with a Pert, ent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME (YNI LV\Qe► MOiZOn , �2 LICENSE# M IGNATURE MP❑ JP❑ CORPORATION®# PARTNERSHIP❑# LLC❑# COMPANY NAME M.S.O-)COYl, InC ; ADDRESS L{ CITY d�&/vlJe e STATE ZIP C7103� TEL 413-- OW FAX A t 371 CELL EMAIL ;� m,qY1M1CW)%A C e ec3Y'r\ ' 60 CCK -V 9 8Q��