25C-069 (7) 30 DAY AVE BP-2020-0393
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C-069 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2020-0393
Proiect# JS-2020-000672
Est. Cost: $5000.00
Fee: $100.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: CHADD MEERBERGEN 103548
Lot Size(sq. 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
NORTHAMPTONMA01060 ISSUED ON:9/27/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO 1 ST FLOOR BATH
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: House# Foundation:
Driveway Final:
Final: Final:
/01 9`Zf� Rough Frame: OX 11)-11-lq k,,V
✓�
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:641, 10_15.1q eq
Final: Smoke: Final: OV I_r3-Zp7 p )�P
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND GULATIONS.
Certificate of Signature:
FeeType: Date Paid: Amount:
Building 9/27/2019 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
30 DAY AVE ' 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 HEREBY 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/SienOff: Reinspect?:
Trench[UG:
Special Instructions
X
Roush �; (' [6N
x
Special Instructions:
Final: /0 "3d l
SRE Called In:
Sienature•
Fee Type:: Amount: DatePaid
ylt4k .
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
S C1 510 Added 3 fe-Aegis 130 Oo ak'(Cl(
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO�PERFORM PLUMBING WORK
CITY/TOWN A o c_ tn�rn� MA DATE -71 LY I -t PERMIT#Voop
JOBSITE ADDRESS O'IV.L OWNER'S NAME c.I R 5 S cu
POWNER ADDRESS 50� Yh t- TEL 13' Ss ` 400 G FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 5;J9
PRINT
CLEARLY NEW: ❑ RENOVATION:' REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO)R
FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM �.
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN Insp ions
FOOD DISPOSER
FLOOR/AREA DRAIN
N.;rthm�kui h4A Ot(;;0
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET PLtRTHMPTON
URINAL N WASHING MACHINE CONNECTION INIC T A
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;C NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY K 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 Perti ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAMES c.�n�e` J My(L�Aa1 ,�R LICENSE# tM IGNATURE
MP❑ JP❑ CORPORATION ®# P-39 C PARTNERSHIP❑# LLC❑#
COMPANY NAME (Y1.J 0102A), :InC ADDRESS_ �{ Sy�t� MAth S reek 't'Oboy—
CITY ��,� �all� STATE M OF ZIP C)`03� TEL Lela-- abg��aSl
FAX t.t3--IlIA PS- CELL EMAIL 6Cn �l� 1cY1 1`�C- CM-r\
,;/-7111 '? I RYU614 l z-�- J76
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