05-044 (7) 219 AUDUBON RD BP-2020-0141
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:05-044 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Deck BUILDING PERMIT
Permit# BP-2020-0141
Proiect# JS-2020-000235
Est.Cost: $60000.00
Fee:$390.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROBERT GOYETTE JR 056035
Lot Size(sg.ft.): 58806.00 Owner: POMPIAN MARK
Zoning: RR(100)/WP(1)/ Applicant: ROBERT GOYETTE JR
AT: 219 AUDUBON RD
Applicant Address: Phone: Insurance:
PO BOX 698 (413) 568-8614 WC
WESTFIELDMA01086 ISSUED ON.81912019 0:00:00
TO PERFORM THE FOLLOWING WORK.-DEMO OLD DECK AND CONTRUCT NEW,
KITCHEN RENO IV4vL�- � ��Sl,.s'i9 6 y 4,10,��93Bco�cC �/��E�Qi�a/2�fR
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:Lj i� 9-12
Rough./0-2,9-/,9 Rough:A,3o./9 House# Foundation:
>� Driveway Final:
Final- Final:
Rough Frame:(, i� 3 i (Cl K(2
QOr, )wTe%1wL1 D.-c.K
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: /_/c f_ 2 6 Smoke: Final: IG Z6Z0 K I<
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ANDRE U TIONS.
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Certificate of Signature:
FeeTYpe: Date I'aid: Amount:
Building 8/9/2019 0:00:00 $390.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
k" CITY MA DATE a Z3 PERMIT#
F."wil
JOBSITE ADDRESS 2OWNER'S NAME
POWNER ADDRESS L--5a_M e _ TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONALE] RESIDENTIAL;
PRINT
CLEARLY NEW:❑ RENOVATION:1/ `— REPLACEMENT:❑ PLANS SUBMITTED: YES[] NO[_],,
FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM (—�I
DEDICATED GAS/OIUSAND SYSTEM i—
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER ( {
DRINKING FOUNTAIN
FOOD DISPOSER `
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR)
!(
KITCHEN SINK
LAVATORY _..
ROOF DRAIN ;-
SHOWER STALL
� r—
SERVICE/MOP SINK
TOILET
URINAL r—
-- —
WASHING MACHINE CONNECTION i— U41 IN
—1
WATER HEATER ALL TYPES
WATER PIPING l -
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 7 1 NO
!F YOU CHECKED YES,PLEASE WDICATE THE TYPE OF COVERAGE BY CHECK!P1G THE APPROPRIATE BCX BELOW
LIABILITY INSURANCE POLICY 0 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 urate to toe b of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complian it all P ne is of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LStephen Racette LICENSE# '12192 GIIATURE
MPE JP( CORPORATION':. _ # PARTNERSHIP LLC[:11# 3346c
COMPANY NAME S.G.Racette Plumbing _lc. - — ADDRESS 483 Forest Hills Road
CITY S rin field STATEMa ZIP 101128 TEL 413-786-6764
FAX 413 789-6764 CELL 413-427-4710 EMAIL Steve@SGRacettePlumbing.com
LP ekwc sw
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
- CITY �C vs -- MA DATE d�Z����f 'PEER�MIT# QC"_ w
JOBSITE ADDRESS 2 -►�t/�ll l OWNER'S NAME /�- lvr V
GOWNER ADDRESS s�M'�(_ TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL, EDUCATIONAL RESIDENTIAL I
PRINT
CLEARLY NEWY RENOVATION:' REPLACEMENT: PLANS SUBMITTED: YES . NO
APPLIANCES Z FLOORS— BSM 1 2 3 4 6 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER ��
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM I SPACE HEATER _
ROOF TOP UNIT
TEST
UNIT HEATER �INS )ECTOR
UNVENTED ROOM HEATER _"TM JVrPT
WATER HEATER A PTqTM rDNO r APPROVED
OTHER ;
I
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES , NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY , OTHER TYPE 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 MPe
t of wledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance o, on th
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUM BER-GASFITTER NAME jStephen Racette LICENSE# 12192 TRE
MP MGFJP JGF[j LPGI CORPORATION[D#LL=PARTNERSHIPEJ#(_ �LLC Ej# 3346c
COMPANY NAME;S.G.Racette Plumbing LIQ c. ADDRESS 1483 Forest Hills Road
CITY Spring 11 field _._._.__. STATE®ZIP 0112
8 TEL 413-786-6764
FAX X413-789-6764 CELL 413 427-4710 . EMAIL SteveQSGRacettePlumbinq.com