31A-142 (5) 36 FORBES AVE BP-2019-1286
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A- 142 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2019-1286
Project# JS-2019-002078
Est.Cost: $141855.00
Fee: $922.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JAMES PHANEUF 011632
Lot Size(sq. ft.): 6926.04 Owner: CZAPLINSKI MATT
Zoning: URB(100)/ Applicant: JAMES PHANEUF
ATS 36 FORBES AVF
Applicant Address: Phone: Insurance:
74 Old Stage Rd (413) 247-9993
W HATFIELDMA01088 ISSUED ON.5/24/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD MUDROOM TO REAR, RENO KITCHEN
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: 8-07– House# Foundation:
r-%–, Driveway Final:
Final: E �� Final: / (�[
Rough Frame:,?A,2 r w+� '11-19 K t2.
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: ()•l� . ��, i
?,. 'e .
r ivai: Smoke: Final:
d•Y 7--3-2bzo kV .
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE UL TIONS.
Certificate of c
Signature:
FeeType: Date Paid: Amount:
Building 5/24/2019 0:00:00 $922.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck–Building Commissioner
7H�da1S!�i�Z�C! 'Y-rr S��N�}
i
36 FORBES AVE EP-2020-0098
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31A
Lot: 142 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN,BATH AND PORCH
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-002078
Est.Cost: Contractor: License:
Fee: $125.00 MARC R BUSSIERE Master Al 2331
Owner: CZAPLINSKI MATT
Applicant: MARC R BUSSIERE
AT. 36 FORBES AVE
Applicant Address Phone Insurance
68 Christian Lane (413) 665-3547 C-(413) 478-5314 ,
WHATELY MA01373 ISSUED ON:8/2/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN, BATH AND PORCH
Call In Date: Date Requested Inspection Date/ShznOff: Reinspect?:
Trench/UG:
Special Instructions
x
RmiCh SI- 17-117 R9-''11
x
Special Instructions:
Final: `—a 9
SRF,Called In:
Sienatu re:
Fee Type:: Amount: I)atePaid
Electrical $125.00 8/2/2019 0:00:00 6980
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
C/c, #-(/- (isf;P__
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY!�T� ty� O H MA DATE 7 PERMIT#
>" JOBSITE ADDRESS 36 669r 40FF OWNER'S NAME M&OT G-•pp ls�s t,
POWNER ADDRESS p OKLy TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: D?00'REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑
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 -
DEDICATED GAS/OIL/SAND SYSTEM r'
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM nn4lv;
DISHWASHER IJ Li
DRINKING FOUNTAIN
FOOD DISPOSER Fie trir PitT
FLOOR/AREA DRAIN Ncrtl'{''
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
--APT Hy�tzu W—APTYR-CA ED
URINAL
WASHING MACHINE CONNECTION
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[*-'NO ❑
Ih YOU CHECKED YES,PLEASE iNDiCAT E THE TYPE PE OF COVERAGE D Y%rE0KLvG THE APPROPMAT E UVX 3LLOIV-.
LIABILITY INSURANCE POLICY LWOTHER 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 true�nd accurate to the best of knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c mpliance it aII.P rtine provis of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. —�`
PLUMBER'S NAME LICENSE# IGNATURE
MP❑ JP V CORPORATION PARTNERSHIP❑# LLC❑#
COMPANY NAME J"1CokAJ0W 5j1(, P4 ADDRESS 17+�* d u f
CITY�D• (, ff I�O�( STATE ZIP �� y L y TEL_G�13'"S;5'70
FAX CELL !;j9V ,ff_ _ EMAIL
a
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES