36-061 (3) 1041 BURTS PIT RD BP-2020-0294
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-061 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: FIRE RESTORATION BUILDING PERMIT
Permit# BP-2020-0294
Project# JS-2020-000065
Est. Cost: $78900.00
Fee: $513.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BAYSTATE RESTORATION GROUP 056785
Lot Size(sq. ft.): 13198.68 Owner: JIMENEZ REYNALDO&MILDRED
Zo_n_ine_ Applicant. RAYSTATF RFSTOR.ATInN GROUP
AT. 1041 BURTS PIT RD
Applicant Address: Phone: Insurance:
69 GAGNE ST (413) 532-3473 WC
CHICOPEEMA01013 ISSUED ON.9/20/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.REMOVE & REPLACE TRUSS SYSTEM,
ROOFING, SIDING, INTERIOR FINISHES DUE TO FIRE
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:/ ZO Final: �
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough; Oii: Insulation: O,K. )/- L-I- )q �1'C
Final: ` Smoke: // Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE ONS.
Certificate of / Signature:
FeeType: Date Paid: Amount:
Building 9/20/2019 0:00:00 $513.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
cktm w�o -# go. 01
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY / �� 'Ir � MA DATE! PERMIT#
JOBSITE ADDRESS OWNER'S NAME; j n/r ?,Vee—
pOWNER ADDRESS TEL TEL FAX ®
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL.,.._
PRINT
CLEARLY NEW:_ RENOVATION:„ ,: 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
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY /
ROOF DRAIN
SHOWER STALL )
SERVICE/MOP SINK
TOILET _
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 -=—td0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 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 compliance with alVPertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /
PLUMBER'S NAME _.: LICENSE# SIGNATURE
MP"l JP CORPORATION `# PARTNERSHIP.
COMPANY NAME ADDRESS'
3
CITY L:21 C� mSTATE F ZIP TEL
FAX CELL j EMAIL
3����qa
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
45 4ocle 'W
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY /�� f /Y);'f�.r' MA DATE l)- PERMIT#
i
JOBSITE ADDRESS /0 '/j OWNER'S NAME elle z
OWNER ADDRESS $,�M Q TE FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: f e r PLANS SUBMITTED: YES::] NO-.
APPLIANCES Z FLOORS— BSM 1 2 3 4 5 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 it
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHE_
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ANO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY c-� 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 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 with P rtinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
� '
PLUMBER-GASFITTER NAME ivL° mak' LICENSE# SIGNATURE
MP t-� MGFJP JGF LPGI CORPORATION # PARTNERSHIP�# LLC #j5, 'e1
COMPANY NAME:' /Yl"2 �- Gti ADDRESS jUPl(Pf1 St
CITY Ca ee STATE /�."� ZIP ���</r�' TEL
TE
FAXI CELL EMAIL C)C�+1,1 a'J
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
Ir—C.
1041 BURTS PIT RD EP-2020-0294
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot: 061 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE WHOLE HOUSE AND NEW 100 AMP SERVICE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000065
Est.Cost: Contractor: License:
Fee: $200.00 AJ ELECTRIC LLC Electrician 26119
Owner: JIMENEZ REYNALDO & MILDRED
Applicant. AJ ELECTRIC LLC
AT. 1041 BURTS PIT RD
Applicant Address Phone Insurance
PO BOX 561 (413) 543-1341 () C-(413) 433-4175 ,
LUDLOW MA01056 ISSUED ON.10/4/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
REWIRE WHOLE HOUSE AND NEW 100 AMP SERVICE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough /G-/U
X
Special Instructions:
Final• -3 a
SRE Called In /'2 �7
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $200.00 10/4/2019 0:00:00 3860
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
1041 BURTS PIT RD EP-2020-0033
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot:061 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALL TEMPORARY POWER POLE
Permit# Electrical
PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2020-000065
Est.Cost: Contractor: License:
Fee: $60.00 AJ ELECTRIC LLC Electrician 26119
Owner: JIMENEZ REYNALDO & MILDRED
Applicant: AJ ELECTRIC LLC
AT. 1041 BURTS PIT RD
Applicant Address Phone Insurance
PO BOX 561 (413) 589-1263 C- Workers Compensation,
08W ECAB9TEC
LUDLOW MA01056 ISSUED ON.7/11/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALL TEMPORARY POWER POLE
Call In Date: Date Requested Inspection Date/Si2nOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
X
Special Instructions:
Final:
SRE Called In:
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $60.00 7/11/2019 0:00:00 3808
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo