12-012 (5) 20 COUNTRY WAY BP-2020-0620
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12-012 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Cate orV: renovation BUILDING PERMIT
_�
Permit# BP-2020-0620
Proiect# JS-2020-001042
Est.Cost: $59500.00
Fee: $387.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: HANS DAL.HANS 101628
Lot Size(sq. ft.): 24393.60 Owner: ZIEGLER JOHN F&CHRISTINE WHITE-ZIEGLER
Zoniny,: Applicant: HANS DALHANS
AT: 20 COUNTRY WAY
Applicant Address: Phone: Insurance:
11 CHERRY ST (413) 977-6094
EASTHAMPTONMA01027 ISSUED ON:11/13/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO KITCHEN AND MOVE 1 ST FLOOR 1/2
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: ' 7-, .D House# Foundation:
n yy� Driveway Final:
Final: Final: 7-UL/'
Rough Frame: • IU zOZO K
I'VE.
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:O f(
Final: Smoke: Final: v e, -7-1-I-WZ0 Ll
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITSULF.S AND RE tIL IONS.
Certificate of u.eturc:
Fec, yne: Date Paid: Amount:
Building 11/13/2019 0:00:00 $387.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
20 COUNTRY WAY EP-2020-0556
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12
Lot:012 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN&DINING ROOM RENO
Permit# Electrical
PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2020-001042
Est.Cost: Contractor: License:
Fee: $125.00 IAN T DURYEA ELECTRICIAN Journeyman Electrician 131096
Owner: ZIEGLER JOHN F & CHRISTINE WHITE-ZIEGLER
Applicant. IAN T DURYEA ELECTRICIAN
AT. 20 COUNTRY WAY
Applicant Address Phone Insurance
120 MORGAN ST (413) 262-0142 C- ,
HOLYOKE MA01040-2016 ISSUED ON:1/3/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE KITCHEN & DINING ROOM RENO
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
X
Special Instructions:
Final: 7- / - 2 0
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 1/3/2020 0:00:00 CC
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
e'iA'kVC,wq l0 Ao
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY „Northampton MA DATE 11/25/2019 !PERMIT#1
JOBSITE ADDRESS 20 CountryWay OWNER'S NAME
POWNER ADDRESS 120 Country Way TEL 413-' -Z-� X
TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL RESIDENTIAL E�
PRINT
CLEARLY NEW:Ll RENOVATION:L',,.I REPLACEMENT: PLANS SUBMITTED: YES NOO
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 I`
DISHWASHER
DRINKING FOUNTAIN
Pff-
FOOD DISPOSER 1 __"
FLOOR/AREA DRAIN I
INTERCEPTOR(INTERIOR) E (�—""
KITCHEN SINK �'f "' ' '
LAVATORY ( 1
ROOF DRAIN
•'a
SHOWER STALL cc
A01
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
nD
WATER HEATER ALL TYPES
WATER PIPING 1 .....
S .:
OTHER Replacesoil stack
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO
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: ER ' 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 tru acc ate th est of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in com iai c wit II P i t provisi fi of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME _John T.Geryk ;LICENSE# 16079 SIGNATURE
MP L'] JP[:] CORPORATION 0#[::=PARTNERSHIPS#_1 95560 ]LLC®#
COMPANY NAME John T.Geryk Plumbing&Heating,LLC ADDRESS 189 Oak St
CITY Florence STATE _ MA ZIP 01062 TEL 413-727-3057
FAX CELL 413-336 3893 EMAIL IJohn johntge k lumbing.com