25C-125 (14) 14 ELIZABETH ST BP-2021-0355
GLs : COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C- 125 CITY OF NORTHAMPTON
Lot: . PERSONS CONTRAK'TING WITH UNREGISTERED CONTRACTORS
Permit: _ Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
c i g ' BASEMEN T RENOVA I:ION BUILDING PERMIT
Permit# BP-2021-0£355
Pro'ect# _JS-2021-001465
Est.Cost: $12000.00
Fee:$78.00 PERMISSION IS HEREBY GRANTED TO:
C'onst. Class: Contractor: License:
1 IS('G101tp BRIAN WORGESS 106973
__-
',or _ize(2 tt.): 3354_12 Owner: RUSSELL_Aid
7oni,w: tJRR(I01V Applicant: BRIAN WORGESS
AT: 14 ELIZABE T H ST
j > licant_4 ddress_, Phone: Insurance:
680 BAY Ri) _-__-- (508) 680-6271
Aj1/4M1 H E R STMA01002 ISSUED ON:2/3/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:FINISH BATHROOM IN BASEMENT AND
INSTALL SAUNA
FOST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing lnspecto:•of Wiring D.I'.W. Building Inspector
Underground: Service: Meter:
C� Footings:
Rough - / —2," Rough: —/c^-` Houseli Foundation:
G�� , 5,(1 n1 D il eway Final:
Final: ��cf--> / Final: y- /),_ 3.1 Rough Frame: i k 3 -ICJ-2 i KKK,
•✓ ' ` -- -- Fireplace/Chimney:
Gas; Fire Department
Rough: Oily
lnsulaiian: 0,t( , i2-zi /l12
�' (J _ y/j S
Final: 2- •._0 Smoke:
Final: t 7!
THIS PERMIT MAY RE REVOKED BY TILE CITY OF NORTHAMPTON UPON 'VIOLATION OF
ANY OF ITS RULES AND R GUI,ATIONS, a` ;
r.
{ c.ttificate of 0.Gekipaney---- (_ __---___..__sgpatiarc __.. _�
Feed }e: _Date Paid:_Arn.(!ttnt;
Building 2'3/20:'_1 0:110:00 fi78.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hashro,.ic(- Building Commissioner
14 ELIZABETH ST EP-2021-0665
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25C
Lot: 125 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE SAUNA &BATHROOM IN BASEMENT AND INSTALL SAUNA
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-001465
Est.Cost: Contractor: License:
Fee: $70.00 ALEXANDER BIELUNIS/AGE ELECTIC LLC Journeyman E18287
Owner: RUSSELL ALEX
Applicant: ALEXANDER BIELUNIS/AGE ELECTIC LLC
AT: 14 ELIZABETH ST
Applicant Address Phone Insurance
8 SEQUOIA DR (413) 562-2988 () C-(413) 204-3762 Liability, CTR1001357
HOLYOKE MA01040 ISSUED ON:2/12/2021 0:00:011
TO PERFORM THE FOLLOWING WORK:
WIRE SAUNA & BATHROOM IN BASEMENT AND INSTALL SAUNA
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UC:
Special Instructions
Rough - f �- a-1 9W1-
x
Special Instructions:
Final: LI- /a n- a t V`
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $70.00 2/12/2021 0:00:00 2298
212 Main Street,Phone(413)587-1244, Fax(413)587-1272- Inspector of Wires -Roger Malo
' i
f ti MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
E—Is30.K ACM � -N MA DATE I PERMIT# /0?-2/ -Zr?
JC113§kTEADDRESS '[ t. f 1 Z OWNER'S NAME 50
: �
�I 1 OWNgf'ADDRESS L AVIA€ v TEL FAX
LT+PE OR OCi1#�ANCY TYPE COMMERCIAL µ, EDUCATIONAL RESIDENTIAL
-PRINT_--_-
(CLEAR1 NEIMI: :. . RENOVATION:I. REPLACEMENT: PLANS SUBMITTED: YES NO(Irk
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
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 1
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 4., NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY p 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 I,
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 all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME 1.44,P tv RI wA-Fr") LICENSE# 1 (0 O(q. ClittS NATURE
MP 7 JP CORPORATION # PARTNERSHIP # LLCL. Li#(
COMPANY NAME Aih('+V t;v, ,J n� ADDRESS h! S itt_ U� ,,,
CITY STATE / ZIP 3 1 TEL ,;.� 1 �/ � "1 �..._...
FAX CELL EMAIL ( 1\MAC° C-0411 .. ::
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
- 9- Zl �!m r�L ',rE ,'vr
- 7 — tc,C)
/39" /74 r' % r
cks(b/) 4r6,o, c_I-
1 :, r - •SSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
T
°;� I;,: ." CI C� ra t R/4 14 I CP MA DATE - 2 6 tnPERMIT# 2024- Oo6
;c; JO:, ' ' •DDRESS l I t�.Iq OWNER'S NAME 16 (.Pr Ol'C- TC7v' 9 S
L ' 1 Nrn a m•DDRESS 2j 1 Y14- TEL FAX
Tg r pOR OCC ! ICY TYPE COMMERCIAL❑ EDUCATIONAL I I RESIDENTIAL
C :� RLY NEW Ili RENOVATION: REPLACEMENT:.__. PLANS SUBMITTED: YES❑ NO[
FIXTES Z l 1- OOR-► BSM 1 5 6 7 8 9 10 13 , 14
BATHTUB _ r
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM ! ! 1 I
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM i I
DISHWASHER
DRINKING FOUNTAIN ( I I
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) i um o, u I U
KITCHEN SINK AM I u
1 1 lirLAVATORYalb- . I 111 ROOF DRAIN
SHOWER STALLI I
SERVICE/MOP SINK '
J TOILET
URINAL I
WASHING MACHINE CONNECTION i
WATER HEATER ALL TYPES
OTHER ;�
WATER PIPING I IIII
� III.
MI
■®
I III II 111
MI
■�,
I
INSURANCE COVERA C E:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 171 NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY IT:j OTHER TYPE OF INDEMNITY ; BOND F I
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the t coverage wired by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application
---------------------------- - ------ ---
CHECK ONE ONLY: OWNER ❑ AGENT L__i
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 all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME IA i'v P-� 1 I i v•;i‘C' LICENSE# i 0411 c, SIGNATURE
MP[I JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME [-h 04V'Iri`i'c°.t v pre P p i 6("ADDRESS 1 b Q i i'%t rrG49(-
CITY r it Itre,db Uri)/ STATE {lilt ZIP eta?2 TEL L13F1 '1c(( `'c4
FAX CELL EMAIL [-k A(1).V 12.K/ir> e.&, ,ofraLicoi„,
501
os.
,
\ ___::: l MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
1 l ±. y�^per �v�, ,p
�I /V �1�'�l/ MA DATE L PERMIT# w 'Zt �Zc�U
G� _ I
oo ITE ADDRESS )'i' S L 1 A-6 `h OWNER'S NAME D
( - \ERARESS SA rV`l TEL FAX
��1TYPE R ,C FANCY TYPE7.
COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
EARLY-
-__Y N€N1/: RENOVATION: . REPLACEMENT: PLANS SUBMITTED: YES NO
;_fP IANC S Z ORS 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
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER r(»i I i n ,
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES jk NO
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 all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter f the General Laws. �y�
PLUMBER-GASFITTER NAME �+''�-'��V I VA' LICENSE# ) ocICI(/ SIGNATURE
MP A, MGF JP JGF LPG! CORPORATION # PARTNERSHIP # LLC #
V � � ADDRESS �/a ri,o �1
COMPANY NAME.
I i9,�1"l� S
(21
ct
CITY - ! !l/J Gt . ... _ „ .. . .. STATE ZIP ) _ tEL ".f, I � 4 1
n t 1vVYI
FAX CELL EMAIL �' l
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