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31A-063 (6) UM BP-2019-0925 COMMONWEALTH OF MASSACHU SETTS Mock 31A-063 CITY OF NORTHAMPTON COI_ PERSONS CONTRACTING V►:TH UNREGISTERED CONTRACTORS is Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) pare:renovation BUILDING PERMIT is= BP-2019-0925 ct= JS-2019-001542 r 3120Q0.00 $78.00 PERMISSION IS HEREBY GRANTED TO: z Class: Contractor: License: Camtwi_ STEPHEN CAMP 082531 aime(s4. ): 15115.32 Owner: 5ALLOOM SIMON 1C VRBt100); Applicant: STEPHEN CAMP A : 179 ELM ST *cart Address: Phone: Insurance: EAST ST (413) 527-7124 0 WC STHAMPTONMA01027 ISSUED ON:3/4/2019 0:00:00 V PERFORM THE FOLLOWING WORK:KITCH AND BATH RENO, CLOSETS **SEE TES ON PLAN** ►ST THIS CARD SO IT IS VISIBLE FROM THE STREET pector of Plumbing Inspector of Wiring D.P.W. Building Inspector derground: Service: Meter: Footings: ` `� `/ � �y Rough: House# Foundation: i Driveway Fipal: Lai: Final:q/2LI Zl oar? i iC. ZW 1k? 1 : Rough Frame:r 4rt,-.tom. (2 1 i. ,1 t: Fire Department Fireplace/Chimney: . : Oil: Insulation: sal: `7°,2""Z� Smoke: Final: d V. 5-3-Z I 11 Q m HIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF NY OF ITS AULES AND RE UL TIONS. N Pt.Ari,o.- eftIi{ate Of Oesup2t3Cjf Signature: eeTtipe: Date Paid: Amount: &Ming 3/4/2019 0:00:00 $78.00 212 Main Street,Phone(413)5$7-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 79 ELM ST EP-2021-0821 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31A Lot: 063 ELECTRICAL PERMIT Permit: Electrical Category: SET FINISH DEVICES FOR KITCHEN REMODEL. COMPLETE WORK STARTED BY DIFFERENT ELECTRICIAN Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001542 Est.Cost: Contractor: License: Fee: $65.00 ROMEO L BEAULIEU & SONS INC MASTER ELECTRICIAN 11076A Owner: SALLOOM SIMON Applicant: ROMEO L BEAULIEU & SONS INC AT: 179 ELM ST Applicant Address Phone Insurance PO Box 1386 (413) 538-8741 C- Liability, ZHN0774120 H O LYO K E MA01041-1386 ISSUED ON:4/5/2021 0:00:00 TO PERFORM THE FOLLOWING WORK: SET FINISH DEVICES FOR KITCHEN REMODEL. COMPLETE WORK STARTED BY DIFFERENT ELECTRICIAN Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough x Special Instructions: Final: II_ Z-a 1 Ak) 6--F C ` kl kL,.` - 1/2 I Li W"n4 SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 4/5/2021 0:00:00 41560 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo LM ST EP-2020-0073 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31A Lot:063 ELECTRICAL PERMIT Permit: Electrical Category: REWIRE HOUSE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001542 Est.Cost: Contractor: License: Fee: $125.00 STEVEN KEYES MASTER ELECTRICIAN 21213A Owner: SALLOOM SIMON Applicant: STEVEN KEYES AT: 179 ELM ST Applicant Address Phone Insurance 13 STATE RD (413) 422-1220 () C-(413) 695-4968 Liability, R1216217A SOUTH DEERFIELD MA01373 ISSUED ON:7/24/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: REWIRE HOUSE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions Rough 7- 23-/9 Q? x Special Instructions: Final: SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 7/24/2019 0:00:00 7704 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 0,,?/ C, Uko-V s-10,ou MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Lig?'==i; CITY f11���I,r 1� MA DATE St-SI hi__ PERMIT# Ul('�'`"t —`� JOBSITE ADDRESS )7°1 �P-, SA . :OWNER'S NAME Sal l .w- GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL x PRINT CLEARLY NEW: RENOVATION: x. REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES-1 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 OVEN POOL HEATER J1 N ZC j J ROOM/SPACE HEATER • ROOF TOP UNIT TEST , i l_ Gns sp"eail+i Lectnc. ^9 UNIT HEATER ry-`�'�""t'"�' t``�` 70 UNVENTED ROOM HEATER PLUMBING GAt INS EC1 OH WATER HEATER 1 _ NORTHAMPTON OTHER APPROVED NOT A PHUVEu i0..------ . _-- 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 1 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the I 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 P rttiii e�at,prooviisiioon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /���6-�' �w/ctu� PLUMBER-GASFITTER NAME rO 7 Q \y'g(61,C LICENSE# CIOD SIGNATURE MP MGF >( JP JGF - LPG' '' CORPORATIONS# ILAZ3 PARTNERSHIP # LLC # COMPANY NAME:th111E 1 4V1fl�,glt1 £. . (ISADDRESS __..3 _ .MCtA A_ i -v-ee____(-- ) Bak 32,3 CITY ' """'l u1V t Ike STATE MA- ZIP 0IC)59.. TEL __14.V3'"2.1og-0002 FAX i13j-2,I690 ELL EMAIL jT h1, 34g y(„..hoc,,_(_Qon._ __ r._ Z- Z / ,L, w,.0-1 -7* Li .,Cf.� RY,� i 3 ,! tc.,tl}�± f 1 '^ � � .... C/k&C (p( 3J S O6 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK S. CITY ,Nor- �C Ji ` n MA DATE �?11'1 I1-, PERMIT# �e_ict"1,u,4 JOBSITE ADDRESS 179 I_ OWNER'S NAME SaA 1°a r" GOWNER ADDRESS 206 E,>n S ' 4 E_ 14 txl TEL _ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL_ EDUCATIONAL RESIDENTIAL'yC PRINT CLEARLY NEW: _ RENOVATION: _ REPLACEMENT: PLANS SUBMITTED: YES ___ NO_ APPLIANCES Z FLOORS-* BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER i BOOSTER _.. _. _ .____ ,..__ - -_ CONVERSION BURNER _._ : , COOK STOVE : • -.-- _--: - _•__ ____ _ -._._. ____._ DIRECT VENT HEATER _ - —- - - - DRYER ----- _ .- _ _ -_- t•- __- i-/ ._ _ _ •_---.. .__._ FIREPLACE _ FRYOLATOR FURNACE --i _ _ _. _ _ . . _ - GENERATOR GRILLE • __ ___ __.__ __' INFRARED HEATER _ --1 . ----4 -----2LABORATORY COCKS �� ►vortham � 01060. -- __ MAKEUP AIR UNIT . . . .F ____ _._.. . OVEN - • _. __. ` ... POOL HEATER : . . _ _ ROOM/SPACE HEATER PLUMBING & GAS(NSPCC Oi ROOF TOP UNIT t4OR TNAMPTOI TEST APPRE td NOT A PPROVEO UNIT HEATER _ UNVENTED ROOM HEATER • WATER HEATER OTHER • e i INSURANCE COVERAGE i / I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES kiNO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ' ' OTHER TYPE INDEMNITY BOND I 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 perfiomred under the permit issued for this application will be in compliance th all P di ent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 12 16 � PLUMBER-GASFITTER NAME __ hy\taiii__.: LICENSE# cifib SIGNATURE MP __ MGF e/ JP JGF _ LPG( _ CORPORATION)(# _iL Z% PARTNERSHIP # ___ ----- MC -#r_...-----.- COMPANY NAME:Schiatvitriktabotak 4ettiegADDRESS _(, f_m t1_ ,_y-pe+. . 1.5.9x- 32 __ CITY 1 !1` 1._of.,._._,_.__..--_• STATE J"4 '`ZIP. 51 ,TEL _ ...37:Z IO.6.' -Z_.. FAX 413,2 a*ELL -_____..._,.._._ EMAIL -i1.1I2_ } _vG(- C.C2✓ : __._-_____--_.__-..___ 1 e vr2 r2rf j 6/6--; 11 000,?erj ,e l 1.4-Prt . 711 , • t.)A p ',7•01R-,D1116043 eAO S i)1118MUTI ilOTTAMITA001 ti3V09A lOkl 03VORqqA. • • I • � `w)L( )C c235 S ,90 o' MASSACHUSETTS UNIFORM APPLICATION FOR ERMIT TO PERFORM PLUMBING WORK T.e'c1�=FI. _I_ c - I— = i�; CITY - N o �1- c,,�t- . -•�}��r1 __ y^�Ti MA DATE 3 2� 19 _ PERMIT# � l" �� br_. JOBSITE ADDRESS r'1 Ct 2-1,n Si. i OWNER'S NAME J‘,^-N o -1 5 a 1100 P OWNER ADDRESS L I TELL IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL' PRINT CLEARLY NEW: RENOVATION:0' REPLACEMENT:J PLANS SUBMITTED: YES® NO fl FIXTURES Z FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1 _ ! - W I '1—� 1 -_ _� r �. CROSS CONNECTION DEVICE _s �I.----� tl_ DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM v {_"� _- DEDICATED GRAY WATER SYSTEM —� w DEDICATED WATER RECYCLE SYSTEMInt ? 1 ,r- DISHWASHER __ i .„.__ ' DRINKING FOUNTAIN M' — ;1_ _I - " - FOOD DISPOSER E —'!-`- FLOOR/AREA DRAIN - -- —'� - - -..._--- ,�. - _jam, a.- _ __.3•.. ._ _,.,,i INTERCEPTOR(INTERIOR) �! KITCHEN SINK "" LAVATORYnil . I . s .. 1t� ROOF DRAIN ' 0 SHOWER STALL NM .L _47 1( :•■ • •. SERVICE/MOP SINK , -- ; TOILET .. ., + URINAL I r--- _ tfrt .� ,< c� �!!!1 WASHING MACHINE CONNECTION w. . ,. ', --... WATER HEATER ALL TYPES tan ,..13;, a I' e a v WATER PIPING _ _ _ �.�c-—' _ a - ,_ OTHER l .e -l . - -i 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: OWNER AGENT D 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 mpp lance with yall Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. G�J -V` k'J PLUMBER'S NAME Roby ' t3. Sc.1.^.4 d-v- LICENSE# Qt'l O _,,, 1. I SIGNATURE MPX JP CORPORATION®# Fill JPARTNERSHIP # JLLC # COMPANY NAME Sclne dv- (�Iv�Joln9 F Hea�;nq; �r,L,, ADDRESS !� 1�ax 3a3 1 CITY[1.Iar„tden�A.tt a STATE MA i ZIP O 10 39 TEL Cat -5)-�t( ?- 0002, _ 1 FAX 4,413)16 - '7 CELL I - 1 EM ti ,AIL s I, 3y a Y _4313 .cPr" COL 60' (3-/T/9 oew,,, 1!OTgMAHTRON c3VOR99A Y©N. 03VON99A