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31A-209 (8) 25 HARRISON AVE BP-2021-0887 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31A-209 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate ory: KITCHEN & BATH RENO BUILDING PERMIT Permit# BP-2021-0887 Project# JS-2021-001507 Est. Cost: $77000.00 Fee: $500.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq. ft.): 12371.04 Owner: JOHNSON JENNIFER Zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC .Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:2/8/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:KITCHEN/BATH RENO POST THIS CARD SO IT IS VISIBLE FROM THE STREET inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector Underground: Service: Meter: Footings: Rough... Rough: 3 _ House# Foundation: h- Driveway Final: Final: ; � Final: 9(?''" Rough Frame: ),JZ 345_Z I 12.2. Gas: Fire Department Fireplace/Chimney: Rough:3w G/:„;*- Oil: Insulation: 3-•1l, 2( Final: Z-77"_Zf Smoke: Final: 0 k a-Z-21 gQ • THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON U ON VIOLATION OF ANY OF ITS RULES AND Rh ;ULATIONS. I. Cos i�� •Certificate of � Si2natu � FeeTvpe: Date Paid: Amount: Building 2/8/202I0:00:00 $500.50 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck - Building Commissioner 25 HARRISON AVE EP-2021-0745 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31A Lot:209 ELECTRICAL PERMIT Permit: Electrical Category: KITCHEN/BATH RENO Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-001507 Est.Cost: Contractor: License: Fee: $125.00 TIMOTHY J ROCKETT Journeyman E38451 Owner: JOHNSON JENNIFER Applicant: TIMOTHY J ROCKETT AT: 25 HARRISON AVE Applicant Address Phone Insurance 1 WILLIAMS DRIVE (413) 563-4659 () C-(413) 563-4659 GOSHEN MA01032 ISSUED ON:3/11/2021 0:00:00 TO PERFORM THE FOLLOWING WORK: KITCHEN/BATH RENO Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x n Rough . S' f c oZ � 6r" x Special Instructions: Final: c- /3 9 SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 3/11/2021 0:00:00 5095 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo Jpr, ‘-- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK `":. `►i 4, CITY 12774 ..v MA DATE ,3/7/�/ PERMIT# et-�'- I. 31 .„ ...,, , JOBSITE ADDRESS a c- f��-,e%4 OWNER'S NAME So%kty POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL E EDUCATIONAL ❑ RESIDENTIAL,® PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: ' PLANS SUBMITTED: YES❑ NOD FIXTURES 1 FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB r_______ f , CROSS CONNECTION DEVICE I _ DEDICATED SPECIAL WASTE SYSTEM - -'" I`® ' •Y I ' .� r._- DEDICATED GAS/OIL/SAND SYSTEM __ �al r�t"• -_-- DEDICATED GREASE SYSTEM � I ' DEDICATED GRAY WATER SYSTEM _i i- µ � — 1 _____F DEDICATED WATER RECYCLE SYSTEM - - a 28°, 1 I DISHWASHER _F_..--i' I - DRINKING FOUNTAIN I; I, i 1 -_• (- FOOD DISPOSER i :. FLOOR/AREA DRAIN �'! '. — v !' ----1 INTERCEPTOR INTERIOR i - KITCHEN SINK — C' LAVATORY — : OMNI ROOF DRAIN — — SHOWER STALL WM�� Ii k SERVICE/MOP SINK _T_ �_.—' ,T.4_,H TOILET - _. GUAM "• URINAL , . - mad=, WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING,� � OTHER i — E72 ,✓K - ----- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 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 urate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co ance h all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Paul Graham LICENSE# 12322 SIGNATURE MP 0 JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME Paul's Plumbing&Heating 7 ADDRESS P.O.Box 303 CITY Huntington STATE MA ZIP 01050 TEL 413-238-0303 FAX CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com �; /07 487) .2-9-2/ a/6 Yr' 6- d� z 7-Zi icew MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK spa S ,7 / /� 1 `rAVA) CITY ,�CJd,e7L� 7��' MA DATE_3/) / PERMIT# (9"I"-'? l -I ^_ v JOBSITE ADDRESS o2 5- Mt e-5c-z, OWNER'S NAME GOWNER ADDRESS „2 TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL, PRINT CLEARLY NEW: RENOVATION: REPLACEMENT:, PLANS SUBMITTED: YES NO APPLIANCES Z FLOORS—* BSM 1 2 3 4 5 6 I 7 8 9 10 11 12 13 14 BOILER BOOSTER _ - ���I CONVERSION BURNER f r, COOK STOVE DIRECT VENT HEATER DRYER 1 FEAR - 12021 FIREPLACE FRYOLATOR FURNACE r"' r- `' (Jr-f.0 L DIN(; NSPECrJONS rr-)rv,fAA01(ro GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT - TEST - PLUMBING & GAS INSPECTOR UNIT HEATER NORTHAMPTON UNVENTED ROOM HEATER AFfPHOVED NOT APPROVED WATER HEATER OTHER 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 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 an rate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Paul Graham LICENSE# 12322 SIGNATURE MP MGF JP JGF LPG! CORPORATION # PARTNERSHIP # LLC # COMPANY NAME: Paul's Plumbing &Heating ADDRESS P.O. Box 303 CITY Huntington STATE MA ZIP 01050 TEL 413-238-0303 FAX CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com -- ----------------- � - 2- z/ (ee TsT- o'er y Z 7-Z/ ��•+��-L o