25C-053 (18) 51 LINCOLN AVE
GIs#: COMMONWEALTH OF MASSACHUSETTS 7
Maa:Block:25C-053 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS
TO THE GUARANTY FUND (MGL c.142A)
cafe eory Bath reno B U I L 1)I N G PERMIT
Permit# BP-2021-0057
Project# JS-2021 000085
Est. Cost• $10000 00
Fee: 65.0o PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor:
Use_Groun. License:
Homeowner as Contractor
Lot size g ft 10062 36 Owner: MEERBERGEN CHADD
Zoning: App/icant: MEERBERGEN CHADD
AT: 5 1 LINCOLN AVE
Appli cant Address
51 LINCOLN AVE Phone: Insurance:
NORTHAMPTONMA01060 ISSUED ON:7/20/2020 0::00:0021-4609 ()
TO PERFORM THE FOLLOWING WORK:BATH RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service:
Meter:
Rough: 11 —
Rough: Footings:
House# Foundation:
Driveway Final:
Final: _—/
Rough Frame:
Gas: Fire Department
Fireplace/Chimney:
Rough: Oil:
insulation: 2oZO rK'iI
Final: Smoke:
Final: 0,1/. t i_z1 - �
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS 5 RULES AND REG ATIONS.
P-10c4.7160,--. „.7-7
Certificate of Gesupalacyit, • 6 >9 -
Signature:
FeeType: Date Paid: Amount:
Building 7/20/2020 0:00:00 $65.00
212 Main Street, Phone(413)587-1240.Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
51 LINCOLN AVE EP-2021-0207
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25C
Lot: 053 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BATHROOM RENO ON 1ST FLOOR
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-000085
Est.Cost: Contractor: License:
Fee: $65.00 E Q ELECTRIC Journeyman Electrician 38534
Owner: KENNEDY NORA
Applicant: E Q ELECTRIC
AT: 51 LINCOLN AVE
Applicant Address Phone Insurance
54 PITTROFF AVENUE (413) 530-1921 C-
SOUTH HADLEY MA01075 ISSUED ON:9/9/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATHROOM RENO ON 1ST FLOOR
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
p
Rough / -013
x
Special Instructions:
Final: Rr`
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 9/10/2020 0:00:00 488
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
ck $1734) *(1),--
M ASS ACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CI E-TJ
-.^ om —..
.._ukh�i CITYE 'rthampton MA DATE'7117/2020 PERMIT# hP 2021^ OO!$
N JO ADDRESS 51 Lincoln Ave OWNER'S NAME Nora Kennedy y
D9 P cD ry OWf EAR 4DDRESS 51 Lincoln Ave TELI 413 923 2620____ `FAX ..
��
T; PE Og OCCU {NCY TYPE COMMERCIAL Li EDUCATIONAL j RESIDENTIAL
CL RI RLY NEW RENOVATION::a REPLACEMENT:LI PLANS SUBMITTED: YES 0 NOLJ
FIXTURES a:L _ FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE dw.
_DEDICATED SPECIAL WASTE SYSTEM
— —
DEDICATED GAS/OIL/SAND SYSTEM ` j i I
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM j
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR I AREA DRAIN I
INTERCEPTOR(INTERIOR) "-. I
KITCHEN SINK .... �_
LAVATORY 1
ROOF DRAIN
SHOWER STALL is
SERVICE I MOP SINK
TOILET >,. ..._.. ,
_
URINAL �
Si.4k..�I0
�:. �I � m,..,
4-1
WASHING MACHINE CONNECTION F. ..,. VIPT 14
WATER HEATER ALL TYPES A. OVED NOT APPROVED
WATER PIPING ( 1 1
OTHER 'temp outdoor shower ' 1 I
_ y
__._.
,f _
s
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
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are t e d acc to best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c pf a wi I Pe a rovision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Geryk LICENSE#i 16079 S RE
MP Li JP j CORPORATION LI# jPARTNERSHIP (1295560 1 LLC,, j#L
COMPANY NAME' John T.Geryk Plumbing&Heatin ,LLC ADDRESS 189 Oak St
CITY Florence 1 STATE mMA ZIP 01062 TEL 413-727-3057
FAX _ _ CELL!W413 336-3893]EMAIL 1j1Dhn aOiohnt�plumbing.com
544 e'4.4 / K2- 9-
501°"20/A9/2-0e Eve-d