12C-058 (2) 28 HAROLD ST BP-2014-0757
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12C-058 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2014-0757
Project# JS-2014-001303
Est. Cost: $14500.00
Fee: $87.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 10367.28 Owner: MEHRMAN SHARON C&SARAH T DUNTON
Zoning: RI(100)/URA(100)/WSP(100)/ Applicant: MEHRMAN SHARON C & SARAH T DUNTON
Al: 28 HAROLD S
Applicant Address: Phone: Insurance:
28 HAROLD ST (413) 587-0817 O
FLORENCEMA01062 ISSUED ON:12/31/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE WALL, REMODEL KITCHEN, INSTALL
REPLACEMENT WINDOW & SLIDER- beam must have a continuous load path to appropriate bearing
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: House# Foundation:
Driveway Final:
Fina _ 2.„2 Final: -��- f/Qr,.�9� �,�to
Rough Frame: (/C�'`'�
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: t ',
Final:g'G_ ?2 Smoke: Final: O le. 6.zi.zz K Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE ULATIONS.
Certificate of / Signature:
FeeType: Date Paid: Amount:
Building 12/31/2013 0:00:00 $87.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
28 HAROLD ST EP-2014-0570
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot: 058 ELECTRICAL PERMIT
Permit: Electrical
Category: KITCHEN REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-001303
Est. Cost: Contractor: License:
Fee: $65.00 TINA SHEN Journeyman Electrician E28739
Owner: MEHRMAN SHARON C & SARAH T DUNTON
Applicant: TINA SHEN
AT: 28 HAROLD ST
Applicant Address Phone Insurance
P 0 BOX 60132 Liability, MPJ54350
FLORENCE MA01062 ISSUED ON:12/30/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN REMODEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough c;-PI- it( d'�"1
Special Instructions:
Final: G-7- a 1 (ZC)"\^
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 12/30/2013 0:00:00 157
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
S MASSACHUSE FS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
ICE`777. .1
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-,_•(� -a City/Town:1�r 6 ii3C°f_ MA. Date: Cl -3 ' k 4 Permit# PR (6 1341
Building Location: .Z b `- .\42 OL ) Owners Name: .-) k 1 (\2 0.13 K(.£iA Ili 4'1 0
HipType of Occupancy: Commercial❑ Educational ❑ Industrial❑ Institutional❑ Residential
I o„ New:❑ Alteration:0 Renovation:❑ Replacement: Plans Submitted: Yes n No n
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1sT FLOOR i 17
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3°FLOOR _ '�
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5'"FLOOR _ _
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S"FLOOR 1 _ _
t ff Check One Only Certificate#
installing Company Name: -.J i'A lJ K0�Z)sl<-1 CI-t..t yv)ig ' I r l t r 1 NC.
Qrporation
Address:) t= , f'�-1 I . City/Town: Ci y=(--0 State: lkjl
❑ Partnership
Business Tel: -At 3 (.,65-- q 7 59 Fax: ` 3'1 1 L ❑Finn/Company
Name of Licensed Plumber: .� > rv\.o �{i tl N Ko L3 K 1
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 have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A 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
Signature of Owner or Owner's Agent Owner El 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 Slate Plumbing Code and Chapter 142 of the General Laws.
. / j;
By Type of License:`%'�� : • (//� i%)/j_ _�'
Title ❑ Plumber Sidnature of Licehsec"Plumber
City/Town --- 0 Master oumeyman 'License Number: ll`> 1
APPROVED(OFFICE USE ONLY) _ -
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(10' Gl17 61 # U9
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
5: I s CITY FC.rYr ¢,,i,j CAE. MA DATE 2.3 PERMIT#6'P"i, 'L g
JOBSITE ADDRESS ,2,12} 4prtQ pLZ-, OWNER'S NAME .5 Villitio . M IeYY *J
GOWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL��
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:[ PLANS SUBMITTED: YES❑ NOE
APPLIANCES 1 FLOORS-, BSM 1 2 3 4 5 6 7 8 9 a, 1 12 13 14
BOILER II }-; �.��. 1><- I
BOOSTER
CONVERSION BURNER NM IMIN MI ME NM MN IMMI MI NM NM _
COOK STOVE I +
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE M®®EEMEMEMMEME.
INFRARED HEATER OM IM NM 1.11 MI MI IIIIII Mil MN MN �����
LABORATOR UNITRY OCKS REMEMMENV%iaillitWE
MAKEUP AI
OVEN ;. y-,i- + r
POOL HEATER ,_ '
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER 111111111111111
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,J 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 0 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 Com iance with all Pertinent provision of e
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME ' LICENSE# /ATURE
MP�GF❑ JP❑ JGF❑ LPGI❑ CORPORATION❑# PART RSHIP❑#I I LC❑#
COMPANY NAMEi pr% V mAist 4 rtutwo I ADDRESS (,S . PAAZ a
CITY cam) a cca-j STATE I "t ZIP 6(37 3 TEL 413 •( js- 729
FAXt - 2 51 EMAIL
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