42-043 (7) 669 WESTHAMPTON RD BP-2017-0579
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:42-043 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit 4 BP-2017-0579
Project# JS-2017-000941
Est. Cost:$30000.00
Fee:$19S.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARK BONDE 169228
Lot Size(sQ.ft.): 25047.00 Owner: JOHNSON FRANCIS&LUCY HARTRY
7cmrira• Applicant: MARK BONDE
AT: 669 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
205 PARK ST (4131535-9529 () WC
EASTHAMPTONMA01027 ISSUED ON:10/26/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:2 BATH REMODEL, TILE, BATH FIXTURE,
ELECTRICAL FIXTURES
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: ,j//.3/L Rough: 54T/} 1 House# Foundation:
f//J3e / 1i/3//4 -e f!=a Driveway Final:
A ,/-9-/4. 2P"'` I t-r Ul/4'I C 1
Final: ///0A, Final: rJ5� R /v/ `7.2.7.75.'
/2 -,.S - /( Rough Frame:
OQ AA91/1181 l& O ' ii/4v5
GaFire Department Fireplace/Chimney:
Rough: vii: Insulation:
Final: Smoke: Final: a/a/-7,,r306
ill4 A'
THIS PERMIT MAY BE REVOKED BY THE CIT S F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG ON
,...'" A'r
Certificate of Occupancy 4.' Signature:
FeeType: Date Paid: Amount:
Building 10/26/2016 0:00:00 S 195.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
669 WESTHAMPTON RD EP-2017-0404
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 42
Lot:043 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE TWO RENOVATED BATHROOMS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000941
Est.Cost: Contractor: License:
Fee: S125.00 DANTE R FINI Journeyman 40233E
Owner: JOHNSON FRANCIS & LUCY HARTRY
Applicant: DANTE R FINI
AT: 669 WESTHAMPTON RD
Applicant Address Phone Insurance
12 WYBEN RD (413) 883-9050 0 C-(413) 883-9050 Liability, OBNA790266
SOUTHAMPTON MA01073 ISSUED ON:11/2/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE TWO RENOVATED BATHROOMS
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough / *IA 4G/1 // /3//4p J�'�/�P b1.1)\Pg.b r-\ )'" "/ 4 u t,e,-,
Special Instructions:
Final: )2%jr- /4 RPS
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical S125.00 11/2/2016 0:00:00 1540
212 Main Street,Phone(413)587-1244.Fax(413)587-1272-Inspector of Wires -Roger Malo
c / & //D O
MASSACHUSETTS UNIFORM APPLICATION FOR A PER ?IT TO "ERFORM PLUMBING WORK 1
P d CITY Y/ ^'t t _ q ( MA. DATE /6 PERMIT �P' `1
! (Ot0 / 15T 1� tII
JOBSITE ADDRESS ,, OWNER'S NAME � ai.i y Q00 sJ
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL la"-----
PRINT NEW:❑ RENOVATION:2'....----
REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO 0
CLEARLY
FIXTJRES 1 FLOOR BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB / I
CROSS CONNECTION DEVICEh , J 17.0
DEDICATED SPECIAL WASTE SYS I I I i I I
DEDICATED GAS/OIL/SAND SYS ; �,
I DEDICATED GREASE SYS '�
DEDICATD GRAY'WATER SYS
DEDICATED WATER RECYCLE SYS -t
om
DRINKING FOUNTAIN ; G�:t�l�J_���'
i
DISHWASHER I 1
FOOD DISPOSER I
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK I
LAVATORY I a , i ;
ROOF DRAIN
SHOWER STALL I P' UMBING&GAS INSPECTOR
SERVICE;MCP SINK N H I 'IM PION
TOILET o2 RCA( 13 NU1 PePHOV D '
URINAL I I
WASHING MACHINE CONNECTION ! .
WATER HEATER ALL TYPES I I I I
WATER PIPING / I
OTHER
•
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 F)/ OTHER TYPE OF INDEMNITY ❑ BOND 0
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 BOX ONLY: OWNER ❑ AGENT ❑
Signature of Owner or Owner's 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 o the assachusetts State Plumbing Code and C ter 142 f G;n> al Laws.
1 `
PLUMBER NAME C � L L . Kos SIGNATURE - t '. 1 1'�
y /D8(1 r
LIC# '0180
JP❑ CORPORATION 0# PARTNERSHIP A # LLC ❑#
COMPANY NAME V42 1 • Ko t Pea ADDRESS: ( /f' /4-2(
CITY �� t4_ L STATE /14 ZIP O/072 EMAIL
TEL 7 ;( Y - / ef / CELL 079'7 13448 FAX
1
ROUGH PLUMBING INSPECTION NOTES THIS PACE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
�G FFF: $ PERMIT#
fi zri+'Y6 PLAN REVIEW NOTES _ _ _