24C-078 (5) 12 MA, ASOIT S1 BP-2017-0157
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24C-078 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-2017-0157
Project g JS-2017-000253
Est.Cost:$45800.00
Fee:$298.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROBERT WALKER 034783
Lot Size(sq.ft.): 15942.96 Owner: FALLON JONATHAN M&LAURA A
Zoning:URB(100)i Applicant: ROBERT WALKER
AT. 12 MASSASOIT ST
Applicant Address: Phone: Insurance:
36 Service Center [413) 584-1224 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:8/8/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN & BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.A.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: y/ / Rough: W- t4c- /e2_ House# Foundation:
^ Driveway Final:
Final: Final: 06 71 -N
to" / Rough Frame: K
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 7.4
� s
Final: Smoke: qr r
Final:
0t KS
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU T NS.
Certificate of Occupancy Signature:
FeeTvpe: Date Paid: Amount:
Building 8!8!2016 000:00 $298.00
212 Main Street, Phone(413)587-1240, Fax: (413)S87-1272
Louis Hasbrouck—Building Commissioner
9 `
C,C pc/p y (Bila•
,.\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
Li;J ,� ('�� CITY Northampton - MA DATE 15-AUGUST-2016 PERMIT# f#(2- 7- i
tom- Z JOBSITE ADDRESS 112 Massasoit St OWNER'S NAME Fallon Residence j
LU 0 3:02$ OWNER ADDRESS 12 Massasoit St TEL 413-538-1754 FAX
Q TYPE •a°z OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[I,
pRIN
I r CLEARLY NEW:❑ RENOVATION:u REPLACEMENT:ElPLANS SUBMITTED: YES❑ NOE
L FIXTURES Z FLOOR-' BSM 1 2 3 1 4 5 6 7 8 9 10 11 12 13 14
BATHTUB I I - I 1111111111111 O !ii i
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM �._
DEDICATED GAS'OIUSAND SYSTEM [^ I OM r
DEDICATED GREASE SYSTEM ' ,
DEDICATED GRAY WATER SYSTEM r- , [
11111
DEDICATED WATER RECYCLE SYSTEM 'II ---7 '
DISHWASHER --_ -- _,,._-
DRINKING FOUNTAIN '— i I MN 11111 1: '{ 1
FOOD DISPOSER Ile ;n _ stj ;� j
FLOOR/AREA DRAIN -` ���
INTERCEPTOR(INTERIOR) --T-71 [ �_ ;1_ri it INI ; I �I
KITCHEN SINK I 1 J w
LAVATORY ----i--- i ,i r_ 1 — LU,, Mai _
ROOF DRAIN — [ � — u PN
SHOWER STALL FT— ; I-- -- 4 Imo- �r 4'414110-� �U/'�'' - .79 ✓ED I '
SERVICE!MOP SINK .— 1 7r '^ —I'= ...'�- - I j- F I
- w___
TOILET 1 ;' �'� it
URINAL
WASHING MACHINE CONNECTION 1 I,- i ! I _4 _ -°-__ ',
I I s .__l— E —I_ ,
WATER HEATER ALL TYPES - i - - :�. -,�
WATER PIPING ,;i ' r r - I. ii
OTHER [_ j. - ,r---ii 1--- r---
1 % f 7----'-11 I r p
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO Li
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY IJJ OTHER TYPE OF INDEMNITY Li BOND L.j
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 D AGENT Li
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 co pliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. CO
/cy Jka i
PLUMBER'S NAME GARY STAHELSKI SLICENSE#[9621 i SIGNATURE
MPO JP CORPORATION 0# 2617C [PARTNERSHIP❑#I ILLC L,_# 1
COMPANY NAME EWS PLUMBING&HEATING,INC. ADDRESS 1339 MAIN STREET
CITY[MONSON STATE MA ' ZIP 01057 I TEL 413-267-8983
FAX f 413-267-4523 I CELL I EMAIL EWSPH@COMCAST.NET I
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT 0 ❑
6 = Air Aro i ._ FEE: $ _ PERMIT#
44 — e/47-07/ /7-2:577405 PLAN REVIEW NOTES
/4-/A T--;74-0
1 _ /y ° , u'
12 MASSASOIT ST EP-2017-0143
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24C
Lot:078 ELECTRICAL PERMIT
Permit: Electrical
Category: KITCHEN, LIGHTING,NEW BATH.LIGHTING WITH LAUNDRY
Permit- Electrical
PERMISSION IS HEREBY GRANTED TO:
Project(; JS-2017-000253
Est.Cost: Contractor: License:
Fee: $125.00 TOWER ELECTRIC Master A18067
Owner: FALLON JONATHAN M & LAURA A
Applicant: TOWER ELECTRIC
AT: 12 MASSASOIT ST
Applicant Address Phone Insurance
578 N. Westfield St (413)530-4343 0 C-(413) 789-4111 Liability,
BKS1656776093
FEEDING HILLS MA01030 ISSUED ON:8/17/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
KITCHEN, LIGHTING, NEW BATH, LIGHTING WITH LAUNDRY
Call In Date: Date Requested Inspection Date/SY^nOff: Reinspect?:
Trench/EC:
Special Instructions
x l
Rough g- 1S - /0 9.91^,
x
Special Instructions:
Final: /0 " /7,/C 2-04`+
SRE Called In:
Signature:
Fee Type:; Amount: DatePaid
Electrical S125.00 8/17/2016 0:00:00 5444
212 Main Street, Phone(413)587-1244.Fax(413)587-1272-Inspector of Wires -Roger Malo