18C-141 (47) 53 FIRETHORN-680 BRIDGE RD
BP-2017-1462
MV—GIs#: COMMONWEALTH OF MASSACHUSETTS
Lot:-0 1 18C- 141 CITY OF NORTHAMPTON
Permit:
Lot: PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Catego w. KITCHEN&BATH RENO BUILDING PERMIT
Permit# BP-2017-1462
Proiect# JS-2017-002430
Est. Cost: $9000.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor:
License:
Use GroW. MARK BONDE 169228
Lot Size(sq. ft.): 1497897 72 Owner: LATHROP COMMUNITY INC
Zoning: Applicant: MARK poiki r-
AT: 53 FIRETHORN - 680 BRIDGE RD
Annlicant Address•
205 PARK ST Phone: Insurance:
EASTHAMPTONMA01027 ISSUED O13) 529 WC
N:6/16/2017 0.00.00
TO PERFORM THE FOLLOWING WORK:KITCHEN 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: Rough: House# Footings:
Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department
Fireplace/Chimney:
Rough: Oil:
'-- Insulation:
Final: Smoke:
Final: 01< S r 911-1 t-l�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc 9 17 Crc %� C�dZ�CJ�Si nature. I
FeeType: Date Paid• Amount
Building 6/16/2017 0:00:00 $65.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY MA DATE 6 / / 7 PERMIT#
JOBSITE ADDRESS �j f �,2�f/.t u 2.y L� ! OWNER'S NAME
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL RESIDENTIAL:A.
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: _ PLANS SUBMITTED: YES NO
FIXTURES 7 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 1 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER j
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) i
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION f
WATER HEATER ALL TYPES
WATER PIPING
OTHER
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 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 liance wit allPertinentpr vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
=y�
PLUMBER'S NAME Daniel J.Bishop _j LICENSE# 8460 S16NATURE `
MP JP CORPORATION -, # 2705 PARTNERSHIP# LLC #i
COMPANY NAME Aquarius_Plumbing&Heating,Inc. ADDRESS PO Box 603
CITY Southampton STATE MA ZIP 01073 TEL 413-527-6771
FAX 413-527-5453 CELL 413-563-3120 EMAIL mkazunas@yahoo.com
7 /`1117
E F .