23A-183 (2) 10 PINE ST BP-2017-1416
pis#. COMMONWEALTH OF MASSACHUSETTS
Ma :Block:23A- 183 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING ILDING PERMIT
Permit# BP-2017-1416
Proiect# JS-2017-002349
Est. Cost: $98000.00
Fee: $198.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: WILLIAM LABOMBARD 060247
Lot Size(sq. ft.): 5880.60 Owner: CONTRADA FRED&AXELROD JOAN
Zoning: URB(100)/ Applicant: WILLIAM LABOMBARD
AT. 10 PINE ST
Applicant Address: Phone: Insurance:
204 MAIN ST APT 1 (413) 687-7946 O WC
NORTHFIELDMA01360 ISSUED ON.61912017 0:00:00
TO PERFORM THE FOLLOWING WORK.BEDROOM AND BATH ADDITION FOR
DISABLED CLIENT
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:
Final: f -7 Final:
r Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. ,�r� p
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
OW)c T d,5I
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY _...._
ti�. �c. MA DATE PERMIT# �
JOBSITE ADDRESS !D �1�� �- OWNER'S NAME
OWNER ADDRESS TEL= FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL;µ EDUCATIONAL = , RESIDENTIAL
PRINT
CLEARLY NEW:.: RENOVATION:X REPLACEMENT: PLANS SUBMITTED: YES NOt�
FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 1 6 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSANDSYSTEM
DEDICATED GREASE SYSTEM _. T.
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
t 3 -
FOOD DISPOSER -
FLOOR!AREA DRAIN
E I
INTERCEPTOR(INTERIOR)
KITCHEN SINK :,... .. _._
LAVATORY _
ROOF DRAIN
SHOWER STALL M Y
SERVICE!MOP SINK
TOILET
URINAL _; __._..
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
T
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 BONGE.
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
MassaM,,GNATUR
eral Laws,and hat my signature on this permit application waives this requirement. Q�
CHECK ONE ONLY: OWNER • AGENT
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 9jimpliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LICENSE# ,�7SZS SIGNATURE —�
MIDI . JPJl` CORPORATION i # PARTNERSHIP # LLC #
COMPANY NAMEADDRESS
�{r4l 1� rM �t
CITY' STATE _ ZIPf D137 TEL
FAX __ �
CELL EMAIL ft$ flbF�,1..t,•j
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10 PINE ST EP-2018-0133
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23A
Lot: 183 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BEDROOM AND BATH ADDITION FOR DISABLED CLIENT
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002349
Est.Cost: Contractor: License:
Fee: $125.00 RYAN MARTIN - CURRENT ELECTRIC Electrician 20982
Owner: CONTRADA FRED & AXELROD JOAN
Applicant. RYAN MARTIN - CURRENT ELECTRIC
AT.- 10 PINE ST
Applicant Address Phone Insurance
PO BOX 385 (413) 658-2047 C-(413) 775-3788 Liability, MPT5951 L
Greefield MA01302-0385 ISSUED ON.8131120170:00:00
TO PERFORM THE FOLLOWING WORK
WIRE BEDROOM AND BATH ADDITION FOR DISABLED CLIENT
Call In Date: Date Requested Inspection Date/Sinoff: Reinspect?:
Trench/UG:
Special Instructions
x
Roush
x
Special Instructions:
Final: -/q -,
SRE Called In:
Shmature:
Fee Type:: Amount: DatePaid
Electrical $125.00 8/31/2017 0:00:00 2365
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo