38D-056 (6) 40 WINTHROP ST BP-2018-0331
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38D-056 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# BP-2018-0331
Project# JS-2018-000590
Est.Cost: $16540.00
Fee: $107.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groin: Homeowner as Contractor
Lot Size(sq. ft.): 6403.32 Owner: DONSON ANDREW C&ERIN HOLMAN
Zoning: URB(100)/ Applicant. DONSON ANDREW C & ERIN HOLMAN
AT. 40 WINTHROP ST
Applicant Address: Phone: Insurance:
40 WINTHROP ST
NORTHAMPTON MA01 060 ISSUED ON:10/4/20170:00:00
TO PERFORM THE FOLLOWING WORK:BATHROOM REMODEL
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
I Footings:
Rough: Rough: /T /) 7House# Foundation:
n p �� Driveway Final:
Final:�� /[� /� Final: —1�12._ /'D//-3/-7
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
tougl1: Oil: Insulation: Wit'/ �,� r°t !U/j`
Final: Smoke: Final: (/LZ— o /Zl////7
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU ATION .
Certificate of Occu anc Si nature: ' P
FeeType: Date Paid: Amount:
Building 10/4/2017 0:00:00 $107.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
40 WINTHROP ST EP-2018-0282
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38D
Lot:056 ELECTRICAL PERMIT
Permit: Electrical
Category: REPLACE BATH VENT FAN WITH NEW,REPLACE VANITY LIGHTS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-000590
Est.Cost: Contractor: License:
Fee: $65.00 PACIOREK ELECTRIC INC Master 20318
Owner: DONSON ANDREW C & ERIN HOLMAN
Applicant: PACIOREK ELECTRIC INC
AT. 40 WINTHROP ST
Applicant Address Phone Insurance
45 LINSEED RD (413) 247-0334 () C-(413) 563-7724
WEST HATFIELD MA01088-9998 ISSUED ON:10/20/20170:00:00
TO PERFORM THE FOLLOWING WORK.
REPLACE BATH VENT FAN WITH NEW, REPLACE VANITY LIGHTS
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough /0 -
x
Special Instructions:
Final: );)-- q- / -7
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 10/20/2017 0:00:00 7264
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
,Q\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY /yyrT,yt�M� .ar/ - MA DATE g: PERMIT# PP
JOBSITE ADDRESS OWNER'S NAME,4W!?Z A0.U,5-1V
POWNER ADDRESS 5'4—e- I TEL# 695-OyS/JFAX
TYPE OR OCCUPANCY TYPE COMMERCIALF7 EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: ` PLANS SUBMITTED: YES NO
FIXTURES-1 FLOOR BSM 1 2 3 1 4 5 6 7 8 1 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY /
ROOF DRAIN
SHOWER STALL
SERVICE 1 MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
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 F-�, 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 compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ✓? /'
PLUMBER'S NAME Mitchell Matusiewicz _.. LICENSE# 9523 SIGNATURE
MP JP CORPORATION #j 2543 PARTNERSHIP # - LLCI j#�
COMPANY NAME AM/PM Plumbing and Heating,Inc. ADDRESS PO Box 527,46 Prospect Street
CITY Hatfield STATE MA ZIP ' 01038 I TEL 413-247-5502 _
FAX 413-247-5544 CELLQ,r-yy9 EMAIL ampmplumbing@vedzon.net
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