32A-221 (7) 83 POMEROY TER BP-2018-0923
GIS#: COMMONWEALTH OF MASSACHUSETTS
MamBlock:32A-221 CITY OF NORTHAMPTON
Wt:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Catcgorv:Bath reno BUILDING PERMIT
Permit# BP-2018-0923
Pro iect4 JS-2018-001684
Est.Cost: $9500.00
Fee:$65.00 PERMISSIONIS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Grouv MARK SARAFIN 053434
Lot Sim(sa.R.): 13198.68 Owner: HENSON DEB
Zonine: URC(100)r Applicant., MARK SARAFIN
AT. 83 POMEROY TER
AoelkantAddress: Phone: Insurance:
SS4.�Vi-Iu_ oZ __413) 527-7812 Workers
Compensation o-c� vm& Vit 0/0-7'3
SOUTHAMPTONMA01073 ISSUED ON.311612018 0:00.00
TO PERFORM THE FOLLOWING WORK:INSTALL SHOWER IN EXISTING 1/2
BATH/RELOCATE WATER CLOSET
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: How# Foundation:
61 p tvl Driveway Find:
Final-0.4- Final: Ll-/ r'. �� pNO FL
yt/y�d A 4iDD Rough Frame: �l E (V
tRru�y.vsP(,�
Gas: Fire Department Fireplace/Chimney:
R,gF.: Oill insulatiioonn::dy–
Final: Smoke: Final//J� — wplooe
THIS PERMIT MAY BE REVD Y THE CITY OF NORTHAMPTON UPON VIOLA/TION OF
ANY OF ITS RULES LA IONS.
Certificate of Occu nC s natu l2
FeeTvpe: Date Paid: Amount:
Building 3,1620180:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck–Building Commissioner
83 POMEROY TER EP-2018-0738
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 32A
Iu1:221 ELECTRICAL PERMIT
Permit: Electrical
Category: ADD RECESS LIGHT IN BATHROOM 2ND FER
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001684
Est.Cost: Contractor: License:
Fee: $65.00 BEN'S ELECTRICAL SERVICE Master 12981A
Owner: HENSON DEB
Applicant: BEN'S ELECTRICAL SERVICE
AT: 83 POMEROY TER
PO BOX 578 (413) 527-3760 C-(413)531-0617 Liability, MPT54344
BECKET MA01223 ISSUED ON.•3122120180:00:00
TO PERFORM THE FOLLOWING WORK:
ADD RECESS LIGHT IN BATHROOM 2ND FLR
Call In Date: Date Reouested I.wecfion Date/SkaOff: Reinspect?:
Trench4lG:
Special Instructions
x
Rough 3 2 3/J A 6f1
x
Special Instructions:
Final: (/- /rl "�P 2(1-�
SRE Called Ip:
Signature:
FeeTwe:: Amount: DatePaid
Electrical $65.00 3/22/2018 0:00:00 6075
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
CSL 3l9? 7 70 a3
3 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY I MSA DATE: PERMIT# Yi" 0- tZD
JOBSITEADDRESS �°j pTnl Pi79tl \GS - IOWNERSNAMEJ _
POWNERADDRESSE. �{I-rn„/. o� FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALPRINT ®
CLEARLY NEW:❑ RENOVATION:9C REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES I FLOOR TBW7 1 2 3 4 5 6 7 8 9 +.g 11 12 13 to
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOLSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM - --
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSERFLOOR;AREA DRAIN
INTERCEPTOR(INTERIOR) - - --
KITCHEN SINK I _-'
LAVATORY I I A ——
ROOF DRAIN
SHOWER STALL
_- - -
! URINAL
WASHING MACHINE CONNECTION I RAM
WATER HEATER ALL TYPES ROVED 140TAPPROVED""
WATER PIPING _--�
OTHER IF
INSURANCE COVERAGE:
I have a current liability insurance policy or its subalantig equivakntwhich 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
LIABIUTY INSURANCE POLICY W OTHERT'PEDFINDEMNITY _ 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 mrfify that all of Me details arM information I have submitted or entered regarding this application are true and accurate to Me best of my knowledge
aM that all pWmbrN wank and installabors pedamel under Me permit issued for Mis application w19 be M oompllance with all Pertinent provision of the
Massachusetts Stale Plumbing Cone and Chapter 142 of Ma General L.
PLUMBER'S NAME k"--, _5 T 1LICENSE# 1� SIGNATURE
MPI,Y- JP❑ CORPORATION9#E1— PARTNERSHIP❑# LLC❑#�
COMPANY NAME rn N,A �}ADDRESS — e
CITY STATE ZJP TEL
FAX CELLEMAIL n -
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