23A-149 (8) 110 PINE ST BP-2018-0701
GIs#: COMMONWEALTH OF MASSACHUSETTS
MV-.Blmk:23A- 149 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeom Bath reno BUILDING PERMIT
Permit# BP-2018-0701
Proiect# JS-2018-001283
Est Co4 $2100.00
Fee:$137.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sp.R.): 43995.60 Owner: SAGE LISA
Zoning, URB(100)/ Applicant: KEITER BUILDERS
AT: 110 PINE ST
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON.11512018 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
uudergroumi: Service: ,,rr liner:
( e Footings:
Rough:�zRough:)-'9'
ough:-9'-�.,(� House# Foundation:
�� Driveway Final:
Final: i al:� .3-9-/xA-9-�� Rough Frame: 7
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 U T N
Certificate of Occu anc i nature:
FeeTvoe: D e Paid: Amount:
Building 1/520180:00:00 $137.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
akLe'l( �3 7 DO
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY MA DATE PERMIT# [ -
JOBSITEADDRESS 11v I OWNER'SNAME 7e
P OWNER ADDRESS I TEL FAX
TYPE OR OCCUPANCYTYPE COMMERCIAL El EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOQ
FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 6 9 1011 1 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOILISAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL am n,M t
SERVICE I MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATERALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements ofhlGLCh.142. YES❑ NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY LU OTHER TYPE OF INDEMNITY ❑ BOND 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Lawn,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
1 hereby certify Mat all of the details and information I have submitkE erenlered regarding this application are true and accurete to me best of my knowledge
and Mat all plumbing wort,and installations performed under the permit issuetl for this application will be in compliance With all Pertinent provision of me
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLU,_M,BBER'SNAME h LICENSE# 3'8S� � IIGNATURE
MPE] JP❑ CORPORATION❑#F— PARTNERSHIP❑# LLC❑#�
COMPANY NAME ADDRESS 013J
CITY STATE ZIP C) 10-)?- TEL
FAX 0 CELL I z6-as1 EMAIL
ROUGH PLUMBING INSPECTION NOTES IMLOW IOR OFFICE USE ONLY FINAL INSPECTION NOTES
7 L Yes No
THIS APPLICAIION kiIVES AS THE PERMIT ❑ ❑
J t
a
FEE: $ T•-' PERMIT#
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1,# IREVIEWNO' ES
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110 PINE ST EP-2018-0631
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23A
Lot: 149 ELECTRICAL PERMIT
Permit Eledrieal
Category: WIRE 2ND FLOOR BATH REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001283
Est.Cost: Contractor: License.
Fee: $65.00 MARNEY ELECTRICAL SERVICES Master 17123A
Owner: SAGE LISA
Applicant: MARNEY ELECTRICAL SERVICES
AT.- 110 PINE ST
Applicant Address Phone Insurance
175 MAIN ST (413) 584-0737 C-(413) 535-8905 Liability, BKS55761053
LEEDS MA01053 ISSUED ON:2/13/20180:00:00
TO PERFORM THE FOLLOWING WORK.
WIRE 2ND FLOOR BATH REMODEL
Call In Date: Date Reanested Impection D te/S' OfF R ' t'r•
Trench/UG,
Special lustructiom
x p p
Rough - 1 " 1
x 2PNA�
Special Immucc�ions:
Final: ')- 7/" /?' 677 �
SRE Called In:
Signature:
Fee Twe- Amount: DatePaid
Electrical $65.00 2/13/2018 0:00:00 8691
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo