37-009 (3) BP-2018-0586
617 FLORENCE RD
COMMONWEALTH OF MASSACHUSETTS
GIs#:
CITY OF NORTHAMPTON
lo
May:Bck: 37-009 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Lot: lo
01
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Ca egorv.
renovation BUILDING PERMIT
Permit# BP-2018-0586
Project# JS-2018-001047
Est.Cost: $25000.00
Fee:Cost:
$0 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: PHILIP ROBERGE 109322
Lot Size(sg.ft.): 26963.64 Owner: STS HOMES INC
Zoning: Applicant: PHILIP ROBERGE
AT. 617 FLORENCE RD
Applicant Address: Phone: Insurance:
31 DAVISTON ST
SPRINGFIELDMA01108 ISSUED ON.12118/20170:00:00
TO PERFORM THE FOLLOWING WORK.REPLACE WINDOWS, DOORS, SIDING AND
KITCHEN RENO - NEW PLUMBING FIXTURES
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
/J Footings:
Rough: Rough:?- - House# Foundation:
Driveway Final:
Final: 2 / Final: Rou h Frame: Z �C!
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: 1),
91z- Final: ew
Fina1: Smoker
rsl�,�ry
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULE " VD REGULATIONS. 9/2-Y p �-
Certificate of ^// Signature:
FeeType• Date Paid: Amount:
Building 12/18/2017 0:00:00 $163.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
A.-, 7-7
617 FLORENCE RD EP-2018-0563
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 37
Lot: 009 ELECTRICAL PERMIT
Permit: Electrical
Category: RELOCATE SERVICE TO FRONT OF THE HOUSE;ADD LIGHTS AND CLEAN UP WIRING THROUGHOUT THE
HOUSE.
Permit# Electrical
PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2018-001047
Est.Cost: Contractor: License:
Fee: $185.00 WESLEY LONDON Journeyman Electrician 53449
Owner: STS HOMES INC
Applicant. WESLEY LONDON
AT. 617 FLORENCE RD
Applicant Address Phone 07 Insurance
88 HOWARD STREET (413) 244-3546 C- .,
HOLYOKE MA01040 ISSUED ON:1/24/2018 0:00:00 07/
TO PERFORM THE FOLLOWING WORK:
RELOCATE SERVICE TO FRONT OF THE HOUSE; ADD LIGHTS AND CLEAN UP WIRING
THROUGHOUT THE HOUSE.
Call In Date Date Requested Inspection Date/SignOff• Reinspect?:
Trench/UG:
Special Instructions
X
Rough '
x
Special Instructions:
f ,1
Final No 2f Ao-( lr ,
� /ys " JJ1' d� /i�lr. - 1` V L CI -
SRE Called In:
�r�lS��d 4
Signature:
Fee Type:: Amount: DatePaid
Electrical $185.00 1/24/2018 0:00:00 1014
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
0/�0 WW('11')r#
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITa MA DATE PERMIT#
Y
JOBSITE ADDRESS U✓CSV Ce R OWNER'S NAMES!L'M:�eS < C
.. ._ _-
POWNER ADDRESSL1l�dtG�✓-fu, v M TEL'S l,3 6S7 717a FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL [,. RESIDENTIALE4
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES N0LN
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 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
DISHWASHER4.
DRINKING FOUNTAIN a
FOOD DISPOSER
FLOOR 1 AREA DRAIN r—
INTERCEPTOR(INTERIOR)
KITCHEN SINK A
LAVATORY r
ROOF DRAIN
SHOWER STALL
SERVICE I 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`X 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 compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'SNAMEsU LICENSE# 200 SIGNATURE
MP-g JP D, CORPORATIONEJ#f PARTNERSHIPO#[ LLC #
COMPANY NAME)S`�t,Uen- 15r� %S'� ADDRESSg
CITY! STATE I[�,.1 ti ZIP TELT
FAX L� CELLL EMAIL �.
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: S PERMIT#
PLAN REVIEW NOTES
Z /
Y11,7 o" IW Lm �
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
�+
CITY /(Ivy��wt� / MA DATE PERMIT# (Q��
i t
JOBSITEADDRESS btu Un,��e OWNER'SNAME S'fS /4ome.r tivc
GOWNER ADDRESS 1 Stt f &rJwel/ 5f PJt(c r oi�,t/ TEL4(3 (- ) 7 7,� FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NOS
APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 B 9 10 11 12 13 14
BOILER 1
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER _
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER N�,t;, as "specii s
MA
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM 1 SPACE HEATER
ROOF TOP UNIT
TEST f
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAGE /
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE 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 compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 1� F
PLUMBER-GASFITTER NAME t.� �L � vy� _e` LICENSE# SIGNATURE
MP :X'. MGF JP JGF LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME:J� Ven rvmt ADDRESS
CITY S�, _ STATE �LJA ZIP b/), TEL;}
FAX CELL 8 7t<-I8'�'7 EMAIL'
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
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