43-005 (2) 181 WESTHAMPTON RD BP-2020-0132
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map:Block:43 -005 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit 9 BP-2020-0132
Project 4 JS-2020-000210
Est.Cost: $26950.00
Fee: $175.50 PERMISSION IS IIF,REB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 30927.60 Owner: LEVINE_LEAH R& EVY BERMAN
Zonin : Applicant: VALLEY HOME IMPROVEMENT INC
AT 181 WESTHAMPTON RD
Applicant Address: -- .Plume: Insurance:
P O BOX 60627 (413) 584--7522 Workers Compensation
FLORENCEMA01062 ISSUED OV.8/6/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.BASEMENT RENO - ADD BATH
POST THIS CARD SO ITIS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough:�0- 7- �y House# Foundation:
IO1�i4? Driveway Final:
Final: Final: �; / d
Rough Frame:
/o z9-/�p �P
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: O,e 1-7_1 q 4/I/-
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE LAT NS.
Certificate of _ signature:
Feel'vpe: Dale Paid: Amount:
Building 8/6/20190:00:00 `(;175.50
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck --Building Commissioner
181 WESTHAMPTON RD EP-2020-0292
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 43
Lot: 005 ELECTRICAL PERMIT
Permit: Electrical
Category: BASEMENT RENO-ADD BATH
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000210
Est.Cost: Contractor: License:
Fee: $125.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: LEVINE LEAH R & EVY BERMAN
Applicant. TIMOTHY J ROCKETT
AT. 181 W ESTHAMPTON RD
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 () C-(413) 563-4659
FLORENCE MA01062 ISSUED ON:10/4/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
BASEMENT RENO - ADD BATH
Call In Date: Date Requested Inspection Date/SiznOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roueh 16 ` 7
x
Special Instructions: n
Final:���� I q)?"�
SRE Called In:
Sisnature•
Fee Type:: Amount: DatePaid
Electrical $125.00 10/4/2019 0:00:00 4421
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY_' . `[-'���/� f�f��' � MA DATE (, PERMIT# O
JOBSITE ADDRESS ������J ��y�, r� OWNER'S NAME=
POWNER ADDRESS
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIA(
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT:F_ PLANS SUBMITTED: YES NO
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
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN r
INTERCEPTOR(INTERIOR) y
KITCHEN SINK •�
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/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 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 an rate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in com nce ertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 1-1
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PLUMBER'S NAME „�� /''i � LICENSE# SIGNATURE
All
MP JP CORPORATION # PARTNERSHIP # )LLC'
.. _-
COMPANY NAME ADDRESS j G
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CITY ,r. _ STATE ; f�� ZIP w.C C; S .� TEL
FAX CELL EMAIL
11
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
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