43-035 (4) 95 AUTUMN DR BP-2021-0608
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 43 -035 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2021-0608
Project# JS-2021-001014
Est. Cost: $12000.00
Fee: $78.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RONALD DECK 102688
Lot Size(sq. ft.): 12806.64 Owner: BROWN STEPHEN A
Zoning: Applicant: RONALD DECK
AT: 95 AUTUMN DR
Applicant Address: Phone: Insurance:
103E HAWLEY RD (413) 628-3384 SOLE PROPRIETOR
HAWLEYMA01339 ISSUED ON:11/19/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:BASEMENT RENO
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: r G j —:2l Rough:D.-3_Dit House# Foundation:
^ 5 eR Driveway Final:
17
Final- ��/�47/ Final: 3 .-/( .- 1
b� Rough Frame: d.IV Z -7-2Q 2C)(42
1)1M'ZevA IC )/PC,9/ 1 p
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 11,/1. 12-/b• Zd
/% reci rl 0.K I-7.8 2 t K,
Final: Smoke: Final: ,'). 3 /.0.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL TIONS.
11P1 ) . , 61
Certificate of Obey ,/ Signature J •
FeeType: Date Paid: Amount:
Building 11/19/2020 0:00:00 $78.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
�v�r-/. CITY !JOIN-kr'1[nrp j MA DATE 4 O /a/ PERMIT#pe Zo'L(-153/s
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JOBSITE ADDRESS 1 9 S AAA n N/2 j OWNER'S NAME S U e Prc I n j
POWNER ADDRESS 7 of rap 7. SE- tit TELL ,-k - 144- frAx I
TYPE OR OCCUPANCY TYPE COMMERCIAL f i EDUCATIONAL 71 RESIDENTIAL
PRINT
CLEARLY NEW: -'- -----RENOVATION: b----- REPLACEMENT: PLANS SUBMITTED: YES NO!-
FIXTURES Z FLOOR—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB �_ r_.. ____ _ 1----1 -
CROSS CONNECTION DEVICE 1 JI iL ,l__ - " i
DEDICATED SPECIAL WASTE SYSTEM j It ! 1- --- ,� , 11
DEDICATED GAS/OIL/SAND SYSTEM -j 'tl -� '� �_
if
DEDICATED GREASE SYSTEM I li I
DEDICATED GRAY WATER SYSTEM I A-� �" �� 1
DEDICATED WATER RECYCLE SYSTEM L. j f Y �� 1
DISHWASHER _,_-.4,— k xi �I L
DRINKING FOUNTAINII
FOOD DISPOSER. �� ��
FLOOR I AREA DRAIN Lg I
.._.._. ...._.
INTERCEPTOR(INTERIOR) T71 In _� it
KITCHEN SINK '—'I
I.
LAVATORY — __ 1(—'j
ROOF DRAIN
SHOWER STALL 14 r '� i PL !VIM' G & GAS IN CTOI t
SERVICE I MOP SINK , (-- TON
TOILET ' �.:
1 _ NOTAPPROVED . L:.
URINAL ii s . —�� �--
WASHING MACHINE CONNECTION -I! �, s .. IC Jr- it [
WATER HEATER ALL TYPES i rr
WATER PIPING , la ` — ' j-.
OTHER j1 _ II 1
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO L_-,r
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 N
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 th all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Ronald Hodges LICENSE# 9452 SIGNATURE
MP - JP CORPORATION!.#1.472616345 !PARTNERSHIP 1# ILLC❑#[
COMPANY NAME Hodge City Plumbing, Inc. µJ ADDRESS 60 North Maple Street
CITY Florence j STATE I MA J ZIP L01062 t TEL 1413-586-1150
FAX 413-585-5747 CELL 413-575-9030 !EMAILLstt@hodgecity.net
i _ _
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
/1_ Z/ /Rive/A /O LAG.
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95 AUTUMN DR EP-2021-0475
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 43
Lot: 035 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALL PLUGS,LIGHTS,HEAT,& SMOKES TO FINISH 2 ROOMS&BATH IN BASEMENT
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-001014
Est.Cost: Contractor: License:
Fee: $125.00 R M BOULEY Electrician 8284A
Owner: BROWN STEPHEN A
Applicant: R M BOULEY
AT: 95 AUTUMN DR
Applicant Address Phone Insurance
PO Box 267 (413) 478-5458 () C-(413) 478-5458
LEEDS MA01053 ISSUED ON:12/4/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALL PLUGS, LIGHTS, HEAT, & SMOKES TO FINISH 2 ROOMS & BATH IN BASEMENT
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough /2 - 3 - o t2 `N
x
Special Instructions:
Final: /W - - a l 3- iv - a l N•
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 12/4/2020 0:00:00 174418140 6
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo