43-067 (6) 72 DUNPHY DRBP-2021-0601
ojsCOMMONWEALTH OF MASSACHUSETTS
W )lot_ - CITY OF NORTHAMPTON
�k3l«ck:43 -067
Lot: 001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit_ _Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMITCategory__,A{)DITION
NIIMINONNOMMIIIIININIIIMMOISNIIM
permit 4 BP-2021-0601
Project# JS-2021-000997
Est.Cost_$16000.00
Fee: S 104.00 PERMISSION IS HEREB Y GRANTED TO:
Csnsi.Class
Contractor: License:
Use Group_ GREY GOAT BUILDERS - DBA JOHN DEMERSKI 108772
Lot ng: ft) 17206.20 �wpplec it: GREY GOATU L
BDERS A DBA JOHN DEMERSKI
7an in AT: 72 DUNPHY DR
.Phone: Insurance:
Applicant 4ddress:
72 DUiNPHY DR 01 588-2232
FL.00ZENCEMA01062 ISSU
ED ON:1214/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD 240 SO FT MUD ROOM WITH 1/2 BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building inspector
Inspector of Plumbing Inspector of Wiring
D.P.W.
Service: Meter: K.
Underground: Footings: L).L iZ-1(
j House# Foundation:
Rough: j 23 . 2l Rough: -i - )
Driveway Final:
Final: Final: i / Rough Frame: L/ I< 3-L3 z 1 v e
Gas:
Fire Department Fireplace/Chimney:
Rough:
Oil- Insulation: 0 ;` y_z.- ; k
Final: Smoke: Final: 0 K. 6 2a- zl K/2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITSAULES AND RE U IONS. . 7311 --
i I
Sinah►r; __
Certificate of • 77L ---
FeeTyne: ► Date Paid: Amount:
13udding 12/412020 0:00:00 $104.00 .
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
72 DUNPHY DR EP-2021-0752
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 43
Lot: 067 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE ADDITION
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-000997
Est.Cost: Contractor: License:
Fee: $125.00 JAMES MAILLOUX ELECTRIC Master A16187
Owner: DEMERSKI JOHN & KIMBERLY A
Applicant: JAMES MAILLOUX ELECTRIC
AT: 72 DUNPHY DR
Applicant Address Phone Insurance
221 PINE ST SUITE 160 (413) 585-1592 C-(413) 563-4654 Liability, MPTO721 Q
FLORENCE MA01062 ISSUED ON:3/16/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE ADDITION
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x Rough �1
x
Special Instructions:
Final: ( t-d3' c)-I nr,
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 3/16/2021 0:00:00 12903
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
`;to CITY( � C C MA DATE 31 -1 !01 n�d
l PERMIT# � ' 4-3 .4-1/3
JOBSITE ADDRESS 7 d Du IU (D N-( OWNER'S NAMEI Iiviyp v µLa S r I
P OWNER ADDRESS S W INF . TEL 413 ,M DCoLIFAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 13
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES W NO❑
FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
''``
BATHTUB I U ii I I II I Ii
CROSS CONNECTION DEVICE _ I L 1 1 I ! I I ,
DEDICATED SPECIAL WASTE SYSTEM I \ I. I i k [ 1,
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM I I I , 1 I
DEDICATED WATER RECYCLE SYSTEMI I1_
DISHWASHER I I I I 1 I
DRINKING FOUNTAIN I k I 1 1 1 I
FOOD DISPOSER
•
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) j 1 I I I I' 1 1 1KITCHEN
LAVATORYINK ✓1 1
1 i I (
ROOF DRAIN �
-�
SHOWER STALL I I I I 1'L'/MbI i Li (aA�INS GT;'R (
SERVICE I MOP SINK I 1\ ( ( NU ; Y ' N
TOILET — i� ' . ' ' • ';allligNi TAM
URINAL I ( _ 1 1 1 1 I
WASHING MACHINE CONNECTION I s `
WATER HEATER ALL TYPES I I
WATER PIPING
I I 1 i 1 I l 1
OTHER I I I I I I 1 I I ( 1
1 1 1 1 I I 1 I, 1 I I I
1 1 I 1 1 1 L I L
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO LJ
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.
l R CHECK ONE ONLY: OWNER pAGENT ElSI NATURE-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 corn•liance with all ertinent ion of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Ili,
, V
PLUMBER'S NAME Pv-3\hD 1 1,4 '(`)1 4\•1b rJ LICENSE# 2,rj 2 5 * SIGNATURE
MPD JP CORPORATION❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME ADDRESS 03 Crest)
CITY STATE ZIP TEL 4//3-,58 -101)11-
FAX CELL EMAIL
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