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35-082 (10) BP-2021-0036 1255 BURTS PIT RD COMMONWEALTH OF MASSACNUSETTS G`S#: CITY OF NORTIIAMPTON Map:Block: 35 -082 Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Bath reno BUILDING PERMIT Permit# BP-2021-0036 Project# JS-2021-000051 Est.Cost: $9000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ROBERT GOULD 90940 Lot Size(sq. ft.): 17859.60 Owner: MCGRATH DANIEL Zoning: Applicant: ROBERT GOULD AT: 1255 BURTS PIT RD Applicant Address: Phone: Insurance: 62 LYMAN ST (413) 531-1391 GRANBYMA01033 ISSUED ON:7/10/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:RENO BATHROOM, REPLACE WINDOWS 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; - Rough o'-2 House# Foundation: P Driveway Final: Final Final: g —6/ ' OI) 17/�, O ji �= —� n IP)1P Rough Frame: 1 ( rlt-- Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: — Final: Smoke: �7 Final: i '►rma00%1 ale- 8 13 ZOZOV THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES ANI) REGULATIONS. ` ! 0 . >2 . d{ 1,, . Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 7/10/2020 0:00:00 $65.00 212 Main Street. Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck- Building Commissioner 1255 BURTS PIT RD EP-2021-0053 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 35 Lot:082 ELECTRICAL PERMIT Permit: Electrical Category: REPLACE BATHROOM FAN&VANITY LIGHT Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-000051 Est.Cost: Contractor: License: Fee: $65.00 CALEB MACHAK dba MACHAK ELECTRICAL Journeyman Electrician 53005 Owner: MCGRATH DANIEL & LAURIE ANN SARAFIN MCGRATH Applicant: CALEB MACHAK dba MACHAK ELECTRICAL AT: 1255 BURTS PIT RD Applicant Address Phone Insurance 33 QUEEN CIRCLE C- Liability, 318b003583 SOUTH HADLEY MA01075 ISSUED ON:7/22/2020 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE BATHROOM FAN & VANITY LIGHT Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough -7-(9.3 - r-c' t'~ x Special Instructions: Final: S-ao Q SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 7/22/2020 0:00:00 110 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo (.'K1711G16 70 `- MA.SyACIjUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY/TOWN NOn Ti4 A ,iP TD N MA DATE 7—a PERMIT# PP-202) OO 2- JOBSITE ADDRESS / 2 S 5 13 URTS P JT R 0An OWNER'S NAME AAN C 6-R.4%N OWNER ADDRESS .5 4 es-► TEL 5 7 43 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:[ PLANS SUBMITTED: YES❑ NO(}-' FIXTURES 1 FLOOR-4 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 T 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 SERVICE/MOP SINK TOILET j URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES PLUMBING & GAS INSPECTOR WATER PIPING NORTHAMPTON OTHER APPROVED NQT APPROVED 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 L!S 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 II Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Kr P,v,�Tx Sr 'G Pr- LICENSE# g4// SIGNATURE MP JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME /c'iE'A/Nrl7f 572aNa- ADDRESS 3 84 `/`A." 's D CITY 1=1-v !L r uc r STATE 1" A- ZIP O f 0 TEL 4i 3 -3 o., © G(J FAX CELL .5 4,1"e EMAIL RI stHon3 @ cor', C ef