35-243 (6) 35 LADYSLIPPER LN BP-2017-0459
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:35 -243 CITY OF NORTHAMPTON
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-2017-0459
Project# JS-2017-000761
Est. Cost: $63300.00
Fee:$443.95 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq.ft.): 42558.12 Owner: BLOOM PETER A&CATHERINE M
Zoning: n/icattt: VALLEY HOME IMPROVEMENT INC
AT: 35 LADYSLIPPER LN
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:10/11/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 3 BATHS - NO CHANGE TO
STRUCTUAL FRAMING, ALL FIXTURES IN SAME LOCATION
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:/
�/j1i.5" A Rough: 1_�s )\-1 House# Foundation:
Driveway Final:
Final: ; Final:
rZ�a� Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: tMIS lation:�y f
Final: Smoke: Final: ''O�-1/ re:Pla--1
el< 1/5.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG t IONS
Certificate of Occupancy r 6e1"Y, / Signature: �;~ ' „ �
FeeType: ate aid: Amount:
Building 10/11/2016 0:00:00 $443.95
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
akee,Ic //Ogg 7,. , •� ria
.', L MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
14 CITY Za 1, ,, ,/ _ _ 1 MA DATE !(}A�/4- PERMIT# "14-1/— U
JOBSITE ADDRESS 35- L, S/ppm 4,4__„..- —1 OWNER'S NAME .t1.0`O fl'
1 OWNER ADDRESS TEL ]FAXI-
TYPE OR OCCUPANCY TYPE COMMERCIAL __._ EDUCATIONAL RESIDENTIAL}/
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT)( PLANS SUBMITTED: YES LA NO
FIXTURES-1 FLOOR— SSM 1 1 2 3 4 5 6 7 8 9 10 11 4 12 1 13 I 14
BATHTUB
CROSS CONNECTION DEVICE 1
DEDICATED SPECIAL WASTE SYSTEM _ -- -- _
DEDICATED GASIOILiSAND SYSTEM 1 , ]—
DEDICATED GREASE SYSTEM : _
DEDICATED GRAY WATER SYSTEM i _ $ !
F DDEDICATED
ISHWASHER WATER
HWASHERATER RECYCLE SYSTEM MIIIII IIIIIT~ _
DRINKING FOUNTAIN
FOOD DISPOSER - •'
FLOOR!AREA DRAIN
INTERCEPTOR(INTERIOR) + _ =
KITCHEN SINK
LAVATORY I l
ROOF DRAIN ,
SHOWER STALL — c/
SERVICE i MOP SINK ! ,
TOILET j 1's fEINI. & GA15NNS•ECTO?
URINALr 1 i_,
WASHING MACHINE CONNECTION
~WATER HEATER ALL TYPES "
_riWATER PIPING { : —
OTHER I I I
�_ i i 1 _
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 OF INDEMNITY 1 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 0
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 -nd curate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in a •. an th Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. - L_________
PLUMBER'S NAME'Paul G LICENSE# 12322 1 SIGNATURE
MP JP _A CORPORATION # PARTNERSHIP L# j LL
_
C #
COMPANY NAME)Paul's Plumbing&Healing _ ADDRESS;P.O.Box 303
CITY Huntington STATE MA ZIP 101050 1 TEL 413-238-0303
`
FAX I CELL)413-62&2745 i EMAIL paulsplgxhtg@aol.com
�
/a /16 /
,„
•
„:„.„
,„.,
,„ .
r}
f\
�2
..:7
��\
��\
35 LADYSLIPPER LN EP-2017-0635
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 35
Lot:243 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE 3 BATH REMODELS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000761
Est.Cost: Contractor: License:
Fee: $12.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: BLOOM PETER A& CATHERINE M
Applicant: TIMOTHY J ROCKETT
AT: 35 LADYSLIPPER LN
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 0 C-(413) 563-4659 Liability, MPP0861 V
FLORENCE MA01062 ISSUED ON:4/24/20170:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE 3 BATH REMODELS
Call In Date: Date Requested Inspection Date/Signatt: Reinspect?: _
Treoch/CG:
Special instructions -
x
Rough
x
Special Instructions: /�,���
Final: / f ' 17 Ie l
SRE Called In:
Signature:
Fee Type:: Amqunt: DatePaid
Electrical S125.00 1/24/2017 0:00:00 3422
212 Main Street,Phone(413)587-1244,Fax(41 3)587-1272-Inspector of Wires -Roger Malo