18-002 (26) 68 PINES EDGE DR BP-2017-0888
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18-002 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Building BUILDING PERMIT
Permit# BP-2017-0888
Project# JS-2017-001491
Est.Cost: $8500.00
Fee: S65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): Owner: SHANE ALBERT
Zoning: Applicant: SHANE ALBERT
AT: 68 PINES EDGE DR
Applicant Address: Phone: Insurance:
68 PINES EDGE DR
HOLYOKEMA01060 ISSUED ON:I/24/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT 1/2 BATH TO 3/4 BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
J.'i,�..^'��r�a:a,• Service: Meter:
Footings:
Rough://21/7 Rough: j - /1 House# Foundation:
P ys-, Driveway Final:
Final: Final: �
z/`� D� Rough Frame: (^7( ) a
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 1 0
way 5
THIS PERMIT MAY BE REVOKE T ,' CITY 4 F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE I jsZ
i.Certificate of Occupancy / Signature:
FeeType: Date Paid: Amount:
Building 1/24/2017 0:00:00 $65.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck- Building Commissioner
i
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
i CITY OM �'►1/ G MA. DATE ///V7V-- PERMIT
JOESITE ADDRESS 6g R ti,s Ede 6Ji y OWNER'S NAME
POWNER ADDRESS TEL FAX •
TYPE OR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL
PRINT
CLEARLY NEW:ElRENOVATION:0 REPLACEMENT: PLANS SUBMITTED: YES❑ NO ❑
FIXTURES 1 FLOOR BSMT 1 I 2 1 3 [ 4 5 I 6 1 7 8 I 9 ' 10 I 11 ( 12 I 13 14
c.BATHTUB ! t4 1 4 i i
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS II
DEDICATED GAS/CIUSAND SYS _
-DEDICATED GREASE SYS _ I I f I � �- t 1 I vi
DEDICATD GRAY WATER SYS j I i 1'-J 1
DEDICATED WATER RECYCLE SYS I 1 r,
. DRINKING FOUNTAIN , 1
DISHWASHER ___ _�__ I._111111d11111i =I
Emaimmumillimmini
FOOD DISPOSER �___
FLOOR 1 AREA DRAIN I • : SD:,.,•.. .
;NTERCEPTOR(INTERIOR) 1 I 1 360
KITCHEN SINK i
_LAVATORY / ,
ROOF DRAIN _
SHOWER STALL
SERVICE.MOP SINK Ii 1 r^ .c1�a�•.S I S, E;,f.�1-
OR
_TOILET 1 / I `Q
_URINAL _ ..
WASHING MACHINE CONNECTION , J , ip •eT .rFIROb`ED•
_WATER HEATER ALL TYPES I
_WATER PIPING I 1
OTHERI
i ' •
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes,( No 0
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 0 BOND 0
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 BOX ONLY: OWNER D AGENT 0
Signature of Owner or Owrer's Agent
1 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 all Pertinent provision of the Massachusetts State Plumbing Code and Cha ter 42 of the G al Laws.
/ [%
PLUMBER NAME pi,.,,, �,Q.r�IU�`l�_ Q CAJ SLGI SIGNATURE
LIC# ))-S MP cgi JP 0 CORPORATION 0# PAP.TNERSMP 0# LLC Eirj#36 ?
COMPANY NAME k?XI {o SS t IN-oh C,1\ ADDRESS: `3 ` ? p! S'
CITY .At Jd STATE4/Vj - ZIP Qj t1- -s EMAIL /4/Wei rdM',wSlt,.tv/fitotoc,Tom-
TEL CELL FAX
4
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
/ d6/;•///M'‘ FEE: $ PERMIT#
PLAN REVIEW NOTES
2 // 7 /2- , •ve"r �!�►
68 PINES EDGE DR EP-2017-0638
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 18
Lot:002 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE BATHROOM REMODEL
Permit Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001491
Est.Cost: Contractor: License:
Fee: $65.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner: SHANE ALBERT
Applicant: STEVEN KEYES
AT: 68 PINES EDGE DR
Applicant Address Phone Insurance
3B STATE RD (413) 422-1220 0 C-(413) 695-4968 Liability, R1216217A
SOUTH DEERFIELD MA01373 ISSUED ON:1/24/20170:00:00
TO PERFORM THE FOLLOWING WORK:
REWIRE BATHROOM REMODEL
Call In Date: Date Requested Inspection Date/SignOtt: Reinspect?:
Trench/UG:
Special Instructions
Rough l-o"t6.- 17 67-IM
x
Special Instructions:
Final: a ? 1 7 64
SRE Called In:
Signature: _
Fee Type:: Amount: DatePaid
Electrical $65.00 1/24/2017 0:00:00 5592
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo