44-123 (6) 1123 FLORENCE RD
GIs#: BP-COMMONWEALTH OF MASSACHUSETTS
2017-1
265
Ma :Block:44- 123 CITY OF NORTHAMPTON
Permit: BuildinSETTSS
X01 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Peg DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A
Cate�orv• Bath reno ]BUILDING
)
rmit
Pe # BP-2017-1265 PERMIT
Proiect# JS-2017 002113
Est. Cost:$l 6800.00
Fee. $109.00 PE"ISSIONIS HEREBY GRANTED TO:
Const. Class: Contractor:
UseUseGroup STEPHEN D ROSS License:
Lot Size(sq ft) 59677.20OSIRACO SANDRA J& DEBORAHO
zon'ngA BLUME
ApplicantSTEPHEN D ROSS
IR icanlAddress• —_---- - -
36 SERVICE CENTER RD Phone: Insu_ ra_e,
NORTHAMPTONMA01060 ISSUED ON.•5/4/20170:00:00 413 584-1224
TO PERFORM THE FOLLOWING WORK.REMODEL BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service:
119
Meter:
Rough: '- Rough: Footings:
House# Foundation:
Driveway Final:
Final: �161117
Final:
/7 tRPN`•� Rough Fra e•
Gas: CC� /
Fire Department .� `�j.
Fireplace/Chimney:
Rough: Oil:
Insulation:
Final: Smoke:
Final: Uk 1/15-lt7
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO
ANY OF ITS RULES AND REGULATIONS. NOF
Certificate of Occu anc
Si nature:
FeeT'aP- Date Paid Amount
Building 5/4/2017 0:00:00
$109.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
i ro
f.\.- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY Florence MA DATE May 9, 2017 — PERMIT# i G"11—g35
JOBSITE ADDRESS1123 Florence Road OWNER'S NAMEJ Construct Associates
OWNER ADDRESS 36 Service Center TELI 413-584-1224
TYPE OR OCCUPANCY TYPE COMMERCIAL E] EDUCATIONAL [ RESIDENTIAL Q
PRINT
CLEARLY NEW:Q RENOVATION:( REPLACEMENT:E] PLANS SUBMITTED: YES N0[]
FIXTURES 7 FLOOR— 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
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY 2
ROOF DRAIN €
SHOWER STALL 2 -
SERVICE/MOP SINK
TOILET 2
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES E] NO 0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY[J' OTHER TYPE OF INDEMNITY L) BOND Ej
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.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 0 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 b n ompliance with all Pertinent pro ision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LRY STAHELSK! LICENSE# _9621 SIGNATURE
MP 0" JP0 CORPORATION# 2617C ---lPARTNERSHIPC]# LLCO#E =
COMPANY NAME EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
CITY I MONSON STATE= ZIP 01057 TEL 1413-267-8983 Li
FAX 413-267-452 CELLE:=EMAIL EWSPH COMCAST.NET
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1123 FLORENCE RD EP-2017-0950
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 44
Lot: 123 ELECTRICAL PERMIT
Permit: Electrical
Category: BAT' ROOM REMODEL,RELOCATE WASHER/DRYER
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002113
Est.Cost: Contractor: License:
Fee: $65.00 TOWER ELECTRIC Master Al 8067
Owner: SIRACO SANDRA J & DEBORAH A BLUME
Applicant. TOWER ELECTRIC
AT: 1123 FLORENCE RD
Applicant Address Phone Insurance
578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability,
BKS1656776093
FEEDING HILLS MA01 030 ISSUED ON.511112017 0:00:00
TO PERFORM THE FOLLOWING WORK:
BATHROOM REMODEL, RELOCATE WASHER/DRYER
Call In Date: Date Requested inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
X
Rough
x
Special Instructions:
Final: 2-,g'-- f 2 NO Wol,,A zaal Iii b,— izpN
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 5/11/2017 0:00:00 5635
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo