16D-010 (4) 6 GREELEY AVE BP-2018-0219
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 16D-010 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:KITCHEN&BATH RENO BUILDING PERMIT
Permit# BP-2018-0219
Project# JS-2018-000391
Est. Cost: $35000.00
Fee: $227.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groin: JAMES O'SULLIVAN 66335
Lot Size(sq. 1): 7405.20 Owner: STAUDER JEFFREY B&HELEN T
Zoning:URB(l00)/WP 100 / Applicant. JAMES O'SULLIVAN
Ai 8 GREEL•LY AVE
Applicant Address: Phone: Insurance:
264 BUCK POND RD (413) 532-1312
WESTFIELDMA01085 ISSUED ON.911412017 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE 1 ST FLR KITCHEN & BATHROOM,
NEW DRYWALL & HARD FLOORING TILES
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: .3 J 7 Rough-/a-li._ )7 House# Foundation:
p Driveway Final:
Final• Final: ; 0 1-7
Rough Frame:17
G
Gas: Fire Deaartment Fireplace/Chimney:
:cuuit:
g Insulation: ok,
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Final: Smoke: Final: C 1,L --
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc6!j::_
Signature:
FeeType: Date Paid: Amount:
Building 9/14/2017 0:00:00 $227.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
6 GREELEY AVE EP-2018-0243
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 16D
Lot:010 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE RENOVATION FOR BATH&KITCHEN
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO
Project# JS-2018-000391
Est.Cost: Contractor: License:
Fee: $125.00 FLYNN ELECTRICAL SERVICE Journeyman Electrician 38506 E
Owner: STAUDER JEFFREY B & HELEN T
Applicant: FLYNN ELECTRICAL SERVICE
AT.• 6 GREELEY AVE
Applicant Address Phone Insurance
110 KENNEDY ROAD (413) 323-9779 C-(413) 348-0257 Liability, MP063005
BELCHERTOWN MA01007-9768 ISSUED ON.10111120170:00:00
TO PERFORM THE FOLLOWING WORK
WIRE RENOVATION FOR BATH & KITCHEN
Call In Date: Date Requested Inspection Date/SianOffi Reinspect?:
Trench/UG:
Special Instructions
x
Roup-h 7
X
Special Instructions:
Final: /,)-ole)—/ 7
SRE Called In:
Sip,nature:
Fee Type:: Amount: DatePaid
Electrical $125.00 10/11/2017 0:00:00 12727
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
MA DATE PERMIT#
*�
CITY: _It10��,sM � fCJ /a 17- .
Y� JOBSITE ADDRESS ¢ OWNER'S NAME +
gOWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL x
PRINT
CLEARLY NEW: RENOVATION:, REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE —
DEDICATED SPECIAL WASTE SYSTEMy`
DEDICATED GAS/OILISAND 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
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET _
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
_ .
WATER PIPING '
OTHER
i
17 -7- H - -77�
s
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✓ 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
plumbing Pep PP Z�;�� tand that all lumbin work and installations rformed under the permit issued for this a lication will bh ent o
Massachusetts State PlumbingCode and Chapter 142 of the General Laws. —^
PLUMBER'S NAME Jeff Pouliot LICENSE# 15749 SIGNATURE
MP-/ JP CORPORATION✓ #3701 PARTNERSHIP # LLC #
COMPANY NAME Pouliot's Plumbing&Heating Inc. ADDRESS 49 Sam West rd
CITY Southwick STATE MA ZIP 01077 TEL y4,3 A 8,9 3 y fo
FAX CELL EMAIL
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