38D-026 N HAMDFN S1 MBP-2018-00148
US#: COMMONWEALTH OF MASSACHUSETTS
MJS-2018-000223 CITY OF NORTHAMPTON
Map:Block:Lot PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit:Buildbg DO NOT HAVE ACCESS TO THE GUARANTY FUND(MGL c.142A)
0-CP-U BUILDING PERMIT
Permit# _ MBP-2018-00148
Project#i MIS-2018-000223
Est.Cost. 8000
Fee:65.W PERMLSSIONIS IIEREBY GRANTED TO:
Const.Class_ Contractor: License:
Use Croup: ROBERT SPEL IAN CSL- 082172
Lot Size(sy. fl.'):_ Oty.;:er: KATE ARATA
Zoiiing.URB Applicent. ROBERT SPELMAN
4T. 1� HAMDEN ST
ApplicantAddress: Phone: Insurance:
71 NASH HILL RD. _ _ 413-575-5703
WILLIAMSBURG,MA 01096 tS:VIII-D O:V: 08/2212017
TO PERFORM THE FOL?fl TYING WORK. BATH RENO
POST TVIS CARD SO IT ?S VIS I-B i.c' o ROirT 1 HE STREET
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY Northampton MA DATE 8/912017 ��PERMIT# 1 f-
JOBSITE ADDRESS 118 Hampden St. OWNER'S NAME Kate Arata
POWNER ADDRESS TEL 6176783350 � FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL ❑ RESIDENTIAL❑
PRINT
CLEARLY NEW:[--j RENOVATION:F-1] REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO[]
FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1
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 I AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY 1
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET 1
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES
WATER PIPING 1
OTHER
INSURANCE COVERAGE:
I have a current liabilft 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 'a OTHER TYPE OF INDEMNITY a 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.
—Ifl
CHECK ONE ONLY: OWNEREJ 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 besmy knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in corn with all Pertinent pfoyision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws,
PLUMBER'S NAME Chris Salva LICENSE#F15800 IGNATURE
MPE1 JP❑ CORPORATION❑#L—=PARTNERS I—QWL LLC®#�M
COMPANY NAME I CTS Plumbing&Heating Co. ADDRESS 1200 Old Belclie&wn Rd --- --�
CITY I Ware J STATE MA ZIP 01082 I TEL 413-230.9705
FAX L--=CELL���EMAIL
bl ib tIE� 10
N131,1
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18 HAMPDEN ST EP-2017-1042
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 38D
Lot:026 ELECTRICAL PERMIT
Permit: Electrical
Category: RE-WIRE HOUSE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-002433
Est.Cost: Contractor: License:
Fee: $125.00 SUSAN D BROWN Journeyman E37588
Owner: ARATA KATE
Applicant. SUSAN D BROWN
AT. 18 HAMPDEN ST
Applicant Address Phone Insurance
PO Box 60022 (413) 329-3693 () C-(413) 329-3693 Liability, MPJ09268
FLORENCE MA01062-0022 ISSUED ON.6/74/2017 0:00:00
TO PERFORM THE FOLLOWING WORK.
RE-WIRE HOUSE
Call In Date: Date Requested Inspection Date/SlgnOffi Reinspect?:
Trench/UG:
Special Instructions
X
Rough 9— /y - ( 7 J�
X
Special Instructions:
Final: Cl- a.� _ 17 RPS
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 6/14/2017 0:00:00 3212
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo