36-122 (8) 517 WESTHAMPTON RD BP-2018-1097
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36- 122 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2018-1097
Proiect# JS-2018-001974
Est.Cost: $33240.00
Fee: $216.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RENE GAUTHIER 098654
Lot Size(sq.ft.): 67082.40 Owner: GONTARUK DAVID
Zoning:_ Appliagnt. RENF (',AIITIHIFR,
AT. 517 `,NESTHAMPTON RD
Applicant Address: Phone: Insurance:
82 PE UOT RD (413) 455-5580 WC
SOUTHAMPTON MAO 1073 ISSUED ON:4/27/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-FINISH BASEMENT TO INCLUDE
BATH ROOMANETBAR, GYM AREA AND LIVING SPACE
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:
Ro7/4
��f Rough:� - �� '�g House# Foundation:
Driveway Final:
i 6 J-1_
�—final: Final:
L ` Rough Frame:
/.Sj
re Department Fireplace/Chimney:
z �
Rough: /?� Oil: Insulation:, �,I
eFi 1: c� li✓` oke• Final: Ott 9I1�11
THS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ND REGULATIONS.
Certificate of QCcy Signature:
FeeTvpe: Date Paid: Amount:
1/R
Building 4/27/2018 0:00:00 $216.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck–Building Commissioner
CAMic /9/ F4i�' ov
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK(/
CITY 04U _ . _ MA DATE ��.._ PERMIT#
JOBSITEADDRESSSIa (Je� p OWNER'S NAME
POWNER ADDRESS _ _ TEL /���FAX[ .,
TYPE OR OCCUPANCY TYPE COMMERCIAL E4 EDUCATIONAL RESIDENTIAL'
PRINT _
CLEARLY NEW: RENOVATION.` y�= REPLACEMENT:01 PLANS SUBMITTED: YES NOD
FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1 t,.,. I ��
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM TTr �
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM 7, _
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM I i
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER r�
FLOOR/AREA DRAIN n as 1 i
_._
INTERCEPTOR(INTERIOR) -
KITCHEN SINK
LAVATORY
ROOF DRAIN i
SHOWER STALL •_--�µ_ ___.._ �__.�:. �...:w: �..,. I...:._._.._,3`._:`__`""—.=V�.
SERVICE/MOP SINK s,
TOILET r
mm
URINAL
WASHING MACHINE CONNECTION '
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 NO Q
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLI�! I`, 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 1 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
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 Chapter 142 of the General Laws.
PLUMBER'S NAME A- ���' \J � LICENSE# _# ATURE
Mp(— JP CORPORATION O#( ' — PARTNERSHIP # LLCO#
COMPANY NAME S ADDRESS _
CITY �('-b X STATE ZIP I (J TEL _._ ...,_.._,.
FAX F CELL EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
!7 :r
i Yes No
THIS APPLICATION SERVA AS�H�PERMIT ❑ ❑
FEE: $ JIERNNT
PLAN I&VA&NOTES
403
r
IS"i �r
1� 14 Y
517 WESTHAMPTON RD EP-2018-0907
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot: 122 ELECTRICAL PERMIT
Permit: Electrical
Category: BASEMENT REMODEL:BEDROOM,BATHROOM,LIVING ROOM,WET BAR
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001974
Est.Cost: Contractor: License:
Fee: $125.00 ADAM RILEY ELECTRICIAN LLC Journeyman Electrician 53243
Owner: GONTARUK DAVID
Applicant. ADAM RILEY ELECTRICIAN LLC
AT.- 517 WESTHAMPTON RD
Applicant Address Phone Insurance
10 ROBBIN LANE (413) 519-2800 C-
FEEDING HILLS MA01 030 ISSUED ON.511112018 0:00:00
TO PERFORM THE FOLLOWING WORK.
BASEMENT REMODEL: BEDROOM, BATHROOM, LIVING ROOM, WET BAR
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough S`16 -lev
X
Special Instructions:
Final: �-/t
SRF,Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 5/11/2018 0:00:00 1159
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo