25A-096 (5) 65 SHERMAN AVE BP-2019-0237
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:25A-096 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2019-0237
Proiect# JS-2019-000379
Est. Cost: $13500.00
Fee: $88.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 7884.36 Owner: SPIEGAL HELEN&KEELY SAVOIE
Zoning: URB(100)/ Applicant: SPIEGAL HELEN & KEELY SAVOIE
AT: 65 SHERMAN AVE
Applicant Address: Phone: Insurance:
65 SHERMAN AVE
NORTHAMPTON MAO 1060 ISSUED ON:8/23/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.CREATE BATHROOM IN UPSTAIRS ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
to 14-ti-
Underground:
4-1$Underground: Se eter:
Footings:
Rough: �a-/gZj�'Rough: tp_Z,y-k S House# Foundation:
Driveway Final:
/
Rough Frame: d C "
Gas: Fire Department Fireplace/Chimney: d
Rough: Oil: Insulation: CJk// -,5 -/a /^H
Final: Smoke: Final: �` -�� �L� k
THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG
Certificate of Occupancynature:
FeeType: Date Paid: Amount:
Building 8/23/2018 0:00:00 $88.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
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65 SHERMAN AVE EP-2019-0300
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25A
Lot: 096 ELECTRICAL PERMIT
Permit: Electrical
Category: RENO 2ND FLR BATHROOM,INSTALL FANLIGHT,EXH FAN,OUTLET&SWITCHES
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-000379
Est.Cost: Contractor: License:
Fee: $65.00 D L POWERS ELECTRIC INC Electrician A20247
Owner: SPIEGAL HELEN & KEELY SAVOIE
Applicant: D L POWERS ELECTRIC INC
AT. 65 SHERMAN AVE
Applicant Address Phone Insurance
1140 FLORENCE RD (413) 584-3533 C-(413) 575-9491 Liability, SCP 08132922
FLORENCE , MA01062 ISSUED ON:10/23/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
RENO 2ND FLR BATHROOM, INSTALL FAN/LIGHT, EXH FAN, OUTLET & SWITCHES
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roush /0 4 ~
X
Special Instructions:
Final: /"� -/L�-/4?, �Pti
SRE Called In•
Sienature•
Fee Type:: Amount: DatePaid
Electrical $65.00 10/23/2018 0:00:00 1375
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
oAmt-" -5 —/ o�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITYMA DATE Q-10 -/k- IPERMIT#
JOBSITE ADDRESS OWNER'S NAME; e.I gv� �Q�-�
---—
OWNERADDRESS TEL
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL.1/
PRINT
CLEARLY NEW: RENOVATION REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 I 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
ROOF DRAIN i
SHOWER STALL 1
SERVICE/MOP SINK
TOILET I
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
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY L/ 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
and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pert' nt provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / /,
PLUMBER'S NAME I7�i' A le Lt _f C-J- LICENSE# OC�7(c f� 6 SIGN�IATU
MP; JPk CORPORATION®# �PARTNERSHIPD#[ LLCLj#�
COMPANY NAME 1O A %.e W k e e- A- - ADDRESS 0-098Y Y Sf
CITY��, �t cM STATE ZIP p/ptp a TEL - r/
FAX CELL7-) ) G' EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT. ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
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