18D-053 (28) s1{ I
80 DAMON RDOMW BP-2019-058:5
GIS#: CO viIr10P" ''s:d -HOF MASSACHUSETTS
Mao:Block: 18D-053 /, ".' OF NTORTIL4MPTONT
Lot -000 PERSONS CONT--,. : VV"I : JT REGISTERED CONTRACCCRS
permit Building DO NOT HAVE ACCL£ .' ` ' I"— 11J ARANTY FUND (MGL e.142A)
Cateeo v:renovation 1 it_� 2PING PERMIT
permit# BP-2019-0585 ----
^miect# JS-2019-C0094c^
Ss'.Cos:S48000.00
ee:s336.00 PERMISEX-V_ Ji__"ZOP GRANTED TO:
Const.Class: Contractor: License:
Use Group: CHARLES AMO_ 44171
Lot Si7A(Mo ft.); Owner: DEUSLE CLeFLN?jE D_
Zoning:Gl(88)/SC(12VWP(l2V Applicent: CHA.RLE3.4M0
AT. 8C DAMON RD 2206
Applicant Address: Phone. Insurance.
P O BOX 716 (413)695-3500 O
GOSHENMA01032 ISSUED ON.•1111412018 0:00.00
TO PERFORM THE FOLLOWING WORK.UPDATE EXISTING TOWN HOUSE APMT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W., Building Inspector
Underground: Service: Meter: { I
Footings:
Rough: Rough: }(pagfl:• - Foundation:
DsM F ual:
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777
Final:��" 9 Final: Dc- S
Z( 21, CN � V , Rough Frame:
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Cas: Fire Department '..v'..,+ '�"� • ' FirepBeWchimney:
Rough: Oil Insulation:
Final: Smoke: Final: Oe, 3-)3-)9 KIQ
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS DUCES AND RFGTIONS.
CoMP,
Certificate of6eCpDlmGy Biguxt:;e:
FeeTvpe: Date Paid: Amount:
Building 11/14.n0180:00:00 $336.00
212 Main Street,Phone(413)587-1240,Fax:(413)587.1272
Louis Hasbrouck-5ui16ing Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITYr, MA DAT`E�O i/iZ//9 1PERMIT#
VOL la-M&
JOBSITEADDRESS ) �fLPYMIER'S NAME t✓[n Ct
P OWNERADDRESS F—�„w�e. I TEL — S=S SrrLy1r,rO FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL 71 EDUCATIONAL 73 RESIDENTIAL Q9
PRINT yny
CLEARLY NEW:C RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NON
FD(TURESI FLOOR— BsM 1 2 a 4 5 sq ' 10 11 12 iJ 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM -- - __-- - - - ----
DEDICATED GASIONSAND SYSTEM - -
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM - - i� r �•
DEDICATED WATER RECYCLE SYSTEM -
DISHWASHER I
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK x. :,,,.r
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICEIMOPSINK
TOILET
URINAL
WASHING MACHINE CONNECTION IN PT ON
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 J
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABIUTY INSURANCE POLICY t 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 Lava,and that my signature on this permit application waives this requirement
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby,certify mat all of Me details and subornation I have submitted mannered regarding Mrs appliogona Vue card amnW to Me beat of my lorowtedge
and Mat all plumbing work and inslallabons performed under Me permd issued brOus application Will be in plianra with all PeNneM pmvisian of Me
Massachusetts State Plumbing Code and Chapter 142 of Me Gamnal Laws. -
PLUMBER'SNAME v<r d r- LICENSE#® SIGNATURE
MP❑ JP[A CORPORATION❑#O PARTNERSHIP❑#L=LLC❑#L=
COMPANYNAMEJ ADDRESS Q Qr
ciTY1 t4Jv,44,-m sTATE mA ZIP oloTC TEL / 69Ts6zZ
FAX CELLIEMAIL r coca a�H /
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80 DAMON RD- UNIT 6111 EP-2019-0585
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 18D
Lot:053 ELECTRICAL PERMIT
Permit Electrical
Category: SWAP OUT ELECTRICAL DEVICES
Permit H Electrical
PERMISSION IS HEREBY GRANTED TO:
Project R JS-2019-001522
Est.Cost: Contractor: License:
Fee: $65.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner: DELISLE CLARENCE D
Applicant. STEVEN KEYES
AT: 80 DAMON RD - UNIT 6111
Applicant Address Phone Insurance
13 STATE RD (413)422-1220()C{413)695-4968 ,
SOUTH DEERFIELD MA01373 ISSUED ON:2/21/20190:00.00
TO PERFORM THE FOLLOWING WORK:
SWAP OUT ELECTRICAL DEVICES
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roush
x
Special Instructions:
Final: ,-L--� 4 '/f1
SRE Called In:
Sianature•
Fee Twe:: Amount: DatePaid
Electrical $65.00 2/21/2019 0:00:00 7366
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo