17B-010 (17) 408 BRIDGE RD BP-2018-0718
GIs s: COMMONWEALTH OF MASSACHUSETTS
MV.Block: 17B-010 CITY OF NORTHAMPTON
Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cateeom Bath veno BUILDING PERMIT
Permits BP-2018-0718
Proiect s JS-2018-001317
Est.Cost: $14677.00
Fee: $95.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Chagnon Building & Remodeling LLC 060175
Lot Siu(sp. ft.l: Owner. LAROCHE MARIANNE F
Zoning: RI(1001/RR(100)/ Applicant: Chagnon Building & Remodeling LLC
AT. 408 BRIDGE RD
Applicant Address: Phone: Insurance:
91 Stockbridge Rd (413) 259-6785
HADLEYMA01035 ISSUED ON:1/11/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL EXISTING BATHROOM, REMOVE
EXTERIOR WINDOW AND DOOR FOR NEW SHOWER EXISTING LAUNDRY TO REMAIN
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
1$ Footings:
Rough: lA-ZU I Rough: , House# Foundation:
Drheway Find:
Final: 3� Final: I01A Ib///777
Rough Frame: (,-ZG-Ig -D G1Qo^'cr2
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: L-Zq-I g
q 0U!
Final: 3 Iv Smoke: Final: 0,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON
// UPON VIOLATION OF
ANY OF ITS RULES AND RE �i, 4.� /Ax.It>4
1ph0ec no.�
CertificateCertiflcate of�� signature:Signature:
FeeTvoe: Date Paid: Amount:
Building 1/11/2018 0:00:00 $95.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
408 BRIDGE RD EP-2018-1015
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17B
1m:010 ELECTRICAL PERMIT
Permit: Electrical
Category BATHROOM REMODEL INSTALL COACH LIGHT WHERE NEW DOOR IS TO BE INSTALLED.
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001317
Est.Cost: Contractor: License:
Fee: $125.00 WILLIAM LYLE Electrician 52416
Owner: LAROCHE MARIANNE F
Applicant: WILLIAM LYLE
AT: 408 BRIDGE RD
AoalicantAddress Phone Insurance
1851 NORTHAMPTON ST (413) 533-6012 C- Liability, BOP0100720181
HOLYOKE MA01040 ISSUED ON.6,20/20180:00:00
TO PERFORM THE FOLLOWING WORK
BATHROOM REMODEL, INSTALL COACH LIGHT WHERE NEW DOOR IS TO BE INSTALLED.
Call In Date: Date Requested Inspection Date/Si¢nOH: Reinspect?:
TrenehfUG:
Special Imtructiom
x
Rough
x
Special lnstruetiom:
Final; /o-/i -/Y ti`^
SRE Called In:
Signature:
Fee Twe:: Amount: Dan Paid
Electrical $125.00 6/20/2018 0:00:00 1162
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
CtCadQv ��av
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTINGWORK
CIT '
Y _[V.u':}}7„- y.�i�...___ __.._ MA DATE .-I,/M l9 ___- PERII ("OP—M-30`f4
JOBSITE ADDRESS 14Qg.__.J2Ci11�C_ (?,J,. -F6t9,, -_OWNER'S NAME -1,Z., t —___..._-_
GOWNERADDRESS _._. _ TIT _ _ FAX
TYMOR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL Y_
PRINT
CLEARLY NEW: _ . RENOVATION: _ REPLACEMENT: h PLANS SUBMITTED YES _. NO
APPLMNCES 1 FLOORS, 891 1 2 3 4 6 6 7 6 9 ID 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR ,
GRILLE _.._.: __. - - - --- -_ _._- --- ---'
INFRARED HEATER
_._ LL1.17
LABORATORY COCKS _ _— ._
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM I SPACE HEATER
ROOF TOP UNIT
TEST - .. _ ' , - vrq
UNIT HEATER From
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAGE
I have a current li bit' insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YESI("NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY V OTHER TYPE INDEMNITY BOND I
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 ORAGENT
I hereby certify that all of the dguils and inroimffim I base submitted or entered regaming this application ane Emend aavrate to the bestef my lalowledge
and that all plumbing work and oltalletons perfamstl under On permit hsued far tide applYSYon Will be in all nit m ppNim a(6m
Massachusetts State Plumbkg Cade and Chapter 142 of the General Laws.
PLUMBER-GASFITTERNAME-?.0�&y-{-&_�i VgjjX _ LICENSE# C t SIGNATURE
MP - MGF )( J1P.. JGF .NLP,G'I1 L_ C1'OR-PPO�RATION)(# . ILIZ�T PARTNERSHIP _:i .__ ._.. �
COMPANY NAME:Schne-tQu' ltJ,m jjkaf�JSADDRESS ._C3l_pt#'1_ . . Imo.$oh.
clTr f _1 ��d�r�,nv_L 1� __—._-- –. _ STATE f„���} >JP p�} _TEI _.-i1 ZIo8:.L1CY7Z_ :
FAX 7.ITj'Zlgq*EIL —___..._.. ._.EMAIL 'TC 1V%
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MASSACHUSETTS UNIFORM APPLICATION FSA
r TO 114ERFORMPLUMBING WORK
CITYITOWN 00 MA DATE -6/AVJ,. PERMIT#o
JOBSITE ADDRESS 4084 ViiVCOWNERS NAME .INX o \
k}
P OWNER ADDRESS CB TEL!"b-%jjj
FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL .,
PRINT
CLEARLY NEW:❑ RENOVATION:N, REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOILJSAND 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 rs
ROOF DRAIN
SHOWER STALL
SERWCEIMOPSINK i
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER -+* I
INSURANCE COVERAGE:
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 Qr 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.
CHECKONEONLY: 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 li a edge
and that all plumbing work and installations performed under the permit issued for this application will be In Ice with all Pertinent provision of the
Massachusetts State Numbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME A\p^VLI�j Z QLJ - LICENSE# 4�iq'\� "IGNATURE
MP&( JP❑ CORPORATION❑# PARTNERSHIP❑# LLC��
COMPANY NAME ADDRESS (O )('VMX-, Q,)Q .
CITY ykasak� TATEnQ ZIP O\C\ TEL
FAX CELL EMAIL (\9 a1 C %Ibl x'1 -UXJN,
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