23C-036 (2) BP-2020-0065
648 RIVERSIDE DR
COMMONWEALTH OF MASSACHUSETTS
GIS#: CITY OF NORTHAMPTON
Map:Block: 23C -036
Lot: Bio PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADD BATH BUILDING PERMIT
Permit 4 BP-2020-0065
Project# JS-2020-000102
Est. Cost: $13082.00
Fee: $85.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg ft.): 5270.76 Owner: ZUCCHINO ANDREW
Zoning: GI(I00)/ Applicant: ZUCCHINO ANDREW_
AT: 648 RIVERSIDE DR
Applicant Address: Phone: Insurance:
648 RIVERSIDE DR (413) 588-8025 O
FLORENCE MAMA01062 ISSUED ON.711812019 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD 3/4 BATH
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:
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Rough:
Rough: —3 House# Foundation:
V\rN Driveway Final:
Final?0111?
01 /9 Final: (j -/y
// ! a n � Rough Frame: (6,)4 8-1-1 Q )1
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Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: ti,V- 8-s-lq k,q
Final: Smoke: Final• U K R'1)-19 Y-e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND R GUL TIONS.
Certificate of Si nature:
FeeType• Date Paid: Amount:_
Building 7/18/2019 0:00:00 $85.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
648 RIVERSIDE DR EP-2020-0043
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 23C
Lot:036 ELECTRICAL PERMIT
Permit: Electrical
Category: REMODEL BATHROOM
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000102
Est.Cost: Contractor: License:
Fee: $65.00 DAN WHITELEY INC
Owner: ZUCCHINO ANDREW
Applicant. DAN WHITELEY INC
AT. 648 RIVERSIDE DR
Applicant Address Phone Insurance
52 Cottage St (413) 527-1440 C-(413) 297-6467 Liability, 8500056029
EASTHAMPTON MA01027 ISSUED ON.7/16/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
REMODEL BATHROOM
Call In Date: Date Requested Inspection Date/SianOff: Reinspect?:
Trench/UG:
Special Instructions
X q
Rough Z-
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Special Instructions:
Final: 9''oZ / - /f QPM
SRE Called In•
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $65.00 7/16/2019 0:00:00 16812
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
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C\- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WO K
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CITY ------ _ _ MA DATE ? PERMIT#W -Q" IC�
JOBSITEADDRESS � .—
S��cb Vi ' ! OWNER'SNAMF�
P OWNER ADDRESS L--1r& r
TEL�Sg- c? x.15 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 7111 RESIDENTIALA' _
PRINT
CLEARLY NEW: RENOVATION:X REPLACEMENT: PLANS SUBMITTED: YES L_ NO
FIXTURES Z 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 GAS/OIUSAND 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 c n
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL PECTOR
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES AM P
WATER PIPING VED
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES L% NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY / 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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
"1-=��IZI
PLUMBER'S NAME FMitchell Matusiewicz LICENSE# `9523
.<.l � ? SIGNATURE
MP JP CORPORATION I # 2543 1PARTNERSHIPF-# LLC[ # ^
COMPANY NAME AM/PM Plumbing and Heating,Inc. 1. ADDRESS PO Box 527,46 Prospect Street
CITYHatfield STATE MA ZIP 01038 TEL 413-247-5502
FAX 413-247-5544 CELL EMAIL ampmplumbing@verizon.net
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