36-229 (9) 44 WINTERBERRY LN BP-2020-0260
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-229 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Plumbing BUILDING PERMIT
Permit# BP-2020-0260
Project# JS-2020-000364
Est.Cost: $15000.00
Fee: $97.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: STEPHEN D ROSS 079160
Lot Size(sa.ft.): 104544.00 Owner: WRIGHT RACHEL
tonins: Applicant. STEPHEN D ROSS
AT: 44 WINTERBERRY LN
Applicant Address: Phone: Insurance:
36 SERVICE CENTER RD (413) 584-1224 O WC
NORTHAMPTON MAO 1060 ISSUED ON.9/4/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENO 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:
Rough: C�` Rough: House# Foundation:
(( Driveway Final:
Final Final:
Final: /� /�
Rough Frame:(}.( q-10 IR A/A,
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: D,y M•Zq-)q )I wo
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS)�ULES AND R GULATIONS.
Certificate o / Signature:
FeeType: Date Paid: Amount:
Building 9/4/2019 0:00:00 $97.50
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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-C\- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
UlfCITY Florence MA DATE 58_/16/19 PERMIT# — "JD
JOBSITE ADDRESS 1.44 Winterberry Dr OWNER'S NAME Rachel Wright/Burt Snover
POWNER ADDRESS I Same TEL 903-316-5544
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO—]
FIXTURES Z FLOOR BSM 1 2 3 4 56 7 8 9 10 11 12 13 14
BATHTUB �. !F
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
_.
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM �I—
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER -�
i
DRINKING FOUNTAIN ray
FOOD DISPOSER —!f
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK I
LAVATORY
ROOF DRAIN
SHOWER STALL 1
SERVICE/MOP SINK F_
TOILET 1 --
URINAL _... 11N z:)li1t11_I UK
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES T77 777177 ;_
,_
WATER PIPING _.
OTHER
it
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❑ 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 tr a 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 c liance with a erti enUr, jon of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME GARY STAHELSKI _ �LICENSE# 9621 I SIGNATURE
MP[] JP ] CORPORATION 1 # 2617C PARTNERSHIPS# LLC❑#[ l
COMPANY NAME LEWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
CITY MONSON STATE MA ZIP 01057 TEL 413-267-8983
FAX 413.267.4523 CELL EMAIL EWSPH@COMCAST.NET
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: PERMIT#
p < PLAN REVIEW NOTES
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