24D-101 (3) 71 WOODMONT RD BP-2020-0086
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24D- 101 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2020-0086
Project# JS-2020-000139
Est.Cost: $17000.00
Fee: $110.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CHEVY V PICKUP 113019
Lot Size(sq. ft.): 6403.32 Owner: TAYLOR SAMUEL& SHERRY
Zoning: URB(100)/ Applicant: CHEVY V PICKUP
AT. 71 WOODMONT RD
Applicant Address: Phone: Insurance:
26 G ST SOLE PROPRIETOR
TURNERS FALLSMA01376 ISSUED ON.7/25/2019 0:00:00
TOPERFORM THE FOLLOWING WORK:RESIDE FRONT OF HOUSE, NEW WINDOWS ON
1ST FLOOR, MISC INTERIOR RENOS AND REPAIRS
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: Rough:_dZ)— House# Foundation:
Driveway Final:
Final: I��,�--/�j Final: '�,J �49
Rough Frame: FAIL:o 8_ZZ- 19 tele --�
/
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: d,K• I-Z-L- 1a Ill?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND GULATIONS.
ConP�ru�;
Certificate of Signature:
FeeType: Date Paid: Amount:
Building 7/25/2019 0:00:00 $110.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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2000 1;L;101-+ -Lory OG S
71 WOODMONT RD EP-2020-0178
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 24D
Ut: 101 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE RENOVATION
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000139
Est.Cost: Contractor: License:
Fee: $125.00 STEVEN KEYES MASTER ELECTRICIAN 21213A
Owner: TAYLOR SAMUEL & SHERRY
Applicant: STEVEN KEYES
AT: 71 WOODMONT RD
Applicant Address Phone Insurance
13 STATE RD (413) 397-3178 () C-(413) 695-4968 ,
SOUTH DEERFIELD MA01373 ISSUED ON:8/27/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE RENOVATION
Call In Date: Date Requested Inspection Date/SisnOff: Reinspect?:
Trench/UG:
Special Instructions
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Special Instructions:
Final: (/ . a 1-
SRE Called In•
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 8/27/2019 0:00:00 7766
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
Iuw' � CITY/TOWN MA DATE PERMIT#
JOBSITE ADDRESS 1 OOb M OV n SSP OWNER'S NAME i M Lr)
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ 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 GASIOIUSAND SYSTEM —
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER '
DRINKING FOUNTAIN NS
FOOD DISPOSER N RTHA rTON. AA010
FLOOR/AREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET PLU BIN 3 & GASI SP CTO
URINAL NORTHAMPTON
WASHING MACHINE CONNECTION APPROVED QTAPIPFIQVIEQ
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liabili 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 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 complianc with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �^
PLUMBER'S NAME"--e0 cl A (N I C LICENSE# r'r SIGNATURE
MP❑ JP N CORPORATION❑# PARTNERSHIP❑# LLC❑#
COMPANY NAMED () SC t�gcV�C l 1�- ` ADDRESS 13Z r K` C—,1Z S)
CITY EJ'� yllr\ STATE Pli ZIP d1(57-66 TELLI1 3 ' 636'71(I C\Q
FAX CELL EMAILLE(1S C A Q�,a..-Q (7�f L -C-4 M
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