17A-159 (9) BP-2020-0131
43 FOX FARMS RD
COMMONWEALTH OF MASSACHUSETTS
GIS#: CITY OF NORTHAMPTON
Map_Block: 17A- 159
Lot:-001
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
ACCESS TO THE GUARANTY FUND (MGL 142A)
Pert-nit: Building DO NOT HAVE PERMIT.r�
Cate o :BASE
MENT RENOVATION BUILDING K 1
Permit# BP-2020-0131
Protect# JS-2020-000209
Est.Cost:$45710.00_
Fee: $299.00 st$4 PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
Const.Class:
VALLEY HOME IMPROVEMENT INC 077279
Use Group:
Lot Size(sa ft.): 27007.20 Owner: TILLINGHAST JOANNA
Zoning: URA(100)/ Applicant. VALLEY HOME IMPROVEMENT INC
AT. 43 FOX FARMS RD
Knlicant,Address: r one:
insurance:
r;
P O BOX 60627 413 584-7522 Workers Com ensation
FLORENCEMA01062 ISSUED ON:8/7/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENO BASEMENT ADD BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building inspector
Inspector of Plumbing Inspector of Wiring D.P.W. g p
Underground: Service: Meter:
Footings:
Rough: Rough: p House# Foundation:
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Driveway Final:
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Final: Final: -'' -/0/0 - �ec= -l3 IG K
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Gas:
/ Fire Department Fireplace/Chimney:
Rough:
Oil: Insulation: d 16 qqt. l�{
Final:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS ULES AND REG - ATIONS.
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Certificate of si nature:
FeeType• Date Paid Amount:
Building 8/7/2019 0:00:00 $299.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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019 000IIA 0
RESTRICTIVE COVENANT:
KNOW ALL PERSONS BY THESE PRESENTS
That Joanna Tillinghast, owner of the real estate at 43 Fox Farms Rd., Florence, MA,
more particularly shown as: (deed dated 8/1/2016, book 12358 & page 113)
"The land situated on the Westerly or Northwesterly side of Fox Farms Road (Formerly
known as Blue Hills Rd) in the Village of Florence, in Northampton, Hampshire County,
Massachusetts."
"Being the same premises conveyed to Gerald S. Grant and Bernyce B. Grant by deed
dated August 18, 1982 and recorded in the Hampshire County Registry of Deeds in
Book 2295, Page 113."
hereby Covenant and Agree that:
The basement space at 43 Fox Farms Rd, Florence, MA will be used as storage,
office, studio or recreation. It will not be used as a bedroom or sleeping space without
first obtaining a building permit and meeting all the requirements of the Massachusetts
State Building and Health Codes for a newly created bedroom.
Executed as a sealed instrument this date:
Owner's name and signature
ki oc;i A ILCA, ��-q tvz,
Must be notarized and recorded at the Hampshire Registry of Deeds.
jnk JOANNE GREENBMERG
AT11-6 Notwy POW
My Cwm**1on E)q*"
Noventm 9,2W
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MAI LB
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MASSACHUSETTS U ORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY re/ MA DATE �/��� PERMIT# '
JOBSITE ADDRESS y� 7}�G �S ._ OWNER'S NAME vj h/4S7,._._.
P OWNER ADDRESSTEL I FAX L
_-_ - --
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL'
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES- NO
FIXTURES-1 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/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE S`,TEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY i
ROOF DRAIN , -
SHOWER STALL
SERVICE/MOP SINK
TOILET I
URINAL
WASHING MACHINE CONNECTION _
WATER HEATER ALL TYPES a FL
WATER PIPINGZINI
OTHER --NOT AP IEDL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO 0
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 C
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 accur to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in com ' nce- 7-1
r Gnent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Paul Graham LICENSE# 12322 SIGNATURE
MP JP CORPORATIONDk L PARTNERSHIP #L_ ;LLC®#
COMPANY NAME Paul's Plumbing&Heating ADDRESS:P.O.Box 303
CITY Huntington STATE MA ZIP 01050 - 4 j TEL 413-238-0303 rj
FAX j CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com _�._
43 FOX FARMS RD EP-2020-0206
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 159 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE FULL BASEMENT&BATH
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000209
Est.Cost: Contractor: License:
Fee: $125.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: TILLINGHAST JOANNA
Applicant. TIMOTHY J ROCKETT
AT. 43 FOX FARMS RD
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 () C-(413) 563-4659 Liability, MPP0861 V
FLORENCE MA01062 ISSUED ON:9/10/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE FULL BASEMENT & BATH
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
X l n
Rouah
x
Special Instructions:
Final: /D - /O-/C? 6?f-" ,
SRE Called In:
Shmature•
Fee Type:: Amount: DatePaid
Electrical $125.00 9/10/2019 0:00:00 4418
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo