12C-061 (9) 12 CLOVERDALE ST BP-2018-0957
GIs#: COM`/0\VEALTH OF MASSACHUSETTS
MaQBlock: 12C-061 �::ITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESF3 -10 THE GUARANTY FUND (MGL c.142A)
Category: ADDITIONTIL "ING PERMIT
Permit# BP-2018-0957
Protect# JS-2018-001753
Est.Cost: $99000.00
Fee: $643.50 PERMISSION IS IIEEBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): 8363.52 Owner: HATCH OLIVER
Zoning: RI(100)/URA(100)/WSP(100)/ Applicant: HATCH OLIVER
AT: 12 CLOVERDALE ST
Applicant Address: Phone: Insurance:
12 CLOVERDALE ST (413) 237-0328 ()
FLORENCEMA01062 ISSUED ON:4/9/2018 0:00:00
. TO PERFORM THE FOLLOWING WORK.-2ND FLOOR ADDITION TO EXISTING SINGLE
FAMILY HOUSE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: F
> uFootings: �S(-3) i
Rough:A Z� / Rough: " / A' Hous¢# Foundation: q
GJ h Driveway Final:
S1T6 VLsit' 1),5q4- aIc
Final: � Final: ,
Rough Frame:3f ?/2 {fie
. V
Gas: L Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: /3/ `�(,�
Final: Smoke' Final: v,� 12-3D-1a
I
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS�2ULES AND TIONS.
(�ONPd—� `
Certificate of / Signature:
FeeType• Date Paid: Amount:
Building 4/9/2018 0:00:00 $543.50
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
12 CLOVERDALE ST EP-2018-0803
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 12C
Lot:061 ELECTRICAL PERMIT
Permit: Electrical
Category: 2ND FLOOR ADDITION TO EXISTING SINGLE FAMILY HOUSE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2018-001753
Est.Cost: Contractor: License:
Fee: $185.00 POISSANT ELECTRIC MASTER ELECTRICIAN 20303A
Owner: HATCH OLIVER
Applicant. POISSANT ELECTRIC
AT. 12 CLOVERDALE ST
Applicant Address Phone Insurance
193 NORTON HILL RD (413) 628-3320 C-(413) 325-1607 Liability, BOP2714232
ASHFIELD MA01330-9601 ISSUED ON:4/13/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:
2ND FLOOR ADDITION TO EXISTING SINGLE FAMILY HOUSE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
R (�
Roughrf'(�o2
X
Special Instructionns: n
Final: G.q-1(
SRE Called In: a lt?b 76 3 Q C (Q'22 - L Qr,,
Signature:
Fee Type:: Amount: DatePaid
Electrical $185.00 4/13/2018 0:00:00 6138
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
-—PCITY NO IFQT�fi�}rf16�TD N MA DATE � dY /r PERMIT#t'D7�/�D.S2
Y JOBSITEADDRESS OWNER'S NAME Qi VE4 k4&-re
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES El NO L
FIXTURES 7 FLOOR BSM 1 2 3 4 5 6 7 a 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 SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER P
FLOOR I AREA DRAIN NOR HAPT N
INTERCEPTOR(INTERIOR) APP OVED OT PP OV D
KITCHEN SINK _
LAVATORY d
ROOF DRAIN
SHOWER STALL I
SERVICE I MOP SINK
TOILET I
URINAL fl
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING ILI
OTHER hip
I.El =F=F
- — g
INSURANCE COVERAGE: Electric,Plumbin &Gas MspoctioM
I have a current liability insurance policy or its substantial equivalent which meets the requir mnts oRM@l��®htN�41�A sa
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 ON*NEANT
SIGNAL UkE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application ar r a d nowledge
and that all plumbing work and installations performed under the permit issued for this application will be in f the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Phillip G Hurteau >LICENSE# 10963 _,�Mp ,lp CORPORATION #2974 PARTNERSHIP # LLC
COMPANY NAME Phillip's Plumbing and Heating,Inc ADDRESS 45 Payson Ave
CITY Easthampton _ !STATE MA_ ZIP 01027 _ _ _ TEL 413 527 0340 1
FAX 413 527 2406 CELL 413 626 9725 EMAIL 'pph45
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