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12c-052 (12) a 20 CLOVERDALE ST BP-202 -0148 GIS#: COMMONWEALTH OF MASSACHUSETTS ap:Block: 12C-052 CITY OF NORTHAMPTON TTS M TS Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:ADDITION BUILDING PERMIT Permit# BP-2021-0148 Project# JS-2021-000243 Est.Cost•$68065 00 Fee:$442 42 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: User- GroUp- EDWARD RICKEY License: Lot Size(sa. ft)i 11499 84 96159 wner: ANNETTE E GRIFFIN& Zoning: RI(100)/URA(I00)/WSP(100)/ ADp![cant:: EDWARD RICKEY SUSAN D REARDON AT: 20 CLOVERDALE ST Apniicant Address 80 SOUTH ST Phone: Insurance: CHESTERFIELDMA01012 ISSUED ON:8/7/2020 0:00:00 (159 TO PERFORM THE FOLLOWING WORK:2ND FLOOR DORMER POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: AO ,i®_ Lc, �/ Meter: Rough: Rough:/0 ?7- )4 House# Footings: Foundation: adtivNi Driveway Final: Final: Final(3 .a- a I 2'26 2/ Ph Rough Frame: /! 1-7020 lea. Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation:L 7-7020 il. Final: Smoke: /1 Final: V j( "3--ZI e e THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS,MULES AND RE IONS. <.•Jtlrt.��o, Certificate of Si nat yQ . � . / FeeType: Date Paid: Amount: Building 8/7/2020 0:00:00 $442.42 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 20 CLOVERDALE ST EP-2021-0368 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 12C Lot: 052 ELECTRICAL PERMIT Permit: Electrical Category: DEMO&WIRE 2ND FLOOR BEDROOM DORMERS AND ADDITION Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-000243 Est.Cost: Contractor: License: Fee: $125.00 LARRY LAFOUNTAIN Journeyman E32397 Owner: ANNETTE E GRIFFIN & SUSAN D REARDON Applicant: LARRY LAFOUNTAIN AT: 20 CLOVERDALE ST Applicant Address Phone Insurance 40 RESERVATION RD (413) 540-6928 () C-(413) 575-9491 Liability, M003623P HOLYOKE MA01040 ISSUED ON:10/27/2020 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMO & WIRE 2ND FLOOR BEDROOM DORMERS AND ADDITION Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough y.12.4 10 'o2-0 gel '.i " x Special Instructions: Final: 3 " 2-% Qe� SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 10/27/2020 0:00:00 137 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo `_" ,� CITY t\1L�`iZ *�LJ MA DATE /VI;�3{Zc)ZCC) PERMIT#f�Pc202,1^()LC?) JOBSITE ADDRESS dC) C,�v.' &\\e' S1 __ OWNER'S NAME �>J` *`tJ 1`ec3.VC\143 1 I bWNER AjDDDRESS a) C OV(, c C&� `Si L(TE 34.1-39' �,_�FAX TYPE OR ` CUPANCY"TYPE COMMERCIAL D EDUCATIONAL ❑ RESIDENTIAL' CLPEgY NEW:®,�_-RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO FIXTURES'Z Fl.pQR- BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BATH1`Ut _ _ J CROSS CONNECTION DEVICE _ DEDICATED SPECIAL WASTE SYSTEM T DEDICATED GAS/OIL/SAND 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 _ ROOF DRAIN _ _ SHOWER STALL I SERVICE/MOP SINK - - ' PLUMBING &'GAS INS1'ECTOH TOILET i---- URINAL T NUFiTHA11PT¢ml _ _ WASHING MACHINE CONNECTION AF'F HOVEL) NUT AI'PHUVED WATER HEATER ALL TYPES r ��F WATER PIPING OTHER _ _ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 01. NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POUCY El 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 ❑ SICNAT'UPE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding a us applicat:cn are true and accurate to the hest of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in y•Iianc S!f all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME GeAAM 2Ze2. LICENSE# 1570� SIG RE MP I. JP❑ CORPORATION❑# PARTNERSHIP❑# Lc 0# tYIDBolt COMPANY NAME 1. 22 -e S 1." G I/k C- ADDRESS—PO v-'1( as I r' CITY STATE,MCA' _ ZIP 010 a-7 TEL 1- `t 13- ba 1 3Lj FAX CELL _913-a4(-3(a EMAIL302-2ee l-GeCovICc ,oe -- ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes .No _ THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ _ PERMIT# PLAN REVIEW NOTES ' /© 3© ‘ c/g