18-003 (7) wff
426 HATFIELD ST BP-2017-0429
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18 -003 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-2017-0429
Project# JS-2017-000722
Est. Cost: $175239.00
Fee: $1139.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BARRON & JACOBS 60475
Lot Size(sq. ft.): Owner: SKIBISKI MARY A
Zoning, Applicant: BARRON & JACOBS
AT: 426 HATFIELD ST
Applicant Address: Phone: Insurance:
70 OLD SOUTH ST (413) 586-8998 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:10/24/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW SERVICE, UPDATE PLUMBING, INSULATE,
DRYWALL, TRIM, NEW KITCHEN, FLOORING
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:///L/�o Rough:') _/-7_ / � House# Foundation:
C ��) Driveway Final:
Final: ..?-,I C Fen:_: ( 02/-/Of'v--
(p - ro�c� Rough Frame:Ok//r
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:CO 1 L p/`e---L
Final: Smoke: Final: v.j/ 7•2-21 lk,Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
111 ANY OF ITS RULES AND G ATIONS.
allPteriop
Certificate of-erccucrarteyL / - Signature: s'
FeeType: Date Paid: Amount:
Building 10/24/2016 0:00:00 $1139.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
426 HATFIELD ST EP-2017-0452
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 18
Lot:003 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW PLUGS,SWITCHES,UTS TO CODE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000722
Est.Cost: Contractor: License:
Fee: $125.00 POEHLMAN ELECTRIC INC Master 16886A
Owner: SKIBISKI MARY A
Applicant: POEHLMAN ELECTRIC INC
AT: 426 HATFIELD ST
Applicant Address Phone Insurance
44 MONTGOMERY RD (413) 562-5816 C- Workers Compensation, WWC3212204
SOUTHAMPTON MA01073 ISSUED ON:11/16/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW PLUGS, SWITCHES, UTS TO CODE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough / / — / —/ 4 !it
x
Special Instructions:
Final: - 3U r7t Irv-
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 11/16/2016 0:00:00 10254
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
CA),CA- Clip C6 61 —
MASSACHUSE T T S UNIFORM APPLICATION FOR A PERMIT TO PERPCR5ii PLUMBING WORK
1
_= /CITY /ff hoi i MA. DATE ii//-‘// .L• PERMIT# Pin- I 1-a aS
JOBSITE ADDRESS 6I7r 6 441-Pt d., 4 St- OWNER'S NAME S -r h1: kr P / L
OWNER ADDRESS TEL PAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RES;DENTIALN[�
PRINT NEW:❑ RENOVATION: ® REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑
CLEARLY
FIXTURES 1 FLOOR-, BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB MEM rATff ' __ IT3i�1=
CROSS CONNECTION DEVICE ___ —_-- 11 �-�
DEDICATED SPECIAL WASTE SYS ___ ___I I __
DEDICATED GAS/OIL/SAND SYS _11111111—[ I l f _
DEDICATED GREASE SYS ____ I- MIMI�
DEDICATD GRAY WATER SYS ____—=_MIN all 7 ' ==
DEDICATED WATER RECYCLE SYS __
DRINKING FOUNTAIN __ —___ _ _�
DISHWASHER =__ _ ___
FOOD DISPOSER -- _--
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) I __— ___
KITCHEN SINK
LAVATORY I I
ROOF DRAIN I _SHOWER STALL ��� I f , ;(._ F1' MM._
SERVICE/MOP SINK 1111111 '
TOILET L Ems.•- -r- •--- '
URINALf_ -_
WASHING MACHINE CONNECTION�i
WATER HEATER ALL TYPES __ _
WATER PIPING ■ —__ _�_
OTHER =ME
I MEN
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„r' 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 BOX ONLY: OWNER ❑ AGENT ❑
Signature of Owner or Owner's 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
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Cha 142 of the ral Laws.
r.
PLUMBER NAME Mat Pr GUeI4( (i COS ( SIGNATURE S '-\._
LIC# 43 °l V MP i7 JP❑ CORPORATION ❑# PARTNERSHIP ❑# LLC [k# .3 ?S
COMPANY NAME E-tC/2rt' 5 1/3/(ii `?/ii[ ADDRESS: 13 / Av -sr-
CITY /7L:1 ff( f C( STATE)Ui — ZIP0/05(S EMAIL ` - /c 7•/ f `-4.,-/ 0 or G7� , rr
TEL CELL 45 --(, 3 - FAX
ROUGH PLUMBING INSPECTION NOTES TIIIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
// i PLAN REVIEW NOTES