36-144 (7) 316 BROOKSIDE CIR BP-2021-1029
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36- 144 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2021-1029
Project# JS-2021-001756
Est.Cost: $3500.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 17162.64 Owner: JANICE FRANCIS
Zoning: Applicant: BARNES JANICE AKA JANICE FRANCIS
AT: 316 BROOKSIDE CIR
Applicant Address: Phone: Insurance:
316 BROOKSIDE CIR
FLORENC EMA01062 ISSUED ON:3/23/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:FRAME BATHROOM IN BASEMENT
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:�- 3 -a / House# Foundation:
Qom. Driveway Final:
Final: Final:
✓- / _ - I Rough Frame: S 3 Z ) X t7
(29
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 6AC. 5 3 Z1 Ki?
Final: Smoke: r/ 3O-zt )�-K
6�.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RILES AND REGU TIONS. 1•r
Certificate of Gem signatglre: - *1St
FeeType: Date Paid: Amount:
Building 3/23/2021 0:00:00 $65.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
316 BROOKSIDE CIR EP-2021-0777
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot: 144 ELECTRICAL PERMIT
Permit: Electrical
Category: Back Porch-GFCI. Basement-replace wiring,receptacles,panel board,relocate water heater,8 recessed lights, 1.2 KW
baseboard heat,vent.
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-001756
Est.Cost: Contractor: License:
Fee: $125.00 JON DYER Journeyman Electrician 37785E
Owner: BARNES JANICE AKA JANICE FRANCIS
Applicant: JON DYER
AT: 316 BROOKSIDE CIR
Applicant Address Phone Insurance
90 BIRCHLAND AVE (781) 318-7030 C- Liability, UDC-4100100-CGL-21
SPRINGFIELD MA01119 ISSUED ON:3/24/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
Back Porch - GFCI. Basement - replace wiring, receptacles,panel board, relocate water heater, 8
recessed lights, 1.2 KW baseboard heat, vent.
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough c- 3-at ) Qe'—
x
Special Innstruccttions:
Final: lA - ( i
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 3/24/2021 0:00:00 20236
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
00
G1 - 13s -4130.—
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
=cl__= CITY . Northampton - - , .- MA DATE _3/170021 _-i PERMIT# ?es 2-02i—O 32-J
JOBSITE ADDRESS 316 Brookside Circle _ f OWNER'S NAME Janice Francis.. _ . ___ I
Circle OWNER ADDRESS 316 Brookside
P v -- -..._ I TEL 413=455-0.739__ FAX ---__ __
TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL Li RESIDENTIAL fir
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PRINT
CLEARLY NEW:0 RENOVATION:, REPLACEMENT:[] PLANS SUBMITTED: YES[ NO(i
FIXTURES 1. FLOOR-0 BSM 1 2 , 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB a i
�
CROSS CONNECTION DEVICE `� _ - -
DEDICATED SPECIAL WASTE SYSTEM �� �d I ,
DEDICATED GASIOIUSAND SYSTEM 1 ,i e;
DEDICATED GREASE SYSTEM
--
DEDICATED GRAY WATER SYSTEM a -r --
DEDICATED WATER RECYCLE SYSTEM _Mit, put ,a, molt !mot
Tanigiti. _, • . in
DRINKING FOUNTAIN i
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) . gr,21.1.I- inalli-I=1-1-1-1 'I_ . ,. , , . .
KITCHEN SINK
LAVATORY _
ROOF DRAIN igegnican
�m�m will, w� •
alifigila
SHOWER STALL 11PAINIKIWIMIUME
01111111111.111111
SERVICE I MOP SINK 1 :l ���,� _• .r• - • �
-
URINALJr„alt 1--- -.-_-'‘-
TOILET
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES 4.. uY_
Mit - MI
WATER PIPING __ �- nossini,
OTHER - -- zf int- 1i '
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? tR_.. >M : MAW.
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES bj NO U
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY / OTHER TYPE OF INDEMNITY 0 BOND Q
OWNER'S INSURANCE WAVER: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 El 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 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 co 1 ance witl�yl.li in nt p ion of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME -tA/Cf.
/jet ri/,SC. . , 4s. , LICENSE# _ �� - ] SIGNATURE
MPD JP V CORPORATiONC# - _ _ 1PARTNERSHIP0# __. . ,LLC Fitt .
COMPANY NAME IT�a� �%� ADDRESS 0.. $5)c 903 ,(�
CITY i i i 4' STATE .Nit-f ZIP 0.f�37 TEL
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FAX 1.1.111L.iiiiaaltAEMAIL •
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