17A-160 (2) •
35 FOX FARMS RD 7;C)o-1-(63(o
BP-2022-9062--
Gis#_ COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 17A- 160 CITY OF NORTHAMPTON
E_ot_-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category_BASEMENT RENOVATION BUILDING ILDING PERMIT
Permit# BP-2e22-G062-_ 0a.i-16g4v
Project# JS-2022-000113
Est. Cost: $31300.00
Fee:$204.00 PERMISSION IS HEREBY GRANTED TO:
Con.st. Class: Contractor: License:
use Group:--- STEPHEN D ROSS 079160
Lott Size(sq. ft.,): 17990.28 Owner: DITKOVSKI JACOB
Zoning: URA(I00)/ Applicant: STEPHEN D ROSS
AT: 35 FOX FARMS RD
Applicant Address: --- Phone:
36 SERVICE CENTER RD — Insurance:
PROPRIETOR -- (+13) 584-I224 O SOLE
NORTHAMPTONMA01060 ISSUED ON:7/19/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:BASEMENT RENO
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: g- f House f# Foundation:
11-(Nel\ Driveway Final:
Final: /-05.. Final:
/ elr-J?.).• Rough Frame:
u f,1•ev ie, i. K W.r 00 j i9 1t:
�laS: --- r ./G IV cme 47
Fire Department Fireplace/Chimney:
Rough: Oil:
Insulation:to v 8•i5.zt See
Final: Smoke:
Final: OK 1/31/22 ,
i
THIS PERMIT MAY BE REVOKE[) BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND Ia .0 ATIONS.
Cam f zif\i � ' � 'Certificate of . 1' . jr
e —_ Signature: i ; ; .
FeeType: Date Paid: Amount:
Building 7/19/202! 0:00:00 $204.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck - Building Commissioner
35 FOX FARMS RD EP-2022-0111
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 160 ELECTRICAL PERMIT
Permit: Electrical
Category: 2ND FLOOR BATH&BASEMENT ROOM REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2022-000113
Est.Cost: Contractor: License:
Fee: $125.00 TOWER ELECTRIC Master A18067
Owner: DITKOVSKI JACOB & EMILY B
Applicant: TOWER ELECTRIC
AT.• 35 FOX FARMS RD
Applicant Address Phone Insurance
578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability, CPA5469227
FEEDING HILLS MA01030 ISSUED ON:8/5/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
2ND FLOOR BATH & BASEMENT ROOM REMODEL
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough g- 9-a t W, ^
Special Instructions:
Final: I — lVv.'
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $125.00 8/5/2021 0:00:00 7610
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
GL' f#aoss—x el4 90 (A)
MIASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
k,. 1, CITY Fidrence I MA DATE 7/21/2021 PERMIT#PP 202Z '8
-0 03
1t>L�
N JOB ITE ADDRESS �35 Fox Farms Rd ' OWNER'S NAME Jacob Ditkovski
1 -3 OWN DRESS Same j TEL 413 584 8974(Ross) FAX •
TYPE OR OCC PA Y TYPE COMMERCIAL El EDUCATIONAL Eil RESIDENTIAL 'j
PRINT
CLEARLY NEW:n RENOVATION:(�.. REPLACEMENT:I I PLANS SUBMITTED: YES El NO7
L --
FIXTURES 7 FLOOR—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1f----___l ,e . ..� j,... ... _
CROSS CONNECTION DEVICE -...fir__..
DEDICATED SPECIAL WASTE SYSTEM __.. 1
DEDICATED GAS/OIL/SAND SYSTEM I, Is-.
DEDICATED GREASE SYSTEM r 1
DEDICATED GRAY WATER SYSTEM --n._ 11
DEDICATED WATER RECYCLE SYSTEM ,L
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER r '= it mil—�_
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY Im _27�_
ROOF DRAIN
SHOWER STALL I _
__
SERVICE I MOP SINK
PLUMBING & GAS INSPECTOR
TOILET C 2 NORTHAMPTON
URINAL r ® APPROVED NOT APPROVE§
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
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 i NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY± OTHER TYPE OF INDEMNITY [J BOND ; J
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 El
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application rue and accura the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be i c pliance with I P rtin t pr isi n of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �
PLUMBER'S NAME{GARY STAHELSKI w LICENSE# 9621 _.._..._.._i GNATURE
MPH- H JP Li CORPORATION „i,,I# 2617C ]PARTNERSHIP# LLCI I#
COMPANY NAME EWS PLUMBING&HEATING, INC. 1 ADDRESS 1339 MAIN STREET
CITY 1 MONSON 1 STATE L MAI ZIP 101057 TEL 413-267-8983
FAX 413-26774523 CELL[ 1 EMAIL LEWSPH@COMCAST.NET -
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