38A-129 (6) 20 GRANDVIEW ST BP-2020-0926
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-091 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADD BATH BUILDING PERMIT
Permit# BP-2020-0926
Project# JS-2020-001577
Est.Cost: $15500.00
Fee: $1 00.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JASON FORGUE 092886
Lot Size(sq. ft.): 11630.52 Owner: FORTON DAVID
Zoning: RI(100)/URA(100)/WSP(0)/ Applicant: JASON FORGUE
AT: 20 GRANDVIEW ST
Applicant Address: Phone: Insurance:
23 BROMLEY RD (413) 205-6504 SOLE PROPRIETOR
HuntingdonMA01060 ISSUED ON:2/18/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 3/4 BATH IN BASEMENT, REPLACE
KITCH COUNTER
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:1 "2�j ^-�� Rough:, ,� (' _ o�e.7 House# Foundation:
Driveway Final:
Final:- Final:
Zi7 Rough Frame: 0. Z-2 0.-2152U k?
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: � g Z_ 2h# l:120 kg
Final -9.Z p Smoke: Final:at J_ 1 1'ZvZv Kiez
THIS PER-MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REC ILATIONS.
MR.tgi'u) .
Certificate of-A€ 1p- -y Siinature: G
FeeType: Date Paid: Amount: Gas fir+»;�- fieYvr
Building 2/18/2020 0:00:00 $100.00 P;Ola
'-41/3-69S-5Yzz
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 ,�� d bvt5/au.S.5
Louis Hasbrouck-Building Commissioner
/ v Z022
20 GRANDVIEW ST EP-2020-0676
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 091 ELECTRICAL PERMIT
Permit: Electrical
Category: BASEMENT,NEW BATHROOM
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-001577
Est.Cost: Contractor: License:
Fee: $65.00 SCOTT ROUSSEAU Electrician 13801
Owner: FORTON DAVID
Applicant: SCOTT ROUSSEAU
AT: 20 GRANDVIEW ST
Applicant Address Phone Insurance
8 ALLEN COIT RD ' C- / - J)3 - Sb�
Huntingdon MA01050 ISSUED ON:2/20/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:
BASEMENT, NEW BATHROOM
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
/'� n nnM
Rough p`-dv" 66?
x
Special Instructions:
Final: %N Ga P-1
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 2/20/2020 0:00:00 310
212 Main Street, Phone(413)587-1244, Fax(413)587-1272- Inspector of Wires -Roger Malo
2 b w ,),0 6 0
,'`, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY \- i .p,r � MA DATE -OZ Gto PERMIT#
JOBSITE ADDRESS ; OWNER'S NAME
OWNER ADDRESS
P TEL° 7 Zu FAX'
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL,(,
PRINT
CLEARLY NEW: RENOVATION:; -' REPLACEMENT: , PLANS SUBMITTED: YES( NO(_-
FIXTURES 1 FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM i° `� u+�
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
_ I
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES _. .. -A PPROVED NOT APPROVED
WATER PIPING
OTHER
I
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 OTHER TYPE OF INDEMNITY BOND
OWNER'S INSURANCE WAIVER: I am aware that the licensee does riot 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
SIGNATURE OF OWNER OR 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 c pliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME 1 ;LICENSE# •
S $.,7:e� w„_, t t ) . >`,-I ?c,, SIGNATURE
CORPORATION, # )PARTNERSHIP # :LLC
COMPANY NAME rni✓�,�nf r �1 ADDRESS 17 fed .
CITY! VA...LM ✓/_ STATE n 4- ZIP D141: _.. _ TEL I 6 i. .5,:DCZ�
FAX CELLI EMAIL t` w v. y
(r
9ilee 02 Z Z