36-064 (4) 1 1 OVERLOOK DR BP-2016-0875
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-064 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-2016-0875
Project# JS-2016-001489
Est. Cost: $23000.00
Fee: $150.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DAVID FORTIER 008026
Lot Size(sq. ft.): 21954.24 Owner: MORIN JOHN A&MARTHA L
Zoning. Applicant: DAVID FORTIER
AT: 11 OVERLOOK DR
Applicant Address: Phone: Insurance:
32 Laurel St (413) 586-8965
NORTHAMPTONMA01060 ISSUED ON:1/11/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:FINISH BASEMENT, ADDING BATHROOM)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
h: G / Footings:
Rou
gD 1b Rough: � / — /7 House# Foundation:
Driveway Final:
Final: Final: "
L/_ Rough Frame: Oi�I/.� J�
Y�
Gas: Fire Department Fireplace/Chi A.ey:
Rough: Oil: r Insulation ,off /7//p
Final: Smoke: Final: v /2 y 3_ZZ e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE ULATIONS.
tr1pc rnor�
Certificate of Occupan y� Signature:
FeeType: Date Paid: Amount:
Building 1/1 1/20 16 0:00:00 $150.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
11 OVERLOOK DR EP-2017-1099
Map:Block:Lot:36-064-001 COMMONWEALTH OF MASSACHUSETTS
Permit: ELECTRICAL
CITY OF NORTHAMPTON
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
ELECTRICAL PERMIT
Permit# EP-2017-1099 PERMISSIONISHEREBY4RANTED TO:
Project# JS-2016-00 1489 Contractor: License:
Est.Cost: ALEXANDER J BIELUNIS 18287E8653A
Exp.Date:07/3 1/202207/3 1 2022
Owner: MORIN JOHN A&MARTHA L
Applicant: A.G.E. ELECTRIC LLC
Applicant Address Phone: Insurance:
8 SEQUOIA DR 413-562-2988 CTR100 1357
HOLYOKE, MA 01040
ISSUED ON: 06/28/2017
TO PERFORM THE FOLLOWING WORK:
WIRE BASEMENT FAMILY ROOM, BATHROOM &BAR
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rouah
x
Special Instructions:
Final: AM .- /-3,) - i/- �,Cu'a' f, t 6`
V
SRE Called In:
Signature:
Fees Paid: $125.00
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspectorof Wires
11 OVERLOOK DR EP-2018-0240
Map:Block:Lot:36-064-001 COMMONWEALTH OF MASSACHUSETTS
Permit: ELECTRICAL
CITY OF NORTHAM N
PERSONS CONTRACTING WITH UNREGISTERE CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY F ND (MGL c.142A)
ELECTRICAL PERMIT
Permit# EP-2018-0240 PERMISSIONIS HEREBY GRANTED TO:
Project# JS-2018-000504 Contractor: License:
Est. Cost: ALEXANDER J BIELUNIS 18287E8653A
Exp.Date:07/31/202207/31/2022
Owner: MORIN JOHN A&MARTHA L
Applicant: A.G.E. ELECTRIC LLC
Applicant Address Phone: Insurance:
8 SEQUOIA DR 413-562-2988 CTR1001357
HOLYOKE, MA 01040
ISSUED ON: 10/11/2017
TO PERFORM THE FOLLOWING WORK:
WIRE 1ST FLOOR BATHROOM REMODEL
Call In Date: Date Requested Inspection Date/SienOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final: `1' 9,a-a), 2 ^-
SRE Called In:
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)5 87-1244,Fax(413)5 8 7-1272-Inspector o f Wires
C/c (r/9A'
l07)
. \ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
t CITY ✓C'rl'In0,..Iplo -, MA. DATE 0110Fll7 PERMIT# 6°' /0-7i6J-
JOBSITE ADDRESS I t O v e +' (c c IL Ors OWNER'S NAME o1"-r WI i r1 h
POWNER ADDRESS V"A`' TEL C(C �C-3/ —LeZ%FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[}
PRINT NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YESV NO ❑
CLEARLY
FIXTURES 7. FLOOR BSMT 1 2 3 4 5 6 I 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS
DEDICATED GAS/OIL/SAND SYS ;AiLj----E EIS -
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS
DEDICATED WATER RECYCLE SYS _ NB — 9 1610
DRINKING FOUNTAIN
DISHWASHER DEFT t
FOOD DISPOSER q'` �h3
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY iC \t _
PL ,17', +NG& AR INSPFinR
ROOF DRAIN i, =��:;�aP:�PTC�"
SHOWER STALL /C I vROy ArP ROVED
SERVICE/MOP SINK `� y
TOILET f\\) ...
.--
URINAL /
WASHING MACHINE CONNECTION X \ ,
11.,,i\k\\?„\C
WATER HEATER ALL TYPES I
WATER PIPING
6\
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy o its substantial equivalent which,meets the requirements of MGL Ch.142. Yes e] No ❑
IF YOU CHECKED YES, PLEASE INDI(�AT E 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 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 El 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 Chapter 142 of the General Laws.
PLUMBER NAME 51---"--q- `^ 0 c- SIGNATURE
. YZA---z—
LIC# 7Olgir MP❑ JP Z., CORPORATION El# PARTNERSHIPp- ❑# LLC ❑#
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COMPANY NAME l'L.why ei-,,,,�61.9 ADDRESS: 0 CITY tA)in i\1h" / STATE ii/1I4 ZIP 61 S' EMAIL IU -✓cy /91fr,--)7. J l(;) 7,'r,7WZCi6 .
TEL 41 S-`("I S= Si"z-Z CELL FAX
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT El ❑
` 401-6 Ref6.1- FEE: $ PERMIT#
PLAN REVIEW NOTES
John A Morin
11 Overlook Dr
Florence, MA 01062
06 April 2017
RE: Change of plumber
To whom it may concern:
Please accept this letter as notice I am changing plumbers from Ridaway Plumbing and
Heating to MDS Plumbing. This change was made due to the original contractor not
returning to the jobsite for an extended period of time.
Regards,
John A Morin, owner
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