25A-040 (7) 16 SWAN ST BP-2021-1263
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A-040 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2021-1263
Project# JS-2021-002096
Est. Cost: $13000.00
Fee: $85.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 7623.00 Owner: DERSHAM DAVID H & MOLLY A WATKINS
Zoning: URB(100)/ Applicant: DERSHAM DAVID H & MOLLY A WATKINS
AT: 16 SWAN ST
Applicant Address: Phone: Insurance:
16 SWAN ST (413) 923-1860 ()
N O RTHAM PTO N MA01060 ISSUED ON:4/29/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:BATH RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: ir.2 /„ Rough: House# Foundation:
Driveway Final:
Final: Final:_ .a/
y
' _,�1 Rough Frame: a k ! - 18_ 21 k'F
Gas: Fire Department Fireplace/Chimney:
Insulation: akva
Final: Smoke: Final: O;)L 1- 20- K. 12
THY,`' PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF
ANY t r ITS RULES AND REGULATIONS.
ate
Cert iflc Occupancy Signatur I. I , 51-11
V eeType: Nor Date Paid: Amount:
Building J:00:00 $15.00
f•i .-none(413)587-1240, Fax: (413)587-1272
_lasbrouck-Building Commissioner
16 SWAN ST EP-2021-0982
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25A
Lot: 040 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW OUTLET FOR TOILET,INSTALL NEW HEATER&NEW LIGHT IN SHOWER
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002096
Est.Cost: Contractor: License:
Fee: $65.00 DEAN POWERS ELECTRIC Journeyman Electrician 39031
Owner: DERSHAM DAVID H & MOLLY A WATKINS
Applicant: DEAN POWERS ELECTRIC
AT: 16 SWAN ST
Applicant Address Phone Insurance
14 SHEPARD DR (413) 531-2980 () C-(860) 849-3411
HOLYOKE MA01040 ISSUED ON:5/26/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW OUTLET FOR TOILET, INSTALL NEW HEATER & NEW LIGHT IN SHOWER
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final: L-
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 5/26/2021 0:00:00 822
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
,,,v
— c/< `l3 D $60 —
,- rVI. SSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
1:1.— .',�� CITY , y MA DATE -.._��/5- , i PERMIT#PP-ZDV - 0 tf Yr.
c-. JOB ITE ADDRESS % li t'7 'y OWNER'S NAME' ilia/ d f-71-h'J4 S
- rr 1 cri 0 DDRESS ; /6 Sw' 6rre �.,. _..m_ ! TEL //� ' FAX
S FAX
;TYPE OIL OC r A CY TYPE COMMERCIAL EDUCATIONAL 'f RESIDENTIA
PRINT
CLEARLY NEW:_ ''' RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES - FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
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
LAVATORY
ROOF DRAIN PLUMBING & GAS INSPECTOR
SHOWER STALL ..41- NORTHAMPTON
SERVICE/MOP SINK APPROVED NOT APPROVED
TOILET - ----- _.__
URINALr'....."-Y. -
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. YE 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 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
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 owledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance with aWHP inent he
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME , _ , - `/ LICENSE# lG/9 NA RE
MP JP CORPORATION # PARTNERSHIP # LLC( #-
COMPANY NAME ./ ADDRESS
m
C ITY'
" n 2, w
Tzz<J STATE mi ZIP e. Of0 Sz). _.j TEL ` / .5v ?A'
FAX CELL EMAIL I ;�� ery2#11j.
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE US1;- 1NLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT# 7 -
PLAN REVIEW—NOTES
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