30A-052 (6) 61 LIBERTY ST BP-2017-0292
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30A-052 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-2017-0292
Project# JS-2017-000492
Est. Cost: $260.00
Fee:$260.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WILLIAM J HARNUM 102199
Lot Size(sa. ft.): 15594.48 Owner: WATSON DAMIAN A
Zoning:URB(100)1 Applicant: WILLIAM J HARNUM
AT: 61 LIBERTY ST
Applicant Address: Phone: Insurance:
53 METZYER PLACE (413) 519-3593 WC
SPRI NGFI ELDMA01104 ISSUED ON:9/6/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:KITCHEN REMODEL, ADD BATHROOM ON 1ST
FLOOR, INSTALL WINDOWS
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:/414 Rough:,/¢a1-) f House# Foundation:
Driveway Final:
00-
00—Final: Final:)—/c9.-/
— a 7
l Rough Fr .!. v.r� Cy
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
ref/ CCr'
�/oFinal: Smoke: Final: 7
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL T NS. �� /7�
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 9/6/2016 0:00:00 $260.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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p CITY /v1Or filA�plo / -eic MA. DATE 1S"101/ / O PERMIT# 0'.e23-0/7�. T
JOBSITE ADDRESS l0/ G.' lr ty s f r�OCC.-C e OWNER'S NAME/ :AA/ tJc 'CO''
°'" OWNER ADDRESS 6 I CIA(r 1/ f *, F/®r&.C <--- TEL S/9-3 S9 3 FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL IS
PRINT NEW: ❑ RENOVATION: M. REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO Ad
CLEARLY
F;XTURES 1 FLOOR-. BSMT 1 2 2 4 5 6 I 7 I 8 I 9 10 11 12 I 13 14
BATHTUB I XC
CROSS CONNECTION DEVICE ! OSOL3Vii'NOIawVFuba+l
' DEDICATED SPECIAL WASTE SYS I D7I�V l'J=TS�i�Hi:mit, mna4
DEDICATED GAS!OIL!SAND SYS I �
DEDICATED GREASE SYS
DEDICATD GRAYWATER SYS
DEDICATED WATER RECYCLE SYS , _ _ , (�
DRINKING FOUNTAIN I I Uenl32Eg
DISHWASHER XI I I
I FOOD DISPOSER I i
I FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK X I
LAVATORY X FLUME1!NG&GAS It SPECTOR ;
ROOF CRAIN )'-,' ' J I CN
SHOWER STALL ( I I ! ( I NvT A1--rn0'V to
SERVICE 1 MOP SINK I X
TOILET X
URINAL
WASHING MACHINE CONNECTION X
WATER HEATER ALL TYPES I
WATER PIPING X j
OTHER I I I I
I l 1I
INSURANCE COVERAGE: •
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes iF.No❑
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY g 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 ❑ 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 he General Laws.
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PLUMBER NAME �✓• J e SIGNATURE ` t--- -
LC# PL 33l 91 MP❑ JP I . CORPORATION ❑# PARTNERSHIP ❑# LLC ❑#
COMPANY NAME b0.1•Pd eo r e Piv.-+.S/�+g ADDRESS: a 3 ,%rt,'j 0 i✓ ./9v
CITY L.J eJ*-•-C/1 STATE/4//4 ZIP D/6 $. MAIL
TEL c �9" ySa 3 CELL S-79- Va 7 3 FAX
1
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY leINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT D LI
_if/ 4-3 FEE: $ PERMIT#
PLAN REVIEW NOTES
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