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44-123 (6) 1123 FLORENCE RD GIs#: BP-COMMONWEALTH OF MASSACHUSETTS 2017-1 265 Ma :Block:44- 123 CITY OF NORTHAMPTON Permit: BuildinSETTSS X01 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Peg DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A Cate�orv• Bath reno ]BUILDING ) rmit Pe # BP-2017-1265 PERMIT Proiect# JS-2017 002113 Est. Cost:$l 6800.00 Fee. $109.00 PE"ISSIONIS HEREBY GRANTED TO: Const. Class: Contractor: UseUseGroup STEPHEN D ROSS License: Lot Size(sq ft) 59677.20OSIRACO SANDRA J& DEBORAHO zon'ngA BLUME ApplicantSTEPHEN D ROSS IR icanlAddress• —_---- - - 36 SERVICE CENTER RD Phone: Insu_ ra_e, NORTHAMPTONMA01060 ISSUED ON.•5/4/20170:00:00 413 584-1224 TO PERFORM THE FOLLOWING WORK.REMODEL BATHROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: 119 Meter: Rough: '- Rough: Footings: House# Foundation: Driveway Final: Final: �161117 Final: /7 tRPN`•� Rough Fra e• Gas: CC� / Fire Department .� `�j. Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: Uk 1/15-lt7 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO ANY OF ITS RULES AND REGULATIONS. NOF Certificate of Occu anc Si nature: FeeT'aP- Date Paid Amount Building 5/4/2017 0:00:00 $109.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner i ro f.\.- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Florence MA DATE May 9, 2017 — PERMIT# i G"11—g35 JOBSITE ADDRESS1123 Florence Road OWNER'S NAMEJ Construct Associates OWNER ADDRESS 36 Service Center TELI 413-584-1224 TYPE OR OCCUPANCY TYPE COMMERCIAL E] EDUCATIONAL [ RESIDENTIAL Q PRINT CLEARLY NEW:Q RENOVATION:( REPLACEMENT:E] PLANS SUBMITTED: YES N0[] FIXTURES 7 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 2 ROOF DRAIN € SHOWER STALL 2 - SERVICE/MOP SINK TOILET 2 URINAL WASHING MACHINE CONNECTION 1 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 E] NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[J' OTHER TYPE OF INDEMNITY L) BOND Ej 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 0 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 b n ompliance with all Pertinent pro ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME LRY STAHELSK! LICENSE# _9621 SIGNATURE MP 0" JP0 CORPORATION# 2617C ---lPARTNERSHIPC]# LLCO#E = COMPANY NAME EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET CITY I MONSON STATE= ZIP 01057 TEL 1413-267-8983 Li FAX 413-267-452 CELLE:=EMAIL EWSPH COMCAST.NET W YO Z� YV W ad w iO Q y�iyft. ti o� Q r W � h a �O G� 1123 FLORENCE RD EP-2017-0950 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 44 Lot: 123 ELECTRICAL PERMIT Permit: Electrical Category: BAT' ROOM REMODEL,RELOCATE WASHER/DRYER Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-002113 Est.Cost: Contractor: License: Fee: $65.00 TOWER ELECTRIC Master Al 8067 Owner: SIRACO SANDRA J & DEBORAH A BLUME Applicant. TOWER ELECTRIC AT: 1123 FLORENCE RD Applicant Address Phone Insurance 578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability, BKS1656776093 FEEDING HILLS MA01 030 ISSUED ON.511112017 0:00:00 TO PERFORM THE FOLLOWING WORK: BATHROOM REMODEL, RELOCATE WASHER/DRYER Call In Date: Date Requested inspection Date/SienOff: Reinspect?: Trench/UG: Special Instructions X Rough x Special Instructions: Final: 2-,g'-- f 2 NO Wol,,A zaal Iii b,— izpN SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 5/11/2017 0:00:00 5635 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo