05-046 (5) 167 AUDUBON RD BP-2018-0738
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV-.131 ck:05-046 CITY OF NORTHAMPTON
Lot,-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit. Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category,renovation BUILDING PERMIT
Permit# BP-2018-0738
Proiect# JS-2018-001354
ESL Cos,$56500.00
Fee,$367.25 PERMISSION IS HEREBY GRANTED TO:
Const Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Sid an.ft.): 61855 20 Owner: STOCKER WILLIAM&GELFMAN POLLY
Zoring;RRQWo PYr(311At+ylicant: VALLEY HOME IMPROVEMENT INC
AT: 167 AUDUBON RD
ADnlicantAdthws: Phone: Insurance:
P O BOX 60627 f4I It 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.]/]812018 0:00:00
TO PERFORM THE FOLLOWING WORK MASTER BATH AND BEDROOM REMODEL
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: %/41p/ Rough: House# Foundation:
`Z Driveway Final:
Final: Final: ( - -
c1�3�� Rough Frame:
Gas: / Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVO BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND L TIONS.
'o_�I-w /if'G-v �L au-cifv
Certificate of Occu n Signature: G
FeeTvoe• Date aid: Amount:
Building 1/18/2018 0:00:00 $367.25
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
choL1x85/ ��o
AL�ll MASSACHUSE:TTfSUNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
L
CITY,. /1f.rrf ney.p3^ _. ! MA DATE :?Jf//Y .. . PERMIT# FIE O".301
JOBSITE ADDRESS . IL`T Ate.Jo_brw (� __. OWNERS NAME Sfe<k,r2
P OWNER ADDRESS _ TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL _ EDUCATIONAL RESIDENTIAL',7a
PRINT
CLEARLY NEW: RENOVATION )C,, REPLACEMENT PLANS SUBMITTED YES NO
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 GASIOIL5AND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM _
DISHWASHER _ r - _
DRINKING FOUNTAIN
FOOD DIPOSER
—_.
FLOOR I SAREA DRAIN
INTERCEPTOR INTERIOR
KITCHEN SINK �- - - - - - - - - - _--
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK _
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING_
OTHER
INSURANCE COVERAGE:
1 have a current liability insurance Policy or Its substantial oWivalod which meds the mquimments of MGL Ch.142. YES-%? NO
IF YOU CHECKED YES,PLEASE WDICATETHE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY-.I OTHER TYPE OF INDEMNITY I,�. BOND !_.
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage requined by Chapter 142 of the
Mossachuseds General Leve,and that my signature on this Pem ft WPlication 'IW8 m this requirement
CHECK ONE ONLY: OWNER L_ AGENT I_I
SIGNATURE OF OWNER ORAGENT
ant that a8 plumb) work ant kww1anorm perlomred uM r the pertnh Issued e f re is app than appbcaepn era true e��beat d my offlkrw4 tlge
MmsoChuaena Slate Plumbin Cod.ant Chapter 142 of ate General la man a wi8 n Wmp wRh l M prmition of th
^9
PLUMBER'S NAME,
Paul Graham Mlnbnnaeon re as �',LICENSE# .12322_ —1 SIGNATURE
MP,(- JP h! CORPORATION #ice_ .PARTNERSHIP
COMPANY NAME,Pauls Plumbing&Healing _.. ;ADDRESS l P.O.Box 303
CITY Huntington STATE MA ; ZIP '.,01050 TEL'.413-23&-0303 _.._
FAX _._—. CELL 413E2fi-2745 EMAIL _paulspig �(�ad
� w
2-1711 b �
kr.;
167 AUDUBON RD EP-2018-0573
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 05
Lot:046 ELECTRICAL PERMIT
Permit Electrical
Category: MASTER BATH AND BATH,HALLWAY WALK-IN CLOSET
Permit# Electrical
PERMISSIONIS HEREBY GRANTED TO:
Project# JS-2018-001354
Est.Cost: Contractor: License:
Fee: $125.00 TIMOTHY J ROCKETT Journeyman E38451
Owner: STOCKER WILLIAM & GELFMAN POLLY
Applicant: TIMOTHY ROCKETT
AT: 167 AUDUBON RD
Applicant Address Phone Insurance
160 North Maple St (413) 563-4659 () C-(413) 563-4659 Liability, MPP0861 V
FLORENCE MA01062 ISSUED ON.•112620180:00:00
TO PERFORM THE FOLLOWING WORK:
MASTER BATH AND BATH, HALLWAY WALK-IN CLOSET
Call In Date: Date Rearnested l H D t /S' Off: Reinspect?,
Trench/UG:
Special Instructions
X
R n n
x
Special IIr fins•
Final:
SRE Called In:
Siurc,wre:
Feer Amount, DatePaid
Electrical $125.00 1/26/2018 0:00:00 3733
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo