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17C-191 (8) II WILDER PL BP-2019-1082 GIs M: COMMONWEALTH OF MASSACHUSETTS MV-.Block: 17C- 191 CITY OF NORTHAMPTON Lot:-00 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv: Bath reno BUILDING PERMIT Permit a BP-2019-1082 Proiect# JS-2019-001765 Est.Cost-.$11500.00 Fee: $71.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN CAMP 082531 Lot Size(w.ft.): 5096.52 Owner: SIMMONS KATHLEEN E zoning:URB(100 Applicant: STEPHEN CAMP AT. 11 WILDER PL Applicant Address: Phone: Insurance: 46 EAST ST (413) 527-7124 () WC EASTHAMPTONMA01027 ISSUED 01.4/3/2019 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 D.P.W. Building Inspector Underground: Service: Meter: �/ �/ .i Footings: Rough: x Z / Q Rough: : HouseM Foundation: Driveway Final: Fina `K��/5' Qe Rough Frame; O.I(, $ -IQ K Q Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation:U� Final: Smoke: Finan d,e L.2']•Iq XW THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS]tULES AND IONS. Certificate of9eCBeegeV 7Signature: G FeeTvpe: Date Paid: Amount Building 4/3/20190:00:00 $71.50 212 Main Street,Phone(413)587-1240,Fax:(413)597-1272 Louis Hasbrouck—Building Commissioner obox alt4$ $-10.00 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING ,pWORK (� CITU R MA DATE Jam/ I PERMIT# JOBSITE ADDRESS GU ; o C OWNER'S NAME T Jdlq OS P OWNER ADDRESS .I/17t TEL'"/ ]FAXO TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL u�yrc U,roDNTIALI, PRINT CLEARLY NEW ,j RENOVATION:(� REPLACEMENT:7 PLANS SUBMITTED: YES N0� FIXTURES] FLOOR_ BSM 1 1 2 3 4 5 b 7 1 8 1 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINN LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK 41 TOILET n r URINAL WASHING MACHINE CONNECTION nip N WATER HEATER ALL TYPES 91-11-111"A IM-CIN 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..,J NO L-j IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LABILITY INSURANCE POLICY L/ 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 Lave,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER .. . AGENT SIGNATURE OF OWNER OR AGENT I thereby certify Mat all of Me details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and Met all plumbing xoA and installations performed!under Me permit issued for this application will be in m M all PeNnent provision of the Mas"Mussbs Sam Plumbing Code and Chapter 142 of Me General Laws. PLUMBER'S NAME.?;6Vd6C ��Y _ LICENSE# 'SIGNATURE MP,._ JP, CORPORATION # PARTNERSHIP # LLC' # —� COMPANY NAME ryJ S,r('J GF+G `R'ii ADDRESS CITY ly""47160C STATE 1-/ 1 ZIP I O�1�l _. TEL I -�//� Cd FAX ��— CELL /.$' -3 1 EMAIL ///$ po�,b- horn CGs7, //fT /6� ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yee No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: S PERMITp P N VI W OT 11 WILDER PL EP-2019-0731 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 17C Lot: 191 ELECTRICAL PERMIT Permit: Electrical Category: WIRE FIRST FLOOR BATH RENO WITH LAUNDRY Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001765 Eu.Cost: Contractor. License. Fee: $65.06 MICHAEL LONG Electrician 50407 Owner: SIMMONS KATHLEEN E Applicant: MICHAEL LONG AT: 11 WILDER PL AaalicantAddress Phone Insurance 17 DICKINSON ST (413) 584-7665 C-(413) 587-3174 Liability, MP197313 NORTHAMPTON MA01060-1503 ISSUED ON:4/1620190:00:00 TO PERFORM THE FOLLOWING WORK: WIRE FIRST FLOOR BATH RENO WITH LAUNDRY Call In Date: Date Requested Inspection Dete/SignOff: Reimoect?: TremWUG: Special Instructions x Rough S-- 149 Nj Qr - - -/°/ 2c- x Special Instructions: Final- xe— SIZE Called In: Signature: Fee TypeAmount: DatePaid Electrical $65.00 4/26/2019 0:00:00 789 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo