17A-160 (9) 35 FOX FARMS RD BP-2019-1179
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A- 160 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-2019-1179
Project# JS-2019-001913
Est. Cost: $16300.00
Fee: $106.00 PERMISSION IS HEREBY GRANTED TO.-
Const.
O.Const.Class: Contractor: License:
Use Group STEPHEN D ROSS 079160
Lot Size(sq. ft.): 17990.28 Owner: DITKOVSKI JACOB&EMILY B
Zoning:URA(100)/ Applicant: STEPHEN D ROSS
'17. 7C r'/`V C/!s�Rp%'
...i v. c . %D
Applicant Address: .Phone: Insurance:
36 SERVICE CENTER RD (413) 584-1224 () WC
NORTHAMPTONMA01060 ISSUED ON:4/24/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 1 ST FLOOR BATHROOM
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: Sl/ Rough: House# Foundation:
1R Cris eway Final:
Final: J/y Final: -7-1 -1-11
/
RP----, Rough Frame:0X- 5-10 i cf K)r7
Ga : Fire Department Fireplace/Chimney:
Rough: M Insulation: 6 I[ 5~ 10 1q K 12
Final: Smoke: Finai:C/i �� -A e--�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND
Certificate of Occurpanc nature:
FeeType: Date Paid: Amount:
Building 4/24/2019 0:00:00 $106.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
35 FOX FARMS RD EP-2019-0769
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 160 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BATH REMODEL
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2019-001913
Est.Cost: Contractor: License:
Fee: $65.00 TOWER ELECTRIC Master Al 8067
Owner: DITKOVSKI JACOB & EMILY B
Applicant: TOWER ELECTRIC
AT. 35 FOX FARMS RD
Applicant Address Phone Insurance
578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability,
BKS1656776093
FEEDING HILLS MA01030 ISSUED ON:5/9/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATH REMODEL
Call In Date: Date Requested Inspection Date/SisnOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roush
X
Special Instructions:
Final:
SRE Called In:
Sisnature•
Fee Type:: Amount: DatePaid
Electrical $65.00 5/9/2019 0:00:00 6298
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
1g53657 (JI �Ow
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
UlfCITY Florence MA DATE 4/29/19 PERMIT# `
JOBSITE ADDRESS 135 Fox Farms Rd OWNER'S NAME Co
nsVuct Associates(Ross)
J
P OWNER ADDRESS 36 Service Center Northampton MA 01060 TEL 413-584-8974 — FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL' ,
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT:�_ PLANS SUBMITTED: YES❑ NO'_
FIXTURES-1 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 1
ROOF DRAIN -
SHOWER STALL 1
SERVICE/MOP SINKi--__—
TOILET 1
URINAL I
WASHING MACHINE CONNECTION { i(
WATER HEATER ALL TYPES _
WATER PIPING
OTHER �.
;
s
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[7? No
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0 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 a e 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 ompliance h all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 SIGNATURE'
MP JPQ CORPORATIONQ 2117C -PARTNERSHIP # LLC, ,.#
COMPANY NAMES PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET
CITY[�ONSON STATE�� ZIP 01057 TEL 413-267-8983
FAX [413-267-4523 CELL C EMAIL EWSPH@COMCAST.NET
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
4