30C-008 (8) 435 FLORENCE RD
GIs#: COMMONWEALTH OF MASSACHUSETTS Ma :Block: 30C-008
Lor::Q0 L CITY OF NORTHAMPTON
Permit:
BuildinPERSONS '
DO NOT HAVE ACCESS TO THE GUARANTY FUCeNTRACToaS
ND (MGL c.142A)
Category: renovation BUILDING PERMIT
Per # BP-2020-0289
Project# JS-2020-0004194
Est. Cost: $24500.00
F'ee: $160.00 PERMISSION IS HEREBY GRANTED TO.-
Const.
Class: Contractor:
Use Group License:
Homeowner as Contractor
Lot Size(sq. ft)• 53143 20 Owner: BARBEITO ROLAND
Zonine: SR(100)/WSP(l00)/ Applicant: BARBEITO POLAND
AT. 435 FLORENCE RD
App 'cant Address
435 FLORENCE RD Phone' Insurance:
413) 454-1037 0
FLORENCEMA01062
ISSUED OV.9/6/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD 2ND FLOOR BATH, RENO KITCHEN, RENO
BATH, ADD BEDROOMS **WINDOW IN 2ND FLOOR REQUIRES SAFETY GLAZING*
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service: 'deter:
Rough:ough:
Rough: /' 9-� -�Q Footings:
/ House# Foundation:
✓?v w' Driveway Final:
Final: 0e "Final:
Rough Frame: FA/Lc� '7-18-19 Xje —�
r.-
EC
Gas: Fire Department
Fireplace/Chimney:
Rough: Oil:
Insulation:
Final: � Smoke
Final: F'►ql(-�� 3-)(o--mZV 'Ce
Ox LA-I-ZO2D K. )v
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS ULES AND REG L ONS.
H I-LeTtot-')
ate of
I
CertificSignature:
FeeTi,pe: Date Paid: Amount:
Building 9/6/2019 0:00:00 $160.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck--Building Commissioner
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435 FLORENCE RD EP-2020-0228
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 30C
Lot: 008 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE KITCHEN&BATH REMODEL&LIGHTING
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000484
Est.Cost: Contractor: License:
Fee: $125.00 WILLIAM L COLLINS Journeyman Electrician 52302
Owner: BARBEITO ROLAND
Applicant: WILLIAM L COLLINS
AT. 435 FLORENCE RD
Applicant Address Phone (�0� Insurance
814 ROOSEVELT AVE (413) 335-6229 C-
SPRINGFIELD MA01109 ISSUED ON.•9/17/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.•
WIRE KITCHEN & BATH REMODEL & LIGHTING
Call In Date: Date Requested Inspection Date/SisnOff: Reinspect?:
Trench/UG:
Special Instructions
X p
Roush
X
Special Instructions:
Final: n.0 ` C\J---
SRE Called In: FCU
i
Sisnature:
�V
Fee Type:: Amount: DatePaid
Electrical $125.00 9/17/2019 0:00:00 505
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
CJV
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
s F MA DATE v
CITY PERMIT#—
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t�
JOBSITE ADDRESS 1. � r� �LY ; OWNER'S NAME
U
POWNER ADDRESS TEL 1 y QFAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATIONS 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 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 u...�..—
LAVATORY '1..
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK j
TOILET ,I
URINAL
WASHING MACHINE CONNECTION
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 NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 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 m AGENT
SIGNATURE OF OWNER OR 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 compliant provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
LICENSE# I C�-7 GN RE
PLUMBER'S NAME c tilt! .. F 16 . �.
MPP JP€, CORPORATION --- '# PARTNERSHIP # LLC 0#
COMPANY NAMEADDRESS {�
CITY �V STATE iv ZIP TEL
FAX I I CELL EMAIL
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
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