17A-294 tsr-c-vc- .
•
DR
110 HILLCRESTEALTH OF MASSACHUSETTS
CON]MONW
Gls#: CITY OF NORTHA oPTON
Man.gl ORS
ock: 17A-294 PERSONS CONTRACTING WITH UNREGISTERED RACT
MGL c.142A)
Lot:'001NOT HAVE ACCESS TO THE GUARANTY FUND
Permit Bulldmq DO IN G PERMIT
BUILDING
Cate o : ADDITION
permit# BP22021-0625
Pro'ect# JS-2021-001032
Est.cost:$198000.0o P PERMISSION IS HEREBY GRANTED TO:
P• $1287.00 License
Contractor: 07 ense
cons— t Cl ense
ass' STEPHEN DROSS
9160
Lot Group. Owner: HINCKLEY CHARLES &JOANN
i 9 =ggi a _ft.) 20386.08
Zoning URA 100 / A licant: STEPHEN D ROSS
AT: 110 HILLCREST DR Insurance:
Phone: COI, .
Applicant Address: 4 i 3 584-1224
36 SERVICE CENTER RD
PROPRIETOR
NORTHAM PTO NMA01060 ISSUED
TO PERFORM THE FOLLOWING y;rORK:INTERIOR RENO AND ADDITION, SIDING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring
Service: Meter: i z Ze-zozo e l
Underground: Footings: 0l�
House# Foundation:
Rough:Z , Z Y / Rough: .021 Driveway Final:
OvN
Final: Final: G2 /—0 1 Rough Frame: 6,16
ai
Fireplace/Chimney:
Gas: Fire Department
Insulation:0 le: 2-2 5 at 147
Rough: Oil:
Final: 0,�! 1-3- ZI V.,Z
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS ULES AND RE U IONS. O (T)
Certificate of J
FeeTv e: Date Paid: Amount:
Building 11/23/2020 0:00:00 $1287.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
110 HILLCREST DR EP-2021-0558
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 17A
Lot: 294 ELECTRICAL PERMIT
Permit: Electrical
Category: ADDITION&REMODEL HOME
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-001032
Est. Cost: Contractor: License:
Fee: $125.00 TOWER ELECTRIC Master A18067
Owner: HINCKLEY CHARLES & JOANN
Applicant: TOWER ELECTRIC
AT.• 110 HILLCREST DR
Applicant Address Phone Insurance
578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability, BKS56776093
FEEDING HILLS MA01030 ISSUED ON:1/5/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
ADDITION & REMODEL HOME
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough oZ 61P'1
x
Special Instructions:
Final: (e ' 1 'off .
SRE Called In: 0 K- ; • 'i..t - t-t t i YI.0
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $125.00 1/5/2021 0:00:00 97
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
C(- 0 z a`/3z A IV°
. \ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
fie: _g7
-tiliXr
tf -C CITY Florence -1 MA DATE 1/13/2021 PERMIT# I 0 -- di ' c. /(.I'
JOBSITE ADDRESS 110 Hillcrest Dr OWNER'S NAME{Hinckley Residence _
OWNER ADDRESS Same TEL 413-584-8974 IFAX
TYPE OR OCCUPANCY TYPE COMMERCIAL Li EDUCATIONAL RESIDENTIAL 0
PRINT _
CLEARLY NEW: I RENOVATION:[' REPLACEMENT:pi PLANS SUBMITTED: YES ' NO_]
FIXTURES Z FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB r.--..-
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM r '"
DEDICATED GRAY WATER SYSTEM l�
DEDICATED WATER RECYCLE SYSTEM 17 I
DISHWASHER I it 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1 _-
LAVATORY 3
ROOF DRAIN i 3
SHOWER STALL ( . I_
SERVICE/MOP SINK �� "-__—` - _ w —
TOILET 3
Pt 1:14 {N.' !., GAS INSf-'ECTOR
URINAL ; H '
WASHING MACHINE CONNECTION l 1 1 r ' ., '" .:.` P``il P r,-[4O VC
WATER HEATER ALL TYPES __' '
WATER PIPING- -714
_—__--- --- 1 1
OTHER
I
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES +j NO LI
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Li OTHER TYPE OF INDEMNITY '. BOND 1 _
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 ; 1 AGENT LII
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are rue and accurat to th best f my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in pliance wit al ert ent p is n-of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / i
PLUMBER'S NAME GARY STAHELSKI LICENSE# [9621 1 SIGNATURE
MP[] JP J CORPORATION' + # 2617C PARTNERSHIP r_ry# LLCL#
COMPANY NAME I EWS PLUMBING&HEATING, INC. i ADDRESS 339 MAIN STREET
CITY[MONSON STATE 1 MA I ZIP 01057 j TEL 413-267-8983 .,1
FAX 413-267-4523 CELL 'EMAIL EWSPHca COMCAST.NET
- /z 92:S>
/2 &/-7