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31A-088 (11) The Commonwealth of Massachusetts 1 s4, 03 t ' City of Northampton '-„ ` Certi icate of Occupancy In accordance with 780 CMR,(The 8th Edition of the Massachusetts State Building Code) This Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified, Identify Name of Building of Space Within Certificate No. Issued to Permit# Hans Dalhans ap_2015-o997 - ,._ Identify property address including street number,name, city or town and county Located at 17 Vernon Street Northampton, MA 01060 ,! Use croup Single Family Dwelling Classification(s) R3 This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate, (aihrre to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Use Name of Municipal Date of Final Map/Plot Building Official Kyle J. Scott Inspection Date 32A-88 tM/1bf2017 Signature of Municipal1`_- .1' Dateof Map Building Official / — Issuance Date MC z , 06/16/2017 Lot inner Otfi qqq MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK t`.k CITY Northampton_______ MA DATE 12/14/2015 j PERMIT# P P. �CO _a y/ JOBSITE ADDRESS 17 Vernon St. OWNER'S NAME Glen Alper - P A 0 -_ - OWNER ADDRESS 23 Massasoit St Northampton,M1060 1 TEL, 828-3331717 1FAX� TYPE OR OCCUPANCY TYPE COMMERCIAL iI EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW " RENOVATION ,"' REPLACEMEN I PLANS SUBMITTED YESr_,' NO . FIXTURES 1 FLOOR-. BSM ' 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB ( I 1 '. 2 r._._ I r 9. ,I _I— CROSS CONNECTION DEVICE 1 r —' _ �� -' _- - DEDICATEDSPECIAL WASTE SYSTEM 1 j y up i DEDICATED GAS/OIL/SAND SYSTEM �-`r DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM - - DEDICATED WATER RECYCLE SYSTEM , i ;( I 1 - "' DISHWASHER „ a e DRINKING FOUNTAINFOOD DISPOSER r 1 -_. - r" V_. —. FLOOR/AREA DRAIN - --- - --- - , INTERCEPTOR(INTERIOR) I r T J u , -- -I ` KITCHEN SINK 1 - LAVATORY I1 2 —_ I _ r. , ROOF DRAIN _ - - -- SHOWERSTALL ° _ Pit INC &G• INS T SERVICE/MOP SINK ' -- ' ' ANSTON ' -- TOILET 1 2 ' I 'mal•' • •r •• =� URINAL _ WASHING MACHINE CONNECTION ,, 1 I WATER HEATER ALL TYPES 1 S ',. _WATERPIPING ` I ' ' r 'j r i i" 1 'I _.... OTHER , -'_ —1 ... 1 _1—_..f [ r_-- ' I I I — — i-- INSURANCECOVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES j moi. NO ;_ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 1{j OTHER TYPE OF INDEMNITY i_, BOND i j 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 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME John T.Geryk LICENSE# 16079 SIGNATURE _-___ MP - _..i. I JP, CORPORATION '# ':PARTNERSHIPI .41 LLC ..-J# i COMPANY NAME John T.Geryk Plumbing&Heating ADDRESS 20 Jackson St. First Floor CITY Northampton ---_ - STATE 413-727-3057 ..------ - ----- P i MA ZIP 01060 TEL 413-727 3057 FAX 2 CELL,413-336_3893. EMAIL i john@johntgerykplumbing corn. i u ��rt. /`° �°1 9l �/l CCM. IV? St/O5 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK — Miff /fie CITY Northampton MA DATE 12/14/2015 PERMIT# ZO/6 JOBSITE ADDRESS 17 Vernon St OWNER'S NAME Glen Alper GOWNER ADDRESS 23 Massasoit St.Northampton,MA 01060 TEL 828-333-1717 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW'. RENOVATION. v REPLACEMENT: (.i PLANS SUBMITTED. YES - NO APPLIANCES 1 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER 1 BOOSTER __. .... CONVERSION BURNER COOK STOVE t - DIRECT VENT HEATER '. DRYER _..... 1 ._ FIREPLACE ..,.._ FRYOLATOR ... _ FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER • ROOM/SPACE HEATER ROOF TOP UNIT _._ ... ..... P1uM616ir CASgvsp -ort TEST 1 NIP a. •N . . .. UNIT HEATER .:;:•T!yn NOTAPPROVED UNVENTED ROOM HEATER WATER HEATER OTHER _.... .. INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES a NO IIF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY - OTHER TYPE INDEMNITY BOND I 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 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 compliance with all Pertinent provision of the , Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME John T.Geryk LICENSE# 16079 SIGNATURE MP v MGF JP JGF LPGI CORPORATION r#: PARTNERSHIP # LLC # COMPANY NAME: John T. Geryk Plumbing&Heating ADDRESS 20 Jackson First Floor CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057 FAX CELL 413-336-3893 EMAIL john@johntgerykplumbing.com 'tteAgAs ens� 97 f by•S • 17 VERNON ST EP-2017-0172 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31A Lot:088 ELECTRICAL PERMIT Permit: Electrical Category: UPGRADE CURRENT SERVICE TO 200A Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-000420 Est.Cost: Contractor: License: Fee: $65.00 BRADFORD OSGOOD ELECTRICAL SERVICES MASTER ELECTRICIAN 21798 Owner: ALPER GLEN Applicant: BRADFORD OSGOOD ELECTRICAL SERVICES AT: 17 VERNON ST Applicant Address Phone Insurance 12 MCKINLEY AVE (413) 320-8185 C- Liability, MPF7952E EASTHAMPTON MA01027 ISSUED ON:8/29/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: UPGRADE CURRENT SERVICE TO 200A Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough x Special Instructions: Final: p SRE Called In: 22521167 S—a.J I C k k) Signature: Fee Type:: Amount: DatePaid Electrical S65.00 8/29/2016 0:00:00 1348 212 Plain Street. Phone(413)587-1244, Fax(413)587-1272-Inspector of Wites -Roger Malo