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23A-101 (3)
5 MANN TERR BP-2018-0201 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A- 101 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2018-0201 Proiect# JS-2018-000368 Est.Cost:$105500.00 Fee: $1125.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MICHAEL E JOHN 97692 Lot Size(sq. ft.): 8102.16 Owner: OBER JEREMY D zoning: URB(100)/ Applicant: MICHAEL E JOHN AT: 5 MANN TERR Applicant Address: Phone: Insurance: 3.3 HILLSIDE RD (413) 834-3000 Liability MONTAGUEMA01351 ISSUED ON.912 612017 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT NEW SINGLE FAMILY HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: j/f Rough: -��► ./ House# Foundation: �12-7117 Driveway Final: Final: inal: � /, 1 L� '- Rou h Frame: I jzpv..' Gas:��j,$ /� Fire Department Fireplace/Chimney: I 3 j 2Ts c.N Rough: Oil: Insulation: Final: Smoke: Final: OX "141Q (A THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. p / �0 /At., mu Certificat of Occu anc nature: C/ FeeTyne: Date Paid: Amount: Va\\e y S Cen e I G Building 9/26/2017 0:00:00 $1125.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner 5 MANN TERR EP-2018-0650 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 23A Lot: 101 ELECTRICAL PERMIT Permit: Electrical Category: WIRING OF NEW SFH INCLUDING SERVICE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2018-000368 Est.Cost: Contractor: License: Fee: $200.00 KENNETH W RUSSELL Journeyman Electrician 23838 Owner: OBER JEREMY D Applicant. KENNETH W RUSSELL AT.' 5 MANN TERR Applicant Address Phone Insurance 260 SILVER STREET (413) 345-1273 C- Liability, MPT2565S GREENFIELD MA01301 ISSUED ON:2/21/2018 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRING OF NEW SFH INCLUDING SERVICE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X n Rough ho C O o 1 C Al a �e ✓ — - J'/C1-/C'!� x Special Instructions: Final:/W-< SRF,Called In: G `� t2 a '/k v" Signature: Fee Type:: Amount: DatePaid Electrical $200.00 2/21/2018 0:00:00 649 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo o© � .rw+"D'y� �7-0 `(r'"� -�`""�. OLS (_..�e4�+�'?� � „4s� - � � � f Q I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY 0Vl MA DATE )PERMIT# tee. JOBSITE ADDRESS OWNER'S NAME J-e re - OWNER ADDRESS TEL[ ?� -7�FAX E::: _ TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL El RESIDENTIALK PRINT CLEARLY NEW: RENOVATION:Ll REPLACEMENT: PLANS SUBMITTED YES NOS, 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 1_ DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM . DISHWASHER DRINKING FOUNTAIN _ 3N FOOD DISPOSER + mm FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) € ? KITCHEN SINK -- - - ____ _,_ LAVATORY r•.=;.•,.-...•.- ---= _. � .�- ROOF DRAIN SHOWER STALL SERVICE/MOP SINK n TOILET or m o URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES _ WATER PIPING OTHER ; �� ® � I _ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YE SP NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY LOTHER 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 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 LICENSE# SIGNATURE MP' JP CORPORATION PARTNERSHIP # LLC[ # COMPANY NAME ADDRESS CITYL4STATE M ,q ZIP a q TEL FAX [:,—=�CELL EMAIL L� _,� w(ellU ki�. ►�} ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PEkMIT# PLAN REVIEW NOTES rr S is .