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18C-045 (14) The Commonwealth of Massachusetts ZIA- Certificate City of Northampton �o Occupancy In accordance with 780 CMR,Section R110 floe Eighth Edition of the Massachusetts Residential 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, Building Owner, or Permit Holder Certificate No. Issued to L P Audette Builders Inc. BP-2016-1456 Identify property address including street number,name, city or town and county Located at 72B Hatfield St. Northampton, Hampshire, Massachusetts Use Group Classification(s) Two Family Dwelling 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 fife 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,failure to comply with conditions or, tampering with Nle contents of the certificate is strictly prohibited. Conditions of Use Two Family Dwelling All fire protection and life safety systems must be maintains,and all means of egress must be kept clear Name of Municipal Kevin Ross Date of Final Map/Plot: Building Official Inspection tit/10/2019 Signature of Municipal Date of 18C-045 Building Official Issuance 04/10/2019 Home Energy Rating Certificate Rating Date: 2019-04-01 Final Report Registry ID: 682398934 Ekotrope ID: 1231NEOv Index Score: Annual Savings Home: Your home 5 HERS score I five i Hatfield St L.P.performance score.The;O',a71`h.num bar, ortharripton, MA 0 1060 the more energy efficient the home.To $ 2, 504 NBuilder: 541earn more,visit ..hersindex.com 'Reatnve to an average U.S.home Audette Builders Your • - Your Home's Estimated Energy Use: This home meets or exceeds the Use[Motu] Annual Cost criteria of the following: Heating 36.6 $1,093 2009 International Energy Conservation Code Cooling 0.0 $0 Hot Water 9.2 $274 Lights/Appliances 20.3 $852 Service Charges $0 Generation(e.g.Solar) 0.0 $o Total: 68.1 $2,218 Home Feature Summary: Rating Computed by: rr•rr� Home Type: Duplex single unit Enargy Rat•rDavid Gagne ar Model: WA RESNET ID:7013322 I ne Community: WA Conditioned Floor Area: 2,055 s%It Rating Company:Pover House Energy Consulting Number o/Betlroomm 2 479 West St Suite 105,Amherst MA ,,tea ala Primary Heating System: Furnace.Propane.96 AFUE ' Primary Cooling System: N_A Rating ParWltNr.Energy Raters d Massachusetts PrimaryWater Heating: Water Heater.Pool.0.97 Energy Factor 2 Woodlmvn Street Amesbury,MA 01913 w House Tightness: 952 CFM50(339 ACH50) 978-270-3911 Ventilation: 45ACFM.6.2 Watts y :WIMP• N Duct Leakage Out side 23CFM]5(1.12/100 sf.) _ V a Above Grade Walls: R19 Ire E= Ceiling: Attic,It 52 • Wool.Type U-Vslue:0.3,SHGC:05 raq Wgitl beggned Cl8i,1 l t 1 23 Fater Foundation Walls: R-13 Digitally signed:4r8/19 a11;28 PM • • • I R Sc.LU1 w,yi�atil cahnA 74 HATFIELD ST 18C-181 EP-2017-0256 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lpt D45 ELECTRICAL PERMIT Permit Electrical Category: 74B-INSTALL SECURITY,FIRE&CENTRAL VAC Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2016-002440 Est.Cost: Contractor., License: Fee: 830.00 INDUSTRIAL RESIDENTIAL SECURITY Security System Contractor 285C Owner: L P AUDETTE BUILDERS INC Applicant: INDUSTRIAL RESIDENTIAL SECURITY AT: 74 HATFIELD ST 18C-181 Applicantddress Phone Insurance 83 COLLEGE HGWY (413) 527-3353 C-(413) 527-0120 Liability, NN679131 SOUTHAMPTON MA01073 ISSUED ON:9/162076 0:00:00 TO PERFORM THE FOLLOWING WORK 74B - INSTALL SECURITY, FIRE & CENTRAL VAC Call In Date: Date Requested Inspection Date/SienOR: Reinspect?: TrenchNG: Special Instructions x p Rough x Special Instructions: p Final: y- �9-/�/ Rf � SRE Called In: Signature: Fee Type:: Amount: Datel'aid Electrical $30.00 9/16/2016 0:1111:110 15580 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 74 HATFIELD ST 18C-181 EP-2017-0255 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lot:045 ELECTRICAL PERMIT Permit: Electrical Category: UNIT 74A INSTALL SECURITY&FIRE ALARM Permit Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2016-002440 Est.Cost: Contractor: License: In: $30.00 INDUSTRIAL RESIDENTIAL SECURITY Security System Contractor 285C Owner: L P AUDETTE BUILDERS INC Applicant: INDUSTRIAL RESIDENTIAL SECURITY AT: 74 HATFIELD ST 18C-181 Applicant Address Phone Insurance 83 COLLEGE HGWY (413) 527-3353 C-(413) 527-0120 Liability, NN679131 SOUTHAMPTON MA01073 ISSUEDON.•9/1620160:00:00 TO PERFORM THE FOLLOWING WORK UNIT 74A INSTALL SECURITY& FIRE ALARM Call In Date: Date Requested Inspection Date/SienOR: Reimmect?: TrenchNG: Special Instructions x r /� Roueh 7— r��' �i Q - x Special Instructions: Final: 3 -/3 /7 RC"s SRE Called In: Sienature: Fee Tvm:: Amount: Date Paid Electrical $30.00 9/16/2016 0:00:00 15880 212 Main Street,Phone(413)587-1244,Fax(413)587.1272-Inspector of Wires -Roger Malo 72 HATFIELD ST UNITS A& B EP-2019-0321 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Int:045 ELECTRICAL PERMIT Permit. Electrical Category: WIRETWO CONDOS-UN17SA&B Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2016-002583 Est.Cost: Contractor. License: Fee: $275.00 JAMES MAILLOUX ELECTRIC Master At 6187 Owner: LarryAudette APahcant.- JAMES MAILLOUX ELECTRIC AT. 72 HATFIELD ST UNITS A& B Applicant Address Phone Insurance 221 PINE ST SUITE 160 (413) 585-1592 C-(413) 563-4654 SOLE PROPRIETOR, NA FLORENCE MA01062 ISSUED ON:11/2120180:00:00 TO PERFORM THE FOLLOWING WORK: WIRE TWO CONDOS- UNITS A& B Call In Date: Date Reauested Inspection Date/SienOff: Reimnect?: Trench/OG, Special Instructions x Roaeh x Special Instructions; Final: 3 - ay-// sRE Caned la: 4i a;u //-/� -/�� '^ 271/k(4 ) CG Sianature• Fee Twer Amount: DatePaid Electrical $275.00 11/2/2018 0:00:00 12148 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 72 HATFIELD ST 18C-045 EP-2017-0924 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lot:045 ELECTRICAL PERMIT Permit Electrical Category: 72 A&72 B-INSTALL WRUNG FOR SECURITY,FIRE&CENTRAL VAC Permit a Electrical PERMISSIONIS HEREBY GRANTED TO.- project O:Project a JS-2016-002583 Est.Cost: Contractor. License. Fee. $60.00 INDUSTRIAL RESIDENTIAL SECURITY Security System Contractor 285C Owner. LarryAudette Applicant: INDUSTRIAL RESIDENTIAL SECURITY AT: 72 HATFIELD ST 18C-045 AnolicantAddress Phone Insurance 83 COLLEGE HGWY (413) 527-3353 C-(413) 527-0120 Liability, NN679131 SOUTHAMPTON MA01073 ISSUED ONr512120770:00:00 TO PERFORM THE FOLLOWING WORK- 72 ORK72 A& 72 B- INSTALL WIRING FOR SECURITY, FIRE & CENTRAL VAC Can In Date: Date Requested Inspection Date/SitnOrf: Reinspect?: Trench4lG• Special Instructions x Rough ��"�G -It 02 x Special Instructions: Final: K11 kr- SRE Caned In: Sitmawre: Fee Twen Amount: DwPaid Electrical $60.00 5/2/2017 0:00:00 16034 212 Main Sneet,Phone(413)587-1244,F=(413)587-1272-Inspector of W ires -Roger Malo !W,a� i?V22 $jos MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK.�1 CITY I_ cnitl..,V;ZJ I MA DATE //- .Zov PERMIT c ril-1 C0 / JOBSITE ADORESShG .Y Nq'N r3uJ _1OWNER'S NAME CHCw GOWNER ADDRESS I -]FAX� TYPE OR OCCUPANCYTYPE COMMERCIAL(_ EDUCATIONAL❑ RESIDENTIAL��]�' PRINT CLEARLY NEW:[ ' RENOVATION:El REPLACEMENT.El PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS- BSM 1 2 J 4 6 6 T 1 8 10 11 12 13 14 BOILER BOOSTER _. CONVERSION BURNER _ - _ COOK STOVE 3- DIRECT VENT HEATER __ __ DRYER FIREPLACE FRYOLATOR FURNACEs GENERATOR _ GRILLE _. _ __._. INFRARED HEATER ' LABORATORY COCKS _ MAKEUP AIR UNIT 17- OVEN POOL HEATER ROOMISPACEIEATER ROOF TOP UNIT TEST UNITHEATER UNVENTED ROOM HEATER WATER HEATER _ OTHER HEATER RANGE VENTED ROOM HEATER GAS GAS PIPING INSURANCE COVERAGE rr�� I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES ERA EJ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY I�r OTHER TYPE INDEMNITY I I 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 radify lhpt elldme deto6e adk in/odmalionl have submitted wentered regarding lhb application ere true and euudelemme beat dmy adrodadBe i end that all plumbinq wma and lnetallalione undunned antler the pe,mll issued for ibis e194cation wad be in compllon.War.11 Ped�WApr the Maeencbueella Stole Plumber,Code end Creepier 142 01 the Ganarel Lave. e// i PLUMBER-GASFRTER NAMEICSbA `.dGc,F,� ILICENSE qI/o72Zr SIGNATURE MPI.'rMGF❑ JP❑ JGFJ LPGIj I CORPORATION[4L3'75<,G PARTNERSHIPS ]pl ILLC❑p[ � _ ._ COMPANY NAME:F� ,F� r2u „it ]ADDRESS[ � dS K Sts CITY I6t_;n( V-1serz" ____ ,) STATErw1 ZIPI r,c:i _ _.]TEL Vi;.(sZG- bT7E FAX[- CELL[ _=EMAILI SC's.T(/ (A[c.F.v.t. t'c111 _. ._. :, 7�"� ' � �� / �77 �!� l.�/ 6PE MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE //-6Lar PERMTN � JOBSITEADORESS 7L A IOWNER'SNAMEI Ck Cle H..�i'�-t4 GOWNER ADDRESS I ITE�FAKO TYPE OR OCCUPANCYTYPE COMMERCIAL-1. EDUCATIONAL LJ RESIDENTIAL[}' PRINT CLEARLY NL.Eqi RENOVATKK4:❑ REPLACEMENT:El PLANSSUBMITTEO: YES❑ NO❑ APPLIANCES? FLOORS, BIM 1 P ] 4 6 1 B 1 T e 1 B 10 11 12 17 14 BOILER BOOSTER CONVERSION BURNER I _ COOK STOVE DIRECT VENT HEATER 11 DRYER FIREPLACE I I FRYOLATOR _ FURNACE _ GENERATOR GRILLE I 111[ 11 INFRARED HEATER - LABORATORY COCKS III dl MAKEUP AIR UNIT OVEN POOL HEATER 1 I ear ROOM I SPACE HEATER I' - Uca ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER F '.. WATER HEATER 1 11_ THEE_ I A 11 11 HEATERRANGE _.- VENTED ROOM HEATER GAS PIPING ,_I_- INSURANCE COVERAGE I have a eturrentliabifily Insurance policy or Its substantial equivalent which losses the requirements of MGL.Ch.142 YES IWO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOK BELOW LIABILITY INSURANCE POLICY 14-I- OTHER TYPE 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 AlIM this requirement. CHECK ONE ONLY: OWNER AGENT El SIGNATURE OF OWNER OR AGENT I hereby,codify Victim of the colors end Information l have sabmined or anterbJ repmdinp this application are true end accumte to in.best of my knowteuge and that all plumMrg wak and Inswilaliuns Perhamed under the permit Issued for[his application will be In orv.wapellPpMnom prodslon o1 In. Massachusetts Stets Plumbing Code and Chapter 142 of the General Laws. C �.� PLUMBERR-OASFITTER NAME I -c1's�6"' ('kC�Sc.�LICENSEN/08"l.' SIGNATURE MP FCjMGF❑ JP❑ JGFI I LPGI[..I CORPORATION _`JSffG,_]PARTNERSHIPn4I ILUC F10= COMPANY NAME=xtz rv_ =ADDRESSI i% S,.c n4 ,- CITY 6,CITY I-f�FSTa/MaWTt✓ STATELi4 IZIPJo,e c7 _1TELI_VIJ - /cC /e= FAX CELLI EMAIL[ b lV_ -�� //� � �«,� 5�� , '(�LP, 175C.P ez,6- .Q1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK - CITY MA DATE !r-ZZ-'>l+r � PERMIT# JOBSITEADDRESS 7Z. 6 OWNER'SNAME CilAKA� rT yrr� POWNER ADDRESS TEL—FAX— TYPE ELFAXTYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[3� PRINT CLEARLY NEW:[ RENOVATION:[j REPLACEMENT:[:I PLANS SUBMITTED: YES❑ NO❑ FIXTURES T FLOOR- BSM 1 1 7 4 5 6 1 a 9 10 11 12 U 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIONSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER 1 _ DRINKING FOUNTAIN FOOD DISPOSER _ FLOOR I AREA DRAM INTERCEPTOR INTERIOR KITCHEN SINK 1 4 _ LAVATORY TnPT ROGFORNN SHOWER STALL SERVICE l MOP SIM( n a ns l^s elan TOILET S, URINAL r WASHING MACHINE CONNECTION 7— _ WATER HEATER ALL TYPES 3. D WATER PIPING OTHER INSURANCE COVERAGE: I hm a damn I0iliII insmmnu pdry or its wbstamul equivalent which rtMMs the,equirmarm W MGL Ch.142. YES[Tj'—NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY HE Y C OTHER TYPE OFIU)EMNPY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I an,awme that Ge Ilcensee does not have the insurance coverage requited by Chapter 142 tithe Massachusets GwNral Leas,and that my sWwtm an this perrnB appimtion yq[t this requirement. CHECK ONE ONLY: OWNER El AGENT 0 SIGNATURE OF OWNER OR AGENT I hereby CV*11181 al Of the deMel artl htMrnudm l nava suOrndMd or entwad regaidiN this a 1 oA hue aOaxelep�'lO/t1r'h�'est OfMlhoi."d a W that aB Oharlb rig work end In4lwMtions oeftiNed Wer the Fume hsILH For INs aPNIOSNOn xel he M nce xiM M A�"`"— Oltlw MANAdPA aelM SMte Plrt"Cods and CN IPW 142 of me General Laws. C PLUMBER'SNAME C 2� LICENSE# /6 F9L ,,��,,/� SIGNATURE MP[TY JP❑ CORPORATK)N LJF�PC- PARTNERSHIP❑# LLC❑# COMPANYNAME V—rQ'OG rrC.0 ?r�lwo.�: r /Hd1 AZADORESS ?—� '&'A —V'C' CITY /wz '�`d�rz� STATE r+_µ_ ZIP_d,A1L7 TEL 5/ra- 6z6_ sa7c FAX CELL EMAIL —SCTa? )rd' 8C-01-+ s- 6r//7 c 175747* MABBACHUBETTB UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE /0Y-Z- ZGra' PERMIT# JOBSITE ADDRESS 7z Of A/M—F/ECA 5'- OWNER'S NAME 41'"6/ P OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW:[}- RENOVATION:❑ REPLACEMENT:❑ TANS SUBMITTED: YES❑ NO❑ FIXTURES 1 FLOOR- 89M 1 2 7 4 5 5 1 6 9 10 11 11 19 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER 1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN zsI cO1 fwownl INTERCEPTOR INTERIOR KITCHEN SINK I3, LAVATORY 1 a ROOF DRAIN SHOWER STALL SERINE 1MOP SINK TOILET URINAL WASHNG MACHINE CONNECTION 1 WATER HEATER ALL TYPES 1 WATER PIPINGPIP Ls v Lff OTHER INSURANCE COVERAGE: Horns a curtMB Bob-insura em policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES NO ❑ F YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHEOcad;INE APPROPRMTE BOX BELOW LMBIUTYINSURANCEPOUCY [2-- OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER.I am aware that the Ixensee does not have the insurance coverage required by Chapter 142 of the Massachusetts Barrel Laws,sent that my signature on this permit applicationy(ki2n this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hw ay am"Nal al al the tissues"nlormaaan I haw subrrvnea or witereol regartiilp this apphalion are me ant anarae to me hest a mY knowledge EW H V pllandrq work aN.r.Wishi pliffo e V the pemN uaue0 for IN,appla4on wll he In WSperince,vnlh all Pvchwron.f Ne Mu.aeasMM State PIUMn9 Cptle ON Chapter 142 a her Cener.l L. PLUMBER'SNAME -�4p (1Nc4t:L LICENSE# /OJZ J SIGNATURE MP❑-- JP❑ p CORPORATION�1-1`hfi C PARTNERSHIP❑# LLC❑# COMPANY NAME CACGrrct, /C""e-f- 6 . A[srsr .saADDRASS A /fix _335 CITY STATE ~4 ➢P 61427 TEL Y/S- 6e,-- €^70 FAX CELL EMAIL �' -� �cc 11Ae. Coay �� 3�� lf� etc rgov� auo MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING � WORK C� CITY NorthamptonYI'MA DATE /130118 PERMIT# I O-LiLAR JOBSITE ADDRESS 172A Hadfield St OWNER'S NAME1 LA Builders Inc. Audede POWNER ADDRESS 17413 Hall St Norderantrice,MA I TEL41333&7381 FAXD TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL El PRINT CLEARLY NEW:❑ RENOVATION:El REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES? FLOOR— BSM 1 2 3 4 5 fi 7 a 8 10 11 12 13 11 BATHTUB CROSS CONNECTION DEVICE _ _- DEDICATED SPECIAL WASTE SYSTEM All DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER 1III I DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR NTERIOR KITCHEN SINK LAVATORY 2 a ROOF DRAIN SHOWER STALL ILU – SERVICE I MOP SINK TOILET _ URINAL WASHING MACHINE CONNECTION r r WATER HEATER ALL TYPES 1 WATER PIPING _ OTHER INSURANCE COVERAGE: 1 have a current Iiabili 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❑+ OTHERTYPE OF INDEMNITY ❑ BONGO OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts Generat Laws,and that my signature on this permit applicationaw fives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby codify that all of the details and information I have su0mated or entered regarding the application are true and accurate to the Deet of my ImoMedge and that all plumbing work and instaletiome performed under the perms leeued for this application will be i mpmiance h all Pe 'neM proveion of the Massachuseas State Plumbing Cade and Chapter 142 of me General Laws. PLUMBER'S NAME I GARY STAHELSKI LICENSE# 5621. I V SIGNATURE Ma❑+ JP1 CORPORATIONEJ* 2617C7PARTNERSHIP❑#r--�LLC❑#� COMPANY NAME EWS PLUMBING 8 HEATING,INC. ADDRESS 339 MAIN STREET CITYCONSON STATE F—MA ZIP 01057 TEL 413-267-8883 _ FAX 413-267-0523 CELL EMAIL FEWSPH@COMCASTAET _� ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFMCE USE ONLY FINAL INSPECTION NOTES Y. No THIS APPLICATION SERVES AG THE PEW ❑ ❑ FEET PEHBRx PLAN REVIEW NOTES t Atfr^. QL&OLI*07 Az�, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY LYoMem _ . MA DATE 4130118 PERMIT# PP- I&LJ4'$ JOBSRE ADORESS7213 Hatfield St OWNER'S NAACI LA Builders Ino. Pudeft POWNER ADDRESS7413 Ha slit St Northampton, MA = TEL /11538 7381 FAX TYPE OR OCCUPANCYTYPE COMMERCIAL L-3 EDUCATIONAL El RESIDENTIAL PRINT CLEARLY NEW.E] RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES FUDCR- Belo 1 2 3 4 5 6 7 6 9 /9 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE __- -- DEDICATED SPECIAL WASTE SYSTEM L DEDICATED GAS"USAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER t DRINKING FOUNTAIN FOOD DISPOSER t _ FLOOR/AREA DRAIN INTERCEPTOR NTERIOR KITCHEN SINK t _ LAVATORY 2 - _-- ' --- ROOF DRAIN SHOWER STALL t SERVICE/MOP SINK TOILET URINAL ^g coal WASHING MACHINE CONNECTION t WATER HEATER ALL TYPES t WATER PIPING ' OTHER INSURANCE COVERAGE: I have a current fabs ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POUCY❑1 OTHERTYPE 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 batty that all of the details and information I have aubnMed or entered regarding this application are nue and aoalnte to the beet of my knowledge and that all plumbing Mork and Installation performed under the permit issued for thin application will be in Wmpiance II Pemn Rrmision of the Measachueeae State Plumbing Cade and Chanter 142 of the General Lave. ✓{d/aA PLUMBER'S NAME I GARY STAHELSKI LICENSE# V SIGNATURE MP❑+ JP❑ CORPORATION ED 4 2617C PARTNERSHIP❑ LLC E]# COMPANY NAME I EWS PLUMBING d HEATING,INC. ADDRESS 338 MAIN STREET crryl MONSON STATE® 21P 01057 TEL 411267-8983 FAX F4-1 T20-74-52-3 I CELL EMAIL EWSPH COMCAST.NET ROUGH PLUMBING INSPECTION NOTF BELOW FOR OFFICE USE ONLY MAL INWEMON NOTES Y. Ne THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: S PERIBTN PLAN REVIEW NOTES L5 y / !iw I-X /1 c a Ar, 11 1 5, r I m Cif 0 0 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS /FITTING /}WORK a.— CITY NORTHAMPTON MA DATE /®PERMIT# 11Gfr ('S`CL] JOBSITEADDRESS 728 FIATFIELDSTREET OWNER'S NAME I LP AUDETTE BUILDERS.INC GOWTIERADDRESS 72811ATFIELDSTREET TE 41353&7381 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL[] EDUCATIONAL F1 RESIDENTIAL® #41781-12 PRINT CLEARLY NEW:[N RENOVATION:[I REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO[] APPLIANCES 1 FLOORS- BSM I 1 1 2 1 3 1 1 1 6 1 8 1 7 1 8 1 9 1 10 1 11 12 13 14 BOILER BOOSTER I if 11 CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE Ill 111— GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS tt MAKEUP AIR UNIT OVEN POOL HEATER ROOMI SPACE HFA1F12 ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER FINAL CONNECT TO PROPAN INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YES [RNO ❑ 1 F YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKINGTHE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ® OTHER TYPE INDEMNITY L' BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee don 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 candy Mat all of the dewas and inlonnation I have aubmMed or entered mpatSng N'm appeca ion are thus and accurate W Ne best of my knowledge and and all plum vig woA and mteBaeorm Wommd uCer the pond jawed 1u this application wia be in cdmpemca I Pertinent pnovIsion of Me Massachusetts Slab Plumbing Code and Chapter 142 of the Genarel laws. PLUMBER-GASFITTER NAME I NATHAN COLLINS LICENSE# 3124LP �'O�✓ SIGNATURE MP❑ MGF❑ JP[] JGF❑ LPGI® CORPORATION M# PARTNERSHIP❑# LLC❑#F-----1 COMPANY NAMEJ FUEL SERVICES ADDRESS 195 MAIN ST CITY I SOUTH HADLEY I STATE®ZIP 01075 TELN3b32J500 FAX 413532-0052 CELLEMAILI NATE FUELSERVICES.BIZ ROUGH GAS INSPECTION NOTES THIS PACE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yu No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ __ PERMITM PLANREVIEWNOTES L //d 0K 0 6 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK q([' CITY NORTHAMPTON MA DATE®PERMR% 1 — J f T JOBSITE ADDRESS 7 HATFIELD TREET OWNER'S NAME LP AUDETTE BUILDERS.INC GOWNER ADDRESS 72A HATFIELD STREET TE 413539-7381 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL F1 RESIDENTIAL® #41781-11 PRINT CLEARLY NEW.EN r1(r RENOVATION:El REPLACEMENT:❑ PIANS SUBMITTED: YES❑ NO❑ APPLIANCES 7 FLOORS- aSM 1 1 2 J 1 4 5 6 7 e1 9 1 10 11 12 13 1 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR Ill FURNACE ILI GENERATOR GRILLE INFRARED HEATER I I <ion LABORATORY COCKS MAKEUP UR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER — ..__.__ -----T TO EW C4j ANFIANK INSURANCE COVERAGE I have a cument liability insurance policy or its substantial equivalent which meats the requirements of MGL.Ch.142 YES am ❑ I F YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW UABILITY INSURANCE POLICY 2 OTHER TYPE INDEMNITY E3 BOND El 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 applicationsy ivea this requirement CHECK ONE ONLY: OWNER [] AGENT F-1 SIGNATURE OF OWNER OR AGENT I hereby car6ry Met all of the details and Infomuaon I have Match eed or entered regarding this application an hue and accurate so the best of my knowledge and that all plumNrg work and installations Performed under Me permit issued for this application will be In csrnpllenca wit 11 Ped'mant provision of me Massacbusens State Plumbing Coda end Chapter 142 of the General Lewd. "L,.-G/.. ��''�a5 / PLUMBFJ21iASFTTTER NAME NATHAN COLLINS LICENSE% 3124LP SIGNATURE MP[:] MGF❑ JP[] JGF❑ Ui CORPORATION[:]# PARTNERSHIP❑% LLC❑%= COMPANY NAMEJ FUEL SERVICES ADDRESSI 95 MAIN ST CITY I SOUTH HADLEY 1 STATE®ZIP 01075 TEL 41353235W FAX 413532-0052 1 CELLEfdAIL NATE FUELSERVICES.BIZ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yea No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT7Y PLAN REVIEW NOTES �i NZ