13-099 (10) 96 COLES MEADOW RD BP-2021-1551
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 13 -099 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: gas fireplace BUILDING PERMIT
Permit# BP-2021-1551
Project# JS-2021-002575
Est. Cost: $6773.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CORY MCGILL DBA DONE RIGHT CHIMNEY SERVICES
107658
Lot Size(sq. ft.): 80411.76 Owner: CHAFFEE RUFUS J&JOAN L
Zoning: Applicant: CORY MCGILL DBA DONE RIGHT CHIMNEY SERVICES
AT: 96 COLES MEADOW RD
Applicant Address: Phone: Insurance:
PO BOX 1054 (413) 340-1399
WILLIAMSBURGMA01096 ISSUED ON:6/29/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:BUILD GAS FIREPLACE WITH SURROUNDING
HEARTH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
n p Rough Frame: 0 AZ 7-6• .s X./�
Gas: Fire Department Fir cpiace/Chiinney: 0•k. q-$-Z 1 /l a.
9 2/
Rough: ---vfi Oil: Insulation:
Smoke: Final: 0 l` Ct-8-2.) V 2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE U TIONS.
•
Certificate of Geebeafrey / Signature:
FeeType: Date Paid: Amount:
Building 6/29/2021 0:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
96 COLES MEADOW RD EP-2022-0011
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 13
Lot:099 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE GAS FIREPLACE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002575
Est.Cost: Contractor: License:
Fee: $35.00 DARYL SPRINGMAN Journeyman E40340
Owner: CHAFFEE RUFUS J & JOAN L
Applicant: DARYL SPRINGMAN
AT.• 96 COLES MEADOW RD
Applicant Address Phone Insurance
140 PNE ST ROOM 22 (413) 268-8289 C-(413) 348-6047
FLORENCE MA01062 ISSUED ON:7/7/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE GAS FIREPLACE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final: 7 - ( - Q9 i QP--N
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $35.00 7/7/2021 0:00:00 95
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
ck'$32y 4L
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
arrr—
'_ CITY iorthamptort I MA DATE 7/02/2021 PERMIT#G-20Z2 .000 Lf
JOBSITE ADDRESS 96 coles meadow rd 'OWNER'S NAME Rufus and Joan Chafee
1, ,L1 j� r— OWN�ADDRESS same TEL 413-478-0760 IFAX
TYI'EOR
ANT _J OCC trA\ICY TYPE COMMERCIAL❑ EDUCATIONAL❑ RESIDENTIAL El
pltARLIP NEW RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
F OCRS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE X
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN F' UM !NU • G • IN PE, OR
POOL HEATER N AM ON
ROOM I SPACE HEATER A PRI VE. N IT A l-'H Vt
ROOF TOP UNIT • % I
TEST
UNIT HEATER
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 Q NO ❑
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0 OTHER TYPE INDEMNITY ❑ BOND 0
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 n ovision of the
Massachusetts State Plumbing Critic.and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME Benjamin West LICENSE# 16024 I SIG ATURE
MP 0 MGF❑ JP❑ JGF 0 LPG!❑ CORPORATION❑# PARTNERSHIP❑# Lc❑#
COMPANY NAME:Water Heaters America ADDRESS 97 main st
CITY Haydenville STATE ma ZIP 01039 TEL 413-923-1441
FAX CELL 413-923-1441 EMAIL benwest2010@hotmail.com
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