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18C-182 4 UNITS ani- *A - C tca Sins . 68 HATFIELD ST 4R BP-2017-0158 GIS#: COMMONW 9LTH OF MASSACHUSETTS Map:Block: 18C- 182 CITY OF NORTHAMPTON Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New townhouses BUILDING PERMIT Permit# BP-2017-0158 Project# JS-2017-000254 Est. Cost: $392000.00 Fee: $985.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: L P AUDETTE BUILDERS INC 021237 Lot Size(sq. ft.): Owner: L P AUDETTE BUILDERS INC Zoning: Applicant: L P AUDETTE BUILDERS INC AT: 68 HATFIELD ST 4R Applicant Address: Phone: Insurance: 717 NORTHAMPTON ST UNIT 60 (413) 539-7381 O Workers Compensation HOLYOKEMA01040 ISSUED ON:9/22/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY DUPLEX TOWNHOUSE DECK/PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector o Plumbing Inspector of Wiring D.P.W. Building Inspector u rg % i`� 5t—r 3112l�8 1)tsccAbSco- Underg oun Service: �r Meter: f , �� Footings: oK i3(i8kte K. Rough: t�f/J//�� Rough: ` ,✓ House# Foundation: �( t� KS 2"k �" Driveway Final: G��"l�'� Final: 9/� 9•• Final:Ai-,..2. 11 Rough Frame:o « 1 2Q��,.� I 71 b it-C Gas: Fire Department Fireplace/Chimney: Rough: W/Vier Oil: Insulation:,;b_. 1 1-2C -, ,'c. Final: /g A Smoke: Final: i--Oni.E012, y 1V'Iq 4'labliwalliL or 17-4614 r �' S1141 THIS PERMIT ✓IAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. lo-oWo / / Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/22/2016 0:00:00 $985.60 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Ittx The Commonwealth of Massachusetts I City of Northampton ,; of Occup ancy Certificate anc .fp y In accordance with 780 CMR, Section R110 (The Eighth Edition of the Massachusetts Residential Building Code) this Temporary Certtificate of Occupancy is issued to the premise or structure or part thereof as herein identified. Identify Name of Building of Space Within, Building Owner, or Permit Holder Certificate No. Issued to L P Audette Builders Inc. BP-2017-0158 Identify property address including street number, name, city or town and county Located at 68A Hatfield St. Northampton, Hampshire, Massachusetts Use Group Classification(s) Two Family Dwelling This Temporary Certificate of Occupancy is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Use Two Family Dwelling All fire protection and life safety systems must be maintaines, and all means of egress must be kept clear Name of Municipal Date of Final Map/Plot: Building Official Kevin Ross Inspection 04/10/2019 Signature of Municipal % Date of 18C-182 Building Official Issuance 04/10/2019 Home Energy Rating Certificate Rating Date: 2019-04-03 Cilli".' Final Report Registry ID: 144224106 POW•, ii,i:,: Ekotrope ID: VdG1n602 .Fa�,YL, �ri.I I r HERS® Index Score: Annual Savings Home: Your home's HERS score is a relative ?$ Hatfield St $2 0 i Northampton,MA 01060 performance score. The lower the number, 5 the more energy efficient the barns.To , Builder: learn more,visit www.hersindex.com *Relative to an average L.S.home LP. Audette Builders Your Home's Estimated Energy Use: This home meets or exceeds the Use [MBtuj Annual Cost criteria of the following: Heating 33.0 $984 2009 International Energy Conservation Code Cooling 0.0 $0 Hot Water 9.2 $275 Lights/Appliances 20.1 $840 Service Charges $0 Generation (e.g.Solar) 0.0 $0 Total: 62,3 $2,099 HERS Index Home Feature Summary: Rating Completed by: 416, Mart Energy Home Type: Duplex,single unit Energy Rater.David Gagne 1w Model: N/A RESNET ID:7013322 En tit ni in Community: N?A Plorrter Rating Company:Power House Energy Consulting =an Conditioned Floor Area: 2,055 sq.ft. 479 West St Suite 105,Amherst.MA xiu Number of Bedrooms: 2 Reference. 7A0 ROMP. Primary Heating System: Furnace•Propane•96 AFUE MI 40 Primary Cooling System: N_A Rating Provider:Energy Raters of Massachusetts `` ��;e, is ,, Primary Water Heating: Water Heater•Propane•0.97 Energy Factor 2 Woodlawn Street Amesbury,MA 01913 . INI 978-270-3911 'w7' ��ini _ House Tightness: 711 CFMSO(252 ACH50;1 :. MI Ventilation: 53.0 CFM•6.6 Watts 40 MOW* Duct Leakage to Outside: 0 CFM25(0!100 s.f.)io a ro Above Grade Walls: R-19 Zero Ener /VNIL inalif\1? F0Ceiling: Attic,R-52 Z - - - 4O4orneo Window Type: U-Value:0.3,SHGC:0.5 Lao David Gagne,Certified Energy Rater MAIM t,43j NEW, Foundation Walls: R-13 Digitally signed:4/8/19 at 1:31 PM ek"'" v Ekotrope RATER-Versiors:3.1,77148 The Home Energy Rating Standard Disclosure for this house is available from the rating provider This •.s does not constitute a warran or•uarantee. 68 HATFIELD ST 4R EP-2017-0222 70 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lot: 182 ELECTRICAL PERMIT Permit: Electrical Category: WIRE CONDO DEVELOPMENT 4-DUPLEX BLDGS,2 GARAGES Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-000254 Est.Cost: Contractor: License: Fee: $1180.00 BEN'S ELECTRICAL SERVICE Master 12981A Owner: L P AUDETTE BUILDERS INC Applicant: BEN'S ELECTRICAL SERVICE AT: 68 HATFIELD ST 4R Applicant Address Phone Insurance 63 North Loudville Road (413) 527-3760 C-(413) 531-0617 Liability, MPT54344 NORTHAMPTON MA01062 ISSUED ON:9/9/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE CONDO DEVELOPMENT 4-DUPLEX BLDGS, 2 GARAGES Call In Date: , Date Reequested Inspection Date/SignOff: Reinspect?: _ Trench/UG: /0 -/O - 7Gf}'N Special Instructions / -3 - /1 7o Go P„- Vo L.5vx (0 4 - /'.3 I -15 G-'ThC, Rough 7 l - A 1- a ��.�le -(4_ 7v1 - 4 + d 70 AA' (1'.2416- x (ag - A * /)' as-/c., Rie Special Instructions:�l A /� 1 Final: 7 - /\ 4- B 7 - /'�"F 6 70 - A 4 0 ►-4' ` 3 13-i7 It ' //� ,. SRE Called In: �Ji.b - /4 + a 74, ro-�►-i� ; c/ G 229cpa.FraI c,e, '0 4 I 1 Signature: Fee Type:: Amount: DatePaid Electrical $1180.00 9/9/2016 0:00:00 5792 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo S cc - tg _ohs- • 1 �-- 'T '; D L o 68 HATFIELD ST 4R EP-2018-0744 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lot: 182 ELECTRICAL PERMIT Permit: Electrical Category: 68A-SECURITY,FIRE&LOW VOLTAGE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-000254 Est.Cost: Contractor: License: Fee: $50.00 SECURITY AND FIRE INTEGRATIONS Security System Contractor 285C Owner: L P AUDETTE BUILDERS INC Applicant: SECURITY AND FIRE INTEGRATIONS AT: 68 HATFIELD ST 4R Applicant Address Phone Insurance 73 GUNN ROAD (413) 203-2008 C- Liability, 51g1m13501-181 SOUTHAMPTON MA01073 ISSUED ON:3/23/2018 0:00:00 TO PERFORM THE FOLLOWING WORK: 68A - SECURITY, FIRE & LOW VOLTAGE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough x Special Instructions: n Final: - 2 " /9 SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $50.00 3/23/2018 0:00:00 1185 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 68 HATFIELD ST4-4--6EP-2018-0634 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 18C Lot: 182 ELECTRICAL PERMIT Permit: Electrical Category: 68 HATFIELD A&B-WIRING FOR DUPLEX AND DETACHED GARAGE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-000254 Est.Cost: Contractor: License: Fee: $275.00 JAMES MAILLOUX ELECTRICMasterA16187 Owner: L P AUDETTE BUILDERS INC Applicant: JAMES MAILLOUX ELECTRIC AT: 68 HATFIELD ST 4R Applicant Address Phone Insurance 221 PINE ST SUITE 160 (413) 585-1592 C-(413) 563-4654 Liability, MPTO721Q FLORENCE MA01062 ISSUED ON:2/13/2018 0:00:00 TO PERFORM THE FOLLOWING WORK: 68 HATFIELD A&B - WIRING FOR DUPLEX AND DETACHED GARAGE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions Rough 6 3 4°1 "/b 62Q-- •3-/ SS x Special Instructions: Final: � �'�� i P be-• 4* Li. 9- SRE Called In: 22962874 3 ' .1 Y `6 " ", Signature: Fee Type:: Amount: _ DatePaid Electrical $275.00 2/13/2018 0:00:00 11916 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo (1//tte// ///� ` 47c o� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r.�ctiift= `:-s aid CITY NORTHAMPTON MA DATE 4/4/2Q19 .1 PERMIT# JOBSITE ADDRESS 68A HATFIELD STREET OWNER'S NAME LP AUDETTE BUILDERS, INC GOWNER ADDRESS 68A HATFIELD STREET TEL 413-539-7381 FAX! TYPE OR OCCUPANCY TYPE COMMERCIALS EDUCATIONAL [] RESIDENTIAL; ,] # PRINT CLEARLY NEW:2i1 RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED: YES Li NOS APPLIANCES 1 FLOORS--. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER 1CO �„ DIREK CT VOVE E HEATER > 1111111 l_i1 ��'1` ,_Ul-411 ��1�����Ith��DRYER ;1 1,1 r4m�IIH,.I��_1!► �1 �# �11li�1�1�� FURNACE 1111111 ' 140.11111 II ?i � � I} '�� , GRILLE � 11 INFRARED HEATER � i nnto.gn .L . ; . , } LABORATORY COCKS MAKEUP AIR UNIT ;I � I 11111111 . i POOL HEATER I. ROOM/SPACE HEATER ROOF TOP UNIT 1 i i TEST UNIT HEATER �' �" UNVENTED ROOM HEATER i i �j A A To ;I WATER HEATER VC 11 OTHER j ;M L_. , ' FINAL CONNECT Tp. 'il�'I , PROPANE TANK INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ( NO [1] I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [X OTHER TYPE INDEMNITY U 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 n AGENT U t 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 compliancecompli?ncettrkall Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. (21§, PLUMBER-GASFITTER NAME NATHAN COLLINS LICENSE# 3124LP SIGNATURE MP El MGF 0 JP EQ JGF© LPG!IN CORPORATION J# PARTNERSHIP:3# LLC❑# COMPANY NAME: FUEL SERVICES ADDRESS 95 MAIN ST CITY SOUTH HADLEY STATE MA ZIP 01075 TEL 413-532-3500 FAX 413-532-0052 CELL EMAIL NATE@FUELSERVICES.BIZ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES - =0 pp - 4 -- -- In th ' /u2 - L g o v MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK _��;= � +!CITY N� 2ad�tk1'rzc=' MA DATE //- i 7- 0-0/7 PERMIT# Po ?Y--) ..,... JOBSITE ADDRESS (1 Nit icA-o SS' du+r' i4 OWNER'S NAME CJd-C/-4-/ 01,1z.rasc POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL D EDUCATIONAL ❑ RESIDENTIAL O— RIENT CLEARLY NEW:[ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO❑ FIXTURES 1 FLOOR 8SM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB . CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSiEM : PLUMBING : GAS INSP TOR DEDICATED GASIOIUSAND SYSTEM N•R a .. M•TON DEDICATED GREASE SYSTEM •' • - • : NOT APP.' •VW DEDICAI UU GRAY WATER SYSTEM j �� DEDICATED WATER RECYCLE SYSTEM , DISHWASHER • DRINKING FOUNTAIN n FOOD DISPOSER EIS t Z I_ U it FLOOR!AREA DRAIN !I1 j INTERCEPTOR(INTERIOR) KITCHEN SINK Ov 2 7 al LAVATORY 14_ 1) ROOF DRAIN 1 SHOWER STALL _ . 8 In.... do - j SERVICE/MOP SINK ' ItATI L. MA O10 0 i_ TOILET I I. 1 URINAL r i - } , WASHING MACHINE CONNECTION I ! i_ l•' - U �� WATER HEATER ALL TYPES ' 1 WATER PIPING , C~ OTHER oiie....c u I ihu AN 6 2018 I , mai _ . . : a In INSURANCE COVERAGE: Northern'ton,MA 01. s have a current liability insurance policy or its substantial equivalent which meets the requ P . • IF YOU CHECKED YES,PLEASE INMATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY a OTHER TYPE OF 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 coq pliiance'wt h ail fnent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ��'(� r V PLUMBER'S NAME S 04(4144- LICENSE# ' SIGNATURE MP 0 JP❑ COfORATION[ 3`l3' _ PARTNERSHIP 0# f.LC 0# COMPANY NAME C RtG4ia- fWh-n 3v 5 4- ax'} 6 ADDRESS i;° rS<. ;6- CITY XfSrid rlkPruJ STATE A "l ZIP O r 6 Z.7 TEL V iS- .ZG 8817 CI FAX CELL EMAIL 1 //bd'/7 U.�d o/c 7/ir/' F #0-c/ei'l ir'i c� r .J 4:)i ±.3r11 ZAr> 4 1.:,".8NW. 4 w)TgMAHTHON O3 vO+Q9ge TO 4 03YOA9'IA ii t F .-1 Q • fll i e11411) M}tf t 8 '~ :_.,; �� V i { 11 1014, Ai 0)V.Ilet I-1(9 SLK MASSACIIUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK c(71 s 1' h , CITY -T77414 MA DATE(!/ • 2 -Zo i c�PERMIT# C�P -AlJl� JOBSITE ADDRESSI 6 el 6''4 -''CyZ. tit 4 rt.0-13 S OWNER'S NAME —_ �rf Q�C�fi F4u`JT�I71� t1 OWNER ADDRESS __ .._. _.. _._ .�.__.._ I TEll_ FAXI 1 TYPE OR OCCUPANCY TYPE COMMERCIAL D EDUCATIONAL RESIDENTIAL[�i_ PRINT f CLEARLY NEW:' RENOVATION:[ REPLACEMENT:(A PLANS SUBMITTED: YES❑ NOD APPLIANCES 1 FLOORS-, BSM 0 2 3 0© 6 0 8 9 10 m®®n BOILER 111111 MS_ �M.,� � _I. Nis In BOOSTER �I (, 1 _._ :NM I MIUMMIIIIIIII.1111Miii CONVERSION-BURNER Ilia RE! k' 1 1 I IHIIIIIHIIIIIIII COOK STOVE i , DIRECT VENT HEATER MI I I`" M��jrj����'�-x��.�� :Rill ;, '' DRYER _ ' I" I1 , , I 1 ts >..1 iree-,-"--114-0- I __ FIREPLACE I !a , --. imih'MN FRYOLATOR 1111.111111, h JIM INEM am nom,iiiillI NIMIIIIMIN FURNACE ME - ii I 11 111111111W MINI Mk 111111111111M11111111M1 GENERATOR Min= ` ---1 I _ ■01_ GRILLE �l f I INFRARED HEATER 1 - I f I LABORATORY COCKS I f _-a_ I I1 , ;.�_I .I MAKEUP AIR UNIT I . f 1- I OVEN I I i' • I J ) ! i I POOL HEATER •RRRRUBBRRUU 1511OROOM/SPACE HEATER ROOF TOP UNIT i1P!�l1111 !! iil_ 11��i*MIK TEST i ' )�' ` �, '��R3 . .UNIT HEATER UNVENTED ROOM HEATER _ I` 1 I I 4. N• 1 t WATER HEATER I i -1 I _ ;_® OTHER _ f I ifi I 'l I� VENT) RQQMHEATER ` . .�. a• I I I 1 I� �' MINI NMI NMI HEATER RANGE I _ ._. li 1+ E i an GAS PIPING I 1 i !i I i' h lei______I . ---1 I i ! � � ��� INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES L0 11 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ET. OTHER TYPE INDEMNITY Li BOND LI 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 I I AGENT I I 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 compfco with all Pert' nt provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. \ i . PLUMBER-GASFITTER NAME[..._ 7T e—rl+e[.i�•� - - _. LICENSE#fr i7 i )t c SIGNATURE MP I +-}'"MGF I I JP LI JGF I I LPGI I1 CORPORATION Rill'9�C—1 PARTNERSHIP[J# LLC[ ]# I COMPANY NAME: rte._,A C. Zc.4.,44r u 6 ADDRESS 15344( 365 1 CITY I Fps 0,140 t I?i V,`-/ STATE .?ZIP O(O Z TEL 1-//3-(?G-(7-0`?e FAX CELL EMAIL_ Ccb ire. 04K4.44 -?t( Co wr ,07/// z g r,v ✓ av g vf 9-e oho y o o,6 tea!-G,c^-'--z* T' `U9 �?'1 v ;'tom e._ L�»�% � ��-» ' ��/��� � Qt K8ASSACH0SETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK � �� CRY Northampton MA DATEL��.d8 PER�|T# o ~ ` --- -----1 - | J������ �A��� �� {��G�� i��d� | ��o �~ OVVNERADDRESS |2OMOn�m�Gt8o�he�xwnM�01U0/ . TEL 41�53�7381 8FAX> Y TYPE OR OCCUPANCY TYPE COMMERCIAL[ | EDUCATIONAL F-1 REG|OENTIALE] PRINT CLEARLY NEW: RENOVATION:| | REPLACEMENT: PLANS SUBMITTED: YE8F] NO| | FIXTURES-1 FLOOR- aam 1 x o 4 o o 7 u o 10 11 iu m 1* BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAG8}UGANDSYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM �---� - ` - - DEDICATED WATER RECYCLE SYSTEM ' ' '� U "� DISHWASHER - -'-DRINKING FOUNTAIN ' ' PA ' FOOD DISPOSER ` FLOOR/AREA DRAIN ' INTERCEPTOR(INTERIOR) KITCHEN SINK ROOF DRAIN SHOWER STALL LLJ __ _ . � SERV�E/WOP0NK �[�- -i_- �� ����8���N�@�� K�� . TOILET L 1 3 ^ r= URINAL / n ( | o | ����� j ^ ---� �i WASHING MACHINE CONNECTION 1 ,WATER HEATER ALL TYPES | � '''^ G / �`^^'' ���R | --9-- -- . '�---- '| ' - ' �L UHSJURANCECOVERAGE: |have u current liability insurance policy mits substantial equivalent which meets the requirements of MGL Ch.142. YES NOU IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY FA OTHER TYPE 0F INDEMNITY F-1 BONDr-1 OWNER'S INSURANCE WAIVER: |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 LJ r-` AGENT | | SIGNATURE UF OWNER ORAGENT /hereby certify that all m the details and information| have submitted o,entered regardingthis application are true and accurate to the best o,myknmwouge and that all plumbing work and installations performed under the permit issued for this application%dll be |s|unmthe Massachusetts State Plumbing Code and Chapter 14om the General Laws. PLUMBER'S NAME|8ARYSTAHELSK| MP1-'l JP�� ' CORPORATION' ,, # 361 .0 �PARTNERSH|P/ /# LLCF�# 1 __ ' ` _ _-' _� �_ . COMPANYNAME| EVVSPLUMB�G&HEAONG. |NC� ' ADDRE88 33OMA�STREET- CITY ' �� � ' � � — - _ ---' - ---1 MD�O STATE �p 0W� TEL � |�~�&� . . � - -- _-= | ' FAX 41��87��%3 CELLF- EMAIL| [ | WSPH@o�OMC"°"'^"E. ' ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT PLAN REVIEW NOTES a- -4- 67 r �� r swn -r f�' :?''��c�/16i / 'r n0/ >/tit,_ (77 rJj e#r`/ 6/89 Cat7d',-( o 5(77 Y 3W/ 9(YrYs T 4c(S r c7 (4/6 `� MIASSACHUSETTS UNIFORM APPUCATI FOR A PERMIT TO PERFORM PLUMBING WORK -= 6,= 0 ( 7 : - ITO PERMIT'° po--tg- age = CITY ,t_r�N'`f� MA DATE //—/7-?.o i`7 #- JOBSITE ADDRESS ji "fill-- is-c0 _SD, !"�`r _ OWNER'S NAME CM d U -C /4 orrrr. POWNER ADDRESS _ TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW:© RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1 FLOOR-0 BSM 1 2 3 4 5 5 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS I EMl DEDICATED GAS1OIUSAND SYSTEM Iw i L'-�, � I M-- t �I DEDICATED GREASE SYSTEM! DEDICAI EU GRAY WATER SYSTEM MEI 111'If111■11■•'11tl11 DEDICATED WATER RECYCLE SYSTEM 191 1!RIT 1WZ Ei I L7/1I� DISHWASHER m A � DRINKING FOUNTAINmil FOOD DISPOSER MIiI1 • FLOOR f AREA DRAIN •ortha A 010,0 INTERCEPTOR(INTERIOR) h - KITCHEN SINK iW I LAVATORY ROOF DRAIN .all SERVICE ICE ATOP SINK WER STALL :1 011 •00 TOILET MR*MULW !tr i, M�■El WASHING MACHINE CONNECTION 1 I O� WATER HEATER ALL TYPES t R ' S S P CT''R WATER PIPING Orli - •TO OTHER ffia OT : PP'© D INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MIGL Ch.142. YES[tom NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW L iASII ITY INSURANCE POLICY [g- OTHER'TYPE OF lNRE NITY Tfi soci° LI 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 tinder the permit issued for this application HdII be in with aN Pertinent provi ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ti4 C NAME Cry'' '� Cl C� LICENSE# SIGNATURE MP 0 JP❑ CORPORATION 0# PARTNERSHIP❑��# LLC 0# r✓ COMPANY NAME Cai�.it t���a ADDRESS /O Lox c3//- 5— CITY STATE / '4 ZIP 0/0,d," TEL 4 ' O FAX CELL EMAIL , t .w 4 VP ‘ t.-,? ;.r1 t : ,:i ,.,-.... .....i...,..,) I • I oN I ..... -- ...-...........--..-. . . ti‘lt i.,: yj It..i:.,!)r t..!•, i,. • I;e r!Itt z r irt t, ..,,etitetiatzeticz 379/e Ck't Cfc- 1 Sq Lt 0 14 qO,°9 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' "__ , �- PP—6- 5s-0, is CITY I Northampton MA DATE 3/21/18 1PERMIT# JOBSITE ADDRESS 68 B Hatfield St I OWNER'S NAME Laity Audette 1 POWNER ADDRESS 1205 Orchard St.Beichertown,MA 01007 I TELi413-539-7381 1FAX I I TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL El PRINT CLEARLY NEW:11 v 1 RENOVATION:I1 REPLACEMENT:r 1 PLANS SUBMITTED: YES❑ Non FIXTURES 1 FLOOR-+ 1 BSM 1 2 3 4 5 6 1 7 8 9 10 11 12 13 I 14 BATHTUB r ._ tr.. __ -,,------,I, I yr I d, i CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM r (� j J. DEDICATED GAS/OIUSAND SYSTEM -V DEDICATED GREASE SYSTEM 1 a r 111111 r•----- -' --- DEDICATED GRAY WATER SYSTEM 1 r� ,f______i- 411 DEDICATED WATER RECYCLE SYSTEM _ } _73-z-_�:... l- �.` �p� - • i DISHWASHER 1 ' ' � DRINKING FOUNTAIN militim ;I Y FOOD DISPOSER i 1 Emu a . FLOOR/AREA DRAIN ,_____ ___ r- _._ IINM' lial INTERCEPTOR(INTERIOR) � �� ! � r �( � s � KITCHEN SINK 1 t LAVATORY 2 14 , `--- ROOF DRAIN SHOWER STALL 1 J SERVICE/MOP SINK F • TOILET 3 t _ ' la '! 1N. PE a • - l .. I` URINAL f-.-�_. .� r._—;�.... _�._,, ` �w` A • I - , r . - - l-► II,' 1 1 .f— WASHING MACHINE CONNECTION (_ 1 � ,r N�'7�-�P�P�F� � WATER HEATER ALL TYPES r 1_ Il WATER PIPING __ 3 OTHER ___. J - - INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Li! NO n IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY r�i OTHER TYPE OF INDEMNITY n BOND f7 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 L_.i AGENT I 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 c iance with P rtin nt pr isio of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. • PLUMBER'S NAME!GARY STAHELSKIv i LICENSE# 9621 —1 /if SIGNATURE MP[Li JP❑ CORPORATION H#0 2617C PARTNERSHIP❑# I LLC❑# I COMPANY NAME'EWS PLUMBING&HEATING,INC. 1 ADDRESS 339 MAIN STREET i CITY MONSON 'STATE MA 1 ZIP E57 j TEL r 413-267-8983 I FAX 413-267-4523 I CELL I EMAIL EWSPH@COMCAST.NET ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yea No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ 71/4/P kf 1rd# /eiwa ` FEE: $ PERMIT# Y PLAN REVIEW NOTES 4 _ • -110 Laid �l vc° iiIT n MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK ti.7•0 f. CITY .t/or1ryc�crvfP�'a�` �._,._ -_ � MA DATE `/y--�/.._Z�; �7 PERMIT# l�'l" -iQ-�gV c JOBSITE ADDRESS 67 4 f`('%7`e'c J) 5•%= �-1OWNER'S NAME Li? /4 vim.: -rr_ ci �G rr _ o C OWNER ADDRESS TEL FAX ] N TXkLU! OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIAL- PRINT eLEARL3K--NEW:13- RENOVATION:❑ REPLACEMENT:[ PLANS SUBMITTED: YES NOD APPLIANCES' FLOORS-4 I sSfn 1 1 2 l 3 1 `1 1 1 5 1 s ] 7 ,V 1 11V11 IL 1 13 1 APPLIANCES ♦ 11 BOILER ! ,• BOOSTER I [ IIR ANIII . i_ - CONVERSION BURNER - .i l l • !�! COOK STOVE DIRECT VENT HEATER f IJ -) se I DRYER 1. 1 1_;, ' FIREPLACE - � � �.�. 1 � ! .1 � . , FRYOLATOR I. 1_ U _�! i. ( 1,, ' FURNACE - GENERATOR �--I. I��, I, I GRILLE i I!!!T191111C. • Mir' I INFRARED HEATER l _ I _ _ I� I 1= LABORATORY COCKS 1_ -1 - � 'I �- MAKEUP AIR UNIT - 1 lilt A'' /O.' . - .✓ i OVEN POOL HEATER i L - - fiallin R--- - ROOM/SPACE HEATER 1 ;; ,s g 4,110,,ct,o . I 1 ROOF TOP UNIT ��_ 7,c��ly NI,r ar, on •,ago win,,... TEST !1 MI R UNIT VENTE R �'�`—�-� I-1r 1_.__ f I j UNVENTED ROOM HEATER I - -R‘ WATER-IEATER ., L -- I_.. ... 1 OTHER HEATER ,` ,I . 1 S 7 VENTED ROOM HEATER ___ I____ I� � ill . GAS PIPING - -.. - -- _! 1 1 i. -•- INSURANCE COVERAGE I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES FNO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 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 compliajicp with all Pertine ovislon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. \)'0-41 1.4,[ A'<-4-4-2- PLUMBER-GASFITTER NAME Sart O(e C/kr- LICENSE# l08`7 SIGNATURE MP E 1MGF❑ JP❑ JGF❑ LPG!❑ CORPORATION®#[39ss.e_ I PARTNERSHIP Oil LLC❑#I COMPANY NAME: 61e_ca,c.- `�cuvr.r.4.56 ` ADDRESS', ` &.c< , 5"- CITY f1,,r-K‘it14p-r-€,J STATE 4tvi ZIP 6 its z? TEL `/I -GEC, z� i'c_ FAX CELL EMAIL $Lb -r to CKCJ(c-P#( e d 1 W �1 j}e f i