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16B-037 (2) Nick &85te 5aact MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 97 ch '_ CITY 1-414, +fit � tA DATE 70 he, PERMIT �P- 11"t1 JOBSITE ADDRESS circ‘ 1 er`v\ ?sited- OWNER'S NAME astir OWNER ADDRESS SHO nff& f_ F 0yelYee TEL 37'!— c1 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL l EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:N. RENOVATION.❑ REPLACEMENT:Li PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1 FLOOR-r asna 1 © 1 4 5 6 7 8 10 ® 12 13 14 BATHTUB ASS CROSS CONNECTION DEVICE I I `� DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM .; DEDICATED GREASE SYSTEM ,,�r� DEDICATED GRAY WATER SYSTEM i ' -Vit., it 71 j r DEDICATED WATER RECYCLECSYSTEM l F 1 ... _. � Ir l DISHWASHER f - - _ DRINKING FOUNTAIN _,�� �r FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR �.� .. .�... .y.._� 1KITCHEN SINK . LAVATORY ROOF DRAIN l ��¢¢������ SHOWER STAB � ' _-Y - ' S SERVICE/MOPSINK I - a rr TOILET „i URINAL I ice/ al �I WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER �. INSURANCE COVERAGE: I have a current liability 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 M OTHER TYPE OF INDEMNITY LJ BOND IT 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 0 AGENT 0 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 Plufmbing Code and Chapter 142 of the General Laws. - PLUMBER'SNAMEI -{ft-MPS , CobecY. LICENSE#Iwo'?o SIGNATURE Y� MPM1 JP❑ CORPORATION(L-gdl .3(0� PARTNERSHIP❑# JLLC❑# COMPANY NAME �UY7flf;(i ADDRESS a3 Teyets CITY/ /(/ %\M. �rm jSTATE IM4 ZIPS 01O(,0 TEL fy1 ,) "rih.?r6-6sot) FAX --0_ 4210ELL EMAIL L-i S t e-0004.11 ern i r (Ora _CrZ row 1-71 e/A2/2 aide.."7 -ow/ -sec �-Pi / �/A.-v��fi _ado "-'/ // / 6? /.w/ �J2� 1 e afzeid_a.errAv' S /ID • _ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 6 .T q CITY �Thket tOt MA DATE iojt'7 I/.4., }PERMIT# (aR1 'Y18Z f - JOBSITE ADDRESS it V vv giccel- OWNER'S NAME ,J[4 �rtsdrocr1ikt,Z I G OWNER ADDRESS 4n OA_k L Fm'Over TEL 371(-a.7.87*7 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 17 RESIDENTIAL/] PRINT CLEARLY NEW:[ RENOVATION:_ REPLACEMENT:G1 PLANS SUBMITTED: YES NOn APPLIANCES 1 FLOORS-. BSM 1 2 3 4 5 6 7 8 g 10 11 12 13 14 BOILER ..� I BOOSTER r I T 1-_.l_ i _-. CONVERSION (� .:.,j I _ ERSION BURNER , �� r -�'r —[ OI • 1 '7..� COOK STOVE i I _.. _[ I _�e I L _ DIRECT VENT HEATER r - - . ( r [ DRYER r .. W V I _ I , [ • r - FIREPLACE ... i —.._.1 --r I-iL I_-i r - FRYOLATOR FURNACE I J' _ J I_ �aiw.si_„ GENERATOR l GRILLE f I r r- r 1- INFRARED HEATER } seer ,__� 1 �,._ �,.. LABORATORY COCKS I , ' MAKEUP AIR UNIT � Tuui__ - OVEN ` I POOL HEATER t_ L _ ` °' i-i ROOM I SPACE HEATER [ ti.,�1_ I „ 4 r ROOF TOP UNIT _4,_ 1 ,. 4__.r—J - _ i —ir TEST _ r I [ _C /I _ I UNIT HEATER (- _ t j�___r ---1 UNVENTED ROOM HEATER • IP- � WATER HEATER I �_ } "I--r — _ -l'-- OTHER i ( Irr I- r INSURANCE COVERAGE I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL,Ch.142 YES [ NO n I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE SY CHECKINGTHE APPROPRIATE BOX BELOW LIA$ILITY INSURANCE POLICY [ OTHER TYPE INDEMNITY 0 BOND L 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 0 SIGNATURE OF OWNER OR AGENT I hereby certify that ail of the details and rforme`son t 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 pro.4sion of the Massachusetts State PWmbing(We and Chapter 142 of the General Laws. 1111116 It PLUMBER-GASFITTER NAME F,'t.,,r q - [> 1 LICENSE#'t, , ,,r SIGNATURE MP gl MGF[J JP L JGF LPGI Lt CORPORATION .X[# a.3 6 6c PARTNERSHIP DP }LLC[J# ) p' COMPANY NAME .},A e` Q; ✓ , —1 ADDRESS a S \ CX#- AA S !+.pid, I CITY j .lfj .,�,a,,,,.r 1tt�� _ i STATE L/1/} }ZIP (?Mn&o TEL 5'-$6- (, Coo FAX} b-77-001/>1. CELL 1 _JEMAIL JS j. (Leeseve,2 r 1 ,1001 e t efr/2 r,, s -nee/ 4609 %wrCPM/ -,r 1-uv' " p-fl -11 i/'aft yu,- rsa ye/ 7,(N7 3 V77'161;1 /6 z7/' CA- a7Va), 3 y5. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY /DJ WeL ( IJ J. MA DATE� "3a�/6 PERMIT if 61 JOBSITE ADDRESS 97 /-ear) ,�/ - OWNERS NAME OQ GOWNER ADDRESS TEL 19-,6?5- FAX F TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: / RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES 1 FLOORS- BSN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR - I ?fIf GRILLE INFRARED HEATER ieac of 3w,L; LABORATORY COCKSJi_ ___ ' .,a:;-L.4a.vs MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER PLU BING&GAS INSPECTOR ROOF TOP UNIT AMPTON I TEST _ _ - NO-APP�I✓C7 UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER -11C-irI INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES / NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT • SIGNATURE OF OWNER OR AG ENT • I hereby certify that all of and information have dsubmitted ientered,regardingg ic$_.application are true and accurate the best my y otwleand dge that all plumbine Pok and installationsperformedunderthe permit issued r hs application l bin compliance with all Pertinent p pv 9r or the _ Massz.husetls State Plumbing Code and Chapter IG2of the General Lass fLy'1-gyp1 ?LIMBER GASFIT ER NAME ALFRED HGEORGE LICENSE 3605 I IATURE MP MGF . JP JGF LPGI CORPORAT-ON L Il -30G PARTNERSH IF + LLC COMPANY NAME. GEORGE PROPANE. INC. ADDRESS 3 BERKSHIRE TRAIL WEST. PO BOX 102 • ' CIT" GOSHEN STATE MA ZiP 01032-0102 TEL 413-268-8360 FAX W3-268-0206 CELL EMAIL mgeorge"mgeargepropane.corc ROUGH GAS INSPECTION NOTES THIS PACE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ 0 FEE: $ PERMIT# lZ/• �l/ 4ren/li__ �� PLAN REVIEW NOTES 98 FERN ST EP-2017-0214 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 16b Lot:068 ELECTRICAL PERMIT Permit: Electrical Category: ELECTRICAL SERVICE FOR NEW SFH Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project JS-2017-000351 Est.Cost: Contractor: License: Fee: 3250.00 MARNEY ELECTRICAL SERVICES Master 17123A Owner: MONTGOMERY JESSE Applicant: MARNEY ELECTRICAL SERVICES AT: 98 FERN ST Applicant Address Phone Insurance 175 MAIN ST (413) 584-0737 C-(413) 535-8905 Liability, BKS55761053 LEEDS MA01053 ISSUED ON:9/7/2016 0:00:00 7(0 TO PERFORM THE FOLLOWING WORK: ELECTRICAL SERVICE FOR NEW SFH Call In Date: n te�rro,�,^� D//ate Requested Inspection Date/SignOff: Reinspect?: Trench/LIG: 9 Trench G: —9 '/4 QUueH'1 Special Instructions x Rough //— 9'-/ RP", Special Instructions: Final: 7.' /7- /'7 Qrm (Si'. rip 22 SRE Called In: 22521834 t ' / L RP - 7- ( c e Signature: Fee Type:: Amount: DatePaid Electrical 5250.00 9/7/2016 0:00:00 7408 212 Main Street,Phone(413)587-1244, Fax(413)587-1272- Inspector of Wires -Roser Malo • The Commonwealth of Massachusetts /at V Ut�'s / City of Northampton Certificate 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 JESSE MONTGOMERY Permit" BP-2016-1522 Identify property address including street number, name, city or town and county Located at 98 FERN STREET Northampton, MA 01060 Use Group Classification(s) Single Family Residential 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 hr 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 Name of Municipal Date of Final Map/Plot: Building Official Kyle J. Scott Inspection Date 166-037 02/24/2017 Signature of Municipal ,/ Date of Building Official \i7( Yll 4 Issuance suanceDate Map 2/24/2017 Lot 98 Fern St 168-068 • BP-2016-1522 GIS#: " : 2111. VEALTH OF MASSACHUSETTS Map:Block: 16B-037 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-2016-1522 Project# JS-2016-002592 Est.Cost:$200000.0.0 Fee:$1265.90 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JESSE MONTGOMERY Lot Size(sg. ft.l: 13547.16 Owner: Jesse Mongomery Zoning:URB(100)/ Applicant: JESSE MONTGOMERY AT: 98 Fern St 166-068 Applicant Address: Phone: Insurance: 40 OAK ST (413) 585-8482 FLORENCEMA01062 ISSUED O11:8/16/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: New Single Family 4 bedrm, 2 1/2 bath, 2 car attached, 1985 sqft POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: 1 Footings: Rough: Rough://, 9- House# Foundation: �p 7 Driveway Final: Final: ' �f� a 7 Final: / 4;?% �` t�- J Rough Fr qe: IQ ©r /�► Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulat'onv/ 1/'' es- ,�o �r6� Final:2 ?iy L7 Smoke: S D 21�1 I0 Final: 3. et11 17 f‘K5 ,a'&__ *et 0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGU TIONS. Certificate of Occupancy YYP Signature: 4444" 149 ‘"?..,0-tA.,(1-- FeeType: Date Paid: Amount: Building 8/16/2016 0:00:00 $1265.90 212 Main Street,Phone(413)587.1240, Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner e "z.2-4,1.r /7,/ / b /,/ / / cz.c??- Lim 14' .5.r2d/Qr S-4,0 1Z*- 2 1 bi--71 ,-// "27 oma• �►