43-079 41 DUNPHY DR BP-2017-1021
GIS g: COMMONWEALTH OF MASSACHUSETTS
Map:Block:43 -079 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:TEMPORARY TRAILER BUILDING PERMIT
Permit# BP-2017-1021
Project# JS-2017-001761
Est. Cost:$16000.00
Fee: $144.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: AMERICAN MOBILE HOMES INC 057291
Lot Size(so. ft.): 15376.68 Owner: KLEKOTKA KAREN J
Zoning: Applicant: AMERICAN MOBILE HOMES INC
AT: 41 DUNPHY DR
Applicant Address: Phone: Insurance:
51 '_MORE RD (781) 331-0333 WC
EAST WEYMOUTHMA02189 ISSUED ON:3/13/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:TEMP MOBILE HOME DUE TO FIRE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspectorof Wiring �7 D.P.W. Building Inspector
Underground: Service: > - s)-C, -1 / Meter:
/ Footings:
z/',
Rough:3 Rough: House# Foundation:
` Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 3— 2_0176‘uwi 0 lis
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES ANDIL IONSdr_
11//
Certificate of Occupancy Signature: AA') A4 4
FeeTvne: Date Paid: Amount:
Building 3/13/2017 0:00:00 $144.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBINGPP-n-
WORK2q:io
7 —�� MA. DATE 3 - l ^ / 7 o i" P fl- J1R
_=�`' y CI i Y /Jd 1L1��1��� PERMIT#
't'...':; JOBSITE ADDRESS L/( a),JPh i 4 4( OWNERS NAME kA-124 `J`'LfkGiA.4
POWNER ADDRESS - TEL q(3`397"S8 '1 FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALa,
PRINT -- Ntw:0 KENUVAI ION:❑ kENLACLMEN I:0 PLANS SUBMITTED: M NO I-
CLEARLY
I FIXTURES 7. FLOOR BSMT 1 1 2 3 4 5 I 6 l 7
BATHTUB
CROSS CONNECTION DEVICE 1
DEDICATED SPECIAL WASTE SYS I I
DEDICATED GAS/OIL/SAND SYS
DEDICATED GREASE SYS I 1
DEDICATD GRAY WATER SYS I I
DEDICATED WATER RECYCLE SYS I ;r� I� 11 „„ E r
DRINKING FOUNTAIN I I---;;\, 1� Lv� i�� U
DISHWASHER
FOOD DISPOSER
FLOOR!AREA DRAIN �; MAR 162017 . .)1-)
INTERCEPTOR(INTERIOR) • I '
KITCHEN SINK I
LAVATORY I E'-cir:: niurnt,ing&G:;s'rs^,ections
ROOF DRAIN -- ...._`•:.._r._ -"_h`'_1- '..---
SHOWER STALL I
SERVICE/MOP SINK
TOILET
URINAL I
WASHING MACHINE CONNECTION I I ,
WATER HEATER ALL TYPES I
WATER PIPING I
OTHER G
�,rrfPGAAtf/v(41,vy
774,4444.."1, 4.1-/÷TVZ •1' s I _..
it?/D!<vY INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes A—No 0
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY - OTHER TYPE OF INDEMNITY 0 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 BOX ONLY: OWNER D AGENT 0
Signature of Owner or Owner's 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 NAME IGG- u //-- CU.vSG�.(tic SIGNATURE ''r
LIC n A ICJ MP 0 JP 0 CORPORATION 0# PARTNERSHIP 0# LLC ❑
COMPANY NAME CO"mss 04-€"'I . ?L"t""/ 1'6'1-6-ADDRESS: L t / S " '' 1L
CITY S 0 UTb/Cc/(Ct< STATE rt' ZIP 0 (a 7 7EMAIL
TEL CELL 'D -6'0'/ 0 I FAX
4%d7 vac G
41 DUNPHY DR EP-2017-0789
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 43
Lot 079 ELECTRICAL PERMIT
Permit; Electrical
Category: 100 AMP TEMP POWER SERVICE TO TEMP TRAILER
Permit a Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001761
Est.Cost: Contractor: License:
Fee: $65.00 BWP ELECTRIC INC Master 15088A
Owner: KLEKOTKA KAREN J
Applicant: BWP ELECTRIC INC
AT: 41 DUNPHY DR
Applicant Address Phone Insurance
127 Morgan St (413)467-7221 C- Liability, 6800977B63517
GRANBY MA01033 ISSUED ON:3/16/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:
100 AMP TEMP POWER SERVICE TO TEMP TRAILER
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions "Ip.+t6 etr4A - Le Q., Nd -/7-/710'
Rough
Special Instructions:
Final:
SIRE Called Di: a 3-7 (t LI R II C 3 - ao - / 7 CLP",
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 3/16/2017 0:00:00 3386
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo