06-064 (24) MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY ( t Vv�'r CMS MA. DATE ��c2i& PERMIT*1 vp'!i-�'�
ri
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JOBSITE ADDRESS
1'Spi,,v/nr g('n_OIC I-co0 /rr7-tt/c OWNER'S NAME /CCt4er &ui 164/3
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL(�
PRINT
CLEARLY NEW:x RENOVATION:❑ REPLACEMENT:❑ FLANS SUBMITTED: YES/ NO 0
FIXTURES i FLOOR BSPIT1 2 3 [ 4 5 6 1 7 8 9 10 11 j 12 13 14
BATHTUB ( I i
/ I
CROSS CONNECTION DEVICE '
DEDICATED SPECIAL WASTE SYS
DEDICATED GAS/OIL/SAND SYS --
DEDICATED GREASE SYS
AECTIDEDICATE)GRAY WATER SYS - 1"— D
DEDICATED WATER RECYCLE SYS _ I r
DRINKING FOUNTAIN , —T ' I
DISHWASHER I
FOOD DISPOSER ____J r DEPT.C.=F,,_4:•,N,nu o v o6- rts4c�-
1
FLOOR/AREA DRAIN I I` 7Tttnr:FTO �,_,
INTERCEPTOR(INTERIOR)
KITCHEN SINK _ _
LAVATORY / 3 _ i .
ROOF DRAIN ! I, { i ,
SHOWER STALL a PLUMBING tx c(A5INSP CTOR
.1".- r—
SERVICE/MOP SINK _ r
TOILET //
URINAL i G'
WASHING MACHINE CONNECTION _ _ ' _ I
WATER HEATER ALL TYPES ' J -
WATER PIPING L (
OTHER i
1- i 1 h I I _______i
•
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MOL Ch.142. Yesp 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 0 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 Chap r 142 o e General Laws.
y�/V i �/ `
PLUMBER NAME 1 ` �rIC WQwIUtCJ`Ui,�j!-r% (� SIGNATURE �/"� .r
LIC# LAW MP 0 JP 0 CORPORATION 0# PARTNERSHIP 0# _LC 5r# -3G-9-_,S-
COMPANY
9-_.SCOMPANY NAME k pr Ss Q lvvv hl to_. P4 40."�'c` ' C MaCRESS: /?j I _rOp4- StStCITY 14Ci1 'c 1{�d STATE. !QJ zIP 0/6 3E EMAIL M..4.4-74/acu1s ll'IP/047f 5i lf'
TEL CELL FAX
t -
ROUGH PLUMBING INSPECTION NOTES TIIIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No —THIS APPLICATION SERVES AS THE PERMIT ❑ El
9/&9/ -6 c
3 %'✓ PERMIT# --- -
PLAN REVIEW NOTES
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7;S/74-7( r`'� ti
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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CITY: 6' \,/'ti-a Q,,� MA, DATE: �-'{tg PERMIT#G r- 1)"1 t t
JOBSITE ADDRESS: a , 2r Orgy`,, toce L0�-#/4TNER'S NAME: KP I-t-t r gli t/Olt ,i
GOWNER ADDRESS: TEL: FAX:
TYPE OR OCCUPANCY TYPE.: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:IZ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES 0 NO 0
APPLIANCESI FLOOR-+ ' Bsrnt 1 I 2 3 1 4 I 5 1 6 7 1 8 I 9 1 10 1 11 1 12 ; 13 I 14
BOILER II. 1 I 1
BOOSTERI i f { I
CONVERSION BURNER • I +� I I �
COOK STOVE ) _C Mf
DIRECT VENT HEATER 1
DRYER FIREPLACE I SEP21201IT
FRY0L4TOR t _
FURNACEDEOF eU!W G WIPE ?Vat
GENERATOR
` •. F{ i
J !
INFRARED HEATER
11
LABORATORY COCK {
• MAKEUP AIR UNIT A,UNID1I l0&GAS INb tC fa(
OVEN I N R ,MP
- TON
POOL HEATER. 4
" •--�r 1:0); t\flT PRO• 3e 4
ROOM/SPACE HEATER
ROOF TOP UNIT I / -1'
TEST /
UNIT HEATER
UNV&NTED ROOM HEATER -1 f, 1 ,
WATER HEATER _
I I _
111 I ! t , !
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 'PNO ❑
If you have checked YES,please indicate the type of coverage by checking the appropriate box below.
I 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 AGENT
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 eppIication will be in- fiance with ail Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 1 I
?LUMBER/GASFITTER NAIvIE:lo✓k 4�P0 /ot...A1-r LICENSE#1,8_a_ SIGNATURE
COMPANY NAME: P /eS S 6:A.4,45 ' rSoI41ADDRESS: I'')L P &5 S
CITY: STATE: I*
ZIP: Q1Lj FAX:
TEL: CELL:qIzj-{p 6?..2 -6,9— EMAIL:
MASTER❑ JOURNEYMAN 0 LP INSTALLER❑ CORPORATION 0# PARTNERSHIP 0#_ LLC Il# _
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
TI IIS APPLICAI ION SERVES AS THE PERMIT LJ 0
FEE: $ PERMIT li
A917 #94 t-sa%Z- PLAN REVIEW NOTES
YA/, —i..,.-,6r-C
2 BEAVER BROOK LOOP - LOT 15 EP-2017.0305
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 06
Lot:064 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW HOME
Permit a Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000507
Est.Cost: Contractor: License:
Fee: $200.00 CHENEVERT ELECTRIC INC Master 16972A
Owner: CARMODY BRAD & REISS VALERIE
Applicant: CHENEVERT ELECTRIC INC
AT: 2 BEAVER BROOK LOOP - LOT 15
Applicant Address Phone Insurance
16 FAIRVIEW ST (413) 883-5350 0 C-(413) 883-5350 Liability, BKS55679471
LUDLOW MA01056 ISSUED ON:10/4/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW HOME
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trenchd1G: AY C - IL Q20dmi
Special Instructions
Rough 1) - 3tl -/L 2P"�
x
Special Instructions:
Final: Li- alp - /? (ZPW
pit
SRI Called In: 228316I0 1f��77�rP 11I#/"�
Signature;
Fee Type:: Amount: DatePaid
Electrical S200.00 10/4/2016 0:00:00 8495
212 Main Street,Phone(413)587-1244,Fax 1413)587-1272-Inspector of Wires -Roger Malo
2 BEAVER BROOK LOOP - LOT 15 ER-2017-0550
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 06
Lot:064 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALL SECURITY SYSTEM
Permit Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000507
Est.Cost: Contractor: License:
Fee: $30.00 INDUSTRIAL RESIDENTIAL SECURITY Security System Contractor
285C
Owner: CARMODY BRAD & REISS VALERIE
Applicant: INDUSTRIAL RESIDENTIAL SECURITY
AT: 2 BEAVER BROOK LOOP - LOT 15
Applicant Address Phone Insurance
83 COLLEGE HGWY (413) 527-3353 C-(413) 527-0120 Liability, NN679131
SOUTHAMPTON MA01073 ISSUED ON:72/21/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALL SECURITY SYSTEM
Call In Date: Date Reouested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
Rough
Special Instructions: ) ^�
Final: q(- i
- 1 kr^
SRE Called In:
Sienature:
Fee Type:: Amount: DatePaid
Electrical $30.00 12/21/2016 0:00:00 15939
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
2 BEAVER BROOK LOOP EP-2017-0480
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 06
Lot 064 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE 13.34KW SOLAR ON ROOF
Permits Electrical
PERMISSION IS HEREBY GRANTED TO:
Project it JS-2017-001173
Esc Cost: Contractor: License:
Fee: $60.00 TRINITY SOLAR MASTER ELECTRICIAN 21233
Owner: CARMODY BRAD & REISS VALERIE
Applicant: TRINITY SOLAR
AT: 2 BEAVER BROOK LOOP
Applicant Address Phone Insurance
20 PATTERSON BROOK RD UNIT 10 C- Liability, EGGCC000065616
WEST WAREHAM MA02576 ISSUED ON:I I/28/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE 13.34KW SOLAR ON ROOF
Call In Date: Date Requested Inspection Date/SietiOff: Reinspect?:
Trench/LIC:
Special Instructions
Roueh 11^7- / L Orb,
Special Instructions: too
Final: /. - S ' FE
SEECaRcd In:
Signature:
Fee Tvpe:: Amount: DatePaid
Electrical $60.00 11/28/2016 0:00:00 2412
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
, " The Commonwealth of Massachusetts r
sit
�?• City of Northamptonr,i`� `c;* '
40
Tem . ora Certi icate o Occu r anc
in accordance with 780 CMR, (The 8th Edition of the Massachusetts State Building Code)
this Temporary Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Identifid Name of Building of Space Within Certificate No.
Issued to Permit
Keiter Builders BP-2017-0#304
Identify property address including street number, name, city or town and county .11.1.111
Located at _,.
2 Beaver Brook Loop
Leeds,MA 01053
Use Group
Classification(s) Single Family Residential 1111111111
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 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.
Temporary CO-issued for 21 Days of date listed below.
Conditions of Use
Name of Municipal Date of Final Map/Plot.
Building Official Kyle J. Scott Inspection Date: 06-064
I 1/2017
Signature of Municipal �� Date of
BuildingOfficial �i� Issuance Date 1d
' 04/21/2017 Lop
L
H . The Commonwealth of Massachusetts / ff A
Ai. City of Northampton ,e, 9:1 9.;
Certi icate o 0ccu s anc
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 Permit #
Keiter BuildersPermit
Identify property address including street number, name, city or town and county 1.111.11101
Located at 2 Beaver Brook Loop
Leeds, MA 01053
Use Group
Classification(s) Single Family Residential MON
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 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
Name of Municipal Date of Final Map/Plot
Building Official Kyle J. Scott Inspection Date: 06-064
05 1/2017
Signature of Municipal / _ Date of
Building Official / r Issuance Date Map
/r 05/11/2017 Lot