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42-091 (5) 206 GLENDALE RD BP-2017-0853 sj+s#: COMMONWEALTH OF MASSACHUSETTS a a_:61gck:42-091 CITY OF NORTHAMPTON LLkv- 0i_ PLRJ:lNS CONTRACTING WITH UNREGISTERED CONTRACTORS / Permit: Building DC NOT HAVE ACCESS TO THE GUARANTY FUND (MGL, c.142A) lateeU. ';Vew Ii g'e t 1_r It House BUILDING PERMIT Permit# BP-2017-0853 Pmi z a _JS-2017-00.1431 Fst. :,$]SOAKAAG Fee'SI Uac PERMISSION'IS HEREBY GRANTER TO. Cqqq&iAKL Contractor: License: Ls_'e Group_ Homeowner as COntraGtor '_y Size(su R1. 33018.4Q OWner: ANDREW WRIGHT ronin&. Applicant: ANDREW WRIGHT AT. 206 GLENDALE RD Applicant Address: Phone: Insurance: 231 SOUTHAMPTON RD _ (413)69. 5-549.5_ WESTHAMPTONMA ISSUED ON:1123120170:00:00 TO PERFORM THE FOLLOWING WORK.-DEMO EXISTING BUILDING, BUILD NEW SFHOUSE ;1OST THIS CART)SO IT IS VISIBLE FROM THE STREET inspector of Plumbing Inspector otWiring D.P.W. Building lnspecta, Underground: / Service: j Meter: Footings: ,V / Rough: �jj # n�TRhK�krr � Driseway Final: -3 — 13-R-P4rO T(/^ Final: Final: �- �qj- �- Rough Frame: &k,5 G'' Nx,-5 Gas: Fire u t Fireplace/CHird'neyi " � 1—zS- tY ,t/ Rough: t Oil, Insulation: Final://ZZ�� p S_�a Final: 6112. ! fZ-(r/1 J THIS PERMIT MAMA"Y BE REVOKED BY THE C tTY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULA'T'IONS. -� Certificate of Occu anc .1'/� �� `� Signature: FeeTvoe: Date Paid: Amount: Building 1/23/20170:00110 $130300 212 Main Strut,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner l a � 0 4y t w N 7� ^_ `A w i _ a N Q N s G t J a Gr, R O v d 4 � to iA N a p G VA bb fd CI 4 3 N J ~ i v U 3 N N � O• N N Y a n i a h G i '6 �" V :^ aF � OC ✓ G a4b MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUM13INGGIWOR�K�^- CITY r'-t c.. MA DATE PERMIT# E/� XI 1^L�t-J JOBSITEADDRESS Jen G.Ic ('d OWNERS NAME^- h . (Y 4-/ 4�f(cd h ) P OWNER ADDRESS Sov�ti G r TEL olw� TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL C} RESIDENTIAL PRINT CLEARLY NEW:�R' RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOEl FIXTURES 7 FL R- BSM 1 2 3 4 5 fi 7 8 9 10 11 12 13 14 BATHTUB f CROSS CONNECTION DEVICE WDISPOSERI ED SPECIAL WASTE SYSTEMED GASIOIUSAND SYSTEMED GREASE SYSTEMED GRAY WATER SYSTEMED WATER_RECYCLE SYSTEMHERG FOUNTAINSPOSERAREA DRAIN _ INTERCEPTOR{INTERIOR . KITCHEN SINK -- - LAVATORY ROOF DRAIN SHOWER STALL SERVICEIMOPSINK TOILET URINAL WASHING MACHINE CONNECTION I WATER HEATER ALL TYPES WATER PIPING IF OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which nreeis 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 16 OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee doesant have the Insurance coverage required by Chapter 142 of the y 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 ae of the doss ant ins pert rr I have r the permit entered regarding the on vnifaben are true antl sent e e the bast of my knowledge and that all plumbing work and installations perfoonad under the perrnit issued for this application will be in complialttpj sent edinent provisi n of the Massachusetts State Plumbing Cade and Chapter 142 of the General Laws. PLUMBER'S NAME c, 4Jc; LICENSE# ^ha Ci `- j// SIGNATURE MP❑ JPP] CORPORATION❑#=PARTNERSHIP❑# LLC❑#h— COMPANY NAME EU r rr� r �ADDRESS 3 ! Som J-1 w kft r �sTATEIFV,-- ZIP � TELT -(95'- J-V4l FAX CELL EMAIL 4 � i C � o m O � m O o9 b _ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO PERFORM GAS/FITTING WORK ^� CITY MA DATE /a3- ( PERMIT# ISIRI�'L'I'IJ JOBSITE ADDRESS b c (- OWNER'S NAME G OWNER ADDRESS iL-'E53.L,. T a„ TE �F 4f cS'! { FAX u TYPE OR OCCUPANCY TYPE COMMERCIAL© EDUCATIONAL ❑ RESIDENTIALRI PRINT CLEARLY NEW:[$ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES I FLOORS- BOILER LOORS asM t 2 3 a s 6 e s ID n lz to to BOILER BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR - FURNACE GENERATOR - GRILLE INFRARED NEATER LABORATORY DOCKS - - - MAKEUPAIRUNIT OVEN - POOLHEATER ROOM I SPADE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER _ WATERH TER 0TH R 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 ❑ I OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Ghapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECKONEONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT I hereby minty that all of the defads and mmithatron I have submitted or erneretl rue rdirg this appscalion are true and accurate to the beat of my knowledge and that all plumbing work and inste Nation performed under the permit issued for this applimtion will be in campGence a0 PemhiudpELvsmn of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTERNAME LSP c''� 47` LICENSER 3r75 / IGNATURi MP❑ MGF❑ JP 0 .IGF❑ LPGI❑ CORPORATION[]S�PARTNERSHIP Q#�—LLC 0#F COMPANY NAME' ..�r L .ft t�a'� I ADDRESS � a t.,.-& n,, CITY (,Jr LH� STATEZIP��TEL ` / — gf" 'S�'G/ ( FAX�._.J CELL[--=EMAIL -�/ �'—� y N 2 N N x \ O O N N � � � A a ,. � � � y A �1 q Y W y cn b � O \ �Z N �o Y G g ry a T C2 � A +fin Og O O� � .� J/ \ �� --'/�/ n a x 0 N /,. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 1 CITven''/� PERMc9 JOBBERS ADDRESS Akv G//Ni(/� l�il- OWNERS NAME A'�fw GOWNER ADDRESS TEL����p`7�" FAIX TY PE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL V' PRINT CLE 4RL1, NEW: ✓ RENOVATION: REPLACEMENT'. PLANS SUBMITTED: YES NO APPLIANCES 7 FLOORS— BSM 1 2 3 1 4 6 6 1 l 8 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUPAIR UNIT _ ' OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST : UNITHEATER r UNVENTED ROOM HEATER Wj ATER HEA�TER - OTHER 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 CR AGENT _ _ _ h by l:N Nat it or the 0 taAs tr Tr ahaohm h t r le d eg a y lI r, t r, r 1 c at 1 P" 1 r',uye and arsthat c, al Alun tate woRanh Code andsraplar'ad e der etGe permit e4 or lFsap,i a Ib T:o it nra ii, ,It 1 = P"as. Pe 'A sa husetls State Plumbing Code � hapler`4u r 1.e General Lz P_UMBER-GASFITTER NAME ALFRED F. GEORGE BENS,-- 330@ SI, ATIj R MP MGF JP JGF LPGI RPCRP.TI^L, 30C rARTNErES' to �ANYNAMc GEORGE PROPANE INC. h CQF9S 2BERIC IR R4IL'R SOX'0? CITY GOSHEN ., .14 __ 2o283bv FAX 4 :3-268-0206 CE-1 El IALnheo,gec�,y r -. pr ,poreccn �'_ ---, ,i""'� �, � � � � ; , , , \ � r ; , ��, � ��, � z �, � � , � � `, ,� � � � � � \ �;= � ��, ��� � � � \ � \ \ \ w � � � �, �, �% � � � ; \ � � A � � � � ��� �� =a � \ � � � ` � � � � � � � � � � � � � � �\ r a '� �� � � \ � �_ `I W � � � 1 � � � �� i � ��i � Q � � � � � ������ � �� 1 M W � � V � l ��� V � 1 �� � � �. \ �, �� J � d , , �,, � , �� ,,, N `` Y\ 206 GLENDALE RD EP-2017-0919 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 42 Lot 091 ELECTRICAL PERMIT Permit Electrical Category: WIRE NEW HOOSE AND SERVICE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2017-001431 Est.Cost: Contractor: License: Fee: $200.00 G M GRAVES ELECTRICAL SERVICE Master Al 3614 Owner: ANDREW WRIGHT Applicant: G M GRAVES ELECTRICAL SERVICE AT. 206 GLENDALE RD Applicant Address Phone Insurance 174 EAST ST (413) 773-1032 () C-(413)296-4334 Liability, CCP8080397 WILLIAMSBURG MA01096 ISSUED ON:511/20170:00:00 TO PERFORM THE FOLLOWING WORK: WIRE NEW HOUSE AND SERVICE Call In Date, Date Requested l fi D t /S' Ott R ' '� t q Trench/(1G: / ".2.0 - /7 6.ft"'x Special lnstrucfions X n Roush L X Special instructions: Final' -3- �,9 /`nn rte' SRE Called In: 23999695 )7 Si2enance: Fee Tsve:: Amount DatePaid Electrical $200.00 5/1/2017 0:00:00 837 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo