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48-008 (4) "\AorO of Larry Eldridge <leidridge@northa mptonma.g ov> 189 Drury Lane Marotta,Jeannine<marotto@hartfcrd.edu> Wed, Mar 28. 2018 at 12:56 PM To. "Leldridge@northamptonma.gov" <Leldridge@northamptonma.gov> Good afternoon Larry, Our plumber. Mark S Downy, is no longer working on our home. The permit has been taken out in his name and his company, MSD plumbing. Thank you Marotto,Jeannine <marotto@hartford.edu> Wed, Apr 4, 2018 at 8:20 AM To "Leldridge@northamptonma.gov" <Leldridge@northamptonma.gov> Good morning Larry, Our plumber, Mark 5 Downy, is no longer working on our home. The permit for gas piping has been taken out in his name and business, MSD plumbing. Will you please respond with an attachment of the permits that were taken out for both plumbing and electric?We need these for our Insurance carrier. Thankyou Larry Eldridge <leldridge@northamptonma.gov> Wed, Apr 4, 2018 at 9:20 AM To. Meghan Cahill <mcahill@northamptonma.gov> OWNER SHEET LOT ADDRESS /$g " L,gnC -7r APPLICANT TEL. ZONE ADDRESS DATE OF APPLICATION TE FEE PLAN ruCU C- <1 /v lg (j,-1- 160 BUILDING PERMIT ISSUED DATE FEE PLAN CITY OF NORTHAMPTON FINAL APPROVAL BY DATE BUILDING INSPECTORS l 189 DRURY LN EP-2017-1091 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 48 Lot 008 ELECTRICAL PERMIT Permit Electrical Category: WIRE NEW SEPTIC PUMP PermitP Electrical PERMISSION IS HEREBY GRANTED TO. Project# JS-2017-002237 Est,Cost: Contractor. License: Fee: $35,00 DANIELAYOUNG Journeyman Electrician 107286 Owner: CRESCIONE SAMUEL S & THERESA M TRUSTEES Applicant DANIEL A YOUNG AT. 189 DRURY LN Applicant Address Phone Insurance 208 RESERVOIR RD (413) 315-0606 C- WESTHAMPTON MA01027 ISSUED ORS6128120I70:00:00 TO PERFORM THE FOLLOWING WORK: WIRE NEW SEPTIC PUMP Call In Date, D.w R I d inspection D t /S' Off. Reinspect?: TrenchNGe Special lnstrucfions x Rough X Special l nstrucfi�oonsnn:�� Final_( SIZE Called In: Signature: Fee Type:: Amount DatePaid Electrical $35.00 6/28/2017 0:00:00 602438016 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 189 DRURY LN EP-2018-0334 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 48 Lot:008 ELECTRICAL PERMIT Pe<rnit: Electrical Category: 100 AMP OVERHEAD SERVICE CHANGE Permita Electrical PERMISSION IS HEREBY GRANTED TO: Project JS-2018-000464 Ea Cost Contractor: License: Fee: $60.00 ALEXANDER BIELUNIS Master A8653 Owner: MAROTTO WILLIAM & JEANINE Applicant: ALEXANDER BIELUNIS AT: 189 DRURY LN Applicant Address Phone Insurance 8 SEQUOIA DR (413) 562-2988 () C-(413) 204-3762 Liability, MPB4272S HOLYOKE MA01040 ISSLIEDON.•11/3/10170:00:00 TO PERFORM THE FOLLOWING WORK. 100 AMP OVERHEAD SERVICE CHANGE Call In Date Hine Remnsted inspeefion D t /S'a Off• R ' c?: Trench/UG: Special lnetrucfions X Roueh x Spial lnstructwra' Final: SRE CWlled In: 24910195 J1- (o - 17 I/ Sienature: Fee Tuve:: Amount: D t P 'd Electrical $60.00 11/3/20170:00:00 2087 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo kAP q3-ova y D x air a $a MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY{- /+G2� �f P��1 MA DATE��T / PERMIT#�_ JOBSITE ADDRESS —Z�— �yJ— - OWNERS NAME� / P OWNER ADDRESS [f a Wj TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW.171 RENOVATION:U REPLACEMENT:Q PLANSSUBMITTED: YES[] NO[Cy FUOURES I FLOOR— esu 1 2 s s s e r e s 1g 11 t2 T-13-T 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER - - — DRINKING FOUNTAIN FOOD DISPOSER r FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK - LAVATORYM Nis" ROOF DRAIN SHOWER STALL SERVICE/MOP SINK - TOILET - URINAL WASHINGMACHINECONNECTION WATER HEATER ALL TYPES - -' - '-- RATE—PIPING - OTHER INSURANCE COVERAGE: I have a current liability insurance policy or Na substantial equivalent which meets the requirements of MGL Ch.142. YES[g NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[X OTHER TYPE OF INDEMNITY BONDQ 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 L]SIGNATURE OF OWNER OR AGENT I hereby caNly .I." of the defies and information I have submitted or entered regarding this application are Yue and--late to the beat of my knowledge and install plurrom,work and installations perfomned under the permit issued for this application will be in MPI wind all Pertinent provision of the Massachusetts Stale Plumbing Code and Chapter 142 of the Generel Laws. �� tirov� PLUMBER'S NAME�_� >l�ylpy --LICENSE#® GNATURE MP❑ JPyk, CORPORATION❑# ppRTNERSHIP❑# LLCQ#I F I COMPANYNAME j ADDRESS Of 74 CITY1_&227Ci I STATEJ� ZIP ® TEL FAX CELL ,5 A'7 C EMAIL Cosy./f E i 0 z z 0 v d N z e z i❑ � m a w s s 3 w a N � i a � o W a 9 V J d Q N N W S W H LL W f O Z z 0 6 N C: Z C 5 A 0 N a 2 (lei .Q, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYL! p 7{74M P Zo�1 � MA DATE / / PERMIT# 8- JOBSITEADDRESS OWNER'SNAME ,Il /ncRoT7o POWNERADDRESS AMt TEL 60 X093 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL F-1 EDUCATIONAL D RESIDENTIAL®' PRINT CLEARLY NEW:I--] RENOVATION:L] REPLACEMENT:L] PLANS SUBMITTED: YES❑ NO[] FIXTURES FLOOR- 139A 1 2 3 4 1 5 6 ] 8 g 1D 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE - DEDICATED SPECIAL WASTE SYSTEM T— - -- DEDICATED GAS/OIUSAND SYSTEM -- -- DEDICATED GREASE SYSTEM — DEDICATED GRAY WATER SYSTEM - DEDICATED WATER RECYCLE SYSTEM DISHWASHER - DRINKINGFOUNTAIN �, r--- -- --FOOD DISPOSER DISPOSER — - --- FLOORIAREADRAIN - — INTERCEPTOR INTERIOR r--- Kill SINK _ - --- -- LAVATORY - - — ROOF DRAIN SHOWERSTALL - — SERVICE IMOP SINK - - --" -' TOILET r -_ URINAL — — — WASHING MACHINE CONNECTION WATER HEATER ALL TYPES - WATER PIPING -' OTHER '— r INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESNO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY a OTHER TYPE OF INDEMNITY L] 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 1-1 ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of Ma detaib andinformation 1 have subminetl or entered regarding this applicaecn are lme and a to the best of m e and that all Plumbing work and installations pedomwd under the permit issued for this application willceincomplier PagimintP vial of the Massachusetts State Plumbing Code am Chapter 142 of the General Laws. / PLUMBER'S NAME /17 (d?YL LICENSE#® SIGNATURE MP❑ JPa _ CORPORATION❑#PARTNERSHIP❑# -1-C 0# COMPANY NAME _ /r�M��'��ADDRESS CTTY 247vcs& P —]STATE® ZIP TELOa- FAX CELL S o EMAIL 0 Z 0 F U L m Z .d a z o� z Y m❑ Z O � v F w O W n s Z m C w C O i a o y a U J LL LL Q a N W 2 W 4 U1 W O �a Z l: F � 4s L Z � J � z n E i of U O C It Le = $ % " MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Q q CITYi�a��-�u�- Rx �455 MA DATE jy"PERMIT#yIJ� . JOBSITEADDRESSILjtff_ Ae —IOWNER'S NAME ff'// 4V01?Qo79,.,,,.._= GOWNERADDRESS _ 07e ®� JTE FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONALRESIDENTIAL V PRINT CLEARLY NEW:❑ RENOVATION: REPLACEMENT:L,, PLANS SUBMITTED: YES,.,. NO t/ APPLIANCES? FLOORS BSM t 1 2 1 a 4 s ea s to n 72 75 1.4 BOILER - .- __ _ _ BOOSTER —.__... CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR _ FURNACE GENERATOR _ _ GRILLE INFRARED HEATER LABORATORY COCKS MAKEUPAIRUNIT r OVEN i POOL HEATER b i in a . I .echo ROOM(SPACE HEATER � __ N'tnz nr __T_! ROOF TOP UNIT --- TEST � _-._-- BIW I , UNIT HEATER UNVENTED ROOM HEATER NO MHAM NIS'PECT WATER HEATER _ 7 _ _ + -_-�— �1PPRO - T`APPROVER -- - f t OTHER INSURANCE COVERAGE I have a current liability insurance policy orits substantial equivalent which meets the requirements of MGL Ch.142 YES L�O I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE SY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY '',_t4OTHER 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 Maaaachusembe General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT El SIGNATURE OF OWNER OR AGENT I hereby canny that all of the tlemas and Inbrmation I have subminad or intend regarding the application are true and accurele to the best Of my knowledge Man NM all plumbing work and installationsCodedhapten d antler theneral issued for this application will ae in complia wkh all Penin vision of me and a t all plumbing s State work aing Code and Chapter 762 under General Lava. PLUMBER-GASFITTER NAME #74ek 55. DOW/74 I LICENSE# 6? —SIGNATURE � MP❑ MGF❑ JPE�rJGF❑ LPGI❑ CORPORATION❑# ]PARTNERSHIP❑#r LLC❑#= COMPANYNAME: p7C0 Gn ,ice jADORESS Q 7060 east CITY C STATE®ZIP®TEL 11-?'/ -._S FAX CELLS M 2 EMAIL car i MLPsr. C q F 0 z z 0 F V 6 h z e z o -❑ W r � c a � 0 lot � %b ixar a a V z a a � a a F i a » N W 2 W F LL O O VVV h n T.