23A-059 (7) • 55 MAPLE ST BP-2017-1176
GIs 4: COMMONWEALTH OF MASSACHUSETTS
Mau:Block:23A-059 CITY OF NORTHAMPTON
Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categov�New Single Family House BUILDING PERMIT
Permit 9 BP-2017-1176
Protect» JS-2017-001980
Est.Cost: $190000.00
Fee: 5575.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group BRANDON J BOUCIAS 80979
Lot Size(sp.ft.): 11020.68 Owner: TAUER JONATHAN S&SARAH T BURNHAM
Zoning: URB(100)! Applicant: BRANDON J BOUCIAS
AT: 55 MAPLE ST
Applicant Address: Phone. Insurance:
P O BOX 1001 (413) 625-2467 WC
BUCKLANDMA01338 ISSUED ON.&20/2017 0.00:00
TO PERFORM THE FOLLOWING WORK. NEW SINGLE FAMILY HOUSE Foundation and
shell
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Budding Inspector
Underground: Service: Meter:
Footings:
Rough;'C/f7 Rough:/( f� 1.y House it Foundation:
Driveway Final:
Final: �/� Final:
` Rough Frame: Q
Gas: Fire Department Fireplace/Chimney:
Rough:/a/�(g'/ O_I: Insulation: ? ii�3�17 1-1�
Final: Smoke: Final: Otto T.17GlIp'
THIS PERMIT MAY BE REVD BY THE CITY OF NORTHAAMPT��- UPON VIOL/ATION OF
ANY OF ITS RULES ANREGULATIONS.
Certificate of OccuoancDDl (sl/' G ,lt sieoature:
FeeTvpe: Date Paid: Amount:
Building 721/20170:00:00 5575.00
Louis Hasbrouck—Building Commissioner
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,Q� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING
`�WORK
CITY Northampton MA DATE 8/8117 _ PERMIT# PfiO-1S-U-Ii
JOBSITE ADDRESS 55 Maple Street Fluence OWNER'S NAME Jonathan Tatter&Sarah Burnham
POWNER ADDRESS same ITEL�FAX�
TYPE OR OCCUPANCYTYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALD
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1 FLOOR— BSN 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/01L/SAND SYSTEM
DEDICATED GREASE SYSTEM --
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER OF
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN —
INTERCEPTOR INTERIOR) seaweed seemed
KITCHEN SINK 1 — "--
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES 1
WATER PIPING 1
OTHER
INSURANCE COVERAGE:
I have a current liabilityinsurance 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❑' OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the irtsurence 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
I hereby certify that all of the details and iMamation I have submitted!or entered mgarling this applicalion are true and accurate to the best of my kn Medga
antl that all plumbing work and installations pedomred under Me permit issuetl for this aWlicatlon volt be in compliance with all Pertinent provision of the
Massachuselta State Plumbing Code and Chapter 142 of Me General Laws.
PLUMBER'S NAME Kevin SPunnton LICENSE# 15295 � I A7URE
MPQ JP❑ CORPORATION❑# PARTNERSHIP❑# LLC❑#�
COMPANY NAME I Amid C Punnton Plumbing&Heafing ADDRESS 1 4 Clesson Brook Road
CITY I Chademont STATE F Ma ZIP F01339 TEL 413E25$194
FAX 413625-8353 CELL 413834-7358 I EMAIL I mkitsim le aol.com
a3-A - vs-�11
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY Northampton MA DALE 10t16/17 PERMIT# (Q
(� JOBSITE ADDRESS 55 Maple Street OWNER'S NAME Brandon Boudas
V OWNER ADDRESS PO Box 1001 Buckland Me 01338 TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
APPLIANCES I FLOORS- esM 2 a a 5 E; T e v m 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE1. ,_ _
DIRECT VENT HEATER = - ;t -
DRYER
FIREPLACE i-
FRYOLATOR
FURNACE
GENERATOR --
GR)ll.E
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN - -POOL HEATER
ROOM t SPACE HEATER
ROOF TOP UNIT
TEST i ,... _....
UNIT BEATER
UNVENTED ROOM HEATER -- - '
WATER HEATER _
Few& 04
OTHER
INSURANCE COVERAGE
I have a current lialably nsurance 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
iTANKiTY INSURANCE POLICY I OTHER TYPE INDEMNITY SEND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts Deal Laws,and that my signature on this penrct application waives this requirement.
_ CHECKONEONLY: OWNER AGENT
SIGNATURE OF OWNER OR AGENT
There-by eedey that all of the details and infortnation I have submitted or entered regarding this applicapon are Ire and accurate to the best of my knowledge
and that all plumhing wak and inataaadons periormed under tnc permit sauedtor the application will be a cdatman ith all Pertinent my n of tica
Massachusetts State PWmbmg Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME Kevin S.Purinton LICENSE# 15295 t ATURE
MP , MGT JP JGF- -PGI CORPORATION :# PARTNERSHIP # LLC #
COMPANY NAME:.Arnold C.Pudnton Pumbing&Hall ADDRESS 4 Gleason Brook Road
CITY Gttadonwnt STATE Me ZIP 01339 TEL 413625-8194
FAX 413 625.8353 CELL 413834-7358 EMAIL mkitsimpha@aol.com
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK j
CITY Firrf'ei,i{l.vy} I •M.A DATE a/s-116 PERMIT#�Y _
JOBSITE ADDRESSS5 5 i�9K51./-. OWNER'SNAME jLJygra J1zr t --ra''Pr-
GOWNER ADDRESS TEL L411;i—S-A:1—d56l
TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL G'"—
PRINT
CLEARLY NEW: V/
RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
APPLIANCES-1 FLOORS esM 1 2 3 4 s T67 [ 8 s to t1 1213 to
BOILER
BOOSTER
CONVERSION BURNER I
COOKSTOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR _
FURNACE
GENERATOR
GRILLE
INFRARED HEATER i
LABORATORY COCKS _
MAKEUP AIR UNIT
OVEN
POOL HEATER „
ROOM I SPACE HEATER Dal t a
ROOF TOP UNIT nam ton,
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER
It`d INSURANCECOVERAGE
I have a current liabilify insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ,11NO j
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY ✓ OTHER TYPE INDEMNITY BOND j
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
I herebyreMfy lhetall of lhedetalls aMlnlo+meDon l have Lmited ex dNeretl r1p1d.19 tia all are treand ar,ume tUthe EiWsToTmy 4nowlett,
and that all plumbing work and installations Pentormed.mete.permfisc✓ad,ar ere ;5yrca[In 1 be'o come arx'a 'Ibail Fen pant I rano=the
Massachusetts State Plumbmg Code and Chapter 142 of the Gene al Lawa � ) 7_ I �Cr
PLUMBER-GASFITTER NAME ALFRED H. GEORGE LICENSE, 3809 i 1 ATtRE
MP SJG� +'BJP JOE I CORPORATION ✓^J 1300 PARTNERSHIP 4 LLC d
COMPANYNAME'. GEORGE PROPANE.INC. ADDRESS 38ERKSHIRETRAILWEST. PO BOX'02
CITY GOSHEN STATE MA ZIP 011132-0102 TEL 413268-8365
j FAX 4'3-2690206 CELL EMAIL mgaarge@ysorgweo aneu-1re