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44-135 (2)
1020 FLORENCE RD BP-2018-0260 GIs#: COMMONWEALTH OF MASSACHUSETTS Mam:Block:44- 135 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2018-0260 Project# JS-2018-000468 Est.Cost:$310000 00 Fee:$1462 0o PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CHARLES AMO 44171 Lot size(sa.ft.): 60330.60 Owner: BOMBARD ANTHONY Zoning, Applicant: CHARLES AMO AT.. 1020 FLORENCE RD Applicant Address: Phone. Insurance: P O BOX 716 (413)695-35000 GOSHENMA01032 ISSUED ON.912612017 0:00:00 TO PERFORM THE FOLLOWING WORK.NEW SINGLE FAMILY HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: � Footings: Rough: L A 7 Rough:/, / �. /� House# Foundation: / /L/ nDriveway Final: G /p/7q/7 Final: / Final: Rough Frame: Gas: JJ Fire Department Fireplace/Chimney: q Rough/7/� Oil: Insulati o: il //ZT/l 1 Final: 0kP2KOclltr 1 �uMFs GAkl THIS PERMI Y BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND29P-155_�Simature, Certificate of Occupancy FeeTYpe: Date Paid: Amount: Building 92620170:00:00 $1462.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 6 0 o MASSACHUSETTS UNIFORM APPLICATION OR A PERMIT TO PERFORM PLUp BINGOWORK �_ CITY O MA DATE I 2� PERMIT# P� t d - �7 LIJ t5, JOBSITE ADDRESS Fare OWNER'S NAME y1U1 LQ �; I�•I-et'S U ¢'� OWNER ADDRESS a TEL I -b = Sn° FAX ccLU LU 0c OCCUPANCYTYPE COMMERCIAL ED EDUCATIONAL ❑ RESIDENTIAL&I PRINT NEW:❑ RENOVATION:[] REPLACEMENT:❑ PLANS SUBMITTED: YES[j NOF-1 FIXTUl FLOOR-- B61A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS101USAND SYSTEM r— DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN IF FOOD DISPOSER _ FLOOR I AREA DRAIN INTERCEPTOR JINTERIM KITCHEN SINK 71 1 LAVATORY 1( Ill ROOF DRAIN SHOWER STALL I _ SERVICE MOP SINK a _ TOILET _ URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER 11 If INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meant the requirements of MGL Ch.162. YESn NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 6 OTHER TYPE OF INDEMNITY C] 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 I hereby oerePy that all 0 the details and imomaaon I have submitted or entered regarding this application are trueanda=nate to the beat of my knowledge and mat all plumbing won,and installations performed under the permit issued for this application All Win. pi nce re with all PENnent pruvlaion of me Massachusetts State Plumbing Code and Chapter 142 of are General Laws. PLUMBER'SNAME1 R; LICENSE#® SIGNATURE MP❑ JP[A CORPORATION❑#PARTNERSHIP❑#O LLC❑#� COMPANY NAME Q�d a a/a.2 I�.�•�b7..r ADDRESS i CITY Wa tN ' f STATE M--k ZIP 0(098 TEL I -y9S- Z2 FAX CELL EMAIL 4 c S•,• KG✓r+toc. ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE. USE ONLY FINAL INSPECTION NOTES Yea No 1 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: E PERMIT N l Z �Z PLAN REVIEW NOTES A'TS i , UC) MASSACHUSETTS UNIFORM APPLICATION FOR A,PERMIT _TO PERFORM GAS FITTING WORK CITY r 1 MA DATE,,,' f�JI PERMITk InIP- I �r'3�1 JOBSITE ADDRESSI�.( F r'.:i. ,_ _ OWNER'SNAME OAAvltS 0 l GOWNER ADDRESS TE FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL RESIDENTIALI4 PRINT CLEARLY NEW: . RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOD APPLIANCES? FLOORS— 3SM 1 2 ;34 5 6 7 e s i0 11 12 13 14 BOILERBOOSTERCONVERSION BURNERCOOKSTOVEDIRECT VENT HEATER DRYER FIREPLACEFRYOLATOR FURNACE GENERATOR GRILLE I.. INFRARED HEATER - LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT - 4 ' TEST UNIT HEATER -- UNVENTED ROOM HEATER WATER HEATER =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 OR 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-GASFITTER NAME h t LICENSE# ,?]D SIGNATURE MP❑ MGF❑ JP[Z JGF❑ LPGI❑ CORPORATION❑# PARTNERSHIPQ# LLC❑#� COMPANY NAME:j ADDRESS Q.( CIN STATE®ZIP j ` TEL FAX CELL 0.V��t EMAIL w .!� 1v/611 CA D 60 Y 7 ov MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK ' CIN 1113/21117 FLORENCE MA DATE 1PERMIT# 6 (} 6)`i e'� 6- JOBSITE ADDRESS.1020 FLORENCE ROADI OWNER'S NAME ANTHONY BOMBARD GOWNER ADDRESS ANTHONY BOMBARD _ __jTEL4132507051 ]FAX TYPE OR PRINT OCCUPANCYTYPE�—COMMERCIAL EDUCATIONAL RESIDENTIAL CLEARLY NEVI RENOVATION: REPLACEMENT. PLANS SUBMITTED: YES._.', NO APPLIANCES 1 FLOORS— BOM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT HEATER DRYER FIREPLACE _ FRYOLATOR FURNACE - — GENERATOR GRILLE INFRARED HEATER __ � LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER - ROOM/SPACE HEATER - ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER OUTSIDE LINE ONLY / INSURANCE COVERAGE I have a current liabilityinsurance 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 Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECKONEONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of IM details and infoimason I have submittetl or entered regarding this application are true and accurate to the best of my sno dredge and that all plumbing work and Installations performed under the permit issued for this application Will Ins,in compliance won all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME KEVIN CHISHOLMLICENSE#'.GF3152 ��E MP MGF JP JGF LPGI CORPORATION # PARTNERSHIPS # LLC If COMPANY NAME: AMERIGAS ADDRESS 216 LOCKHOUSE RD CITY WESTFIELD STATE MA ZIP 01085 TEL 413-568-8972 FAX 413-572-6946 CELL EMAIL SHERRY.CHAFEE@AMERIGASCOM y' t17 Oem TdaT, iz/z�� 1!�Pe:sse-W,5- dJ G3a v�ru,� -%L Guesser r G,-Acw, W..ve6kS 1020 FLORENCE RD EP-2018-0352 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 44 Lot: 135 ELECTRICAL PERMIT Permit Electrical Category: WIRE NEW HOME WITH 2O0 AMP UNDERGROUND SERVICE Permit# Electrical PERMISSIONIS HEREBY GRANTED TO: Project# JS-2018-000468 Est.Cost: Contractor: License: Fee: $200.00 STEVEN KEYES MASTER ELECTRICIAN 21213A Owner: BOMBARD ANTHONY Applicant: STEVEN KEYES AT: 1020 FLORENCE RD Applicant Address Phone Insurance 13 STATE RD (413) 422-1220 () C-(413)695-4968 Liability, 6045087 SOUTH DEERFIELD MA01373 ISSUED ON:111"0170:00:00 TO PERFORM THE FOLLOWING WORK: WIRE NEW HOME WITH 200 AMP UNDERGROUND SERVICE Call IDate: Date Renue.tedl d Date/SianOf-. Reinspect?: T h/UG: I( " ( 3 ' / 7 G2 n�\ Special Instructions x Rough x Special Instructions: tFinal: SRECn dl In: aS3$Cc3( S /7 /7-/70fv~ Simature: Fee T Amount: DatePaid Electrical $200.00 11/9/2017 0:00:00 6247 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo