06-064 (40) 60 CHESTNUT AV EXT-LOT#7 BP-2018-0100
GIS# COMMONWEALTH OF MASSACHUSETTS
Map:Block:06-064 CITY OF NORTHAMPTON
Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit, Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category New Single Family House _BUILDING. ERMIT
PePet# BP-2018-0100
Project# JS-2018-000165
Est.cosh$195000.00
Fee:$121140 PERMISSION IS HEREBY GRANTED TO:
Const.class: Contractor: Lic4nse,
Use Group ED JAZAB 050099
Lot Size(w.ft.} Owner: Patrick Melnik
Zoning: Applicant. ED JAZAB
AT: 60 CHESTNUT AV EXT- LOT#7
AvalicantAddress: Phone: Insurance:
9 SHEPHERDS HOLLOW (413)222-4910 0
LEEDSMA01053 ISSUED ON:11/1/2017 0.00.00
TO PERFORM THE FOLLOWING WORE:CONSTRUCT NEW HOUSE ON LOT#7 1814 SO
FT
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: 776�� Rough: House# Foundation: _ . ,
Driveway Final:
Final: Final: T/4 . .
ti Rough Frame: .
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: ok : V\!'\,\-\g Final: /�C/ / /�y//�a-
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RPGQLATIONS.
Certificate of Occupoc / si nature: cX` " , `� " c,
FeeTvoe: Date Paid, Amount:
Building 11/1/20170:00:00 $1211x0
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT
TOPER
FORM (�WORK
CITY ee S MA DATEL�.L�LLa�JOBSITE ADDRESS bC4-S}q..}A.,2e ZA± OWNER'SNAMEG OWNER ADDRESSI �TEI �TYPE OR OCCUPANCYTYPE COMMERCIAL❑ EDUCATIONAL ®PRINT
CLEARLY NEW: RENOVATION:IL) REPLACEMENT:❑ PLANS SUBMITTED: YES❑ 1409"
APPLIANCES? FLOORS RSM 1 2 3 4 5 6 7 6 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE . .. ..
DIRECT VENT HEATER ---
um i mu uum
DRYER
FIREPLACE
FRYOLATOR l
FURNACE _
GENERATOR -
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNITOVEN
- -
POOL -
POOL T
HEATER
ROOM I SPACE HEATER - -
ROOF TOP UNIT -.— T
TEST pp
UNIT HEATER -
UNVENTEDROOM HEATERWATER
OTHER HEATER
--
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES4/NO ❑
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OFC BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:lam 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 caNfy that all of th tletails antl informationMew.-bmined or entered regarding this application are true antl amus to 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 Vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General l.ew�s. I
PLUMBER-GASFITTER N,�A.MEyr '..-1»r.I L I '^t�,^� „�,1 LICENSE#Z R SIGNATURE
MP❑ MGF F-1 JP J4 JGF LPGI CORPORATION---�#r��PARTNERSHIP[j# LLC Q#r=
COMPANY NAME u P N— ADDRESS
CITY o f.�- r"� ,(� — STATEAj ZIPC TEL Z 7 a —7_—(/ 'C 6
FAX�CELL EMAIL lQ ctnnn.1 L)A.'�', Y to * �y oI C kL A
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