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15B-025 (5) BP-2018-0170 112 CHESTERFIELD RD COMMONWEALTH OF MASSACHUSETTS GIs#: CITY OF NORTHAMPTON Map:Block: 15B-025 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Lot: lo01 Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A) CategM. renovation BUILDING PERMIT Permit# BP-2018-0170 Project# JS-2018-000315 Est.Cost: $82000.00 Fee: $533.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MICHAEL TASSINARI 053419 Lot Size(s4.ft.): 46609.20 Owner: GRAHAM PETER&ELIZABETH Zoning:URA(100)/ Applicant.• MICHAEL TASSINARI AT: 112 CHESTERFIELD RD Applicant Address: Phone: Insurance: 85 BETHANY RD (413) 246-7577 WC MONSONMA01057 ISSUED ON:8/31/2017 0:00:00 TO PERFORM THE FOLLOWING WORK.GUT EXISTING 2ND FLOOR, NEW INTERIOR WALLS, NEW INSULATION, RAISE CEILING HEIGHT, NEW WINDOWS, NEW WINDOWS ON REAR OF 1 ST FLOOR 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: Rough✓(;�- House# Foundation: p Driveway Final: i a- Final: Final: Rough Frame:G gem Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: FinaFinal:�o Smoke: Final: (K 101 111191 THIS PERM MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RUL S AND REGULATIONS. Certificate of Signature: FeeType• Date Paid: Amount: Building 8/31/2017 0:00:00 $533.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner ba. 9rcthaM0l.doud . co m 112 CHESTERFIELD RD EP-2018-0408 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 15B Lot:025 ELECTRICAL PERMIT Permit: Electrical Category: 2ND FLOOR REMODEL AND SERVICE UPGRADE Permit# Electrical PERMISSION IS HEREBY GRANTED TO Project# JS-2018-000315 Est.Cost: Contractor: License: Fee: $125.00 RICHARD BINGLE MASTER ELECTRICIAN 21176 Owner: GRAHAM PETER & ELIZABETH Applicant. RICHARD BINGLE AT. 112 CHESTERFIELD RD Applicant Address Phone Insurance 19 town farm road (413) 627-6200 C- MONSON MA01057 ISSUED ON.-1211120170:00:00 TO PERFO"THE FOLLOWING WORK 2ND FLOOR REMODEL AND SERVICE UPGRADE Call In Date: Date Requested Inspection Date/SfiznOff. Reinspect?: Trench/UG: Special Instructions x Roush `2 iZ n x Special Instructiops: Final: ,A&j SRE Called In: Si2nature: Fee Type:: Amount: DatePaid Electrical $125.00 12/1/2017 0:00:00 1647 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires Roger Malo N 9 L (97&(el, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Leeds MA DATE 11121117 PERMIT# 1//10—le'd0!/ JOBSITE ADDRESS 112 Chesterfield Rd OWNER'S NAME H&L BuilderstTassinad POWNER ADDRESS 85 Bethan Rd,Monson,MA 01057 TEL 413-283-3727 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW:E3 RENOVATION:El REPLACEMENT:® PLANS SUBMITTED: YES[] N0[] FIXTURES Z FLOOR— BSM 1 2 1 3 14 5 1 6 7 1 8 121 101 11 12 1 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR{INTERIOR KITCHEN SINK LAVATORY 2 ROOF DRAIN n arnpt to 0(,0 SHOWER STALL 1 SERVICE 1 MOP SINK c, TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 WATER PIPING OTHER INSURANCE COVERAGE: I have a current liabilitv insurance 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[D OTHER TYPE OF INDEMNITY E] 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 [I 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 wit% al Perf ient provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 7 � ✓�� -✓ �G PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 SIGNATURE MPO JPD CORPORATION# 2617C --IPARTNERSHIPO# LLC( # COMPANY NAMEJ EWS PLUMBING&HEATING,INC. ADDRESS 339 MAIN STREET CITY I MONSON _j STATE MA ZIPWI-I.— � TEL 413-267-8983 FAX 413-267-4523 1 CELLI EMAIL EWSPH COMCAST.NET ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES i, _.-. 7 cheic C/('/5 av : Oc) MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY [Leeds MA DATE 12-22-17 PERMIT# JOBSITE ADDRESS Ll 12 Chesterfield Rd OWNER'S NAME jBeth Graham OWNER ADDRESS 06-5876 1FAX= �c ri— TYPE OR - 1� PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ESIDENTIAL El CLEARLY t 01 1 7 ?� 17 NEW:Ej RENOVATION:Lj REPLACEM NT: VD, '�" 7 LAMS SUBMITTED: YES[:] NOE] APPLIANCES 1 FLOORS— BSM 1 2 5_ 1 6 7 81 1 9 1 10 11 12 13 1 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE gamma GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER LINVENTED ROOM HEATER WATER HEATER OTHER UG Gas line to house 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 [D OTHER TYPE INDEMNITY E] 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 AONT 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 accur t e best,f nowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with rtinent pr soon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws, 1� PLUMBER-GASFITTER NAME IHOPEWELL BUDD III LICENSE#11194 IGNATURE MP E] MGF[j JP E] JGF[] LPGI E] CORPORATION #[ I ] 'PA ERSHIP[I#[:=LLC Ej# COMPANY NAMEJOSTERMAN PROPANE LLC ADDRESS 1339 AMHERST RD CITY SUNDERLAND STATE I MA ZIP 01375 I TEL 1800-287-2429 FAX[LL=CELLI 508-944-7176 JEMAIL=SSYMONDS(a)OSTERMANGAS.COM ii i ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES I �