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06-064 (2) 69 CHESTNUT AV EXT-LOT#25 BP-2019-0028 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 PERMIT Permit# BP-2019-0028 Project# JS-2019-000031 Est.Cost: $283000.00 Fee: $1600.20 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WALTER MAREK III 055201 Lot Size(sq. ft.): Owner: SHAW REBECCA Zoning: Applicant: WALTER MAREK III AT. 69 CHESTNUT AV EXT - LOT#`25 Applicant Address: Phone: Insurance: 73 SOUTHAMPTON RD (413) 527-7667 O Workers Compensation WESTHAMPTONMA01027 ISSUED ON:8/21/2018 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: �f�/3 ��' Rough: r� l�—�Q House# Foundation: Driveway Final: �t?M Final: Final: G � tA / �t�A �1- ' "��- / / Rough Frame: �� 6 , Gas: Fire Department Fireplace/Chimney: 1 (A(. C JC L� Rough: Oil: Insulation- Final:/�O�j� Smoke: ( (� Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND TIONS. cod" / J`'' p Certificate of Occupancy / Signature: !2 FeeType: Date Paid: Amount: Building 8/21/2018 0:00:00 $1600.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Cr v� ��✓ 21ajJ 11rl tv j 69 CHESTNUT AV EXT-LOT#25 BP-2019-0028 ;3]S#: 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 PERMIT Permit# BP-2019-0028 Project# JS-2019-000031 Est.Cost: $283000.00 Fee: $1600.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin WALTER MAREK III 055201 Lot Size(sa. ft.): Owner: SHAW REBECCA Zoning: Applicant. WALTER MAREK III AT. 69 CHESTNUT AV EXT - LOT#.`25 Applicant Address: Phone: Insurance: 73 SOUTHAMPTON RD (413) 527-7667 () Workers Compensation WESTHAMPTONMA01027 ISSUED ON:8/21/2018 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: Rough: .�,o. C�-�Q House# Foundation: n Driveway Final: Final: Final: Rough Frame: ()1< 16 � Z,s Gas: Fire Denartinent Fireplace/Chimney: 1 N.SCA. - ©ic- v%h C,tj Rough: Oil: Insulation: Final:��l��s Smoke: <4�-, ( (� Final: K I_l+i-I R 1C rl THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND TIONS. �� // Certificate of OccupancY Si nature: FeeTvpe: Date Paid: Amount: Building 8/21/2018 0:00:00 $1600.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner C� tJ � --;�d o > 00 The Commonwealth of Massachusetts L„-A City of Northampton Certificate of Occupancy In accordance with 780 CMR, Section 5120.3 (The eight Edition of the Massachusetts State Building Code, zo/Stretcli Energy Code Single and Tim Family Dwellings) this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified. Identify Natne of Building of Space Within Certificate No. Issued to Water Marek III BP-2019-0028 Identify property address including street nuinber, name, city or town and county Certificate Located at Expiration 69 Chestnut Avenue Extention Leeds, Hampshire, Massachusetts Use Group Classification(s) Single Family House 5B-R3 This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the temporary use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Use All safety and structural systems must be maintained Name of Municipal Kevin Ross Date of Map/Plot: Building Official Inspection 01/14/2019 Signature of Municipal Date of 06_64_069 Building Official , Issuance 01/16/2019 ti�.�►'Ij1,J The Commonwealth of Massachusetts �`� ~ J City of Northampton ` Certificate of Occupancy In accordance with 780 CMR, Section 5120.3 (The eight Edition of the Massachusetts State Building Code, 7o/Stretch Energy Code Single and Two Family Dwellings) this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified. Identify Name of Building of Space Within Certificate No. Issued to Water Marek III BP-2019-0028 Identify property address including street number, name, city or town and county Certificate Located at Expiration 69 Chestnut Avenue Extention Leeds, Hampshire, Massachusetts Use Group Classification(s) Single Family House 5B—R3 This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the temporary use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Use All safety and structural systems must be maintained Name of Municipal Kevin Ross Date of Map/Plot: Building Official Inspection 01/14/2019 Signature of Municipal Date of Building OfficialI / Issuance 01/16/2019 �v-064-069 69 CHESTNUT AV EXT- LOT#25 EP-2019-0281 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 06 Lot:064 ELECTRICAL PERMIT Permit: Electrical Category: INSTALL SECURITY&FIRE ALARM Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-000031 Est.Cost: Contractor: License: Fee: $30.00 HACKWORTH SYSTEMS LLC Security System Contractor 286C Owner: SHAW REBECCA Applicant. HACKWORTH SYSTEMS LLC AT. 69 CHESTNUT AV EXT- LOT#25 Applicant Address Phone Insurance 83 COLLEGE HIGHWAY (413) 203-2212 C- Liability, 51 GLM3506-181 SOUTHAMPTON MA01073 ISSUED ON.10116/2018 0:00:00 TO PERFORM THE FOLLOWING WORK. INSTALL SECURITY& FIRE ALARM Call In Date: Date Requested Inspection Date/SiznOff: Reinspect?: Trench/UG: Special Instructions x Rough /c� - a `l' 8 lL➢yv� x Special Instructions: Final: 1 -11-19 SRE Called In• Signature: Fee Type:: Amount: DatePaid Electrical $30.00 10/16/2018 0:00:00 1358 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 69 CHESTNUT AV EXT- LOT#25 EP-2019-0175 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 06 Lot:064 ELECTRICAL PERMIT Permit: Electrical Category: WIRE NEW HOUSE,INCLUDING 200 AMP UG SERVICE Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-000031 Est.Cost: Contractor: License: Fee: $200.00 DAN WHITELEY INC Master A7975 Owner: SHAW REBECCA Applicant. DAN WHITELEY INC AP 69 CHESTNUT AV EXT- LOT#25 Applicant Address Phone Insurance 52 Cottage St (413) 527-1440 C-(413) 297-6467 Liability, 8500056029 EASTHAMPTON MA01027 ISSUED ON:9/7/2018 0:00:00 TO PERFORM THE FOLLOWING WORK. WIRE NEW HOUSE, INCLUDING 200 AMP UG SERVICE Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench[UG• Special Instructions X Rough %o X Special Instructions: Final: / / SRE Called In: /V -/d 4-7 (s "1 0 Signature: Fee Type:: Amount: DatePaid Electrical $200.00 9/7/2018 0:00:00 16716 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo ohwL& o (`(1o, ()() 0jWj(, & MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Northampton I MA DATE l, 10/03/18 PERMIT# _l� JOBSITE ADDRESS 69 Chestnut Ave ext OWNER'S NAME Shaw POWNER ADDRESS TEL FAX TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: v RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES Z t34 FLOOR- BSM 1 25 12 13 14 BATHTUB r 1 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM AAA DEDICATED WATER RECYCLE SYSTEM DISHWASHER 1 DRINKING FOUNTAIN FOOD DISPOSER 1 t FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY r 3 ' 2 ROOF DRAIN SHOWER STALL 1 orthHn ton,A 0106 SERVICE/MOP SINK 1 TOILET 2 1 URINAL IL LU BIN & GAS It SPE TO WASHING MACHINE CONNECTION I OR HA T014 WATER HEATER ALL TYPES j PPROVE NOT APPROVE WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability 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 , OTHER TYPE OF 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 ompliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME James walunas _LICENSE# m12631 SIGNATURE MP JP ] CORPORATION #'2667 PARTNERSHIP # LLC[ # COMPANY NAME, Walunas plumbing and Heating Inc I ADDRESS I 218c College Highway CITY outhampton STATEF—m—A-1 ZIP 01073 TEL 413-529-2675 FAX 413-529-2675 CELL 413-246-9850 EMAIL jimwalunas1 @gmail.com Vl.,bFOA FD VVI dbbUOA LD ^•t i / oC-) MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY Northampton MA DATE 12/18/18 PERMIT# JOBSITE ADDRESS 69 Chestnut Ave ext OWNER'S NAME Marek GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES❑ NO APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER A. CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE 1 FRYOLATOR FURNACE 1 GENERATOR GRILLE —_ INFRARED HEATER Iluj LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER 8 G s 1771 ons ROOF TOP UNIT 460 TEST UNIT HEATER UNVENTED ROOM HEATER A 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 c pliance with all ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMB ER-GASFITTER NAME James Walunas LICENSE# m12631 SIGNATURE MP I MGF--1 JP❑ JGF u LPGI L_j CORPORATION -, # 2667 j PARTNERSHIP # LLC # COMPANY NAME:Walunas Plumbing & Heating Inc ADDRESS 218 College Highway CITY Southampton STATE MA ZIP 01073 TEL 413-529-2675 FAX 413-529-2675 CELL 413-246-9850 'EMAILiimwalunas1@gmail.com :y ..,,.... ,. TM-^��---�...,...�». f ... � - ... � �{jos///w 63��/ �' �. .,. _ ��� .. .. / � �����r °�2 2 CHECK #31419 $45.00 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTHAMPTON MA DATE 12/19/18 PERMIT# &P-O'IC09 JOBSITE ADDRESS 69 CHESTNUT AVENUE EXT OWNER'S NAMEREBECCA SHAW GOWNER ADDRESS TEL413-658-8389 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ® RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ _APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE gg INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT EI ctric,P imbing Gas Ir s esti IS TEST ` •°r UNIT HEATER GP S IN PEC OR UNVENTED ROOM HEATER T N WATER HEATER R VE NOT A PR VED OTHER EXISTING I INE 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 Pert' e t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. e pr PLUMBER-GASFITTER NAME ALMED H. GEORGE LICENSE# 3809 SIGNATURE MP❑ MGF(] JP❑ JGF❑ LPGI ❑ CORPORATION ®#130C PARTNERSHIP❑# LLC❑# COMPANY NAME GEORGE PROPARF—.._INC, ADDRESS 3 RF_RKSHIRE TRAIL WEST, PO BOX 102 CITY STATE MA ZIP. jD3 --0102 _ TEL (413)268-8360 FAX (413)268-0206 CELL EMAIL mgeorge@georgepropane.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATIOESERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# LAN VIEW NOTES ZZ, O 14 .�,�