29-383 (7) 27 BROOKWOOD DR BP-2019-0616
GIs#1 COMMONWEALTH OF MASSACHUSETTS
Mao_Block:29-383 CITY OF NORTHAMPTON
Lot,-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cmeeorv*SOLAR HOT WATER SYSTEM BUILDING PERMIT
Permit# BP-2019-0616
Proiem# JS-2019-001010
Est Cost$10700.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Grouo: SPARTAN SOLAR 107869 -
Lot Size(sp.ft.l: 15812.28 Owner., BELKIN ALLEN L&MARY JEAN OREILLY
zon ne: Applicant. SPARTAN SOLAR
AT. 27 BROOKWOOD DR
AnirkgntAddress: Phone: Insurance:
10 CHARLES ST (413) 768-0095
GREENFIELDMA01301 ISSUED ON.1112612018 0:00:00
TO PERFORM THE FOLLOWING WORKANSTALL 32 SOLAR HOT WATER PANELS ON
ROOF ABOVE PORCH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footing:
Rough: Rough: House# _ Foundation:
Driveway Final:
Final: ox/ff ;Ilrz Final: Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Ml' Insulation:
Final: Smoke: Final: 6.e, Q-II-IQ KP
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE9ULOIONS. -�
C
IAMOuYDOAJ/ U""- - . .
e Cate Of 9tT7 ewi � Sia t e•
FeeType• Date Paid: Amount:
Building 11262018 0:00:00 $75.00
212 Main Strom,Phone(413)587.1240,Fm;(413)587-1272
Louis Hasbrouck—Building Commissioner
0416t-, wis 35? J-6 .'_0
ALI' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY a Yf"
MA DATE 2 PERMIT# lq-zp/
JOBSITEADDRESS OWNER SHAM EEJ1 t n
P OWNER ADDRESS TELS 0 0 'FAXD
TYPE OR OCCUPANCYTYPE COMMERCIAL❑ EDUCATIONAL❑ RESIDENTIALEV
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Y PLANSSUBMITTED: YES❑ NC l�
FIXTURES 1 FLOOR+ BSM 1 1 2 3 4 5 1 B 1 7 1 8 1 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIL SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR I AREA DRAIN a 11
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICEINOPSINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements,of MGL Ch.142. YES LdNO❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY a OTHER TYPE OF INDEMNITY❑ BOND E]
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 ORAGENT
Iherebycw*thataofthetlWilsant Inf anon Irovesudnl menteredMaNing Mi% licaaonarehueandamua Wftbestofmyko.idge
and that all plumbing work and Installations pe roimed uMer the peimh blued fortm applimgon mff be in complianre with all Par i Povision of the
Wssachusens State PkmbiNCodeant Chaper142of Ne Gemmltaws. !�` Y�_ n ) II (l
PLUMBER'SNAME QSa P Wa a LICENSE# 1 7.0 \ SIGNAYTURREE
MPER/' JP❑ CORPORATION[] PARTNERSHIP❑ LLC❑#E�
COMPANYNAME c,\�C_ < P< ADDRESS ]l> c IZ
CITY ]\\ STATE ZIP Ol TELI L3
FAX O CELL ol\ ENAIL
ROUGH PLUM13ING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: S PERMITY
PLAN REVINW NOTES