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41-046 (3) 1260 WESTHAMPTON RD BP-2019-1023 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:41 -046 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A) Category: REPAIR BUILDING PERMIT Permit# BP-2019-1023 Proiect# JS-2019-001679 Est.Cost: $81674.OQ Fee: $530.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEITER BUILDERS _ 102457 pt Size(sy, ft.): 44$66.80 Owner: SMITH DONALD RAYMOND&=LISA A Zoning: Applicant: KEITER BUILDERS AT. 1260 WF TN4AAPTnN Rn, Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600„0 WC FLORENCEMA01062 ISSUED O.N:3/27/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIRS TO HOUSE CAUSED BY FALLEN TREES 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: Nouse# Foundation; Q Driveway Final: Final: 7� Final: 7-Pr-/f mt16"� Rough Frame:/'D 6--70-19 K ie Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 23 Iq K Fina -711l: � Smoke: Final: THIS PERMIT MAY BE REV C TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND G I fi f t e FccTvac: D1te Paid: A!Mgunt Building 3/27/2019 0:00:00 $530.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck a Building Commissioner �l YVf ,qt:AG6I g' 1II;0RVI1 PPLI AutQiuJl OPA PERiVIGd TAk'E155F0RNI G-,ASFI'WTIN(aWORK @ - 'CITY �f�'�`''�f - n - / - ,,/MA DATE: 6- f 3—(Q PERMITft JOBSiTI;ADpR15S_1QZ 6O �.✓c,� �o`►'� (2°� ER'S NAMH (( I --- �113 TEL 5-'O� - T1 E OR. FAQ PRINT OGCUPANGYTYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL,, `CT'rA-RVZ NEW.❑ RENOVATION.X9 REPLACEMENT.Q PLANS SUBMITTED.YES❑ NO]] APPLIANCES-1 FLOORS-} asM 1 2 3 BOILER 4 & 6 7 8 9 10 11 12 13 14 BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT WATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER . ROOM I SPACE HEATER-- ROOFTOP EATERROOFTOP UNIT TEST c< InsP �ti��s UNIT HEATER tn`' UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGI~ 1 have a current iiabllify insurance policy orits substantial equivalent which meefsfhe requirements of MGL,Ch,142 YES W NO ❑ I IPYOU CHECKED YES,PLEASE INDICATE;T HB TYPE or COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANGE POLIGY M OTHER TYPE INDEMNITY❑ BOND ❑ OWNER'S INSURANCE WMER;I am aware that the licensee does not have the insurance coverage required by Ghapfer 142 of the Massachusetts General Laws,and that mysignature on this permit application wares this requirement. SIGNATURE OF OWNER OR AGENT GHEGK ONE:ONLY, OWNER ❑ AGENT ❑ 1 hereby certifythaf all ofthe details and fnfonnation 1 have submkted or entered regarding this application are#nte and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued forthls applfcatfon will be In co Ifance "th P rtin f provision of Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME ffVIC- ej J mwst�,ja- LICENS)r#Iv1GNATURE MP❑ MGF❑ JP❑ JGFC1 "LPGI❑' CORPORATION IN# 1o'110 PARTNERSHIP❑# LLC Ej# COMPANY NAME M-57. tY10af-4) TnC. ADDRESS Saul--h MAin St feat-P,D.GDy)q CITY-- kF-1%U'AL 1i1C- STATE 010. ZIP 01031 TEL_ y(3� �fok� �as1 FAX Ll13-QI4 X— 9315 CELL EMAIL tY1`�nnI�YIY1Yl 1 rl C' Cc7�rr1 ?s Oytllr— @-�Lpc& �Vo. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORKS CITYITOWN Jwi�Ww/�f MA DATE _ �� 7 PERMIT# JOBSITE ADDRESS ��6� fnI �I1 OWNER'S NAME POWNER ADDRESS S`�/Vr�G TEL �,-3—5W—'*6a' FAX _ TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑ FIXTURES 7 FLOOR- BSM 1 2 3 4 5 T 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND 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 ROOF DRAIN SHOWER STALL A= SERVICE/MOP SINK um g i s nspe ions TOILET URINAL N ECT R WASHING MACHINE CONNECTION N WATER HEATER ALL TYPES R ED NO AP RO ED 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 Xj 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 incompliance all Pertienrl t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME M%LY\QQ t J M(YZ n .52 LICENSE# M IGNATURE MP❑ JP❑ CORPORATION®# W19 C PARTNERSHIP ❑# LLC❑# COMPANY NAME (V)L-0 'I, SnC : ADDRESS--q- 501th MA Stree-L —t'/y O 6oy_)IS CITY IA! cj lJiUf— STATE ZIP C)103� TEL 413- ; 0g-�a51 FAX c.1 13-+S- CELL EMAIL At< m rnMA loh C s C(SY'Y'\ i L. 1260 WESTHAMPTON RD EP-2019-0791 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 41 Lot: 046 ELECTRICAL PERMIT Permit: Electrical Category: RESECURE WIRING IN CEILING THAT NEEDED TO COMEDOWN TO REPLACE TRUSSES;RE-INSTALL LIGHTING &SMOKES&EXHAUST FAN Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001679 Est.Cost: Contractor: License: Fee: $125.00 TOWER ELECTRIC Master Al 8067 Owner: SMITH DONALD RAYMOND & LISA A Applicant. TOWER ELECTRIC AT. 1260 WESTHAMPTON RD Applicant Address Phone Insurance 578 N. Westfield St (413) 530-4343 () C-(413) 789-4111 Liability, BKS1656776093 FEEDING HILLS MA01030 ISSUED ON:5/16/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: RESECURE WIRING IN CEILING THAT NEEDED TO COME DOWN TO REPLACE TRUSSES; RE- INSTALL LIGHTING & SMOKES & EXHAUST FAN Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Rough X Special Instructions: �^— Final: SRE Called In• Signature: Fee Type:: Amount: DatePaid Electrical $125.00 5/16/2019 0:00:00 6109 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo 1260 WESTHAMPTON RD EP-2019-0621 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 41 Lot:046 ELECTRICAL PERMIT Permit: Electrical Category: WIRING FOR TEMP TRAILER Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001572 Est.Cost: Contractor: License: Fee: $60.00 BWP ELECTRIC INC Journeyman 28984E Owner: SMITH DONALD RAYMOND & LISA A Applicant. BWP ELECTRIC INC AT. 1260 WESTHAMPTON RD Applicant Address Phone Insurance 127 Morgan St (413) 467-7221 C- Liability, 68009771363518 GRANBY MA01033 ISSUED ON:3/7/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRING FOR TEMP TRAILER Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Roush X Special Instructions: Final: 3- // �� SRE Called In: Signature: Fee Tvpe:: Amount: DatePaid Electrical $60.00 3/7/2019 0:00:00 3635 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo