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31B-161 (4) 169 ELM ST BP-2019-0767 GIS#: COr'AMO WEALTH OF MASSACHUSETTS Map:Block: 3 1 B- 161 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRAC':':NG W1TI1 UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: Building BUILDING PERMIT Permit# BP-2019-0767 Project# JS-2019-000786 Est.Cost: $228280.00 Fee: $1489.00 PERMISSION IS I{EREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WRIGHT BUILDERS 16370 Lot Size(sq. ft.): 19819.80 Owner: LEONARD BENJAMIN& LORIMER REBECCA Zoning: URB(100)/ Applicant: WRIGHT BUILDERS AT. 169 ELM ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 (116) Liability NORTHAMPTON MAO 1060 ISSUED ON.1/9/20I9 0:00:00 TO PERFORM THE FOLLOWING WORK:NEW M U D R C M ADDITION, ALTERATIONS INCLUDING NEW DORMER WITH BATH/BEDROOM, KITCHEN AND 1ST FLR BATH REMODEL 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 Zj / ;tough: v fL Y/e1rj House;t Foundation: �V`f,zt� Driveway Final: Final: `�� Final: � � a" 7 Rough Frame: V IG I Q 16 Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: J.K Final: 7��/9 Smoke: Final: f� _ THIS PERMIT MAY BE REVOKE IT F NO THAMPTON UPON VIOION OF ANY OF ITS RULES AND L Certificate of Occu anc tore: FeeType: Date Paid: Amount: Building 1/9/2019 0:00:00 $1489.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hesbr ouck—Building Commissioner 169 ELM ST EP-2019-0523 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 31 B Lot: 161 ELECTRICAL PERMIT Permit: Electrical Category: WIRE WHOLE HOUSE RENOVATION Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-000786 Est.Cost: Contractor: License: Fee: $125.00 RYAN MARTIN - CURRENT ELECTRIC Electrician 20982 Owner: LEONARD BENJAMIN & LORIMER REBECCA Applicant: RYAN MARTIN - CURRENT ELECTRIC AT.- 169 ELM ST Applicant Address Phone Insurance PO BOX 385 (413) 658-2047 C-(413) 775-3788 Greefield MA01302-0385 ISSUED ON:1/25/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: WIRE WHOLE HOUSE RENOVATION Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions X Roush & 1 1 X Special Instructions: Final: 1/-/4-/7 6b"'-' SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 1/25/2019 0:00:00 2587 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo -CN- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBINGWORK CITY�!?'`��, -,,/,Z __,_ MA DATE'-- l/ PERMIT# JOBSITE ADDRESS /� l ,��jh ,�"� OWNER'S NAME /h C-,, POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL s RESIDENTIAL>-- PRINT CLEARLY NEW: RENOVATION: REPLACEMENT:? PLANS SUBMITTED: YES NO FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB z _ CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND 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 / SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES N RT A WATER PIPING PPR VE OTP PPR VE OTHER INSURANCE COVERAGE: 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 I 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 compliancgjAth C/ Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Paul Graham LICENSE# 12322 SIGNATURE MP JP CORPORATION # PARTNERSHIP # LLC # COMPANY NAME Paul's Plumbing&Heating ADDRESS P.O.Box 303 CITY Huntington STATE MA ZIP 01050 TEL 413-238-0303 FAX CELL 413-626-2745 EMAIL pualsplgxhtg@aol.com MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY '�� ;y .� MA DATE / % PERMIT# CQIf�2D7 CR JOBSITE ADDRESS j OWNER'S NAME GOWNER ADDRESS TEL FAX, TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: f 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 CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER r' I 4 FIREPLACE FRYOLATOR FURNACE - GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT M ING & GAS iNSPECTOR TEST % N aEffliAMPTON UNIT HEATER N T APPROVED UNVENTED ROOM HEATER 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 i 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 1 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 wa l Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Paul Graham LICENSE# 12322 SIGNATURE ..._._.. ... MP , MGF JP JGF LPGI CORPORATION # PARTNERSHIP # LLC # COMPANY NAME: Paul's Plumbing.&Heating ADDRESS P.O.Box 303 CITY Huntington _ STATE MA ZIP 01050 STEL 413-238-0303 FAX CELL 413-616-2745 EMAIL paulsplgxhtg@aol.com ��/s p��,�� r— y MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK s CITY ,(��2��/q,� �O,.v MA DATE ?//1/f PERMIT#Q JO JOBSITE ADDRESS % f/—�/� S T OWNER'S NAME GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: ji 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 INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN J U L 2019 PL GMEHNS %0" POOL HEATER ROOM/SPACE HEATER AP ED —NeTAPaRMED ROOF TOP UNIT Elect1c,Plury b ng& ,as lv ection TEST UNIT HEATER UNVENTED ROOM HEATER 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 a to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complia all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Paul Graham LICENSE# 12322 SIGNATURE MP -, MGF JP JGF LPGI CORPORATION # PARTNERSHIP # LLC # COMPANY NAME: Paul's Plumbing &Heating ADDRESS P.O. Box 303 CITY Huntington STATE MA ZIP 01050 TEL 413-238-0303 FAX CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com SGl/1�� NOTWAAH'rn'1 D VOH,-9A Tp 3 C33VO ill ;A MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING QWORK �� CITY NORTHAMPTON MA DATE 01-09-2019 PERMIT# & JOBSITE ADDRESS 169 ELM ST OWNER'S NAME BEN LEONARD GOWNER ADDRESS I TEq 413 209-7811 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ N00 APPLIANCES Z 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 INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER N6 FUPPR UNVENTED ROOM HEATER Iv ,t,, .,,, WATER HEATER AP OTHER GAS PIPING ONLY 1 I IF 11 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 wit�Ft�P,ert�'(ent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME I Michael Francis LICENSE# 15861 SIGNATURE MP 0 MGF❑ JP❑ JGF❑ LPGI❑ CORPORATION❑# 4018 PARTNERSHIPO# LLC❑#0 COMPANY NAME: Bay State Gas Co(dba.Columbia Gas of MA) ADDRESS 12025 Roosevelt Avenue CITY I Springfield STATE MA ZIP 01101 TEL413-784-2223 FAX CELL 413 316-0436 EMAIL jajar@nisource.com PIPER-STEVE ANDRAS(413)302-2354 ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ ll FEE: $ PERMIT# PLAN RT VIEW NOTES } 't