16A-020 (2) 103 FAIRWAY VLG BP-2020-0587
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 16A-020 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2020-0587
Proiect# JS-2020-001008
Est.Cost: $13000.00
Fee: $85.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): Owner: COOKE ROBERT
Zoning: URA(102)/WP(17)/WSP(15)/ Applicant: COOKE ROBERT
AT. 103 FAIRWAY VLG
Applicant Address: Phone: Insurance:
103 FAIRWAY VLG (201) 214-3731 ()
LEEDSMA01053 ISSUED ON.11/6/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:SECTION OFF PART OF FINISHED BASEMENT
FOR UTILITY/STORAGE
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: �,- Roughyl ltHouse# Foundation:
Driveway Final:
Final�Z �0�1
Final://
Rough Frame: J.V- IZ•9.14 k•R
Z
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: OF I*h )q
ytv
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of L U42 Si nature:VU
FeeType• Date Paid: Amount:
Building 11/6/20190:00:00 $85.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
103 FAIRWAY VLG EP-2020-0437
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 16A
Lot: 020 ELECTRICAL PERMIT
Permit: Electrical
Category: ADDING LIGHTS&OUTLETS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-001008
Est.Cost: Contractor: License:
Fee: $65.00 MARNEY ELECTRICAL SERVICES Master 17123A
Owner: COOKE ROBERT
Applicant: MARNEY ELECTRICAL SERVICES
AT. 103 FAIRWAY VLG
Applicant Address Phone Insurance
175 MAIN ST (413) 584-0737 C-(413) 535-8905 Liability, BKS55761053
LEEDS MA01053 ISSUED ON:11/15/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:
ADDING LIGHTS & OUTLETS
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x
Roup-h p.`���& '���b A-N
x
Special Instructions:
Final: )2 -/8- /y
SRE Called In:
Sip-nature:
Fee Type:: Amount: DatePaid
Electrical $65.00 11/15/2019 0:00:00 10185
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
61 '- NuAavpd5).D
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY/TOWN_l PC�C'1C MA DATE �� l�L��Q PERMIT#
JOBSITE ADDRESS 3 'Ca\ OWNER'S NAMEQ
P OWNER ADDRESS�XA CaSN C 1_02� TEL(4 >O&'rJ&L1 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT ��r��r```""'''"
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7 FLOOR- BSM 1 2 3 4 5 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
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION E TO
WATER HEATER ALL TYPES lectri KM& AM Pilk",ions
WATER PIPING I V409APR QVIE1
OTHER
INSURANCE COVERAGE:
I have a current liabilb nsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES X NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY X 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 inompl�th all Pert' ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Inichae13- M000A ,52• LICENSE# m IGNATURE
MP❑ JP❑ CORPORATION®# PARTNERSHIP❑# LLC❑# n
COMPANY NAME M.S.,Mien, 14nc : ADDRESS
CITY 1 e!AeQ f1Jt` _ STATE MPF ZIP V 103 TEL (413- ab
FAX W t 3-2b�" 3� CELL EMAIL_;�� M�r+rlc An%�A C. CCYY'\