23C-037 660 RIVERSIDE DR BP-2019-0934
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23C-037 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Zoning Permit BUILDING PERMIT
Permit# BP-2019-0934
Proiect# JS-2019-001146
Est.Cost:
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: LORENZO GARDINER 1132385
Lot Size(sg. ft.) 16465.68 Owner: Jeff Marney
Zoning: GI(100)/WP(48)/ Applicant: LORENZO GARDINER
AT- 660 RIVERSIDE DR
Anplicant Address: Phone., Insurance:
I't t. Tr1 A`c: (' t i` WC
ISSUED ON:3/4/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONCRETE ALLYWAY, DOORS, FLOORS, IRON
BARS ON WINDOWS, CHAIN LINK GATE, 3 BAY SINK
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: House# Foundation:
Driveway Final:
Final: —?7- 0 Fin al
Z� Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough)11
Oil: In.l,la*.inr t
z7-� ,l
Fina : Sn o Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL IONS.
C.ONY�T/ON "
Certificate of si nature•
FeeType: Date Paid: Amount:
Building 3/4/2019 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck–Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
1.
CITY 01 PCP
MA DATE PERMIT#
JOBSITE ADDRESS 660 ve,.�lP ��- V'v a OWNER'S NAME 1-46sC Rk
GOWNER ADDRESS ,q/���1 S�. �� ct Oioj 6 TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS, UBM4TTED: YES N0
APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9:� 1 13 14
BOILER t
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER r
DRYER
nc r;
FIREPLACE q,r r,,�"•'
FRYOLATOR .>q i
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER VED 140TAPPROVED
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 l `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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. jf
PLUMBER-GASFITTER NAME n LfaMO NVp�,,AJ C LICENSE#3),56j SIGNATURE
MP MGF JP x} JGF LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME: —F--VM L flMV�A (7 ,—C— ADDRESS CNK-jSjSAAj l..-lo,^-C:
CITY I.J�Af\AGC`- J (4i C STATE " ZIP TEL �—t[3 3� G-J1 a
FAX CELL EMAIL;. 41� °� w
U (- H �- 51 -70D�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
�1= u
CITYlu ,�+u
f � '--`�' „ , MA DATE PERMIT#
JOBSITE ADDRESS 6(�O
�LZ.vCt� z OWNER'S NAME`—
POWNER ADDRESS TEL ill'3-jq7, FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL)C EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:,vw REPLACEMENT PLANS SUBMITTED: YES ' NOr-f
FIXTURES Z FLOOR— sSM 1 2 3 a 5 6 7 8 9 10 11 12 13 14
BATHTUB - -- — - - — -
CROSS CONNECTION DEVICEGA
-- = --
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM 1
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN m3ing&Qiis Ins c>^.. .
FOOD DISPOSER — d
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) _
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL _ _-- _--
SERVICE/MOP SINK _ 4
TOILET
URINAL
WASHING MACHINE CONNECTION v '
WATER HEATER ALL TYPES
WATER PIPING_.._.
OTHER L u
_.
ease �a _
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YE" 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 Gemral L ws, d that my signatur rr errY►i plication waives this requirement.
p
CHECK ONE ONLY: OWNERAGENT
GNATUREOF OW R ENT
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 inc pliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME `�` M Ma/v�.i� (�� LICENSE# SIGNATURE
MP JP CORPORATION' # PARTNERSHIP, * LLC #
COMPANY NAME M LA ADDRESS
CITYj STATE � ZTEL
IP �7�Oc��3 _,_
FAX CELL 3. � �tTAIL