23C-037 (5) 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 P E RMI T
Permit# BP-2019-0934
Proiect# JS-2019-001146
Est. Cost:
Fee: $100.00 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group LORENZO GARDINER 1132385
Lot Size(sq. ft.): 16465.68 Owner: Jeff Marney
Zoning: Gl(100)/WP(48)/ Applicant. LORENZO GARDINER
AT.- 660 RIVER-'3!DE DR
Applicant Address: _ Phone:` Insurance:
115( 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: Rouge: House# Foundation:
Driveway Final:
t " Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough) Oil:
a : In.nlAtinr t
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Fin - S� o Final: V. 5'Z1-Z0� KI?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
C�ON!'�TIDN ?
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
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY 5X01'0'1LP MA DATE PERMIT#
JOBSITE ADDRESS,66,O �,ve,"-8e pr_ V vi-t a OWNER'S NAME "�� Pd+
GOWNER ADDRESS ,glr",A s4• l�1�� .r�`t oleS 6 TEL y13-,,tq 7'0 y6 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARL,I' NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO)(
APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9;' 1 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE _
DIRECT VENT HEATER
DRYER
FIREPLACE .'q,r� !^•'>
FRYOLATOR
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 WETOT PP OV D
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'x 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. jJ �'�—�^
PLUMB ER-GASFITTER NAME ��,n t,1�M0 P` '.A(v.N C LICENSE#3�s6j �y ��SIIGINjA'TURE
MP MGF JP P JGF LPGI CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME: 7720 1 L flM4,,q-A C-7 �—C- ADDRESS 1 �S C-{�(�SS[SFnJ Leh t
CITY 1 1!* STATE " ZIP TEL '-J[3
FAX CELL EMAIL; Ak i- \ 41> tcF� (? -)P,\,\ L J "*N_
C c. ►� 51 -700c)
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
u MA DAT _ ,. „ _... E
' CITY � l.oE, PERMIT# J�J �� 1
JOBSITE ADDRESS (�(�OZi �., Q .. OWNER'S NAME
rr
P OWNER ADDRESS � � � ✓!� (D� TELA�l/ �Q7- 5 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL'` EDUCATIONAL „' RESIDENTIAL I
PRINT
CLEARLY NEWS RENOVATION REPLACEMENT: PLANS SUBMITTED: YES N0;
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/OIL/SAND SYSTEM `I : --E __ _v-; _ - ..__
tT
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
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„rte _
DISHWASHER T 1L
Elect' um
DRINKING FOUNTAIN i ;�� �,.,"" ng& '3s Ins tions
FOOD DISPOSER
FLOOR/AREA DRAIN _..-
INTERCEPTOR(INTERIOR) ( Im"
KITCHEN SINK
LAVATORY ,_.--.-
3 }3 3 s
ROOF DRAIN
£ .... . f....
_-... ...-.. „
SHOWER STALL _.
SERVICE/MOP SINK ,::.. ...f.-
3 t_ _
TOILET
y_, ,,. ,_.,..,,3 .,,..,... ,_,.,., ,,.. ,� - , ... _.
URINAL - __.,___..
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER ' _.
E I
r E
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 1 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 G raves, d that my signatur eryi p lication waives this requirement.
CHECK ONE ONLY: OWNER '`^` AGENT
._ > �
GNATURE OF OW `CSR ENT
I hereby certify that'atf 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 inLIP
Hance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of t 11 he General Laws.
PLUMBER'S NAME LICENSE# L SIGNATURE
MP ,y„_ JP, CORPORATION: # 'PARTNERSHIP; # LLC,
��1\-)COMPANY NAME
LAl- r-� .,"�'� ADDRESS
CITYi LsFR�L M STATE : t`�V� ZIP \J� TEL
FAX CELL',.. 3 . i AIL .�.!1� _, �, .. , s4,,,(�-�
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