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16A-020 (4) 103 FAIRWAY VLG BP 2021 1463 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 c.142A) Cateuory: Bath repo BUILDING PERMIT Permit# BP-2021-1463 Project# JS-2021-002322 Est. Cost: $8800.00 Fee: $63.00 PERMISSION IS HEREBY GRANTED TO: Const. Class_ Contractor: License: Use Group: Homeowner as Contractor Lot Siz Isq. ft.): Owner: COOKE ROBERT Zonina:_URA(1022)/WP(17)/WSP(15)/ Applicant: COOKE ROBERT AT: 103 FAIRWAY VLG Applicant Address: Phone: Insurance: 103 FAIRWAY VLG _ (201) 214-3731 () LEEDSMA01053 ISSUED ON:6/8/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:BATH RENO 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: Itoug e2,-2/ Rough: + )_)`•9.) House# Foundation: Driveway Final: Final: 719t. Final: O . 9. "2Z 2./ Q1'-N- Rough Frame: 0 16 (v 25 Z i l« Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: d V. �] •‘ZL zi KK THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RE 'ULATIONS. OHP�Sip� / • Certificate of + ' "r / ' • I •� '����'9'. • _-___--- Signature t FeeType: Date Paid: Am ount: Building 6/8/2021 0:00:00 $63 00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner 103 FAIRWAY VLG EP-2021-1062 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 16A Lot: 020 ELECTRICAL PERMIT Permit: Electrical Category: BATHROOM REMODEL Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-002322 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, BOP1106336 LEEDS MA01053 ISSUED ON:6/18/2021 0:00:00 TO PERFORM THE FOLLOWING WORK: BATHROOM REMODEL Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions Rough L - )3- al 1R.`� x Special Instructions: Final: -1- JO-a1 (Z' SRE Called In: Signature: Fee Tvpe:: Amount: DatePaid Electrical $65.00 6/18/2021 0:00:00 11381 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo G� 12gZ mo �_ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK "= a CI WN Leeds MA DATE 5/19/2021 PERMIT# Pe.2621"+D4f :Ili- g ©_' 103 FairwayVillage HandyHubbyPaul Bradish JO IT ADDRESS 9 OWNER'S NAME -P O k F ADDRESS 103 Fairway Village TEL 413-221-5814 FAX TYPE OIL OC l P NCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 1PRINT , CLEARLY_.; NEW RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO❑ i__ FIXTURES_? 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 DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY 1 ROOF DRAIN SHOWER STALL 1 PLL MBING & GAS INSPECTOR SERVICE/MOP SINK NORTHAMPTON TOILET 1 APPROVED NOT APPROVED URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 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 ® 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 in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. `L �en�r���2 PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE MP C JP❑ CORPORATION ®# 4386-PLC PARTNERSHIP❑# LLC❑# COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K) CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777 FAX CELL EMAIL info@westernmassheatingcooling.com 3N0,-A9/_,-)79/7e k2 22'-