16B-031 (6) 3s FERN ST B -2022-0804
Map:Block:Lot: COMMONWEALTH OF MASSACHUSETTS
16B-031-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0804 PERMISSION IS HEREBY GRANT I TO:
Project# 2022 RENO Contractor: License:
Est. Cost: 95200 HARLOW BUILDERS CS-052460
Const.Class: Exp. Date:07/14/2023
Use Group: Owner: A KELLEY PETER W&JILL
Lot Size (sq.ft.)
Zoning: URB Applicant: A KELLEY PETER W&JILLHARLOW BUILDERS
Applicant Address Phone: Insurance:
503 NORTH FARMS RD
FLORENCE, MA 01062
336 COLES MEADOW RD (413)586-0465 SOLE PROPRIETOR
NORTHAMPTON, MA 01060
ISSUED ON:07/14/2022
TO PERFORM THE FOLLOWING WORK:
RENO INTERIOR,CREATE GREAT ROOM SPACE, INSTALL NEW WINDOWS & REROOF
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:$-, ?-t_ eft--Rough: House# Foundation:
Final://9 J7 Final•(le ' 67- a Final: Rough Frame: ,) t2-4&
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough;��Mij Oil: Insulation:
fl-may_ 2a �?%�4� tot,e 2 Final: Q K ��-�'2 .e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $619.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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. . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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r— JOBOTi ADDRESS 3 S {ea ° &f- I OWNER'S NAME InglinilangigrMIN
i _ P co OWN ikDDRESS SC) /V 11210, Pm'/Z11/ fr'2'1_ TEL 6//3—;3(:) -c3vr!3 FAX
!TYI'E OIL; OCCIR NCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALN
PRINT ^' I _,
!CLEARLY NEW: RENOVATION:kJ REPLACEMENT:[1 PLANS SUBMITTED: YES 0 NO®
FIXTURES 1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 / ``14
BATHTUB — } [1 U I 1 (( U IJ 11 U
CROSS CONNECTION DEVICE1 U 11 IIll
DEDICATED SPECIAL WASTE SYSTEM [I II •
DEDICATED GAS/OIL/SAND SYSTEM •
DEDICATED GREASE SYSTEM 1. I ( `
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DEDICATED GRAY WATER SYSTEM 11 • II U [( •I — IJ
DEDICATED WATER RECYCLE SYSTEM 1 H 11 1• (3 ll I
DISHWASHER
DRINKING FOUNTAIN 3 II U U ( II (( I • t
FOOD DISPOSER
FLOOR I AREA DRAIN F 1 1 I , I 11
INTERCEPTOR(INTERIOR) 3 JJ H (( ' I H II i_ • U l
KITCHEN SINK j lj k I
LAVATORY ';l LU a!OH V IN & G S P
AM IU
ROOF DRAIN � . 1 �'
SHOWER STALL �( ll•e_- 1 1 PP ' VER I P" ' ' '.i
SERVICE/MOP SINK J (1 L
TOILET As , r 11
URINAL m ' �3�.=
WATER HEATERWASHING INE ALL TOYPESCTION P�I�1®I®,�®1.1.11 I id,
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WATER PIPING ME MO iiiiiiiMI iiiii,Milli Mini 11111111111 '
OTHER i
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES❑ NOA
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY L1 OTHER TYPE OF INDEMNITY BOND I_.
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 co pliance ith all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME N ,% Stir\ LICENSE# SIGNATURE
MP❑ JPN CORPORATION❑# _PARTNERSHIP❑# LLC❑#
COMPANY NAME�1 „J �— S"2A _vi,10 ADDRESS I k , �, A"If Kct
CITY! bull 114 S yMs b j 1 STATE ZIP Lo1091 I TELL thi cJ/' Asir
FAX CELL EMAIL
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_ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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_;f;4 CITY f-h ,�`11_,� MA DATE /v/1/l)- - PERMIT#6P- 'a Z2'O.�
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cii( JOBSITE ADDRESS 3S.3 �(S �eal4.1 cl iI" OWNER'S NAME w OWNER ADDRESS /�i?�f, f'et/�✓r,,r /l6( JTE / - , . a -. FAX _
EI OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL F
CLEARIrY NEW:E RENOVATION:Er REPLACEMENT: PLANS SUBMITTED: YES NOE
APPLIANCES Z FLOORS-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER II )
CONVERSION BURNER J U , . j U
COOK STOVE
tee ( 1
DIRECT VENT HEATER _ i I ) / /� 'I ' ' 1! .
DRYER l'/,/- i " .. I -
FIREPLACE I J c, ! 1'" �.., W� . .
FRYOLATOR f J ' U 1 I
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FURNACE .A U J U i_. c i� J I
GENERATOR (( `'' I t;�^,,_,� U
GRILLE i J U ! '`''j. 1�'
INFRARED HEATER l p s
LABORATORY COCKS I �� I I �I I 1 A it
MAKEUP AIR UNIT ! J I I ; 1 ' U
OVEN 1 J 11 ,,,
POOL HEATER II LI P, UM ING G .i- I111 PECrOR
ROOM/SPACE HEATER U J U :$RT l AM [ON,
ROOF TOP UNIT t A,'Pilo VE' N Ii r A j PR D(U
TEST II I I I I I I ! ! I . I t
UNIT HEATER ,A IMF; I U
UNVENTED ROOM HEATER
WATER HEATER ' % U J
OTHER 1 i U J
ILI- I I I I I 1 I HI 4
I U l
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES ONO jV
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY i BOND 0
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 71 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.
PLUMBER-GASFITTER NAME / ,.J P.--vyi ns,..-, ,LICENSE# SIG E
MP MGF❑ JP MI JGFE LPG!0 CORPORATION❑# PARTNERSHIP❑# LLC❑#
COMPANY NAME: /I(c- ,,..) J0\1.--Is6,-- ... ADDRESS i ` 2 41 // [(I 1
CITY L /0114 1v STATE 14--'ZIP of o' TEL 1....1/"3,2(Q NA
FAX CELL EMAIL I
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