28-014 (5) 249 SYLVESTER 1tD BP-2016-0367
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 28-014 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:New Single Family House BUILDING PERMIT
Permit# BP-2016-0367
Project# JS-2016-000598
Est. Cost: $250000.00
Fee: $1738.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: • License:
Use Group: SCOTT HATHAWAY 083125
Lot Size(so. ft.): 80019.72 Owner: DAVIAU CONTSTRUCTION LLC
Zoning: Applicant: SCOTT HATHAWAY
AT: 249 SYLVESTER RD
Applicant Address: Phone: Insurance:
5 BURLEIGH RD (413) 575-6665 WC
WI LBRAHAMMA01095 ISSUED ON:11/12/2015 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W/ATT
GARAGE/DECK
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: ,//z 7,,y4 Rough: House# Foundation:
Driveway Final:
Final: l Final3.-1 3 - /1
may/7 l7 Rough Fraitke .46 okief
a/-
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation (3G I` 6, �es
J ice/
Final:3,/7 Smoke:(...(4 2(Qet, 3 /13 117 Final: d/
r
THIS PERMIT MAY BE REVOKED BY THE CI,�`'OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL di / /
Certificate of Occupancy L� Si.nature:
FeeType: Date Paid: Amount:
Building 1:!12/2015 0:00:00 $1738.50
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 PLUMBING WORK
` f`—_. CITY L/ 'l� `,ia G 64-- MA. DATE �/� , ~�6 PERMIT#1 ,'" (UGC (10 69
J03SITE ADDRESS g� sill'Y ü�SfPto OWNER'S NAME S/
,/INN 41611/1"
OWNER ADDRESS • TEL • FAX
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL Ei"---- .._
ARlNT NEW:Q "-- RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES 0 NO 0
CLEARLY
FIXTURES 1 FLOOR- f BSMT 1 I 2 3 I 4 I 5 6 7 7 8 9 10 11 12 13 14
_BATHTUB + 4
CROSS CONNECTION DEVICE I I ; T I
DEDICATED SPECIAL WASTE SYS TREV--------p IF
DEDICATED GAS!OfUSANC SYS _ J (l'�:.'(
DEDICATED GREASE SYS
DEDICATD GRAY WATER SYS _ I APK,
DEDICATED WATER RECYCLE SYS L _ J
DRINKING FOUNTAIN 'Erg:C=s;:^-- --�
DISHWASHER / �',��ysr
FOOD DISPOSER _
FLOOR/AREA DRAIN _ _ j
INTERCEPTOR(INTERIOR)
KITCHEN SINK /
LAVATORY 1 3 _ I �
ROOF DRAIN I
SHOWER STALL / I n �. r
SERVICE l MOP SINK I I. 1 I ,a,.• ,�
TOILET I' I / j a� I L'""s �� NOT APPRO'!ED
URINAL I I_ •
WASHING MACHINE CONNECTION I / i ,rg. I
WATER HEATER ALL TYPES /
WATER PIPING _ / '
OTHER
J
INSURANCE COVERAGE:
1 have a current liability_insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes- N ❑
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 1 . OTHER TYPE OF INDEMNITY 0 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 BOX ONLY: OWNER 0 AGENT 0
Signature of Owner or Owner's 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 14. 12 the General Laws.
PLUMBER NAME jlf/9� J,- SIGNATURE_ j��t I 4944"----_,/
UC# IS(1,6.'I MP ,,,1/P❑ CORPORATION 0# PARTNERSHIP 0# LLD ❑#
COMPANY NAP c g 6. ,C/�L ft/YY"� .4" cS 6,-" ADDRESS: !/ C/P� 5 .'--
CITY
�
CITY / ro,/' STATE/M ZIP Of, _ EMAIL
TEL_ !` _ CELL ?, �7(�Cl FAX
ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
YesNo
"i. ,2...--/:44 A?r-er;41,—..-7.6 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
. . FEE: $ PERMIT# -- —
PLAN REVIEW NOTES
_____4k1:2___ ..diY i . J .„-, - _0
- �Z /, l/' ' '/
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
VCITY: /19%-4114/174.4/ MA. DATE: C( s 7-/, PERMIT#6l Ill .�?/
JOBSITE ADDRESS: 3 J 1 UPS t V OWNER'S NAME: Scot i /Y7�'(h p.4
� y y .
GOWNER ADDRESS: TEL: FAX:
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL fa--
PRINT
CLEARLY NEW:RENOVATION:El REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑
APPLIANCES 1 FLOOR-F Bsmt 1 2 3 4 5 6 I 7 8 —9 fig- I r-12'• 157.7T-1
�.
BOILER ? ■■
BOOSTER _ _
CONVERSION BURNER - , iL.
COOK STOVE r T E 7 i :
DIRECT VENT HEATER J
DRYER I r i• �� • " c1'
�___:__�,:p.� p70N MAOI ,'' _ _
FIREPLACE j _ 1 )
FRYOLATOR J I
FURNACE / -
GENERATOR ( _
GRILLE
INFRARED HEATER
LABORATORY COCK I
J
• MAKEUP AIR UNIT I P UM 81 Ca ChscS iNS0ECiOH
OVEN ( ' nt•: —
POOL HEATER . :i,`: DO
� T ApikaavE
ROOM 1 SPACE HEATER _ ( IMIll
ROOF TOP UNIT /
TEST ^ / ! I
UNIT HEATER
UNVENTED ROOM HEATER
1
WATER HEATER
[ ,
r
I I
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES'TO ❑
If you have checked YES,please indicate the type of coverage by checking the appropriate box below.
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ 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 ❑ AGENT 0
SIGNATURE OF OWNER OR AGENT
hereby certify that all of the details and informa ion 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 coyia e with all Pertinent
provision of the Massachusetts State Plumbing CodeChapter 142 of the General Laws.
d
PLUIv16ERIGASFITTERNRME: 7,
l-- 1 ,9 t 31' LICENSE# /s�S y SIGNATURE
COMPANY NAME ,6 -,/4 j/ J- ;Cc r-- ADDRESS: ?'9 ,L** C/-e/f. '/' ��"
CITY: r 1 / Cc CR STATE:!;�7/T ZIP: 67d.2G FAX:
TEL: CELL:, ,,,3•3_-_____'''''-73 q. EMAIL:
MASTEROURNEYIv1AN❑ LP INSTALLER 0 CORPORATION 0# PARTNERSHIP 0# LLC 0#
ROUGH GAS INSPECTION NOTES THIS PACE FOR INSPECTOR USE ONLY FINAL INSPEC'T'ION NOTES
Yes No -'
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#_
PLAN REVIEW NOTES
a �-f ? - - - -? --
!//G/'lo �,1",75-3�"' _sem 7.--3,-,--- _.2.3
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• . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
a)r.—t: /' ( • .�J/r�
1: r,' CITY NORTHAMPTON MA DATE 04!1312016 PERMIT#(4 �V 7
01 ..�o JOBSITE ADDRESS L 249 SYLVESTER RD OWNER'S NAME DAVIEU-HATHAWAY DEVELOPMENT
) ce 1!a OWNER ADDRESS rDAVIEU-HATH.AWAY DEVELOPMENT TEL 413-478-0268 FAX
C PR1 ;11 OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL .
— CL EARL NEW: / RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES ? NO!..',1
APPLIANCES Z FLOORS— BSM 1 2 3 4 5 E l l 8 9 10 ' 1 t 12 13 14 _
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE _
DIRECT VENT HEATER L
.,• K��R 1 f T (j
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR ( _
GRILLE i
INFRARED HEATER _
LABORATORY COCKS
MAKEUP AIR UNIT I � I
OVEN .
POOL HEATER I
ROOM!SPACE HEATER 1
ROOF TOP UNIT rj
TEST I
UNIT HEATER
UNVENTED ROOM HEATER
WATER
OTHE_ OUTSIDE LIN y
k
INSURANCE COVERAGE
f have a current Liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES , 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 provis' n of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ; 1
PLUMBER-GASFITTER NAME JOHN PUZA LICENSE# 766 t~ NATURE
MP MGF JP _, JGFJ LPGI +j CORPORATION # PARTNERSHIP,,„,„.„,#, - J LLC: #J, _1
COMPANY NAME: AMERIGAS ADDRESS 216 LOCKHOUSE RD ____.__
CITY WESTFIELD I STATE'; MA ZIP 01085 tTEL 413-568-8972 _I
FAX 413-572-6946 CELL. ��'EMAIL SHERRY;.CHAFEE@AMERIGAS.COM
4-leh?/6 1:3:e ,/17-3":"
l� 7/1
The Commonwealth of Massachusetts
I
i City of Northampton
Certificate of Occupancy
In accordance with 780 CMR,(The Eli Edition of the Massachusetts State Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified,
Idents Name of Building of Space Within Certificate No.
Issued to SCOTT HATHAWAY permit#
BP-2016-0367
Identify property address including street number,name,city or town and county
Located at 249 Sylvester Road
Florence,MA 01062
Use Group
Classification(s) Single Family Residential R3
1 This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for
general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It
shall he posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or, tampering
with the contents of the certificate is strictly prohibited.
Conditions of Use
t Name of Municipal Date of Final Map/Plot
Building Official Kyle J. Scott Inspection Date 28-014
03/17/2017
Signature of Municipal ' ,, Date of
Building Of ficial _ rr J J (qtr/ issuance Date Map
YC/{ 077 Lot