25A-055 (3) 15 SWAN ST BP-2017-0652
GIs#' COMMONWEALTH OF MASSACHUSETTS
May:Block:25A-055 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv�renovation BUILDING PERMIT
Permit# BP-2017-0652
Proiect# JS-2017-001065
Est Cost,$145000.00
Fee:$942.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MARK LANDY 077431
Lot Size(sa.ft.): 8624.88_ Owner: MARSHALL DAVII).K&MARTHA_BCLARK
Zoning:URB(1000 Applicant. MARK LANDY
AT: 15 SWAN ST
Applicant Address: Phone: Insurance.,
P O BOX 61 (413) 625-6999 O
ASHFIELDMA01330-0061 ISSUED ON.1/I0120I70:00.00
TO PERFORM THE FOLLOWING WORK STRIP & SHINGLE ROOF, REPLACE WINDOWS
& DOORS AS NECESSARY INSTALL ADA ACCESSIBLE KITCHEN, 2BATHROOMS, NEW
ELECTRIC AS NEEDED, INSULATION, ADA ACCESSIBLE RAMP }�'
/fir --77
POST THIS CARD SO IT IS VISIBLE FROM THE STREET / (.�J�G�3ppt�`
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector V K
Underground: Service: Meter:
Footings:
Raugh:3/ 1 -y Rough: j- 7- 1 I House# Foundation:
jLp - Driveway Final:
Final: �[ I Final:(y- ,g`al - �'1
7 b Rough Frame:
fir`^.. 3-1261-0 Oj
Cas:-1-0A {I ? Fire Department Firrp aczChimney:
Rough: Oil; Insulation'-,?ra3.{-)
Final: VC� Smoke: J� ' Final:
d
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULE=ANDATIONS.
Certificate of Occupp 9Y1/ d--Signature:
FeeTvpe• Date Paid: Amount:
Building 1/1020170:00:00 $942.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
'-rf� a-aa�t°� ��t
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�'. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
�I
- aTr �c 't�aA {o _—MA. DATE, /9'/7 PERMITS &P-
JOSSITE ADDRESSS _ NERS NAMEN-e
OWNERADDRESS�afsl7all
TYPE OR OCCUPANCY TYPE', COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLE;lliLY N&P. ❑ RENOVATION. ❑ REPLACEMENT:❑ PLANS SUBMITTED. YES❑ NO?
APPLIANCES i FLOOR— Bemt 1 2 3 4 5 6 7 B 1 9 1 10 11 12 13 14
BOILER I I i
' BOOSTER +
CONVERSION BURNER
I COOK STOVE
DIRECT VENT HEATER
I DRYER
FIREPLACE
FRYOLATOF— R
FURNACE
GENERATOR
GRILLE '.
INFRARED HEATER a
LABORATORY COCK _
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOMEHEATER
ROOFF TOP
TOP U UNIT
TEST
UNIT HEATER ! I_ _ PLUM MING&GAS I SPEC OR
UNVENTED ROOM HEATER _ I �—
WATER HEATER -fill A"7121D
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalentwhich meets the requirements of MGL.Ch.142 YES eNO ❑
If you have checked YES,please indicate the type of coverage by checking the appropriate box below.
LIABILITY INSURANCE POLICY Z' OTHER TYPE INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my
Knowledge and that all humping work and Installations Performed under the permit issued for this application will be c$mpliance with all Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. j4 %
PLUMBER/GASFITT(ER NAME:�t��.1.JA ��w!r� LICENSEN.O0/b W SIGNAT
COMPANY NAME: flil A) Act< CWIc2 P' I' AODRESS10 Cf OSLY
I
CITY,�C' - — '<"w.V STATE: ZIP, 106 _ FAX:_ _
TEL� ��fr ./CELL.J37- 7/ EMAIL: ter} I
,nnETEo
15 SWAN ST EP-2017-0735
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 25A
Lot:055 ELECTRICAL PERMIT
Permit: Electrical
Category: REWIRE HOUSE&ADD NEW SERVICE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001065
Est.Cost: Contractor. License:
Fee: $185.00 TRISTAN ARSENAULT Journeyman E50372
Owner: MARSHALL DAVID K& MARTHA H CLARK
Applicant: TRISTAN ARSENAULT
AT: 15 SWAN ST
Applicant Address Phone Insurance
23 GOVERNOR ST (413) 834-7035 O C- ,
PLAINFIELD MA01070 ISSUED ON:2127120270:00:00
TO PERFORM THE FOLLOWING WORK:
REWIRE HOUSE &ADD NEW SERVICE
Call In Date; Date Requested inspection llt /Sf Orr• Re' t
Trench/UG:
Special Instructions
F
Rough 3- 7- I7 R?s\
x
Special Instructions:
Final:
SRE Called In• .S (a,;L,I (i
Si [ re•
Fee Tvper Amount: D [ P Id
Electrical $185.40 2/27/20170:40:40 495
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
M /�
CITY: IjWq"4.h�."j MA. DATE: Ji'-j917 PERMIT# (04 'r
JOBSITEAODRESS: E& Swciy S'� OWNER'SNAMN-a AtPSkgf?
'
G OWNER ADDRESS'� 114r9kAl Ct: AV•7O•f/ TEL: FAX:
TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[�
PMT
CLEARLY I NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO Q'
APPLIANCES? FLOOR Bsmt 1 2 3 4 5 6 7 8 8 1 10 11 12 13 14
BOILER I
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR 114
GRILLE
INFRARED HEATER 1it I
LABORATORY COCK 1
MAKEUP AIR UNIT L
OVEN
POOL HEATER '"
ROOM I SPACE HEATER
ROOF TOP UNIT "
TEST It
UNIT HEATER I PLU ING GASINSPECOR
UNVENTED ROOM HEATER
IN PM nffD—
IFA—TER HEATER
INSURANCE COVERAGE ry
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [ NO ❑
If you have checked YES,please indicate the type of coverage by checking the appropriate box below.
LIABILITY INSURANCE POLICY 2' OTHER TYPE INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:[am aware that the licensee does not havethe 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
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 c mpliance with all Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBERIGASFITTfE1R NAME:St 11 (�Arkl41u1e2 LICENSE 76 SIGNATURE
i COMPANY NAME: ht)1 kAc4dCW1f7- P+14 ADDRESS:gC, C('oskw ,q+
III CITY:�t? '+a4� STATE: AA-
ZIP: D10 feC FAX:
1 TEL: -per& CELL:,4-37-((a 76 EMAIL:
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