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17A-092 (6) 22 GRANDVIEW ST BP-2019-0331 GIs#: COMMONWEALTIR OF MASSACHUSETTS MaQBlock: 17A-092 CiT Y OF NORTHAMPTON Lot: -001 PERSONS CON!'RAC"FING`Y!TH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADD BATH BUILDING PERMIT Permit# BP-2019-0331 Proiect# JS-2019-000538 Est. Cost: $65000.00 Fee:$422.00 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: Use Group: DOUGLAS THAYER Lc s zg!s-,. fr.): 11830,52 Owner. TOCOHEY BRAN& CMARE SHIPLEY Zoning:RI(100)/URA(100)/WSP(15)/ Applicant: DOUGLAS THAYER AT. 22 GRANDVIEW ST Applicant Address: Phone: Insurance: P O BOX 60322 (413) 530-4785 () FLORENCEMA01062 ISSUED ON.9/16/2018 0:00:00 TO PERFORM THE FOLLOWING WORK:ADDITION OF DORMER AND FULL BATH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: g Footin s: ` Rough:��/?i�'/f^`; Rough:/()._:) House Foundation: l�-/f� di Driveway Final: -ds-iy Final:ld`t•_ Final: U t!z � /GJ Rough Frame: ` Gas: TFire Department Fireplace/Chimney: Rough: Gil: Insulation: N r< j bf 3 � - I 04 -3 I-lel V�; Final:lel-�6_�9 Smoke: Final: THIS PEl&IT IdIAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIOUN OF ANY OF ITS RULES AND REGULATIONS. p Certificate of PFYkQA si nature: FeeType: Date Paid: Amount: Building 9/16/2018 0:00:00 $422.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 22 GRANDVIEW ST EP-2019-0307 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 17A Lot: 092 ELECTRICAL PERMIT Permit: Electrical Category: 2ND FLR BATH ADDITION,WIRE 20 AMP CIRCUIT,WIRE EXHAUST FAN&LIGHTS;WIRE THREE SEASON MUDROOM Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-000538 Est.Cost: Contractor: License: Fee: $125.00 DANIEL A YOUNG Journeyman Electrician 10728B Owner: TOOHEY BRIAN & CLARE SHIPLEY Applicant: DANIEL A YOUNG AT. 22 GRANDVIEW ST Applicant Address Phone Insurance 208 RESERVOIR RD (413) 315-0606 C- Workers Compensation, SOLE PROPRIETOR WESTHAMPTON MA01027 ISSUED ON:10/25/2018 0:00:00 TO PERFORM THE FOLLOWING WORK: 2ND FLR BATH ADDITION, WIRE 20 AMP CIRCUIT, WIRE EXHAUST FAN & LIGHTS; WIRE THREE SEASON MUDROOM Call In Date: Date Requested Inspection Date/Sip_nOff: Reinspect?: Trench/UG: Special Instructions X Rough X Special Instructions: Final: 9 3 0- /'P SRF,Called In: Signature: Fee Type:: Amount: DatePaid Electrical $125.00 10/25/2018 0:00:00 1652 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo �C) MASSACHUSETTS UNIFORM APPLICATIQpf FOR A PERMIT TO PERFORM PLUMBING WORK rrs 11 CITYMA ATE (Q Oil PERMIT# JOBSITE ADDRESSOWNER'S NAME 13v, A POWNER ADDRESS 6- j v, TEL[7 7FAX TYPE OR OCCUPANCY TYPE C.JeAMERCIAL❑ EDUCATIONAL Q RESIDENTIAL(� PRINT CLEARLY NEW:❑ RENOVATION:D REPLACEMENT:[ PLANS SUBMITTED: YES NOF-1 h ,FIXTURES Z FLOOR BSM J`, 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 F a KITCHEN SINK LAVATORY ; ROOF DRAIN SHOWER STALL SERVICE/MOP SINK SPoct s TOILET 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 MIL Ch.142. YESCT NA Q IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BEI-Olt LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY F-1 BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does notr Fe►insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit app `Mwaives this requirement 1` } CHECK ONE ONLY: 'OWNER AGENT SIGNATURE OF OWNER OR AGENT '. r 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 0 orppliance t;ith all Pertinent ovision pf the Massachusetts State Plumbi g Code Id Ch pter 142 of a General Laws. PLUMBER'S NAME LICENSE# ( ( SIGNATURE' + MP 4 JP C RPORATION Q#=PARTNERSHIPr_]#[77�LLC[]#[� COMPANY NAME r ADDRESS - VN CITY STATE ZIPFTJ(� TEL FAX CELL 0 r EMAIL QAW -4-04/ CHECK #30578 $75_.00- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTHAMPTON MA DATE 7/18/18 PERMIT# D (� JOBSITEADDRESS 22 GRANDVIEW STREET _ OWNER'S NAME_BRIAN TOOHEY i) OWNER ADDRESS TEL 41 3-588-71 19 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ® RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS— BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BOILER GAS LINE TO 1 BOOSTER CONVERSION BURNER COOK STOVE _ n DIRECT VENT HEATER — 1 DRYER FIREPLACE FRYOLATOR FURNACE IL Ll I GENERATOR GRILLE BBQ( _ p 8 as puctio INFRARED HEATER 'th m ton. LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST W-Ef 11 UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER EXTERIOR UNDERGROUND LINE TO BUILDING INSURANCE COVERAGE 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 INDEMNITY ❑ EONO ❑ 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 Perttpept provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. // / c `�/J PLUM BER-GASFITTER NAME ALFRED H. GEORGE LICENSE# 3809 4 SIGNATURE MP❑ MGF[3d JP❑ JGF❑ LPGI ❑ CORPORATION ®#130C PARTNERSHIP❑# LLC❑# COMPANY NAME _ GEORGE PROPANE, JI1�, ADDRESS 3 BERKSHIRE TRAIT W STYPn Box 1n2 CITY GOSHEN _____._____-_ ___ STATE MA zip01030-0102 TEL(413)268-8360 FAX (413)26 -0206 CELL EMAIL mgeorge@georgepropane.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES _ Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES FAII N t7� L ;Rr