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
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THIS PEl&IT IdIAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIOUN OF
ANY OF ITS RULES AND REGULATIONS.
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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
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