36-379 221 EMERSON WAY BP-2017-1011
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-379 CITY OF NORTHAMPTON
Lot: -32 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-2017-1011
Project# JS-2017-000870
Est. Cost: $620400.00
Fee: $1768.20 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEPHEN FERRARI 98877
Lot Size(sq_ t. Owner: BISHOP DAVID R & PATRICIA M GORMAN-BISHOP
zoning_ Applicant: STEPHEN FERRARI
AT: 221 EMERSON WAY
Applicant Address: Phone: Insueance:
103 RYAN RCS _ (413) 588-8975 ()
FLORENCEMA01062 ISSUED ON:3'22/2017 0:00:00
TO PERFORM .:'HE FOLLOWING WORK:CONSTRUCT A NEW 2 STORY WOOD FRAM"-ED
SINGLE FAMILY F:C)USE WITH ATTACHED GARAGE - 3,083 SQ FT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
_ Footings:
Rough: Rough: 1' — /1 HOUSe# Foundation:
(2"4
t'-N Driveway Final:
Final:er/Z y 7 Final:
// Rough Frame:
7r-r /al )7 ®' -
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation-' D 7
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Final: 2,1W Smoke: tCbrri. Rea" Final: al< gri2$t
THIS P R I AY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. p
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Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 3/22/2017 0:00:00 $1768.20
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
Zyb-CO 63/
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cV MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO ORM PLUMBING WORK
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CITY I ILO Qn('1 .mac/ MA DATE -�- (71 PERMIT#
JOBSITE ADDRESS 22( Kit-ix cr.:<J 6--art/ OWNER'S NAME C56«Ll / r /re,/L t '
OWNER ADDRESS 1 , L--n e f-- c 7-u Lua.e TEL FAX
7 YPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[ -[
PRINT
CLEARLY NEW:Er RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES[1 NO[J
FIXTURES 1 FLOOR-1 BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB j 1 e 1 ( ( MB !
CROSS CONNECTION DEVICE [ % 1 if
DEDICATED SPECIAL WASTE SYSTEM -[ i 1 , 11111
DEDICATED GAS/OIUSAND SYSTEM 1 ___ 1IIIIP
DEDICATED GREASE SYSTEM r 1 i=
DEDICATED GRAY WATER SYSTEM ] _ _
DEDICATED WATER RECYCLE SYSTEM ! [ ( Iiii
DRINKING ER I
DRINKING FOUNTAIN ��
FOOD DISPOSER r I _ t
FLOOR/AREA DRAIN {
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INTERCEPTOR(INTERIOR) ( . Ma I I
I
KITCHEN SINK 1 / I, I
LAVATORY / ( i Mill� +. , -
ROOF DRAIN
SHOWER STALL , / i i'y o N' I—
SERVICE/MOP SINK i I_ IJ __ I
TOILET 711111n1111.11111111111111110111111
I AMA
URINAL I� . 1__ - immil
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WASHING MACHINE CONNECTION _ _M` loll _
WATER HEATER ALL TYPES
WATER PIPING ----. I (' 1 I♦Imp
OTHERn I _CIRCLE 1.GAS TRAP/LNDRY TRYBACKFLOW PREV/WATER CLOSET ( ilI Mt..
' HOT WATER TANK I •^�• t I -----1
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Er-NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY[_1 OTHER TYPE OF 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 III
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 fiance with II Partin "(provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. GGl,<GCe)
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PLUMBER'S NAME _'mac rr' ( t -<.', <- LICENSE# /4 J"•7 z- SIGNA URE
MPMf JP CORPORATION❑# n'"ZrC _PARTNERSHIP❑# LLC #I
COMPANY NAME( cid7(- /c-t-- Rc1 t-r3;JG ADDRESS 7-1 A c,x rr(,'"-
CITY , r(LG --c41 STATE /ir.'t ZIP (V0Z7 TEL y/5-- GZG - ID 7(
FAX CELL EMAIL �C- .77—) (.e94-UGL lam)•{• ('-U"-
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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1 MA DATE��'Z PERMIT# I 1
JOBSITE ADDRESS' 22-1 lo ie I OWNER'S NAME /SISltN7 1
GOWNER ADDRESS ' TEq FAXL-- 1
TYPE OR OCCUPANCY TYPE COMMERCIAL[] EDUCATIONAL I I RESIDENTIAL F
PRINT
CLEARLY NEW:I'-1' RENOVATION:I 1 REPLACEMENT:[ I PLANS SUBMITTED: YES[ -I NO[J
APPLIANCES 1 FLOORS—. ® 1 2 ME 5 6 7 8 9 10 11 12 13 14
BOILER _. _ ---- _ __ [ WI�.__...
BOOSTER I; I �� I I
CONVERSION BURNER (I I
COOK STOVE i fr...c
DIRECT VENT HEATER i 1
DRYER I I _-�_[ I� �� ,
FIREPLACE i t I
FRYOLATOR -1 I _ _;� .? 1
FURNACE , I t;1' ',__1'. 1 - 1 J 1
GENERATOR 1 t �i
GRILLE
11,
I+cir um
INFRARED HEATER I — It
LABORATORY COCKS 3 ; ► _ I$ •' I
MAKEUP AIR UNIT
OVEN _1--- I1 :I"
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___lPOOL HEATER ....� I - ._.ROOM/SPACE HEATER 1 1v1__l___ I, --__ — -
ROOF TOP UNIT f-,,4_-_-_,---.{ _
TEST i. 1_�.+, --—I-
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UNIT HEATER _;�.__� , �' _- ( ) -71: - . 1.- 1... .,,.
UNVENTED ROOM HEATER �I . P 6Mti NO&I: AS 1 r 1,T_ f 1—_�
WATER HEATER -- J
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OTHERain r :,,, 4.lOT.APPil ----<
HEATER RANGE . MON 1 1 L -11 FrPi- I ., . —
AMID ROOM HEATER 1 1
VE :1; —11
GAS PIPING �' I I _ . L . _I
INSURANCE COVERAGE
I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGI.,Ch.142 YES I I NO I I
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY I 11 OTHER TYPE INDEMNITY I 'I 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 [ I AGENT I [
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 b st of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in cornpliar with all P din I provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ----- C
PLUMBER-GASFITTER NAME , e`7f' raCGW J LICENSE#/d ar SIGNATURE
MP�MGF I I JP n JGF[] LPGI❑ CORPORATION[413(2 C I PARTNERSHIP[]# I LLC❑#
COMPANY NAME:' -eft.e---Id"L ILcf ! 1 ADDRESS /�' &%,7(
CITY I -/TAd++ep I STATE 14444 ZIP 6/O. 7 TEL L//r, '6 ---6-3°26
FAX CELL EMAIL c "f@ ( )*-1
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