31A-198 Ifr-LULI-Llnl
54 WASHINGTON AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-198-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2021-2181 PERMISSION'S HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 131000 KEITER CORPORATION 102457
Const.Class: Exp.Date:06/20/2022
Use Group: Owner: LELAND ANDREW S& LILY GURTON-WACHTER
Lot Size (sq.ft.)
Zoning: URB Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 Main St. (413)586-8600O MCC20020005382012 IA
FLORENCE, MA 01062
ISSUED ON:11/15/2021
TO PERFORM THE FOLLOWING WORK:
RENOVATIONS INCLUDING KITCHEN AND WINDOWS
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: 2_,_/7-z2 Rough: -2 House# Foundation:
,414i+wway Final: inal: (R- 2> Final: Rough Frame: ()) 33/i//?R ►
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: wiz 3/2.0 Se3sr
Final: Smoke: Final: 0,I4 6-6-ZZ kg
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
3-11
Fees Paid: $852.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
5 wfasHlN67bA!Ave
Commonwealth o/Mamachudeli.3 Official Use Only
cam- i• * t =ft The artimeni of.ire Services Permit No. ��20 22 —D( 1
CV -'S
$ p '-f_f=. Occupancy and Fee Checked 7 7 p
Y,,_� �,4' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
i (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 l a I as
City or Town of: iu10P'1-t-AA0 vN To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 5a{ UL.45,A,uRC ,A -�
Owner or Tenant /I 1 t �t11—k-c.� I j�l j ) Telephone No.
1
Owner's Address Same /
Is this permit in conjunction with a building permit? Yes rir—No 0 (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.
Existing Service Amps 120/ 240 Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps 120/240 Volts Overhead❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: A itil 4 i q i 1.a_jylek) C C� -1A%
Completion of the following table may be waived by the Inspector of Wires.
No.
rano KVA
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Trsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
�rnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
oNo.of Switches No.of Gas Burners No. Initiatingon nDete and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Securi No o Systems:*
Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the informatiowmrthis application is true and complete.
FIRM NAME: Tower Electric LLC (7: ,L,_ ! LIC.NO.: A-18067
Licensee: Jonathan Tower Signature „„.." LIC.NO.: E-36666
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 413-789-4111
Address: 578 North Westfield St. Feeding Hills Ma 01030 Alt.Tel.No.:A13-530-4343
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent PERMIT FEE: $ j ..S ' j
Signature Telephone No.
A PG°DL30\D
2 202
By: -! s,
a - a�I - as 40.J0
Ck4zo 3 /7o
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
c._11100z, CITY/TOWN Northampton MA DATE 1/5/2022 PERMIT#PP-ZOL2•DO/3
JOBSITE ADDRESS 54 Washington Avenue OWNER'S NAME Lily Gurton-Wachter&Andrew I eland
POWNER ADDRESS 54 Washington Avenue TEL FAX _
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 2
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY 1 2 PLUMBING & GAS INSPECTOR
ROOF DRAIN
SHOWER STALL 1 NORTHAMPTON!
SERVICE/MOP SINK APPROVED NOT APPROVED
TOILET 1 2 - %'
URINAL
WASHING MACHINE CONNECTION 1 .
WATER HEATER ALL TYPES
WATER PIPING 1
OTHER
INSURANCE COVERAGE:
I 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 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 ❑
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 provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP El# LLC❑#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
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