30C-008 (14) BP-2022-4157
435 FLORENCE RI) COMNIK)NWEA.LTH OF MASSACI1USETTS
Map:Block:Lot:
39C-008-001 CITY OF NORTHAMPTON
Permit: Alts Reno\ations
Repo r-
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11.) PERM IT
RAVIRAWINIPSOSIC IRT.M.R.,A6,731791it VAIRIOIMMIRMINIMMINIMP
Porm it # BP-2022-I I 5 7 PERHISSION IS HEREBY GRANTED TO:
Project t 2022 APAR]MENT Contractor: License:
VALLEY HOME IMPROVEMENT
st Cost: 16000 07727')077279
onst.Class: Exp. Date:((--,
Ls;: &pup: Owner: /ELLER )1 I /N. C& DAVID J
of Size (stiff)
Ion ow: WSP Applicant: VALLEY HOME IMPROVEMENT INC
ypplicant Address Phone: Insurance:
i 0 BOX 60627 : (413)584-7522 0055030215
1-I ORPNICE, MiVOI 062
ISSUED ON:09/16/2022
TO PER f"0 11/1 THE FOLLOWING WORK:
k - REMOVE HO\Vt Prk. NDOW. SWAP ouT BATH FAN. PERMIT l'OR SPACE
"(AIL GARAG rOg, IT1L USV.— APhZtlatENt 007 Al-louA",6 Z.0304a
POST THIS CARD SO IT IS VISIBI FROM THE STREET
taspcon. of Punt Pit lospecor o '\irin 0 P.W. Bail(ling Inspector
Undei gratin& !!;ery Fooliogs:
Bause # Foundation:
Rough Frame:
Fire Department Driveway Final: Fireplace/Chimney:
Ron!,117. Oil: Insulation:
Smoke: 1.uia / io.,3
THIS PER Ai IT MAY BE III OKIZI4 BY THE CITY OF N(IRINA NIPTON UPON 'VIOLATION OF
ANY OF l'I'S RULES AND REGUL ATIDNS.
Signature:
IS
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)2 t •
Fees Paid: $(33.00
pc-n-0) Hoovile-el co/
5-24210
. , .
i 2 Nla ci / I:-;') FAN:/41A,,i87-1:•'
ihc ill Gomm
(435 F1-0/KL�Nc-Kb
Commonwealth el n'Jaeeachiuestle Official Use Only
t' Ao+ `'t c� Permit No. ��2O22-0 0 7 7
.2tpartrmtnt o{gi• en giro troicte
-1 L_ Occupancy and Fee Checked /06'7
y `;, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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
(P1ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1- a3-a-01-3
—' City or Town of: /Uori4i yhlh+t 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) y3(- r/v r cy7c IL
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes d No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: pld... 54tovc_f Crq-Itim ,y- /- r 'Dc k--al r' " 1
I Get 41 4 a.r,% - .- , J hvo r t_54-0 /•yAr
Completion of the followingtable my
Tr be waived by the Inspector of Wires.
NoTotal
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans f
Trano KVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
Na of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices
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
1 Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent
OTHER:
Attach additional detail if desire4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: l-/ff a 3 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 pedury,that the information on this application is true and complete.
FIRM NAME: Michael King Electrician Rop �f. LIc.NO.: 55141-B
Licensee: Michael King Signature f; 4- r_ LIC.NO.: 55141-B
(If applicable,enter "exempt"in the license number line.) Bus.TeL No.:413-695-8810
Address: 71 old stage rd W.Hatfield, MA 01088 Alt.TeL No.:
*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 0 owner's agent.
Owner/Agent I PERMIT FEE: $ (/S:°'
Signature Telephone No.
2 L- 2 2 f(NG
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.,MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
c
isr CITY Northam t� MA DATE 1011/22 PERMIT# 12P ZO 22 Cqp
JOBSITE ADDRESS [435 Florenece rd I OWNER'S NAME Zelimer
N OWNER ADDRESS _._ TELL. FAX
TYPE OR N OCUPANCY TYPE COMMERCIAL ID EDUCATIONAL 0 RESIDENTIAL',
PRINT
CLEARLY-, _NEW::..._ RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES FLOOR-I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM _
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN _ PLUMBING & GAS INSPECTOR
SHOWER STALL _ NORTHAMPTON
SERVICE I MOP SINK APPRQVED NOT APPROVED
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER remover 1
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 Paul Graham 'LICENSE# 12322 SIGNATURE
MP JP _j CORPORATION' •#` PARTNERSHIP # LLC —I#I_
COMPANY NAME Paul's Plumbing&Heating ADDRESS P.O.Box 303
CITY Huntington STATE MA ZIP 01050 TEL 413-238-0303
FAX CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com
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