23A-061 (2) BP-2022-1651
63 MAPLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-061-001 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-2022-1651 PERMISSION IS HEREBY GRANTED TO:
Project# APMT RENO 2022 Contractor: License:
Est. Cost: 35000 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
63 MAPLE STREET LLC ATTENTION SCOTT
Use Group: Owner: KEITER
Lot Size (sq.ft.)
Zoning: GB Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST, 2ND FLOOR (413)586-8600 MCC20020005382021A
FLORENCE, MA 01062
ISSUED ON: 12/27/2022
TO PERFORM THE FOLLOWING WORK:
MINOR APARTMENT RENO
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:`cll-° House# Foundation:
Final: !4C/L f 2 nal: 2 -'J�-a3 Final: Rough Frame: O.It 2.- ..-23 W ,Q
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
SmokQ•r( '3-4 Final: v,JZ Ll'ZJ 23 /<2
THIS PERMIT MAY BE 1�:EVO ED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: IvAb
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Fees Paid: $245.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
ca
Ck 3N33 *20
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
=��= CITY/TOWN Northampton MA DATE 1/12/2023 PERMIT fi'2,O2 -°°2-1
JOBSITE ADDRESS 63 Maple Street OWNER'S NAME Keiter Builders
P OWNER ADDRESS 63 Maple Street TEL 413-586-8600 FAX
TYPE OR', OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 21
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 1
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND 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
ROOF DRAIN
SHOWER STALL —
SERVICE/MOP SINK PLUMBING St GAS INSPECTOR
TOILET NORTh AMPTON
URINAL APPRCVED NOT APPROVED
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 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. Ric-Way2.6/C/b/z.01
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP E9 JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP❑# 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
AA s..2 ,..i417 .
(03 ro A Jo 5r aa'�
,.. Commonwealtho f Ma..4.4achadeth Official Use Only �/
1,1 M� ei Apartment
cc77 Permit No. '(9-2t�23--0OS!
r: �_ • 2)epa mere o/ Jlu.e�eruice9
•a _ -' Occupancy and Fee Checked 4-7$,Ij�
_f-�-� [Rev.BOARD OF FIRE PREVENTION REGULATIONS1/07
.'v ,-4.- (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 Thr ALL INFORMATION) Date: 01 1 I 2023
City or Town of: Dr C To the Inspector of Wires:
By this application the undersigned gives notice of or her intention to perform the electrical work described below.
Location(Street&Numbber�)y�l 0,3 w C� J'e
Owner or Tenant ��y'Uv^ C !It4 Telephone No
Owner's Address same,
Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.
Existing Service Amps 120 /2.q0 Volts Overhead n Undgrd n No.of Meters
New Service Amps 12D /240 Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
•
Location and Nature of Proposed Electrical Work:
go4- _ nci
Completion of the followingtable may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf
Trr ano KVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.on Initiating on Dete and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KWNo.of Self-Contained
P� Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other
No.of Dryers Heating Appliances KW 'SecuriNo of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
WirinNo.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.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 ►:1 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of erjury,that the information on this application is true and complete.
FIRM NAME: le Lit, LIC.NO.:A- 1ehm1
Licensee: Qa'1 1U,,� -mower Signature LIC.NO.: — , ; 1
(If applicable,ente 'exempt' the pse n b r line Bus.Tel.No.: - WWI I
Address: 51 v ff. we ,e� 'r ?' Hills, MA 01080 Alt.Tel.No.: it:346?. G45
*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: $ '
Signature Telephone No.
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