31A-311 (8) P-2023-0462
107 VERNON ST COMMONWEALTH OF I ASSACHUSET" `�°
Map:Block:Lot:
31A-.311-001 CITY OF NORTHAMVIPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0462 PERMISSION IS HEREBY GRANTED TO:
Project# PORCH 2023 Contractor: License:
Est. Cost: 25000 MATTHEW KOZUCI$ CS-106644
Const.Class: Exp.Date: 09/25/202
Use Group: Owner: ROCKI ELL LINDSAY
Lot Size (sq.ft.)
Zoning: URA Applicant: MILL RIVER DESIGN BUILD
Anplicant Address Phone: Insurance:
6 HIGH ST 4133418893 WC2-315-624269-010
FLORENCE, MA 01062
ISSUED ON: 04/18/2023
TO PERFORM THE FOLLOWING WORK:
REBUILD 2ND FLOOR PORCH
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: v 1713.3Lii House # Foundation: •
Final: Final: ( '23 Final: Rough Frame: .iL S-y.z
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:Q.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORT'HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: + 1 (1)** I
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•JV�J��1 1 � 1
Fees Paid: $167.50 v
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissicner
(o1 \I&>e. ti S T
�=" - Commonwealth of Massachusetts ore ;al Usely
Permit No.: 6—202� 03 6 2
_:-, •Et Department of Fire Services Occupancy and Fee Checked ,036,2
f/ 3`f
~ _•Ri L A RD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 4, ( ov
'' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
N,All i rlc o be performed in accordance with the Massachusetts E ectrical Code(MEC),5 7 CMR 12.00
City-To, rr=u f: (J C' CI RVA M Pro NI Date: . 11-f 1
To the Inspec Qr,J Wires:By this application,the undersi ed giv notices of his or her intention to perform the electrical work described below.
'Location (Stye• : Number): ID \/ 01 '' Unit No.:
- __1
Owner or T nib i LlNDSL`.i l ``L Email:
Owner's Address:t S A-1''‘15 Phone No.:
Is this permit in conjunction with habtt{ild ng permit?(Check appropriate box)Yes E No 0 Permit No.:
Purpose of Building: Z4S th ,cc. 1 Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: I N.S"t 4 kt -s-p1'6..1.+-5 au' Se-c4mh.
- lem- r04t,v\I•
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grad.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electri al Work: (When required by municipal policy)
Date Work to Start: 5�t(Z3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 1, 1 n(t CA El-i t'i - L-L C- A-1 ['or C-1 ❑LIC.No.: e Z-7 LI
Master/Systems Licensee: t A, D 1 12-'( 6 4 LIC.No.: 2 3l--l a(A
Journeyman Licensee: 1 A .D 142-`{ C4 LIC.No.: /3 I of
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 1"La )`'lt1.K.CNAN S.I. ttd L- o kC /AA Cuu 61f6
Email: d• ► -}a 1 aV1\V a v r y'ea-W 5•M a 1 ‘• Co-" Telephone No.: /13. 'L I Z - O l 4 Z.
I certify,un r the ' s and penalties of perjury,that the information on this application is true and complete.
Licensee: Print Name: A %i'lt-164 Cell.No.: L►3-Zc 2 • 64((I
INSURAN E C VERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of a to the permit issuing office.
CHECK ONE: INSURANCE W BOND 0 OTHER❑ Speci :
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no have the liability insurance coverage normally
required by law.By my signature below,I hereby waive this requirement.I am e:(Check one)Owner❑ Owner's agent 0
Owner/Agent: T 1.No.:
Signature: ail.:
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