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23A-175 (2) 32 PINE ST COMMONWEALTH OF MASSACHU Map:Block:Lot: 23A-175-001 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 2022-1219 PERMISSION IS HEREBY GRANTED TO: Project# KITCH/BATH RENO Contractor: License: Est. Cost: 20000 JEFFREY BOTT CS-053157 Const.Class: Exp.Date:09/06/2023 MILLER VIRGINIA&ANN S WASSEL CO- Use Group: Owner: TRUSTEES Lot Size (sq.ft.) Zoning: URB Applicant: JEFFREY BOTT Applicant Address Phone: Insurance: 32 Pine Street (413)530-6920 FLORENCE, MA 01062 ISSUED ON:09/28/2022 TO PERFORM THE FOLLOWING WORK: BUMP OUT WALL AND RENO KITCH/BATH 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: OA/ iV 7 z L i? Rough:; Rough:j-..2c 3 House # Foundation: Final'Z.r `Z.g Final: 7_lc, itr. Final: Rough Frame:!) K 1• Z 3.23 i Gas: �' �- Fi a Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: C tt t-Z 3.2 Smoke: Final: (� � `�-1�-?3 ><, THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: .52 Fees Paid: $130.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Cift* 2>Lb ;� f Ob j , _ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK k*TA:- CITY rpk tJ okn-1 Am 9-t0 0 ] MA DATE b(-(1- 23 PERMIT 2023-OO2).4 tv i_' JOBSITEADDRESS y 3 2.. PW-. .51 F1_Arenc4-- I OWNER'S NAME GU),.N4((8A-_y1,,Vo-t ,. .. 1 GOWNER ADDRESS -1 J z ?Vf�{A ST TEL '+43 s30 6'IV, �FAXI TYPEOR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL PRINT RESIDENTIAL CLEARLY NEW: El RENOVATION:(xi REPLACEMENT:D PLANS SUBMITTED: YES© NO11 APPLIANCES 1 FLOORS-4 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER . . 'r :I__. ._-.�-�.�_-.._...ram CL—. w,i_ I .. 1 �----� BOOSTER i -' 1t_ -In T _ CONVERSION BURNER _ COOK STOVE I41 ,_ DIRECT VENT HEATER DRYER I __,. —( --jr I� . 1r-- ---�.�_ _� t- � -17— 1 FIREPLACE lr �_ _ � �_ _ FRYOLATOR 1---ir I r � , I FURNACE I _ .� s�II ' 9i,� ir . r ;. i ([� 1 GENERATOR 1.1 1- GRILLE INFRARED HEATER i e� - I(__ 1 I 11 �f� -lr f-- - I 1 Ir --- LABORATORY COCKS T�` 1 _ I� I +.II N[ - [i _- I1 - , I ' MAKEUP AIR UNIT [ �i-���_' OVEN ( .`'__ :[ 1 IF 1 POOL HEATER fna ; �' L i ' ... .. .__ .. r.. __ _.__ f� ' l _ �ti , - [ ROOM/SPACE HEATER T ^1 ROOF TOP UNIT � �LL CLL 1( � � TEST I I �i� �I t. ,rrpo-�� o UNIT HEATER ( 9j-_ IF—if_ `'j �_ � 1 ,, UNVENTED ROOM HEATER - . i 1F _-17-1`— -�[�_ L_ _ - _ .7.11-� -[ �I --L -t WATER HEATER ��.I I�._.__ �-' 1_,--- __ 1��[_��, -- -1-- i � ___-=i OTHER I r >( � ,, I l INSURANCE COVERAGE I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES 11 NO Li I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [.i OTHER TYPE INDEMNITY 1 j BOND Li 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. x �� & CHECK ONE ONLY: OWNER AGENT I 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 best f my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian e ith all Pertinent pr ision of e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME f r' PrS J r Y 1 LICENSE#iii Li f Zi SIGNATUR MP Li MGF D JP D JGF 0 LPG]Li CORPORATION[1 1#L PARTNERSHIP D# I LLC #L COMPANY NAME: C'141 4 r ' ADDRESS tI � �-i�f - L 1 CITY (kiciliitlip c _J STATE i ZIP 6 (J27 1TEL FAX ._. CELL �/3- 1 s 3 -2z. zs F 2 dz. 1 23 4-o MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 4.��ufj CITY I . /JJ1 4�rt1 PI2.► ._ MA DATE 1 +, "1 - 2.3 PERMIT# Pr ZG?� 004 JOBSITE ADDRESS lc, 32. pib le. 5-1- ( OWNER'S NAMEr, NI,(1{.,_. 6, 30-Tr_—_ 1 OWNER ADDRESS y 32 'Pm e.- S-c- , TEL k`F 3 D30i-'31_D -1FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL X PRINT CLEARLY NEW:0 RENOVATION:p REPLACEMENT:xi PLANS SUBMITTED: YES[j NO[ I FIXTURES 1 FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB v_ _ f--- ! i CROSS CONNECTION DEVICE (- i �'"'�' DEDICATED SPECIAL WASTE SYSTEM � = ininr � I�[ DEDICATED GASIOIUSAND SYSTEM [� DEDICATED GREASE SYSTEM I DEDICATED GRAY WATER SYSTEM { ( DEDICATED WATER RECYCLE SYSTEM4 I i i DISHWASHER ( I---- DRINKING FOUNTAIN ( (--III !IIII!IIMill FOOD DISPOSER �I r_ FLOOR I AREA DRAIN 1 tal INTERCEPTOR(INTERIOR) KITCHEN SINK l . ___ LAVATORY -- i ROOF DRAIN SHOWER STALL1111111F1111111111111 P! SERVICE I MOP SINK pliVIIII,11. i TOILET I URINALP II , flop WASHING MACHINE CONNECTION11.111 WATER HEATER ALL TYPES WATER PIPING ( _r 1 � in IN a nun OTHER -I ... ' _ r . I' _- 1 [ [ i , 1_-__ fie- _ _ �.. 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 CCVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY© 0-HER TYPE OF INDEMNITY Li 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, my signature on this permit application waives this requirement, CHECK ONE ONLY: OWNER AGENT Li 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 complia with all Perti t provisi of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME CIPr,r d .- , G pr/1— .( ,LICENSE# II b 'Z-1 SIGNA RE MP[ JP® CORPORATION©# PARTNERSHIP©# LLC[ 1# COMPANY NAME Cfq-✓4 tirrile ADDRESS Z11 c'Sj atr- V'/, f 1 2 CITY ! p-..-,., STATE Kit/le ZIP FAX 1C`E_LL Y/3-akd-"15E�IAIL 1 -w" 14 -22 32 K(Nt-::- 57— o Common.weattl o/Mamachusetti Official Use Only r— - / c�r Permit No. C�2023 -005 y- ` _mil 2epartmenE o f Sire Service) =l=j= Occupancy and Fee Checked 0---/?t L j -- == BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] '^^:es+ (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 (PLIASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( G 17 1 3 City or Town of: f-(cc e-e't.c 4r, 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) .. Pr-IA s'l• Owner or Tenant J e_-- ---- A c.,7 Telephone No. it/ 3 63o e-y2e Owner's Address ,.S et,,,., P Is this permit in conjunction with a building permit? Yes El7 No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: IA_i 1 i e_ k i 7Z'c:`L Completion of the following table may be waived by the Inspector of Wires. No. rano otal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets a- No.of Hot Tubs Generators KVA Swimming Pool Above ❑ In- r—i❑ No.of Emergency Lighting No.of Luminaires 5 grnd. grnd. Battery Units No.of Receptacle Outlets Li No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and 3 Initiating Devices No.of Ranges No.of Air Cond. Total No.o f AlertingDevices Tons No.of Waste Disposers .1 Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers I Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW 'Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: ''F-i-I" ( (When required by municipal policy.) Work to Start: j // AX3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE(�tpAGE: 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 El BOND El OTHER El (Specify:) I certify,under the lips and penalties of erjury,that the information on this application is true and complete. FIRM NAME: y'P/' C- Vice(� _ LIC.NO.:32 697E Licensee: 3 t v..a Signature C�/_��i LIC.NO.: KC` (If applicable,enter "exem in the license numberr-lie.) Bus.Tel.No.: 1-t/3 3.2O /I.$6 Address: L,0,)-- 14 41 /' P�to v(CC, / / O/a 6 Alt.Tel.No.: *Per M.G.L.c. 147,s. 5 61,se unity 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 0 v Signature Telephone No. 1 PERMIT FEE: $ 6 i