46-050 (10) BP-2022-1376
99 ISLAND RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
46-050-001 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-2022-1376 PERMISSION IS HEREBY GRANTED TO:
Project# SHED Contractor: License:
Est. Cost: 5450
Const.Class: Exp.Date:
Use Group: Owner: ADAM BASS, KATHRYN &
Lot Size (sq.ft.)
Zoning: SC Applicant:
Applicant Address Phone: Insurance:
ISSUED ON: 10/25/2022
TO PERFORM THE FOLLOWING WORK:
FINISH INTERIOR OF SHED
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: :.,-'.3" House# Foundation:
Final: Final: Final: Rough Frame:i---mua2 /Z•Iq-ZZ ll./2 )•
fe. /'L-it, LL 144,
Gas: Fire Department *r • Driveway Final: Fireplace/Chimney:
Rough: Oil: insulation:h,/Z i Z-i61-ZZ
Smoke: Final: 0.e. 8.1-2"5 1C,t2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (41 3)587-1272
Office of the Building Commissioner
WA IL> ; iVale'C/f1--tr n(55
_ tVtvocA,di Oar') z) Gr T6-a1 pool-7?
'9e14-41-51Z, e adL. 64
Cfl /5-tAA/6 li)
\ Commonwealth o/ 1 aiiachuieta Official Use Only
i,— —69 cc�� Permit No. Z�L�`��
.2 a arlmenl o D ire�ervice!
= r'== �y i P i 37
t/iYtP2oz21c25591 C ,, , (%
,' Occupancy and Fee Checked �It 7C/�
j�>; � IM BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
rAlliwork to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00
i(PLEASEPRIN7`IN INK OR TYPE ALL INFORMATION) Date: h� ./ ZA Z Z
. - City or f (/PTJ�rown of: AMAWAft ✓ To the Inspector of Wires:
By this application'the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street$i Number) q9 `s-,44,9ytid leS
Owner or Tenant Aiejtat. : / 412/"..) / `i 5 Telephone No. 4t (pl? Vffv 8
Owner's Address �3 � //
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building/her —C7Vz)/p Utility Authorization No.
Existing Service (900 Amps 00/o7yp Volts Overhead Er Undgrd❑ No.of Meters 1 + s 0 9
New Service / w,er?1�
bb f�Amps r20 /,2c(0 Volts Overhead I I Undgrd El"--- No.of Meters
Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: S f-1 rq 1 h Ov,,2`r ed
A J-. S 4 IN-0C AL*? 5'v la 7 4L 340 r L4 IVI CwH 4 r 69 c l s
Conipletion of the following table may be waiv by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Transformers 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. Initiating of Detectionand
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 El Connection
Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of 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:
Q Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 9 (When required by municipal policy.)
Work to Start: (0 I 'ot 0-22_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:) •IJC t;Ckkt 1) 1 tn 5%,ravi C .
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: LIC.NO.:
Licensee: ' g Aciact,_._,124.:-��rj��;OI� � �O(Oi✓� Si nature LIC.NO.: S�6 ;� 'e
(If applicable,enter "exempt"in the license tuber line. Bus.Tel.No.: i/31 .21 n•-(lt.�i,
Address: //Z �i.Sk,�� Rv'Z/ iYi,i line. Bus.
/d M f Oil O q Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requites 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 m jure below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent.
Owner/Agent /
Signature Telephone No.d''D l"?'//GB� PERMIT FEE: $ (it
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