32A-243 BP-2023-0112
131 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-243-001 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-2023-0112 PERMISSION IS HEREBY GRANTED TO:
Project# REPAIRS/BATHS 2023 Contractor: License:
Est. Cost: 78500
Const.Class: Exp.Date:
Use Group: Owner: KEYES ELAINE T
Lot Size (sq.ft.)
Zoning: SC/URC Applicant: KEYES ELAINE T
Applicant Address Phone: Insurance:
131 BRIDGE ST
NORTHAMPTON, MA 01060
ISSUED ON: 01/31/2023
TO PERFORM THE FOLLOWING WORK:
REPAIRS TO CEILINGS AND WALLS, RENO FULL AND HALF 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:
Rough: 2—3 •'Z!j Rough: House# Foundation:
Final: /0„./0, Final:Ja - . 3 Final: Rough Frame: 0 IG Z-3 Z') 11
Gas: Fire Departme&9m Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: DS 2-7•Z3 ,,
Smoke: Final: Jo•A0.231 -fe
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Z
ANA Ai.. ),) 3,i(tt
Fees Paid: $511.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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Conunonmaalth
aa// o` �//a�j�a�each/ueer� Official Use Only
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c(0 -#_ — t c� c7 Permit No. -2 02 .' 0�
a _0l-'1 ..Department of Jira )ervica!
`�� v1=I— Occupancy and Fee Checked 109 I
r- 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
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Q3—Q2- .2023
City or Town of: ,/oR4i4-4 tA ak./ 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) 131 Q R tie S--"
Owner or Tenant A/(/4 41 Ve S Telephone No.
Owner's Address 131 b R j n6 e 5-1-
Is this permit in conjunction with a building permit? Yes _ No 4 . (Check Appropriate Box)
Purpose of Building k;-- NPA! (ZQktobe4,'/./6, Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Vct•4..L 14FA/ (.pNf0b.eLi AG
Completion of the following table may be waived by the Inspector of Wires.
Totallo.of Recessed Luminaires 1) No.of Ceil.-Susp. Trr anan KVA(Paddle)Fans Tf sformers 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 si No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges 1,,, No.of Air Cond. Total Tons No.of Alerting Devices
No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained
L 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 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:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3'OQ,0 0 (When required by municipal policy.)
Work to Start: 03.Q2-23 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 perjury,that the information onthis application is true and complete.
FIRM NAME: Actf L1i t/S ,.tJ1 j QS AA-WO 2I?Q LIC.NO.: 6$03‘,-4
Licensee: !icoo y 444iL, Signature �% LIC.NO.:
(If applicable, enter "exem f in the license number line.) Bus.Tel.No.: 77ti 3W,
Address: 0 32(6 CoJvCoR b ' * Loba L( - MA- of eS2 Alt.Tel.No.: '3,1 6--o ua
*Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
i �a ,,,{,t_'n OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
ifr I �1' „7r required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent.
1Y�^ 1^(r Owner/Agent of)
1 r Signature Telephone No. L PERMIT FEE: $4O5.—
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+s. -',t_.3) MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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JOBSITE ADDRESS /L / nail OWNER'S NAME
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F LPINER ADDRESS , I/ ,- a - TEL /(W 0 ROFAX.
TYFWOR CUPANCYTYPE COMMERCIAL iii EDUCATIONAL Q RESIDENTIAL[/
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CLEARLY I�W:°_j RENOVATION:D REPLACEMENT:Er PLANS SUBMITTED: YES jU NOM
FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB M_ MN M -11161.41.111, —I I'm N_
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CROSS CONNECTION DEVICE ✓�]�l�l
DEDICATED SPECIAL WASTE SYSTEM" I
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM 1� I 1 len
DEDICATED GRAY WATER SYSTEM 1111111.."11111q 1111‘11! imp
DEDICATED WATER RECYCLE SYSTEM �lhl 1
DISHWASHER M�11. l
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAINasei . I I l
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INTERCEPTOR(INTERIOR) trim I
KITCHEN SINK
LAVATORY In : ■I I, 6*I---- V-
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ROOF DRAIN � 1 -1 �Ir � � • - 61
SHOWER STALL I' I'II'I"_G ;SERVICE/MOP SINK
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TOILET
URINAL
WASHING MACHINE CONNECTION �-�
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WATER HEATER ALL TYPES I ; 4
WATER PIPING °_a -_� �, __ ;
OTHER
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES' NO ED
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY L BOND !- _!
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 14 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY;, OW Cl AGENT D
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 ur the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complianc ith e n of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME acheslav Tsukanov LICENSE# 16160 SIGNATURE
MPEJ JP CORPORATION#4250 PARTNERSHIP]# LLC-,J#
COMPANY NAME Biermann Plumbing and Heating Inc ADDRESS 23 Oregon rd
CITY;Ludlow STATE MA ZIP 01056 , TEL[413-547-2970 --I
FAX CELL 413-363-5952 EMAIL Slav@biermannplumbing.com
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