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29-034 (8) BP-2023-1192 40411 .R KNOLLS COMMONWEALTH OF MASSACHUSETTS Map:Block Lot: 29-034-001 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-2023-1 192 PERMISSION IS HEREBY GRANTED TO: Project# STRUCTURAL 2023 Contractor: License: Est. Cost: 33000 MARK SARAFIN 053434 Const.Class: Exp.Date: 04/28/2025 Use Group: Owner: RYAN JAMES M &CHRISTINE H TRUSTEES Lot Size (sq.ft.) Zoning: WSP Applicant: SARAFIN BUILDERS Applicant Address P one: Insurance: 85 RUSSELLVILLE RD (413)563-9256 Q WCC-500-5019027 SOUTHAMPTON, MA 01073 ISSUED ON: 08/31/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR RENOVATIONS 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:q-7 - House # Foundation: Final: / /'?/Z"z-3 Final:` 0 � Final: Rough Frame:0%n Cf-8'Z" 1 t Gas: Fire Depar ent eff'1" Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: )4 Q THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 4 . 9)9-5- 1 Fees Paid: $215.00 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ,- 1. CITY /U r-cl- 0 MA DATE x \ --?� PERMIT#PP Z 0 2-3- y JOBSITE ADDRESS {Lit y ill i p'c Kvicll OWNER'S NAME -\ ; Wi R r POWNER ADDRESS `� -tom TEL f/ -- Ss- ` Z lJ ,FAX TYPE OR OCCUPANCY TYPE COMMERCIAL E EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Si PLANS SUBMITTED: YES 0 NOO FIXTURES-1 FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I! I II II I' 11 (( 11 s i! 'I II li CROSS CONNECTION DEVICE 1--�;1, r { DEDICATED SPECIAL WASTE SYSTEM I !I I) ( �; �}j I II I I ]1 1 � DEDICATED GAS/OIUSAND SYSTEM „ I I v 1 DEDICATED GREASE SYSTEM I' II 1 ,I I DEDICATED GRAY WATER SYSTEM I I 1 l DEDICATED WATER RECYCLE SYSTEM , 11 II ii DISHWASHER 1t DRINKING FOUNTAIN .11111 ;I ll 1— I! !IiROOF DRAIN �f' '' ,�SHOWER STALL u ',I e , , . .h . SERVICE/MOP SINK I I Ill A t e a ETOILETURINAL II II I i 41 WASHING MACHINE CONNECTION II I I II'WATER NEATER ALL TYPES I I:' __ � i WATER PIPING OTHER IUU � 11111,1111111011. , II nu I 11111 ' !�^ 1 I' . . ._ __ . _ _ 1 111�11010•11• �■�l(�l(��...mmi > tais mintaia, INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES CZ NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 2 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 0 AGENT 0 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. ,,. ; PLUMBER'S NAME 1 .-1,thn e. Sal7c.-. LICENSE#11 6 'Fe) I i, SIGNATURE MPE. JP 0 CORPORATION[.# �3K,-1 PARTNERSHIP #1 LLCE# COMPANY NAME ©104 Ali( (20 l ADDRESS a.s .X S 1'1__ CITY /q-S•,,\Vto-,„, M STATE I � ZIP 01776,0 TEL 1.-) 2,i-6- ccoo FAX "17-601-4LCELL) EMAIL SrAcr, 000nnE.Il(9i < < cclh't /1-Z? Fi-A-,r( 71f. -/D �r•O�1GG KNoU,S r Commonwealth of Massachusetts Official Use Only Permit No.: 2023" U??3?' MI; Department of Fire Services Occupancy and Fee Checked:O 7 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: Florence MA Date: 8/31/2023 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 40 Pioneer Knolls Unit No.: Owner or Tenant: Jim Ryan Email: Owner's Address: 40 Pioneer Knolls Phone No.: 14135888703 Is this permit in conjunction with a building permit?(Check appropriate box)Yes D No O Permit No.: Purpose of Building: home Utility Authorization No.: Existing Service: 100 Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: kitchen renovation 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❑ No.of Devices: Swimming Pool:In-Grnd.❑ Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 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❑ Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: 9-1-2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 ❑or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: Matthew Sarafin LIC.No.: 537-57B Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 31 Crooked Ledge Southampton MA Email: MSarafin@SarafinElectric.net Telephone No.: 413-563-9255 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: Matthew Sarafin Print Name: Matt Sarafin Cell.No.: 413-563-9255 INSURANCE COVERAGE: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 same to the permit issuing office. CHECK ONE: INSURANCE❑✓ BOND❑ OTHER❑ Specify: 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: Tel.No.: Signature: Email.: 9- 7 -?D 00.w., An-, /(- a") = 1 c'r AO Ins ' 20011-Ajtj'a3-ii trr()!i t113\13`i!` )%1IOW JADI1T33.1ii iViSORA39 OT T1M "101 TA31i4-14.0A .4.4i :1(1 (I'tit)T 14-1 411i41 ,I51.114 ;15 • "' l'AT IA I _ „