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38B-161 (5) BP-2023-1426 12 FORT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-161-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANI Y FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1426 PERMISSION IS HEREBY GRANTED TO: Project# SUNROOM ADDITION 2023 Contractor: License: Est. Cost: 29800 YE.VGENY SLOKHIN I08714 Const.Class: Exp.Date: 12/19/2024 Use Group: Owner: DOLINGER ABIGAIL M Lot Size (sy.ft.) Zoning: URB Applicant: YEVGENIY SLOKHIN Applicant Address phone: Insurance: 99 ALFRED CIR (413)485-8556 AWC-400-70361 15 AGAWAM, MA 0110 ISSUED ON: 10/24/2023 TO PERFORM THE FOLLOWING WORK: SUNROOM ADDITION WITH BATHROOM 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;/ .c)q- 93 House # Foundation: eel"' Final: Zy.. Final: / _ .ab�' Final: Rough Frame: Ck I/9M ggh g$m Gas: Fire Departme Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation:.g ," 16Ie 1/l`/PI1 i 140,6 , —00k AIL fI Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPOIVIOLATI N OF ANY OF ITS RULES AND REGULATIONS. Signature: TAIL Fees Paid: $194.00 2.12 Main Street,Phone(413)587-1240,Fax: (413)587-1272 II 2 70 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK sAu't•`_ v5a 3 wave. CITY:, I :.�.•. ±_ - ,_M_ .n�,.�._ ,,. MA DATE,2 PERMIT#f P-Zb23 ��r JOBS ITE ADDRESS [ .12-..,Cori- ST OWNER'S NAME OWNER ADDRESS 1 TEL � C °S]FAX TYPE OR OCCUPANCY TYPE COMMERCIAL U EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW RENOVATION: / REPLACEMENT:Li PLANS SUBMITTED: YES 0 NO FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE I :3 - .,, , ,..,. DEDICATED SPECIAL WASTE SYSTEM _ ' DEDICATED GAS/OIL/SAND SYSTEM , � � � sn DEDICATED GREASE SYSTEM1110 Rol DEDICATED GRAY WATER SYSTEM ,) „ inn wit= DEDICATED WATER RECYCLE SYSTEM DISHWASHER Mini _ _ DRINKING FOUNTAIN 11111111 Mil FOOD DISPOSER I FLOOR/AREA DRAIN _._._ II III INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY i ROOF DRAIN �, SHOWER STALL SERVICE/MOP SINK . . t Lw`. TOILET 4 N URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 ___I WATER PIPINGMUM OTHER ; u 110111111111 Till MEI INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES j NO m rt IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY, , OTHER TYPE OF INDEMNITY [, BOND € 7 OWNER'S INSURANCE WAIVER: 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 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 p'anc •h I Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME e t LICENSE#L r SI ATURE M JP CORPORATION ZT# 4 Sot 7 f PARTNERSHIP Li#! 1 LLC[D#� COMPANY NAME ('. r.. ' C c S In ADDRESS ..1 b . _!11a r.'IAA 4 c • ,. CITY tie Lrlt., \ ` pi STATE I ZIP v1 �'1 I © TELL , T� lh, 5 FAX 4 CELL EMAIL .,•zz' /2-)72 I gZ--17'2/ Commonwealth of Massachusetts Official Use Only I Permit No.: 2 b 2- (&3 i—= Department of Fire Services Occupancy and Fee Checked: Zl 25" • BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 2,6 l'''''= 47' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfomeol in accor with e Massachusftts Electrical Code(MEC),527 CMR 12.00 City or Town of: C, (;i tV G i' V1(v1 t,I4 Tot,/ Date: J ) 7 /2 To the Inspector of Wires:By this application,the undersigned gives no+ces of his or her intention to perform the electrical work described below. Location(Street&Number): /Z �©/� T sr Unit No.: Owner or Tenant: A hd y ./DV i 96 Email: Owner's Address: /2 /o''1/51. /r/ rifhQr ,luy /1Q 0/06O Phone No.:Cll1 2 E13l Is this permit in conjunction with balding permit?(Check appropriate box)Yes® No ®Permit No.: - Purpose of Building: v S( al (.1( Utility Authorization No.: Existing Service: tO.G Amps / Volts Overhead E/ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground }❑ No.of/Peters: Description of Proposed Electrical Installation: 'w j i H S S tj jj a 00 W1 Odd j 1.101.4 10/ 7L h gl11 oc44 Completion of the following table may be waived by the Inspector of Wires. No.ofReceptable 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-Grad.0 Above-Grad. 0 Hot-Tub❑ 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 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ 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❑ Level 1❑ Level 2 0 Level 3 ❑ Rating: O.111ER: 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A(6V p y 1/,/0 f A-1 ❑ or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: 41V b/2 t.. d /k%/ - LIC.No.: % 2/2 se 8 Security Sysicun Business requires a Division of Occupational./Liceosure"5"LIC.. S-LIC,No.:_ Address: 2 C A y S'i L l/ 1 r t7/ o s-6 Email: 1 /P/'I?A/1J0 P Z e 3 f p C /f I4I L COM Telephone No.: `/(3 8.i 7 (k 3 5 certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: /T W d✓Z d i of Print Name: 4��) ' 'c'C ) L-l iPo�t4 21 Cell.No.: 1 TO G 3 S INSURANCE CO VERA E: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[1' 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 0 Owner/Agent: Tel.No.: Signature: Email.: r2 -2g - 23 e? t