32A-239-007 (2) i
BP-2023-1292
2 POMEROY TERR UNIT COMMONWEALTH OF MASSACHUSETTS
7
Map:Block:Lot: CITY OF NORTHAMPTON
32A-239-007
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
MINIM
Permit# BP-2023-1292 PERMISSION IS HEREBY GRANTED TO:
Project# bath reno 2023 Contractor: License:
Est. Cost: 71520 THOMAS DOLAN 039281
Coast.Class: Exp.Date: 12/08/2023
Use Croup: Owner: ZESIGER MILLER DORIEN&JEFFREY
Let Size (sq.ft.)
Zoning: URC Applicant: TOM DOLAN
u r i — -max. .ri,Si5.1C2lItt r�ltli cy -`'._. ._.�..-. - ri•tri•s:. -:—__— - � ':rT::��:EZ~.4-_=. - _ ._-_ -_`-._--._
P -- u t) r (413) 7-5164 SOLE PROPRIETOR
CHffER1T-LI ; trre-l•2-Chi,Cop ,, J O 1 0.1.0
ISSUED ON: 09/18/2023
TO PERFORM THE FOLLOWING WORK:
BATH RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring Building Inspector
Underground: Service: Meter: Footings:
Rongh�/� Rough: Dense= Foundation:
Final: ,--Z 7i inal:/—J'7-a y Final: Rough Frame: d,1[ 16-1 U, 2 K+Q
pn^
Gas: Fire Department Drivewgr Pnsi: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: a k K•Q
THIS PERMIT MAYBE REVOKED BY THE CITY OF_NORTHAMPTON UPON VIOLATION OF
ANY°FITS RULES AND REGULATI :
Signature:
le • r6 . N
Fees Paid: $465.00
2 -Yoma DY Tc— _ $65 o°)
UiJ1Y7
Commonwealth of Massachusetts Official Use Onl p
*_:= PermitNo.:EP 2U2s U $2
,-11 �;= Department of Fire Services Occupancy and Fee Checked: /'?,Sb
, V - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] o?
=y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
N11 work to be pe ed . accordanc with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City o own of: ��� ,l Date: /o 4 -d 3
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): liJ0 fl G( ( y �(e✓rye {, 7 Unit No.:
tJ
Owner or Tenant: G. / Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ jUnderground El No.of Meters:
Description of Proposed Electrical Installation: qe� Ile Bac h tz/- i
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❑ 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❑ 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 0 Level I ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: /gCd (When required by municipal policy)
Date Work to Start: 1 o_/4i_02, 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: A, / LIC.No.:
Journeyman Licensee: /1-I^/elk- l,y vie—A— LIC.No.:_q/66/3
Security System
//Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: •'/',3t.rG_ Cep,r,,,..,e-y A 0/3W
Email: ,j /e7 �r i,-,..., /GOyL, Telephone No.: S/�J "&3 Y- 2274/
I certify,under pains penalties ofperjury,that the i rmation on this application is true and complete.
Licensee: Print Name: 4 vc., I7,RC.4 Cell.No.: V/.3-$34—a.27,y
INSU COVE : Unless wa e 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: INSURANCEgBOND❑ 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.:
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