23A-134 BP-2023-1442
77 PINE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-134-001 CITY OF NORTHAMPTON •
Permit: Apticaltural All
Bldgs
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1442 PERMISSION IS HEREBY GRANTED TO:
Project# ALTER ENTRANCE 2023 Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 23000 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: HILL INSTITUTE
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON: 10/23/2023
TO PERFORM THE FOLLOWING WORK:
ALTER SIDE ENTRANCE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plunking Inspector of Wiring D.P.W. Building Inspector
Und,:rground: Service: Meter: Footings:
Rough: Rough:0,-99-- House # Foundation:
Final: Final: Final: Rough Frame: (,��� a/?/ �
t 4—7� -� I
7.-
Gas: Fire Departtment` k- Driveway Final: Fireplace/Chimney: V
Rough: Oil: Insulation:a, K le(e__
Smoke: Final:5, e 2.5-Z-4 gii2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I I
y2 . TAD,
Fees Paid: $160.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buildine Commissioner
•i3 'c N e
77 ?
c Commonwealth of Massachusetts Official Use only
Permit No.: 202 3— )
t► i ,/ I J�"Zc7
.�-� Department of Fire Services Occupancy and Fee Checked:
G" -tali_= Oz>
� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] -__
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All worl to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: ,�/r/1ioTf�,,c) (rn r‘xe s-r 23A-1 -oot') Date: /2-
To the Inspector of Wires:By this apflication,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): F 3 `' S fr<<7' AA> Unit No.:
Owner or Tenant: Ale/ tvt t— Email:
Owner's Address:Sim, Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes ELNo®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: !y ' o Amps Me'/ 441O Volts Overhead❑ Underground®" No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: 2 �✓iof"t rvq Q WAI/ ry t.�l�•.gee,. lc
/eirtos,y rd rW"` /no✓,.44 3 #4.) 5 rvac A r S ¢ 2- Q v 77.et s
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 0 No.of Devices:
Swimming Pool:In-Grad.❑ Above-Grnd.❑ 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 ❑ 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❑ Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 5--z)v ` (When required by municipal policy)
Date Work to Start: 1 z.-2 z-- 2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:-1rN a.t• A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: '" anr.A 3 ': cc vyv✓ LIC.No.: 1 3 3% S4
Journeyman Licensee: /kb LIC.No.: 3136 7 1C_i
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: t 3 k e +o MA 01073
Email: ,,i 4`env)0-)e,1 e.c.t -e cv."1 t e' Telephone No.: N 17 S—Z- L 5-6
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee:e-er,<:13rnate/ /f/c 4.-1'. c.- Print Name: 7 :vw.es —gr'' 5 vtit ' Cell.No.: YI3 SZ3 - 26-6,5--
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 Et BOND❑ OTHER❑ Specify: F CPArrIo 'C
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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