24C-028 (5) BP-2023-1.420
98 NORTH ELM ST COMMONWEALTH OF MASSACHUSETTS
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24c02s-oo1 CITY OF NORTHAMPTON
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Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGIST FRED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-1420 PERMISSION IS HEREBY GRANTED TO:
Project# KITCHEN 2023 Contractor: License:
Esi. Cost: 64500 ALLEN GUIEL CS-054248
Const.Class: Exp.Date: 04/12/2024
Use Group: Owner: SULLIVAN CRAND JOHN D& SUSAN
Lot Size (sq.ft.)
Zoning: URB Applicant: GUIEL CONSTRUCTION
Applicant Address Phone: Insurance:
63 CHESTERFIELD RD 412-268-9200 6S6OUB-9F66069
WILLIAMSBURG, MA 01096
ISSUED ON: 10/13/2023
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
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: f - (4,2? House# Foundation:
Final:2,�J j . ? y Final c.. tr Final: Rough Frame:c )Z-$-ZS K•v2
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Gas: Fire Departmen Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: et, 12,_l'3 Z�J 1Cit2
Smoke: Final: 0,IL Z'20.21 / i2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $419.00
212 Mein Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
uf® CITY Northampton I MA DATE 121612023 I PERMIT# P t' d 3 • 0'14'3
JOBSITE ADDRESS 98 N.Elm St I OWNER'S NAME John Crand
OWNER ADDRESS TEL 4133875410 I FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0
PRINT
CLEARLY NEW:❑ RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOE
FIXTURES Z FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB - I I
I.
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE DEDICATED GAS101 SAND SYSTEM SYSTEM i 'i ��'um gm pm —
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DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER Mg
DRINKING FOUNTAIN ■' I ION "WIN
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FOOD DISPOSER j■■WM MIA W IN _ _ �j_�I i
FLOOR/AREA DRAIN - ' -
INTERCEPTOR(INTERIOR) ENO
T�IllKITCHEN SINK • I .
LAVATORY
ROOF DRAIN �IMM®®E®E®I® N®N1I®
SHOWER STALL IME IIIIIIMI MIN_Mill NMI MIN SifinImo )R!1111
SE
RVICE
TOILET
URINAL 111111 MIN MINI NMI 11111 11111111111111 011111 1111111'11111111 NMI NMI'
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER utility sink
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Q 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 ❑ AGENT ❑
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 witIl Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Christopher Salve I LICENSE# 15800 I , ��-�` SIGNATURE Ilk
MP❑ JP❑ CORPORATION❑#4491 IPARTNERSI$Pt1# LLC❑#
COMPANY NAME CTS Plumbing&Heating Co I ADDRESS 200 Old Belchertown Rd
CITY Ware I STATE Ma I ZIP 01082 I TEL 413-230-9705
FAX CELL EMAIL chris@ctsplumbing.com
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..' Commonwealth of Massachusetts ° �'al U Ong' ��7�
E.,� ` Permit mit No.:
�;g Department of Fire Services occupancy and Fee Checked:#/0 _O
, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1202 1 4 7 _0
�' 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: Northampton Date: 12/1/2023
To the Inspector of Wires:Br this application.the undersigned gives notices of his or her intention to perform the electrical work described below,
Location(Street&Number): 98 North Elm St Unit No.: _
Owner or Tenant: John n Crand _ Email:
Owner's Address: 98 North Elm St,Northampton, MA 01060 Phone 140 GU -1515
Is this permit in conjunction with a building permit?(('heck appropriate box)Yes:t No CI Permit No.: 13re -2oa r-/ciao
Purpose of Building: Residential Home Utility Authorization No.: _
Existing Service: 100 amps 120 ' 240_Volts Overhead ❑✓ Underground ❑ No.of Meters: 1
New_Service: Amps i Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Wire Kitchenldlning-room renovation.Panel Change.
(.oinplelum of the following table may he a oiyc d by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed I.utninaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Translauuets: 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-(irnd.d Above-Gmd.❑ Foot-Tub❑ No,ofSelt=Contained Detection Alerting De ices:
No.Oil Burners: No.Gas Burners: Video System ❑ No. of I)etices:
No.Air Conditioners: Total Tons: Telecom System❑ No. of Outlets:
No.Energy Storage Systems: K\Wi I Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar P\'KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ (ironed-Mount❑ Level 1 ❑ Level 2 El Level 3® Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 8000 (When required by municipal policy)
Date Work to Start 12/1/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Polom Electrical Service.LLC A-I d or C-1 11 LIC.No.:
Master/Systems Licensee: -t_ LIC,No.:_
Journeyman Licensee: Steven M Polom LIC,No.: 54149B
Security System Business requires a Division of Occupational Lieensure"S"LIC. S-LIC.No.:
Address: 130 Senator St, Springfield.MA 01129
Email: spolom243@gmail.com _ Telephone No.: 413-244-0670
I certifi•,snider the pins and penalties of perjury,that the information on this application is true and complete. f 1 2 S
Licensee: Print Name: Steven Polom Cell. No.: 413-244-0670
)1NSURAN COVERAGE:Unless waited 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 tbrce and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE RI BOND ❑ OTI ILIR❑ 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,'hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: l:rnaiI.:
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