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23A-092 (7) BP-2024-01 16 FAIRFIELD AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-092-001 I 'Ft V' 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# t3P-2U24-J127 rr niilJSSItON IS HEREBY GRANTED TO: Project# KITCHEN RENO 2024 Contractor: License: TUCKER JACOB TELEGA Est. Cost: t;fu] ::=?tiRIC h 117665 Const.Class: :Y.Date:05/19/2026 Use Group: Owner: JASON KICZA Lot Size (sq.ft.) Zoning: URB Applicant: TUCKER JACOB TELEGA KENDRICK Applicant Address Phone: Insurance: 367 RIVER DR (413)313-7101 HADLEY, MA 01035 ISSUED ON: 02/07/2024 TO PERFORM THE FOLLOWING WORK: REPLACE KITCHEN CABINETS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Fonti ngs: Rough: Rough: House# Foundation: atl Final_;�GJ. y Final: 3�� ' Final: Rough Frame: (,.,. meat Driveway Final: FireplacclChimney: Rough: Oil: Insulation: 09-)-2y21 i i i i. p.1L 4.3-24 K.,Q THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK -43.70,, CITY/TOWN 74E)1,) MA DATE ?AY/ PERMIT#t' (2O2 /b(3b T,' JOBSITE ADDRESS r �' I 4 OWNER'S NAME r OWNER ADDRESS /' le TEL FAX TYPE-OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALk PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1. FLOOR—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK I"LUIVIbINCa & CiAS Its SPLU I Uii TOILET NORTHANI D fON URINAL APPROVED t\OT APPROVED WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES. NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICI 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 with all P inent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. eat t�J�/U ��-- PLUMBER'S NAME 1< ' CZ ek __ LICENSE# /L9 I IGNAT�KE MP I JP❑ ` CORPORATION ❑# Li) ( 9 PARTNERSHIP ❑# LLC�❑# COMPANY NAME / r �'-�� P' II ADDRESS e) 3 ( p; u, r D r CITY l--/a STATE ,I/1 ZIP 4C) TEL ii// 65-V5/v1 FAX / CELL EMAIL X-4.11- -76 Ces0.57 /466 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK •="pia :=riE " CITY /00d4-4u iwt,�IZ) MA DATE ! -?6--)11 PERMIT#-202)- 227G JOBSITE ADDRESS 4sc't ?/ C, OWNER'S NAME Gs\-) OWNER ADDRESS A g TEL FAX TYPE OROCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL El RESIDENTIAL Ii PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:A% PLANS SUBMITTED: YES❑ NO El APPLIANCES 1 FLOORS-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE NZ DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER -PLUMBING & GAS INSNLG1 UR ROOM/SPACE HEATER NUFTHAMPTON ROOF TOP UNIT APPROVED NOT APPROVED TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 0 NO El I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY in OTHER TYPE 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 with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME ' M ��/ Z`� LICENSE# 16 !!t; SIGNA1 E MP MGF❑ JP❑ JGF❑ LPGI❑ CORPORATION El# 009' PARTNERSHIP❑# LLC❑# COMPANY NAME T X1,C ?c I t' ADDRESS c 7 I T' t CITY H( `; [ e jL STATE r l A ZIP b f r' 73 TEL OR 59 S ! 7/ FAX CELL EMAIL f NZI A'1 z /6 FA /g (-4) Commonwealth of Massachusetts o }cial Use ly Da 3 6 Permit No.:5 -OD Y-' r , 2S ,� - Department of Fire Services Occupancy and Fee Checked: / 'J BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 411 work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ' City of Town of: r1d ra,/)c_e Date: 3//Wa y To the Inspector of Wires:By this app ication,the undersigned Ives notices of his or her intention to perform the electrical work described below. Location(Street&Number): /4// ��,;r�l e/� 4 lid Unit No.: /"I Owner or Tenant: Ll K y�t, ,v � � L(. Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes ig No 0 Permit No.: Purpose of Building: Utility Authorization No.: 3--o? rj a 0 if Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: /6© Amps! /}Volts Overhead Es- //Underground El No. No./of Meters: f Description of/ Proposed Electrical Installation: UpciA,-/-� Ai.h Ainc /, /44 Ll d O Liar S .Secyr ie Pow Xj% :2� 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-Grnd.❑ 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❑ 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 1 ❑ Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: O p0 (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-1 ❑or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: P,t,hr/(� G>j/rt c.,it LIC.No.: 5 5 I (L3 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 49/ S• Sh.y.4S Ir/;V--/-Z C(/.o+'r 4'6� "'OY O/5 c// Email: 5/ciar-k�J,'-z / , c� Telephone No.: �/ �f(3y- 227 v I certify,under re ains and talties of perjury,that the in ormation on this application is true and complete. Licensee: rint Name: / ,,„4 Cell.No.: '/`}—8'3Y'27?7/ INSU E CO E:Unless waived by the owner,no permit for the pefformance 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 15LBOND❑ 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.: I p��l ►� ht- te- C