43-026 (2) BP-2021-2225
551 PARK HILLRD COMMONWEALTH OF MASSACHUSETTS
p:B Malock:Lot:
ap:B-oc►1 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CON:k\( I INo will 1 :;I\Ri:GISII.Ri,I) CONTRACTORS
DO NOT HAVE. ACCESS i O THE. GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
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Permit # f3P-2021-2225 PERMISSION IS HEREBY GRANTED TO:
Project it ADDITION Contractor: License:
1'.st. Cost: 65500
Con it.Class: Exp.Date:
t;;e Group: Owner: RACESKI BRIAN A& TANYA I,
lot Size (su.ft.)
Zoning. WSI' Applicant:plicunt: L BACESKI BRI AN A&TANYA
Applicant .Address Phone:. Insurance:
5` i PARK IIILI. RD
Fi OR ENCL. MA 011062
ISSUED ON: 11/30/2021
TO PERFORM THE FOLLOWING WORK:
,\LAATION TOIN':'LUDF 13ATI-I, I..•1l"'JI)RY A":O Rl-.ROrt": ;XISiIM(i HOUSE;
POST THIS CART)SO rr IS VISIBLE FROM THE STREET
h*spcctor of Plunthin Inspector of t!iriag D.P.W. f8it tang Inspector '
t;ntfergruund: Ser%ice: Meter: Footings:all. 5_ II' ZZ ✓d 12
Rough: g'' i.- Rough:/—/..-X2
.,„use F'uundation: v i 5 13 22 I (?
iu
Prv.
I jy Final: Fina.:a_a? .7, final: l,uu;:,h Fiame�;ti.K Q- 12. ZZ v,t/,
.an: I Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: '. -
Final: Smoke: Final:CIE C'-Z5-24 Koe
THIS PERMIT MAY By? REVOKED BY flit; CITY OF NORTHANIPTON UPON VIOLATION OF
ANY OF ITS RULES ANI) REGUI, 'TONS.
Signature:
Fees Paid: $426.00
212 Main S!r::c:. Plicrtci3I zi SS7-124t).Fax:"-1!3)5a7-I 71!
(il'i'tre of t+r.:),,iilaing Coln ttt,ssion-r
557 _eg l)1 LL_ red)
C--`�� Official Use Only
0
Commonwealth o a9lac�u�ett9
,� '_tit .. �o c�r� c� Permit No. �p--
0"728
11 (,'?,
�r �, , 2epariment o�.y`ire ervices
,' Occupancy and Fee Checkedr b9
B RR OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
co
PPILIC .T ON FOR PERMIT TO PERFORM ELECTRICAL WORK
w Al -4v to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
a.
OP EASE RIN IN' K OR TYPE ALL INFORMAT ON) Date: O
I- City or- , :o n of: �+O l � 1 l Z L.
ibl T o the Inspector of Wires:
'(By this application`tote ndersigned gives notice of his or her intention to perform the electrical work described below.
l Location(Street& mber) TS/ PA 7K /j/// /' '
Owner or Tenant 3hl AV l'ACC%/C/ Telephone Not"/j (,9S 2723
Owner's Address
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: /Wir7Ge19 f L.1.24,/e I-/v wf a eteW1 F .•
Completion of the following,table may be waived by the Inspector of Wires.
No.ofotal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans KVA
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above r—i In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. on Initiating on Dete and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local L. Municipal ❑ Other
p Connectiony
No.of Dryers Heating Appliances KW 'Security
of Devices or Equivalent
No.of Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
WirinNo.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.ofEquivalent
or Eq valent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance 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 ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: JME LIC. NO.:A16187
Licensee: James Mailloux Signature ia2 LIC.NO.:E33364
(If applicable,enter "exempt"in the license number line.) Bus.Tel. No.:413-585-1592
Address: 221 Pine St.Suite 160 Florence,MA 01062 Alt.Tel.No.:413-563-4654
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ / 8.t—
\, 5 -cQ- t/ -4
cx*73?Y C,c= oa
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
__you;t `
— 'w
_/g;. CITY r�e't-_/a''ZtaOOL1 MA DATE 0EVZZ- 7•'2-- PERMIT#PP2 fi^0'50
- N JOBSITE ADDRESS 557 at k L—}- 'mil OWNER'S NAME 1;1?'4 .7 (3' CIT 5 Me
pOWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL L —
PRINT �,/
CLEARLY NEW: L� RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z 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 I
ROOF DRAIN NLUMBIN & (AS I'J SPWCTfl
SHOWER STALL NOW-HAW-MN
SERVICE/MOP SINK APPRQVrn \[OT AP^ 'rWrn
TOILET I
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING J
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[A' NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY l_4' 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 r and accurate to the best f my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c ianceowith all Pertinent vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME 1) V Q otit'�GC'tb (V W S v1. LICENSE# p�IS-0Y ATURE
MP❑ JP[/ CORPORATION ❑# PARTNERSHIP LI# LLC❑#
COMPANY NAME MD' Cij*II0IW C (�, P+I—i ADDRESS I? 6-atav 1 Sf •
5 CITY - �f,lr jp'C STATE j,,jf/¢' ZIP 0! ? 7"77 TEL
FAX CELL4!I-S35 79O7 EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ —
FEE: $ PERMIT#
PLAN REVIEW NOTES
7 3 l-2Z Res ,