31A-106 (3) BP-2024-0851
22 FEDERAL ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-106-001 CITY 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# BP-2024-0851 PERMISSION IS HEREBY GRANTED TO:
Project# TEMP MOBILE HOME Contractor: License:
Est.Cost: 75 AMERICAN MOBILE HOMES INC 081119
Const.Class: Exp. Date:06/18/2025
Use Group: Owner: M MOLITORIS JOHN V&SUSAN
Lot Size(sq.ft.)
Zoning: URA Applicant: AMERICAN MOBILE HOMES INC
Applicant Address Phone: Insurance:
51 MOORE RD (781)331-0333 WCC-500-5022645
EAST WEYMOUTH,MA 02189
ISSUED ON: 07/05/2024
TO PERFORM THE FOLLOWING WORK:
TEMP MOBILE HOME
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: 7-I��;� Meter: Footings:
Rough: Rough: House# Foundation:
Final: ?—/��fy Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: vie 7.12 Z9 St`
* Avp2 RAC, COt cr-r6OE %EDacore5
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 7
.-Z
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
22 F G -l; sr-
)
Commonwealth of Massachusetts
Official Use Only
_' • Permit No.: p-.bZt(—OS 6
Z _w ' `- Department of Fire Services Occupancy and Fee Checked:A- 14L/7
7 `, ':OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
r„ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
aAl ' k to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
i City or 0 of: Ai a/t 7)44 elr 7-e. A., Date: 7/// /_? V
h , &,, i of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
ci-
_:_ : 1&Number): ..2 - f CO e ?,l C S Y Unit No.:
owner or enant: jO L/ ,, /►') 0 /,` T o !L i S Email:
Owner's Address: rn a Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes No® Permit No.:
Purpose of Building: It"M f !71. /'e 7/Z/4r" /e '2 Utility Authorization No.: 3/n r) 7--/ ‘ 4
Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
` e/rf r New Service: �®O Amps 420 Ilia,_Volts Overhead nderground❑ No.of Meters: ,..Z
l� Description of Proposed Electrical Installation: �.- S l,¢1/ %r ci f' .9 e 2 fr, e iy •v6
/40/9 e,- a 7, (.t,e 7-,z4I./' 'r
Completion of the Ilowing table may be waived by the Inspector of Wires.
No.of Receptable 0 No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.o Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water • KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment . No.Motors: Total HP: T .
No.Heat Pumps: Total KW: Total Tons: ' Alarm System .of Devices:
Swimming Pool:In-Grad.❑ Above-Gmd.0 Hot-Tub❑ No.o tained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: .7�1ideo System o.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of u lets:_
No.Energy Storage Systems: forage Rating: Security System 0 No.of Devices:
Solar PV KW g: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 _ Level I ❑ Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electri I Wprk: .Z 0 C 0 (When required by municipal policy)
Date Work to Start: 7////-> Y Inspections to be requested in accordance with MEC 10,and upon completion.
FIRM NAME: '3 ICJ/ £/ec 7'2 ,C i..? A, $ io C A-1 r C-1 0 LIC.No.: /3
Master/Systems Licensee: ff/2 v C e w Pe/Je f; e i. LIC.No.: 17 YO ,.�/'A
/
Journeyman Licensee: d g. v C e w Pe lie T. e 2 LIC.No.: .2 , P y 4
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: /2 ? " t AY 4 #- S r C/e/t ti /3/ in 4 d/D 3 3
Email: /3 wPe /e(f/2 i c ),,, C 0 C/nA, /a C D H7 Telephone No.: 5//3 yl C/2
I certify,under the pains and penalties of peijuty,that the information on this application is true and complete.
Licensee: Print Name: Cell.No.:
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 0 BOND 0 OTHER 0 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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C MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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a OWN MA DATE 1� / PERMIT#
.—'v JOB ITE ADDRESS .A. FEIDr��L S OWNER'S NAMEPli
U�� d�'/ ZJ/ lS
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ow ER ADDRESS S��r TEL4/3 a7° Og77FAX
puI TYPEaR UPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
_- PRINT
(t CIPRINT- Y {ifE1I:❑ RENOVATION:El REPLACEMENT:IS, PLANS SUBMITTED: YES❑ NO El
FIXTURES 1 FLOOR BSM I 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK PLUMBING & GAS INSPECTOR
LAVATORY NO RTH AM P''ON
ROOF DRAIN
SHOWER STALL APPROVED NUT APPROVED
SERVICE I MOP SINK
71#
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
rfP0/2_41-/L y A4s to-9 -
rrT 1:%4- �_ Lie/Y) lam+Se Yn[� .c'(4 f, /,r)»'.- /ni.,Pt j I,,,I,NSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YESA. NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY El 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 0
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 Per i provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / �f`
PLUMBER'S NAME / 4-21L , (V O(-,'1' LICENSE# o•ZSaR ?6l At,
�J
MP❑ JP[! ,_ CORPORATION❑# PARTNERSHIP[11# LLC 0#
COMPANY NAME C°A'S"(- f'P -. . .- ( k ADDRESS `L / A K sr'L 'col't- V` -/2 ). /
CITY 5QU`r -G�iCk STATE/fa- ZIP C 16 7 7 TEL (2-- ? S� )0\�i
FAX CELL EMAIL ('p r5 =I/ iter G(?»-)C/( s ', 12_*
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