18C-033 (6) •
BP-2023-1559
34 COOKE AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
I8C-033-001 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 f BP-2023-1559 PERMISSION IS HEREBY GRANTED TO:
Project# ALTERATIONS 2023 Contractor: License:
Est. Cost: 2500
Const.Class: Exp.Date:
Use Group: Owner: J BUSHEY ROBERT D& CONSTANCE
Lot Size (sq.ft.)
Zoning: SR/WP Applicant: J BUSHEY ROBERT D&CONSTANCE
Applicant Address Phone: insurance:
34 COOKE AVE
NORTHAMPTON, MA 01060
ISSUED ON: 11/06/2023
TO PERFORM THE FOLLOWING WORK:
REMOVE 3 WINDOWS AND REFRAME 2.NEW INSULATION AND SHEETROCK IN BEDROOM
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:// -l`r -23 House # Foundation:
�ynr�
Final: Finale-G,- Rough Frame: 0 IC It- 1( Z3 tK.2
0
Gas: Fire DeparttnrQrnt Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:014 /t•Zq-2.3 is ,4)
Smoke: Final: oiL s`
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
3.20v
Fees Paid: $65.00
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212 Main Street,Phone(4.13)5K7-1240,Fax: (413)587-1272
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Commonwealth of ssa hlifolts_ Official Use Only Z
P it o.: —P-2023 (Oq
' ^Ali=f' Department of Fir Se ices 3 20 u cy and Fee Checked: )Toys
p q BOARD OF FIRE PREVENT ON, IONS ev. 1 023] 46 6
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'. APPLICATION FOR PERMI'� 'G'flE1 1 M ELECTRICAL WORK
All work to be.performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: N►d r f/)AA P f-an Date: 1//a2/a 3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 5 11' COO AI 5 Unit No.:
Owner or Tenant: Om 5-4-An GL piddle). Email: il//t
Owner's Address: 1'f Gdo 116 cute Phone No.:6/15-5"4'1 -eO4f 9
Is this permit in conjunction with a building permit?(Check appropriate box)Yes D No 0 Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: g -en U tip!.Han a P )a G-" 0 4/to 4 1C4.-,r-
ail L•`G fl t'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.0 Above-Grad.❑ 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 0 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 0 Ground-Mount 0 Level 1 ❑ Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (t aoo I (When required by municipal policy)
Date Work to Start: (I/3/a 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Lvc"5 Tn5Gll;5 'elec.kf<C- A-1 ❑orC-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: LIC.No.: 5 8 7'7 - 13
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 6 C5 5h c i gar-Ye ,'a ll s gc-t Con wvt r M w / al3y!
Email: Telephone No.:'j`i-5Sg- I3t o1,
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: Print Name: L.c,5 Z46G1h's Cell.No.: it/7-5-5.l-/31 a
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 ZBOND❑ OTHER 0 Specify: &en?tal 144 0i 6/
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 0
Owner/Agent: Tel.No.:
Signature: Email.:
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