42-107 (4) BP-2023-1066
58 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-107-001 CITY OF NORTHAMPTON
Permit:Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1066 PERMISSION IS HEREBY GRANTED TO:
Project# GARAGE 2023 Contractor: License:
Est.Cost: 110000 HOMETOWN STRUCTURES
Const.Class: Exp.Date:
BAXA JUDITH L&BRIAN W BAXA&KAREN
Use Group: Owner: WHEELER
Lot Size(sq.ft.)
Zoning: WSP Applicant: HOMETOWN STRUCTURES
Applicant Address Phone: Insurance:
627 SOUTHAMPTON RD 4135627171 WCC-500-5026065
WESTFIELD,MA 01085
ISSUED ON: 08/29/2023
TO PERFORM THE FOLLOWING WORK:
34X30 DETACHED ACCESSORY STRUCTURE
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: Lo(o31 Z3 alr 5�
Rough: Rough: House# Foundation: toizolz3 aK K2,
Final: Final: Final: Rough Frame: y 512..9 (23 b k �k
C Gas: Fire Department Driveway Final: Fireplace/ himney: � `N(
Rough: Oil: Insulation: 1J(A
Smoke: Final: °lL g(0;t2‘4 LH
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Srkv4re,,26 RASECT Cow4GeT6 Signature: 4,16,44
Pt'pbtkkt p64wvl To lNcsct IWr6e,io(.
Fees Paid: $204.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
53 6WND.2 L6. i)
Massachusetts
official use only
1'_ Commonwealth of� 1 M h tt Permit No.:/� ?023 -06/6 .7
'. .lr Department of Fire Services Occupancy and Fee Checked:'-* 1,,E 3 ?
i t; BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/2023) ���Gh
�'•-'`' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
kll work t3 be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
WCity or Town o ►,. o!T i FTON Date:
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&plumber): TV G Log Ipi•LE ra I7 Unit No.:
Owner or Tenant: 3 ,t.r Q n"LA Email: a B NAIV cl.)rnkASj NET
Owner's Address: 56 G LSNV Dn lZ RD Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 112 No® Permit No.:
Purpose of Building: GA rY h clE Utility Authorization No.:
Existing Service: -asi j Amps 22,0/ t Id Volts Overhead ER] Underground 0 No. of Meters:
New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: NE l,,> Un ,A E mwi7 C2E52w725.I2.
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 CI No.of Devices:
Swimming Pool:In-Gmd.0 Above-Gmd.0 Hot-Tub 0 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 ❑ 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 0 Rating:
OTHER:
Attach additional detail If desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: /C/ 51.-;3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: D E iv 1.2(5 N E jjaz, A-1 ❑or C-1 ❑ LIC.No.:
Master/Systems Licensee: V EN IV)S N E BEAT LIC.No.: /5/0 9 A
Journeyman Licensee: OE)VNIS HE awl- LIC.No.: 3 O 53-4 E
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: ,r 13tii.t4 LANt FLoR.C>v MA.
Email: c,P H co t 1,4 @ Ca rndc,.Ac 1 .,/\P LT Telephone No.: If i 3 A,V 6-o i`tt
I certify,un r the pains and enalties of pedury,that the information on this application is true and complete.
Licensee: Print Name: 47L`1,,,v/S Pi /)/ff,'3LrX.T Cell.No.: %I3 •�y6-6 Y''f
INSURA E COVE E: nless 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❑ BOND❑ 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 0
Owner/Agent: / )AIN. 3A XA Tel.No.:
Signature: Email.: BBii k,A 0 C4Ap7 4467;NFT
I 4 E-3
,\,J f,--) 6" - P/- 0/