44-063 (5) BP-2021-2278
949 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
44-063-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACIING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Penn it # BP-2021-2278 PERMISSION IS HEREBY GRANTED TO:
Project# GARAGE Contractor: License:
Est.Cost: 13000
Const.Class: Exp.Date:
Use Group: Owner: MOLITORIS TIMOTHY J& SAMANTHA C
Lot Size (sq.ft.)
Zoning: WSP Applicant: C MOLITORIS TIMOTHY J &SAMANTHA
Applicant Address Phone: Insurance:
949 FLORENCE RD
NORTF I AM PION, MA 01062
ISSUED ON: 12/14/2021
TO PERFORM THE FOLLOWING WORK:
DETACHED GARAGE
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:OW tO/)is/p ,
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Rough: Rough: C•3° House # Foundation:L�.)( S-is ZZ k�
Driveway Final: Final: is- `73 Final: Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 0K- 9" q.2Y sc
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: icThti,iL
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IC
Fees Paid: $65.00
212 Main Street. Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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Commonwealth of Massachusetts z�°�1yO
*.__- ' Permit No.:
c=s !_j__., Department of Fire Services Occupancy and Fee Checked 'j V2-2-
ilk I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] ' 2�0, (hot W. r'3o4 )
''='4! "APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
A4avatk to be performed in acco dance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Tow of: /V0( ,)� Date: 7—7 — a 3
To the Inspector of Wires:By this appAation,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): /y9 PA"rG( rrr c--2) Unit No.:
Owner or Tenant: 7 f Pt in-c)1,-i-ort`i Email:
Owner's Address: e C - Phone No.: 9e 3- 9 2 3—So 3 5
Is this permit in conjunction with a building permit?(Check appropriate box)Yeslar No®Permit No.:
Purpose of Building: (\I-CA-.� Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground❑ No. of Meters:
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Descriptiop of Proposed Electrical Installation: /,r e--i,_(( /v.o /4 V/l.}Gci et,ov-J T ..,4ef'
a.,A--d w (,`)(Cf) a et_99 ,,c-(s --rt, C_,e, Jc—
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❑ No.of Devices:
Swimming Pool:In-Grnd.0 Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ 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❑ Level 1 0 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: (When required by municipal policy)
Date Work to Start: -1 -7—Z 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ga(si 0 S L R.) ,i,ty-1 C gat'. A-1 ❑or C-I 0 LIC.No.:
Master/Systems Licensee: gj �.>�oJ 25jc /t LIC.No.: a.( � 1 e "t
Journeyman Licensee: c. < < . LIC.No.: ( i € 7 B 6.
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:G
Address: o 6' p(e_oo&Cn,`-- s t 5`'' `,Q f
Email: `(l )(\A-9-( 1:=? ScA ,c,f,J sS C c.kpo • cc.rv'- Telephone No.: 4(3-37-A9 - .I €.S'
I certify, under the pains and penalties of perjury,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❑ 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 bel ,4 eby waive this requirement.I am the: (Check one)Owner Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Ti 4 /'1? e' L pC.S Email.:
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