38B-174 (4) BP-2024-0838
192 SOUTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-174-001 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-2024-0838 PERMISSION IS HEREBY GRANTED TO:
• Project# REN BATH/ADD RAMP 2024 Contractor: License:
Est. Cost: 49900 MICHAEL POWELL 093015
Const.Class: Exp.Date: 10/31/2025
Use Group: Owner: BYRNES PATRICIA C
Lot Size (sq.ft.)
Zoning: URB Applicant: MICHAEL POWELL
Applicant Address Phone: Insurance:
149 POMEROY LANE (413)374-0963 WC5-315-619610-013
AMHERST, MA 01002
ISSUED ON: 07/03/2024
TO PERFORM THE FOLLOWING WORK:
RENO BATH AND ADD TEMP RAMP
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: House # Foundation:
Final: 9�j—� Final:9.r. t( Final: Rough Frame: oe_te.I(Q-2,119,9 5�
Gas: Fire Depart t� Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:c lL Q../9. 2'-( S/
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 7/2.
Fees Paid: $374.00
•
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
c cry
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
l di ! j
CITY Cv 011.r,( I MA DATE j—G —a-'1 PERMIT#PP ZO24-0294.
an JOBSITE ADDRESS - f q SoJ OWNER'S NAME / }-(,c . ff'm- r I
r OWNER ADDRESS
j I TEL cs-q-7. _5-o FAX
4
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIALIM—
PRINT
CLEARLY NEW:Li RENOVATION:Q�EPLACEMENT: PLANS SUBMITTED: YES❑ No El
FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 I 9 10 11 12 13 14
BATHTUB I
CROSS CONNECTION DEVICE r'
DEDICATED SPECIAL WASTE SYSTEM
_-wrl
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
wawa
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) a
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL FLUMBINC & G-AS NSP'ECTOR
SERVICE I MOP SINK
TOILET NORTHA MPTON'-
✓y
URINAL
APi'nOvco 1 APPROVED
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 1 O Li
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 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 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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. rc-
PLUMBER'S NAME /1:\"(\---.4, I LICENSE# "91 O $ SIGNATURE
MP JP JP[ CORPORATION❑# 1PARTNERSHIP❑# LLC❑#
COMPANY NAME A-73 ,('v\L ADDRESS V%rty d C
CITY1 t ISTATE .AM-- I ZIP OLoPO I TEL 4( 3 q7?—f3gD I
FAX ••-•—'' I CELL of 77'. €101 EMAIL ! A v‘ 2 I Ay� <4..ru S�- c 44'\
J
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
/ �ZY Rifi/Affr,14,94 PLAN REVIEW NOTES
__ , (�S
T '�
1_,- 1 Officr Use Only
t o 9. !_ Commonwealth of Massachusetts y OC2�y
---,_ - Permit No.:
la
I c± G'1_:* =_ter/ Department of Fire Services Occupancy and Fee Checked: Ci'M t A 3
v_ . = .l Rev. 1/2023] I/ (
�=5�' BOARD OF FIRE PREVENTION REGULATIONS i
oz .Pe ° = t.
•Z= `'�,= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
N
0 m r l work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00
0o Ci ,wn of: Ndtc% Jv\IAo Date: 8 (i1 Zy
co To the Insp, for of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
0 . '.- ' -et&Number): I e Z SO A.,'Oa 3 Unit No.: ,y
Owner or Tenant: ' -'C.1.A g IviZ,PJKs Email: P)1 r v.,LS t.. p t;n "cwS`'t )`n'°I
Owner's Address: SAi•A.4. Phone No.:
Is this permit in conjunction with a bujldingpermit?(Check appropriate box)Yes® No®Permit No.:
Purpose of Building: EZ.t 5 1 L N-`3-1 U 'lity Authorization No.:
Existing Service: l t)D Amps h- / Z ND Volts Overhead I ' Underground❑ No.of Meters: I
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: A L ( A +12,oc^ l
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-Grnd.❑ Above-Gmd.❑ Hot-Tub 0 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❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Deg ices:
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 ❑ Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Elec icalWork: (When required by municipal policy)
Date Work to Start: 8(t t 2' Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ':7�+vt,.--( toot Leo ev L L L L A-1 dor C-1 ❑LIC.No.: 2 Z 7 4 AI
Master/Systems Licensee: (A 1" b Us1Z (to LIC.No.: 2.32 1 `t A
Journeyman Licensee: (A N -Y '42-'t oq LIC.No.: j 3 161 11
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: OA, R,D it,4 A� l S ' a Lin k d /
tili
Email: i an e ,to,j-t4 G`- c. ' (-1 c. 1\ t- , a'%"‘ Telephone No.: y l 1 'Z6 Z, ' o i 4 ti
I certify,and r the pains and penalties of perjury,that the information on this application is true and complete. > ,
Licensee: t.Vl Print Name: IA N tNC C Cell.No.: toss - 1
11
INSURAN E COV RA :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❑ BOND 0 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❑
Owner/Agent: Tel.No.:
Signature: Email.:
0,421 l,r f�d
-..,y 4ove A '-11-�