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23A-104 BP-2024-1414 3 TRINITY ROW COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-104-00I 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-2024-1414 PERMISSION IS HEREBY GRANTED TO: Project# ALTERATIONS 2024 Contractor: License: Est. Cost: 45000 MATTHEW DERV 064404 Const.Class: Exp.Date: 06/23/2026 Use Group: Owner: BARRY BOUTHILETTE,NONA RYAN & Lot Size (sq.ft.) Zoning: URB Applicant: MATTHEW DERY Applicant Address Phone: Insurance: 408 HOOSAC RD 413-374-8686 WC5-315-375318-044 CONWAY, MA 01341 ISSUED ON: 10/28/2024 TO PERFORM THE FOLLOWING WORK: ALTERATIONS TO MAKE HOUSE WHEELCHAIR ACCESSIBLE 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: c o Rough:,/0v - Rough://'' House # Foundation: Final:, e Final / , ay( Final: Rough Frame: !�� (/ 2 ' Zy Sr ef)- Cas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation:OK Gt - 2e) • 2e( S!' Final: Smoke: Final: d>L 1-q.2S K,R THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 11/-"P Fees Paid: $338.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner I ktonm24/-- 7t k 3 71iivi rY SEA Commonwealth of Massachusetts ctal Use OnlyO G `� Permit No.: 20 7 �, + .> +- t Department of Fire Services Occupancy and Fee Checked/7.�r i r- -0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 0/ o Y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be erformed in accordance with the Massachusetts Electrical Code(MEC),527 M 12.00 City or Town of: performed r‘ Date: i I/I fnwwwit To the Inspector of Wires:By this application,the u dersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): C. t Unit No.: Owner or Tenant: -C'�(' V tve, Email: Owner's Address: &31— Q,-- Phone No.: L}`3-a44-51 0 t Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No®Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: W%C.(_ \C)CaVO n \ &,Q5- 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-Gmd.0 Above-Grnd.❑ 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 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❑ Level I ❑ Level 2❑ 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 ❑or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: David Foster Jr LIC.No.: 37855E Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 24 Stage Road Williamsburg MA 01096 Email: ajmax@aol.com Telephone No.: 413-695-6168 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: Q A p v Print Name: David Foster Jr Cell.No.: 413-695-6168 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© 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 0 Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: APPG30WIED NOV 0 7 2024 By: / / - /if•.a Y go,g gN MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK S-y' CITY Ftot cn c c. MA DATE jj /Q ) y I PERMIT fi l -7,o21^ D 9"S 7 co JOBSITE ADDRESS 3 J i"r'V iZpt_ OWNER'S NAME S f/ I Ou* 1 L cfi tc P 1 OWNER ADDRESS TEL ty`jj -:SJd f FAX TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL El RESIDENTIAL ' PRINT CLEARLY NEW:❑ RENOVATION:117 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES 1 FLOOR-+ 13SM 1 2 3 4 J 5 6 J 7 8 1 9 1, 10 1 11 1 12 1 13 1 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 LAVATORY I ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET �LLn/lanv�. ert u.f�o in Jr 1/1/41 URINAL WASHING MACHINE CONNECTION - • ' • ' • • ' =11 WATER HEATER ALL TYPES WATER PIPING if OTHER - INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES, NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND El 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 corplian 'th all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 3 PLUMBER'S NAME A,.d(Ca./ L.1i l k f LICENSE# 3Or e) I IGNATURE MP❑ JPX? CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME W{1 g.0 S �p,E,,{r y 4/"J..f ADDRESS 2)( 6IC/I elr/e- CITY piV,,c.� . STATE fret ZIP Of0G) TEL 1 13 • 6—ff FAX CELL EMAIL s Py,h.,i Olj 3 [�_/ /.Egg, '-� , _M -3-/ -.9 d� A/l ,z-OZ-,/