31B-070 (4) 56 SUMMER ST EP-2008-0921
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 31 B
Lot: 070 ELECTRICAL PERMIT
Permit: Electrical
Category: Wire new house&200 amp overhead service
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2008-000979
Est. Cost: Contractor. License:
Fee: 165.00 Marney Electrical Services Master 17123A
Owner. GRIMALDI KELLY
Applicant. Marney Electrical Services
AT.- 56 SUMMER ST
Applicant Address Phone Insurance
P O BOX 60453 (413) 584-0737 Liability, MPP38061
FLORENCE MA01062-0453 ISSUED ON.•61512008 0:00:00
TO PERFORM THE FOLLOWING WORK:
Wire new house & 200 amp overhead service
Call In Date: Date Requested Inspection Date/SignOff• Reinspect?:
Trench/UG:
Special Instructions
x
Rough
x
Special Instructions:
Final
SRE Called
In: 4739462
Signature:
Fee Type:: Amount: DatePaid
Electrical 165.00 6/5/2008 0:00:00 2056
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -George Fournier
Ja eammonweahk o addaclLuse116 Official Use Only
2eparfntenl of J`l�''77 ire Serviced Permit No.-re k_ ��
Occupancy and Fee Checked -a � �
BOARD OF FIRE PREVENTION REGULATIONS [Rev. l t/99
) Icavc blank) �
AP CATION FOR PERMIT TO PERFORM ELECTRICP L WORK
JUN All work to be performed in accordance with the Massachusetts Elec►rical Code(NIEC),527 Ch1R 12.00
(PLEAS PR NT ItV INK OR TYPE ALL 1JVl•'01ZiL1A770N) Datc:
Electric,plumbing&Gas ins r Town of: To the Inspector of I+'Wes:
Northampton, ion the undersigned Lives notice of his o her intention to perform the electrical work described below.
Location(Street & Number) J� `njYY1�Y" -
Owner or Tenant Y ) Telephone No.�y— I Z
'
Owner's Address 15 t t 4- G-�L o
Is this permft in conjunctiu►i with a building permit? Yes No ❑ (Chcclt Appra rnialc B s)
Purpose or Building -�1C� 'Ulilily Authorization Nu.
7-3
�j�
Existing Scr yiec Amps / Volts Overhead ❑ Undgrd ❑. Nu.of Meters .
New Service ` Amps IZO J.0 fulls Overhead Al Undgrd ❑ No.of Meters, �!
Number of Feeders and AntpacitY
Location and Nature of Proposed Electrical(York:
2W axv p __ s? .�1 E'er -50 . F T: _
Completion of the folluu•ing tab/e maybe uaised by the hrs'Xcto•of.IVires.
No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans yo' of Tot i
Transformers KVA
No. of Lighting Outlets No.of ffut Tubs Generators 1,3/A
Above In- ( o. o tnergency ►g rtutg
No. of Lighting Fixtures Slrinnrting Pool gn►d. grjid. atteU Units
No. of Receptacle Ou0els No.of Oil Burners FIRE ALAR i IS No. of Zones
No.of Switches No.o Detection and
No.of Gas Burners Initiating Devices
Total
Nu,of Ranges No.of Air Cond. Tons No, of Alerting Devices
No.oCWaste Dis Disposers HentYump t-.umber :Pons.......... _ No. of ell- ontained
p Totals: Detection/Alerting Devices
No.of Dishwashei-s Space/Area Healing KW Local ❑ ftiIunnnect►cipal n ❑ Other
Coio
No.of Dryers Healing Appliances K1V Security Systems:
No.of Devices or Equivalent
No. of Water No.of IND. of Data Wiring:
Heaters KW No.
"allas"s No.of Devices or Equivalent
No.Hydrontassage Bathtubs No.of Motors Total TIP I'elecommunications Wiring:
o No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the ltrspector of lVir•es.
INSU1Lai'NCE COVI;ILIGE: Unless waived by the owner,uo permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance 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 ;V9 BOND ❑ OlTlER ❑ (Specify:) IZ�U
(Expiration Datc)
Estimated Value of Electrical Work:' (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MCC Rule 10,and upon completion.
I certify, under the pains and penalties of pemjttr1,that the information on this application is trite and complete.
FI11J%I\AN1 -' Jfrl - LTC.NO.:17 1 9 12-2)
Licensee: Signature ��. t( p?�_�}'�(�Y f1 ,. LTC.NO.:
(If applicable, tc• "exct t••in the license rn ine.) n us.Tel.No.:
Address: PA c ,� Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nothat-e the liability insurance coverage normally
required by law. By my signature below, l hereby waive this requirement. I am the(check onc)p owner ❑owner's agent.
Owner/Accnt
Signature telephone No. I? - : S
t F-