30B-090 (3) BP-2021-2282
70 FEDERAL ST Map:Block:Lot: COMMONWEALTH OF MASSACHUSETTS
30B-090-001 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-2021-2282 PERMISSION IS HEREBY GRANTED TO:
Project# BP-2019-0285 Contractor: License:
Est. Cost: 60000 GLENN BUILDING INC 039970
Const.Class: Exp.Date:06/28/2022
Use Group: Owner: LAVOIE PATRICIA A
Lot Size (sq.ft.)
Zoning: URB/WP Applicant: GLENN BUILDING INC
Applicant Address Phone: Insurance:
18 Ashley Circle WVC-100-6022438
EASTI-IAMPTON, MA 01027
ISSUED ON:12/10/2021
TO PERFORM THE FOLLOWING WORK:
KITCHEN/BATH RENO
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:J.-/Ci V''.?"*ugh: ) 4- VA "
House# Foundation:
tISPre cay Final:fir/., Final: Final: Rough Frame: d.l(, i-1O 72- le. v
I7 I Z s4:.1 z; use t-L21-19
Gas: Fire Department �V Fireplace/Chimney:
Rough: Oil: Insulation: (J 1-I • 2.Z lf'S�
Final: Smoke: Final: U IL a �:� aa d-',
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: itsfAA,..,
i
Fees Paid: $390.00
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212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
' Office of the Building Commissioner \
7O bc�AL Sr
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--' s Commonwealth of Massachusetts Official Use only
Permit No. ee 2022
1 - DO O2-
y "i , Department of Fire Services
- '' -- Occupancy y and Fee Checked .-
-/` BOARD OF FIRE PREVENTION REGULATIONS (Rev.9/051
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMk 12.00
(PLEASE PRINTW INK OR TYPE INFORMATION) Date: ' 1 2 O
City or Town of: L,Cr ea I`',� To the Irispecto of Wires:
By this application the undersigned gives notice of or bee intamtibn to perform the electrical work described below.
Location(Street&Number) .T /-e erg( S'1
Owner or TenantY ` /? /Lt t/O,F_ TdRtieseNn.32.e"3 2AS-
Owner's Address _ 411'/
is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)
Purpose of Building i'- es /7 )r'i Utility Authorization No.
Existing Service/a) Amps /Za I a q d Volts Overhead® Undgrd❑ No.of Meters I
New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Re 0/aCtek k t 4t:/'1C it G't'1 / i S'- F/ 4J I
Completion afthefolowingtable may be waived by the Lector of WingNo.of Recessed Luminaires No.of Cd1.-Susp.(Paddle)Fans No.of otal
Traadoraiets 1KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.otEmergency Lighting '
No.of Luminaires Swimming Pool gni - ❑ grad. ❑ Batted Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gila Burners No.of Detection and
Initiatiag Devices
tal
No.of Ranges No.of Mr Cond. To (No.of Alerting Devices
No.of Waste Went Pump Number Tons KW No.of wed
Totals: Detection/Aler Devices
No.of Dishwashers Space/Area Uplift KW "cal 0 MC=xn 0 °ther
No.of Dryers Heating Appliances KW Security
Noo.ofyDevices or Equivalent
No.of Water K�V No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
drom a Bathtubs No.of Motors Total HP T Wiring:
No.H
y assag No.of Devices or Equivalent
OTHER:
OO d, o O Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Work 5 (When required by municipal policy.)
Work to Start i/5� - Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no 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 Et BOND ❑ OTHER 0 (Specify:)
I certify,under the ' m�.��'�1�'PPfpe 7wy,that the information on this application is true and complete. , ,
FIRM NAME- S lP,z t'Yet (� LIC.NO. 4"SV
Licensee: ni G ,'i/ S E'C jr/1""" Signature C‘u/`" p V 1 LIC.NO.: S' F
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. '''O' ZZO-
Address: Mt:TeL No.
*Security System Contractor License required for this work;if applicable,enter the license number here:
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)0 owner 0,• ,. 's agent.
Owner/Agent - - - 1 nr,smug.x'r,•a-_ 1 /„). t`'
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
:;,T�, CITY Northampton1 MA DATE 1/3/2022 1 PERMIT#PP 2d22 -0`,c.3
o JOBSITE ADDRESS 170 Federal St I OWNER'S NAME Patricia Lavoie I
N
PM OWNER ADDRESS 70 Federal st TEL 413 320 1113 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL._,I,„,,- EDUCATIONAL Li RESIDENTIAL
PRINT
CLEARLY—'NEW:. .„,, RENOVATION:g REPLACEMENT: PLANS SUBMITTED: YES[1 NOga
FIXTURES 1 FL,OOR-I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB i i 7 __.r.. � }} .. �, is
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM I [
DEDICATED GAS/OIL/SAND SYSTEM t- I
DEDICATED GREASE SYSTEM I
DEDICATED GRAY WATER SYSTEM I' r_��
DEDICATED WATER RECYCLE SYSTEM �tr
DISHWASHER 1 TV �,
DRINKING FOUNTAIN .. `
FOOD DISPOSER 1 __
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY 1 I ,__
ROOF DRAIN
SHOWER STALL 1 l
SERVICE/MOP SINK l._.. PLU G & GAS INSPEG TUt3_
TOILET 1 _ NORTHAMPTON_
URINAL I
WASHING MACHINE CONNECTION I TI- AFpRO D NOT PRQVFn
v.,
WATER HEATER ALL TYPES Z.
WATER PIPING _-.._
OTHER 3 i
f .
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 ,
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 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are tru ac r th best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in co li a wi I ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME[John T.GerykII
LICENSE# 16079 S NATURE
MP,,,„•_= JP [ CORPORATION' # NPARTNERSHIPJ# 1295560 J LLC[...1#
COMPANY NAME I John T.Geryk Plumbing&Heating,LLC ADDRESS 5 Crescent St
CITY[Northampton STATE I MA j ZIP E 01060 TEL I 413-727-3057 ,
FAX [ 1 CELL 413-336-3893 EMAIL john@johntgerykplumbing.com 1
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