12C-108 (4) BP-2022-0089
63 RICK DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
12C-108-001 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-2022-0089 PERMISSIONIS HEREBY GRANTED TO:
Project# KITCH RENO Contractor: License:
Est. Cost: 12000 JIM BOYLE CS107689
Const.Class: Exp.Date: 10/25/2023
Use Group: Owner: DAVIS ADINA H
Lot Size (sq.ft.)
Zoning: RI/WSP Applicant: KITCHEN CONCEPTS &DESIGN CENTER LLC
Applicant Address Phone: Insurance:
P O BOX 241 WCB49466 I
HADLEY, MA 01035
ISSUED ON:01/27/2022
TO PERFORM THE FOLLOWING WORK:
KITCHEN 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: Rough: 4- House# Foundation:
j/ —i3 —zz
Gas: Final , r" Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final:.�/r�_•F Oil: Insulation:
Smoke: Final: Q.IL t4 Icl ZZ 1l e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: (64.4‘,,
Fees Paid: $84.50
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
L3 6 lC/Ll�. /.)/. QQ''
Commonwealth of'MamaclwatioOfficial Use Only
:0 Permit No. e 2D 22/-t'>Z4/
ic�i n li i f% i
, t ..Department of _tine-.)ervireo
_ _ _ _ __ _ _ Occupancy and Fee Checked A. /'
c.. -_E=� BOARD OF riRE Pr vEN I k N REGULA I iONS !Rey 1/O7J (leave blank)
O
Ln APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WnRK
^^ r- . - 1 All wink Lll be pelfutuied in G witlau a with�llie 1vi4ssuihusvLb Elec11icdi Code(1v1EC),527CivMR 12.00
' C9LEASE- RINT IN INK OR TYPE ALL INFORMATION) Date: 3- b-20a'r
'-C. or Town of: )(JOB kf idon To the Inspector of Wires:
By this Tapp 'cation the undersigned gives notice of his or her intention to perform the electrical work described below.
- Location( treet&Number) ( 3 j .C{L -Dr
Owner or enant igdiV?A -DI4t/ic Telephone No. 03-270 -3 3r/7
Owner's Address (t1 i2CLI - I _
Is this permit in conjunction with a building permit? Yes Q/ No ❑ (Check Appropriate Box)
Purpose of Building ., ;• Autl:oi�l. :....,, Ni..
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
•
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity 1 f
Location and Nature of Proposed Electrical Work: f�(Tr t y1 i. 4hea 3y' t e /✓) a
vtew .66ircu►l-s (c-oterfsy tztce s, 1)/solums -. f+i)c, l*a ) 411 Old worked IA
Completion of the following table may be waived by the Ins�ectav o Wires.
No.of Recessed Luminaires No.of CeiL Tr
p
-Sus .(Paddle)Fans Tr °ansformers KVA KVA
No.of Luminaire Outlets No.of Hot Tubs Ii�/A
t T.arminairoc CR, „„ihn p,,,,, Above n In- n !No.of Emergency Lighting;
—{ [: i• -'- gaud. - giaill. y— ittiittriy Units
I
No.of Receptacle Ouikts ro.of Oil Barac s I:IRE ALAF:M= 1No.of.-.a,.c-
No.of Switches INn.of Gas BurnersNO. I of•• ..ftlo6 nEI
Iinnuuaiwu Devil es
No.of Ranges INo.of Air Coed, Total No.of Alertia r I11.v1res
1 FTent Pamn l'N smher 1 Tone 1 KW INo.of SetfF t ontnined
,..... .. .... .-.;r;/.,...s > i.Vt IV,1 r pDet.rt-innlAlert'n,r Devices
I Municipal
INo•taf':cttls'llsh::rs I paccfArra Hsat n KW cl ttcri❑ Connection, n Other
i.vuuQ-♦a..rn
!No.of Dryers `Heating Appliances KW )Security Systems:*
No.of Devie s or En divalent
;a::" ICW I:...•i: ...I Oa of ,Data Wiring:
( ecis j Si-gii5 ]ltt.itf trc.rrt tm,rrt r.ttutTui►.ua
Telecommunications Wiring.
No.HydromassageBathtubs No.of Motors Total tlr
3�i tef I}s'vrc•g cir I tgtiti:ilrnt
OTHER:
v _:.
Work to,tart. 3-7-2' - tiuSjti.ctions to be rcquc;tcd in a‘widance 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
i,..44. -.vac:.
L` .a rea. , f .1-41 . .r .�-41::.__.:±-:--.=.r.r... -._ «.._ - _-1 - r .:.
Gi�nn NPiya : �t( /Qei\ �/l aCrjnCGly-► LIC.NO.: 5 5/y/'6
Licensee: VYfG4,1,G( l s9 Signature /%7 ---,-- •-/ - LIC.NO..:: }S5-/'ff �/a
•:ii 4,„piic,i,;,: ,,,,,,- ,.,.„,-,11ii iii Ii i.wiat las'37mlezr LLLI .j i/ Alms. lt'.�.No.:7/7 i'f "(Jp,o
ruul c..•. ?/ 0ld stye ,�d Pisi-l l 01/1 0/01-k AIL !el.:NO.:
1 Gl 1Yi.\t.L.C. PI'/,J._f-L•:,Sec lSl11y riiti L` tGLl lull CJ S.1L=fall+ef=i1L i211 SSUStL ilt11L1y :) L1LGt11G. LSL. .`It:.
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 owner's agent,
‘,igiµatrµre. 'l'e ep !'o iv," i 1"Eit/i'i i I i'l: .: Jo (p U i
i
A PPRORg[ED
MAR16 12
0.
-
C;� 3y7 4- 7°.
MASSACHUSETTS UNIFORM APPUCATIOid FOR A PERMIT TO PERFORM PLUMBING WORK
ti 1CIfYi A�d — 7�3�
1 MA DATE! )-�- `1 PERMIT ifrP-20Z2-QO2(
1 JOBSITE ADDRESS f 3 tkt t' C 1 OWNER'S NAME] A ntok,a, �c)v rL _---
OWNER ADDRESS - TEL1 a.- 1 T I`1 _FAX , _____ _
TYPE OR OCCUPANCY TYPE COMMERCIAL_T EDUCATIONAL n RESIDENTIAL k
PRINT _
CLEARLY NEW: RENOVATION: REPLACEMENT PLANS SUBMITTED: YES V NO___
FIXTURES 1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB .
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM �
DEDICATED GAS/OIL/SAND SYSTEM _ _ __. -r -• ----_.-_-- ___
DEDICATED GREASE SYSTEM
DEDICATEp GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER _.,...
DRINKING FOUNTAIN ----------•-__- - ---'------ —�- -_ _
FOOD DISPOSER ._. • ter ' -- - -- -H__ _____^ _ _
FLOOR I AREA DRAIN
INTERCEPTOR(INTERIOR) �— =
KITCHEN SINK _ . _- __ _....
LAVATORY _._ ___-,--- -- ---•--- ---- ----1------ GAS I ktTD7r _.-
ROOF DRAIN -__-. __ : —._._�_, AR�H�kiili�C ._ -•,-- -----_-.--_- _.._
SHOWER STALL
SERVICE/MOP SINK _�� - may•. -r --•--Arpw Cy-`--`NUi APP FI Y --,'V_..-.-
TOILET _ _ _
URINAL _ -A�
s-- -__
WASHING MACHINE CONNECTION
WATER HEATERALtTYPES -------__.___-_ _ .____. .____._ __ —_. __
WATER PIPING - -- -- _---- � -.__ •
-
-- _____-.__� a,---____- -- -__- . .
OTHER i
INSURANCE COVERAGE:
I have a current liability insurance policy or its Substantial equivalent which meets the requirements of MGL Ch.142. YES; I NO i _
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 tnrc 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 compin ' ail Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME,Eric Hollander ~'LICENSE# 15816 _ •
S TURF
MP - JP CORPORATION? } ..E— _. -----.M :` {���,PARTNERSf IIP :i t-t-C --- s
COMPANY NAME' Eric's Plumbing&Heating, LLC _ADDRESS;42 Warren Street -� T ___
CITY;Agawam __ ...._�—`STATE MA ZIP 101001 TEL1413-5T5-165' y
._• _ .—...1FAX i^--�'CELL I EMAIL Ietrtca827@yahoo.corn -__� -- !
i"A" i i 2Z-►E'/ t/7
45 45
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
�_" CITY 1 0 �.r..( MA DATE ( PERMIT 6P-2-022 I
-� r o
JOBSITE ADDRESS' r tom, ._ _ OWNER'S NAME ,, T� J A. 3
G „OWNER ADDRESS
- TEi; � 0. 3�1Z._ FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL:- . EDUCATIONAL RESIDENTIAL;.
PRINT
CLEARLY NEW: _ RENOVATION:' REPLACEMEN- PLANS SUBMITTED: YES NO
APPLIANCES Z FLOORS-. BSM 1 2 3 4 5 6 7 8 9 — 10 11 12 13 14
BOILER
BOOSTER - .
CONVERSION BURNER _
COOK STOVE -l
_DIRECT VENT HEATER - -._
DRYER _ . _. - .... .
FIREPLACE
FRYOLATOR _
FURNACE
GENERATOR -
GRILLE - _
INFRARED HEATER -
-
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN P L U1VraI N G & GAS tN'Si't t OH
POOL HEATER r _ NORTHAM ill UN
ROOM/SPACE HEATER -APPHCVED r A O D .
ROOF TOP UNIT _ _
TEST
UNIT HEATER -
UNVENTED ROOM HEATER
WATER HEATER
OTHER_ _
INSURANCE COVERAGE - -I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES i' NOI IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY .__ BOND I
OWNER'S INSURANCE WAIVER:lam aware that the licensee does noth ve 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 an =rate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complian with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME'Eric Hollander LICENSE#15816 NATURE
MP ' MGF JP JGF LPGI CORPORATION ; PARTNERSHIP -"
LLC #
COMPANY NAME:Eric's Plumbing&Heating,414.60 ADDRESS 42 Warren Street •
CITY ;Agawam STATE MA •ZIP01001 `TEL 413-575-1651
FAX CELL= EMAILeirico327@yahoo.com
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