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12C-011 (4) BP-2022-0003 5 NORTH FARMS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12C-011-001 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-2022-0003 PERMISSION IS HEREBY GRANTED TO: Project# ADD BATH Contractor: License: Est. Cost: 15000 MICHAEL DESORGHER 106004 Const.Class: Exp.Date:02/08/2022 Use Group: Owner: PELLETTIERI BETH F& SAMUEL M HUDZIK Lot Size (sq.ft.) Zoning: RI/WSP Applicant: MICHAEL DESORGHER Applicant Address Phone: Insurance: 448 BRIDGE RD (413)834-1499 UB-6R143470 FLORENCE, MA 01062 ISSUED ON:01/04/2022 TO PERFORM THE FOLLOWING WORK: ADD 1/2 BATH TO BASEMENT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.V1'. Building Inspector Underground: Service: Meter: Footings: Rough:1--/9—z zRough: !" -'3+2' -a'7� House# Foundation: 'Final: "'Final: s` Final: Rough Frame: 1)) . l/a /L-Z 7--z_E Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 0,1e, y- -22 Vii "THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON V OLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 1114L, _v•-1 Fees Paid: $98.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1 272 Office of the Building Commissioner 5 N O(-' - FI-KM t<D QQ/ Commonwealth o/kaeaachaie/tj Official Use Only ► •/ Permit No. CP-2022'-00 c� 2.5 �] ..UePartment o�Jire Service4 Va Occupancy and Fee Checked > 2 ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 sp (PSE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/10/22 City or Town of: Northampton To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 North Farms RD Owner or Tenant Beth Pellettieri Telephone No. 413-588-6949 Owner's Address same Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Dwelling Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Adding a new bath room in the basment and adding lights and receptacles in the adjacent basement room to be finished Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Trr anan KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No. Initiatingon nDete and Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Li Other Connection No.of Dryers Heating Appliances KW Securi Not of Systems:* evi es or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW No. Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No. H Y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1/12/22 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: John T Bates Signature JZit. //L61N!Q aaa- LIC.NO.: 10066B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 413-374-1083 Address: 26 Riverside Dr Florence MA 01062 Alt.Tel.No.: 413-584-4401 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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. Signature TelephoneTelephone No. I PERMIT FEE: $/ fd tc A8 ZZO r I NVI' QO&OIdd tr 5 N oR-T-i 1--Ale(Vl S 'KO _� l,ommonwealfh o/ 1' amac/uaett6 Official Use Only -`__`'tva - t Permit No. e-e- 20 22-25°`l l 6_ 1 - ..Department o/ ire.ervices f _ _— Occupancy and Fee Checked 25'I"1 `�_f� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) I APP !CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 LEASE P NT IN INK OR TYPE ALL INFORMATION) Date: . 1/16/22' Ci or Town of: Northampton To the Inspector of Wires: By this appl', ation the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 North Farms RD Owner or Tenant Beth Pellettieri Telephone No. 413-588-6949 Owner's Address same Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Dwelling Utility Authorization No. 30529965 Existing Service 100 Amps 120/ 240 Volts Overhead VI Undgrd❑ No.of Meters 1 New Service 200 Amps 120/ 240 Volts Overhead 71 Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service upgrade Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Trr ano KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of(.as Burners No. Initiatingon Detectionand Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Securi Not of Systems:* evi es or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H Y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: _ (When required by municipal policy.) Work to Start: 1/19/22 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: John T Bates Signature 7Z,m.a� ,e5p -� LIC.NO.: 10066B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 413-374-1083 Address: 26 Riverside Dr Florence MA 01062 Alt.Tel.No.: 413-584-4401 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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 Signature Telephone No. I PERMIT FEE: $ APPG3© 7E JAN42022 A By: as , A c4 /c'> I ti .0_ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK : I� - S- _7�-�_ c CITY;Northam ton MA DATE 1/3I2022, PERMIT# F' Z�Z2—tb o M JOBSITE ADDRESS '5 North Farms Rd I OWNER'S NAME'Beth Pellettieri I PI OWNER ADDRESS 5 North Farms Rd 1 TEL[413-585-6949 IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL lii RESIDENTIAL PRINT CLEARLY NEW:Lij RENOVATION:LJ REPLACEMENT:E. PLANS SUBMITTED: YES. ; NO _ FIXTURES ••• BSM 1 mA5 6 7 EN 10 11 12 13 14 _. IM DEDICATED SPECIAL WASTE SYSTEM 11111111111=111111 Mill 11111.111111111.11 • GAS/OIL/SAND SYSTEM imilr., IN ___ ......_.__ DEDICATED GREASE SYSTEM 'in DEDICATED GRAY WATER SYSTEM MIN Ili , M MIMI. DEDICATED LAVATORYDISHWASHER 1 DRINKING FOUNTAIN FOOD DISPOSER i _ FLOOR/AREA DRAIN In MI INTERCEPTOR(INTERIOR) IIMI 1 di III III. MI III1 ROOF H ER•R'IN MN IIIIIIIM -iti ®® �® SERVICE/MOP SINK Numimimmonomosimmomm TOILET URINAL nil ` 1 1 Z ®— WATER WATER PIPING , 1 ,, ling ----,0 • IIlIi ! i. .III_ _ _ „ , _ __ Ea 1 , Immo. , . ,, 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 l SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application ar t e Id r to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in haa Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME John T.Geryk LICENSE# ' 16079 µ_i SIGNATURE MP JP LI CORPORATION # PARTNERSHIP J# 1295560 'LLC __# COMPANY NAME a John T.Geryk Plumbing&Heating LLC ADDRESS 5 Crescent St CITY Northampton - STATE MA ZIP 01060 TEL 413-727-3057 FAX [ CELL 413-336-3893 EMAIL john@johntgerykplumbmg coin 72. c9 6, i y— 7-zz / .76