24C-064 (14) 88 MONWEMASSASOITALTH OF MASSACHUSET'CS
Map:13Vock.Lot: CITY rsT COM OF NORTHAMPTON AP- 2
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24C-064-001
Permit: Alts Renovations
Repair (MGL c.142A)
S
PERSONS CONTRACTING WITHTHE GUARANTY FUND EGISTERED 3,RACTOR
DO NOT HAVE ACCESS
LDIN G ERMI
DUI
PERMISSION IS HEREBY GRA,N QED TO:
PrProject# BASEMENT RENO
o # BP-2022-0072Contractor:
Est. Cost: 18600 Exp.Date:
Const.Class: Owner: EPPSTEINER ERIN E& ROBERT W
Use Group:
Lot Size (sq.ft.) Applicant: W EPPSTEINER ERIN E&ROBERT
Zoning: URB
Insurance:
Analicant Address
Phone
88 MASSASOIT ST
NORTHAMPTON, MA 01060
ISSUED ON:01/26/2022
TO PERFORM THE FOLLOWING WORK:
BASEMENT RENO FOR FAMILY ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring
D.P.W.
underground: Service:
Meter: Footings:
�� �� House# Foundation:
Rough: Rough:��
Final Rough Frame: k ///id-i.-
QS
Rough: Fire Department Driveway Final: Fireplace/Chimney:
insulation:0 J1. S-L1 -22_ le f .
Final: Oil:
Final: e• ll. Li-26 ZZ V. e2.
Smoke: ,
THIS
PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
y2 . IT , "._,
Fees Paid: $121.00 _ _-
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
35 1 1 6/T` ✓rrJv , v V✓
5*._ Commonwealth
Official Use Only
l,om.monweaCt`h of Ma66achu6ettd
M� _: __ c� Permit No. 2O ZZ.-d I SI
_�__ eL.Jepartment o/ ire .ervicei
Az__�= 7' Occupancy and Fee Checked*/�0 t.
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
o 0.--) C
1111 AP '-LICATION FOR PERMIT TO PERFORM ELECTRICAL WORT
m 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
U (WF,ASEP : NTIN INK OR TYPE ALL INFORMATION) Date: afa/aa.,_
P City r Town of: k),„t-4--\„e,N.es N To the Inspector of Wires:
By this applica ion the undersigned gives notice ofihis or her intention to perform the electrical work described below.
l4- ell-
''� Location_( t&Number) �� Mq ssa so
Owner or Tenant e.r t N C e Q stp, ,->ex.- Telephone No.
Owner's Address ?cc Massa 5 c, , t S i-
Is this permit in conjunction with a building permit? Yes gr No ❑ (Check Appropriate Box)
Purpose of Building ' ,q<e , \- .C,,,.%,, „„ Utility Authorization No.
Existing Service- O 0 Amps 1"2 C / 40 Volts Overhead Er Undgrd ❑ No.of Meters i
New Service Amps / Volts Overhead Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: R,,,,,5-k,1,,,,5 c,Ace M e,,
Completion of the following table may be waived by the Inspector of II II
No.
r
otal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA
_ _ _
No.of Luminaire Outlets No. of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Batte Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating 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❑ Conn:Municctionipal E Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent _I
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent _
Telecommunications Wiring:
No.Hydromassage Bathtubs - No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of II II.
Estimated Value of Electrical Work:11 2.00 (When required by municipal policy.)
Work to Start: l i /a 9 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 unle•
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. Tlic
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE la 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: Lot t„1,re rJc c_ r,.1c5 Signature v4---F-o LIC.NO.: SZIgq
(If applicable enter "exempt"in a license number line.) Bus.Tel. No.:
Address: 6 3 t- u A-9 ( >) S F I6Nre r,( MA 0 1 L to Alt.Tel.No.:1-1 t3 a1.3 1043
*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 normal I
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agen
Owner/Agent PERMIT FEE: $K. 6d
Signature Telephone No.
00
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