22D-029 (5) BP-2021-2336
158 RYAN RD COMMONWEALTH OF MASS CHUSETTS
Map:Block:Lot:
22D-029-001 CITY OF NORTHAMPT N
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERE CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY F ND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-2336 PERMISSIONIS HEREBY GRANTED TO:
Project# INS/ELEC UPDATES Contractor: License:
Est. Cost: 4000
Const.Class: Exp.Date:
Use Group: Owner: GIRARD JAY
Lot Size (sq.ft.)
Zoning: WSP Applicant: GIRARD JAY P
Applicant Address Phone: Insurance:
P 0 BOX 60635
FLORENCE, MA
ISSUED ON:12/28/2021
TO PERFORM THE FOLLOWING WORK:
UPDATE WIRING, INSULATION
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:2 •2 L`e House# Foundation:
Driveway Final: Final:C-its�a2 Final: Rough Framc:O e 3 Z z >< iZ
tr''
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:e•1C 3 23 2 2- le-CZ
Final: Smoke: Final: Ail 5-)LZZ >CR
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: TAD,-
Fees Paid: $65.00$
C`1tc1 r, ts3 Oar (0f4 piat54.5 2c.+�Sh L&I1t� �.31 7
Urclnc a.e ✓
u� \- ' ks „( 31 ;
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
1.2a IS/1-/IN r -u /� ��//
Consasonwoa[tk 4Maaaachua '',, Official Use Only
` Permit No. CIP- p2,2--(9 )i 4V Ct
' __ _ 1oP � .ti+Serviced
• " Occupancy and Fee Checked #/0( 3
BOARD OF FIRE PREVENTION REGULATIONS
[Rev. 1/07] leave blank)
m
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/-wa'w-
N City or Town of: A/p t' wl N To the Inspector of Wires:
By t�'iis application the undersigned gives notice of is or her intention to perform the electrical work described below.
Location(Street&Number) ) T 5 l (ikJJ TOtR
Owner or Tenant Glory 4 t y*t1> Telephone No.Li(3-dam'33ir 1
Owner's Address /SiS -)tAA1 P-o&
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: f l j (..p -Ito Uf sh9(l S 13!,el Uc('7 S
Completion of the following table may be waived by the Inspector of Wires.
No.
rano
No.of Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans Tf T
Trsformers 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 Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tool No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW Na.of Self-Contained
Totals: — Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW 'tecurity Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HI' TelecommunicationsDevceor qu val
No.of Devices Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: a O - (When required by municipal policy.)
Work to Start: a_ 9- 3 )' 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 cov a 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 petjury,that the information on this application is true and complete.
FIRM NAME: (1/1 1 Chctt, P i� euthi c t a v N LIC.NO.: S51 if/-T3
Licensee: �°VI i C. 4e 1 1�6Signature 77--J��-Y LIC.NO.: 5"5-I -i 1-13
(If applicable, enter "exempt"in the licena'e number,,line,)� Bus.Tel.No.•Ill?-( 9 "firfo
Address: 7/ o lD 541 r Ord . 1471-64,1 r►'7A O/0t r Alt.Tel.No.:
*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 PERMIT FEE: $ 1. St-r)
Signature Telephone No.
API?ROO WED
. 0 B 8 12
By: