17A-129 (9) BP-2021-2324
8 FOX FARMS RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-129-001 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-2021-2324 PERMISSIONIS HEREBY GRANTED TO:
Project# BATH RENO Contractor: License:
Est. Cost: 22000 BONDE CONSTRUCTION 67758
Const.Class: Exp.Date:01/02/2022
Use Group: Owner: LIPKIN-MOORE,ZACHARY M &SURBHI G
Lot Size (sq.ft.)
Zoning: URA Applicant: BONDE CONSTRUCTION
Applicant Address Phone: Insurance:
205 PARK ST 413-529-2176 UB4K05380A
EASTHAMPTON, MA 01027
ISSUED ON:12/20/2021
TO PERFORM THE FOLLOWING WORK:
1ST FLOOR 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:?I(,,/7H614C Rough:1- ...�1- (9,1 House# Foundation:
13 i
Dwirewy Final: • Final: Final: Rough Frame: 0 g 2/f/a).-�•
;g Gas: Fire Department Fireplace/Chimney:
• Rough: Oil: Insulation:
Final: Smoke: Final: (� (0/ /a.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: a
•
Fees Paid: $143.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
25 rt-'A. I%tf'-1v l I\+i
Commonwealth o//r/addacfladettd Official Use Only
.._„,..F>A.► c� Permit No. eez02.2"OO'73
A __-�1 Permit of ire Serviced
` Occupancy and Fee Checked /4/G g
a--_ /= 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 Cod (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 2-6/z-2-
City or Town of: /{,b j o,t.,P1N To the nspector of Wires:
By this application the undersigned gives notice of his or her intention to�perform the electrical work described below.
Location(Street&Number) 7 ...byfc 2m nt
s /-Oct0L
Owner or Tenant Z A ck. L p K i n " !71 D or-I.-' Telephone No( o3)5-6G —70 4/47
Owner's Address S'A er'-Z.
Is this permit in conjunction with a building permit? Yes EJ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd I I No.of Meters
New Service Amps / Volts Overhead❑ Undgrd I I No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: &hr., . W 1,A40 kvz/ ,( ? oO in
Completion of the followin_ table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf ,
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. 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. Total No.of AlertingDevices
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 KWSecurity Systems:*
No.of Devices or Equivalent
No.of Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
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: ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unle waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liabil' insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such cov rage 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:'Dwrit- Fm, Signature) it,— LIC.NO.:&---f 002.73
(If applicable.enter"exempt"in the 1' se number lix.) Bus.Tel.No.:
Address: /� itiy �1 pcJ4j/..n�er/i "A 0/0 7.3 Alt.Tel.No.(c/M)t(?-903.-D
*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. PERMIT FEE: $ ,$T
A PpL30rD
JA 7 202
By: �' -
/ 3 I- as RQ,s k R��
dc! , 5/ ,g70o,°
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO P RFORM PLUMBING WORK
Is �_b� ►TY /90 RA�✓vl f 1—G Yl MA DATE /c2Z„ / ERMIT#PP-2D2'2 DO 33_
JQBSITE ADDRESS "
{ C.?_�., ��`,.l�V�,-�.,..��l11, OWNER'S NAMEi.�.,: �'�I e C..�'�'1`�� .
OWNER ADDRESS TEL FAX
TYPE OR i--6CCUPANCY TYPE COMMERCIAL EDUCATIONAL j RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION:t' REPLACEMENT PLANS SUBMITTED: YES 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
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN .
SHOWER STALL 1 PLUN1BtNG & GAS INSPECTOR
SERVICE/MOP SINK NORTHAMPTON
TOILET I APPROVED NOT APPPOVFD
URINAL i�
WASHING MACHINE CONNECTION
16_ .
WATER HEATER ALL TYPES
WATER PIPING
OTHER
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 t7 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 1
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 and accurate to the best of y knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in co f ce with . r sion of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. f
PLUMBER'S NAME LICENSE# �60 SIGNATURE
MP JP CORPORATION # PARTNERSHIP # LC Lj# )
` I J,
COMPANY NAME toCan, L Ks� ?c ti ADDRESS ,‘,/41 ec
hey / AUJ
CITY ��6 ykkAck,,„--f-i-- /� STATE �'1(1/k ZIP 6/6I ..,3 ,fTEL J (7" % 5 �, _I
FAX CELL , EMAILL vx �; J;�A�' T /l/Z
4
— G
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES