06-026 (4) BP-2021-2274
62 LEONARD ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
06-026-001 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-2021-2274 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF/DOORS/BATH RENO Contractor: License:
Est. Cost: 35880 ALEX KOMLEV 103055
Const.Class: Exp.Date: 12/30/2022
Use Group: Owner: CAISSE SUSAN D
Lot Size (sq.ft.)
Zoning: URA Applicant: ALEX KOMLEV
Applicant Address Phone: Insurance:
710 FLORENCE RD 4133864739
FLORENCE, MA 01062
ISSUED ON:12/27/2021
•
TO PERFORM THE FOLLOWING WORK:
ROOF/DOORS/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: Rough: House# Foundation:
IffeErgely Final: Final: S-�4" Final: Rough Frame:
-2 -/o-Z2
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: a W. 5 ZL-ZZ le,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
' l
Fees Paid: $233.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
ckG4-fv 30 7o.-,
11,_t -__ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY I LAC�S MA DATE [ —Z
=2Z4 PERMIT# 202Z -OO(o5
OBSI-E ADDRESS 62. LG b(t4rJ��5 . .,...,. . , 1 OWNER'S NAME .. ___ ,n.,..a ,._._.
' P -1 CANNER ADDRESS TEL FAX
ID i
TYPE Q OCCUPANCY TYPE COMMERCIAL EDUCATIONAL -__ RESIDENTIA
PRINT -
CLEARLY NEW: RENOVATION.>% REPLACEMENT:L. PLANS SUBMIT ED: YES — NO_
FIXTURES T ;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 I AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK _
ROOFDRAIN LAVATORY PPLUM6iNC, & G INSPECTOR
ROOF _
SHOWER STALL NOH fI A.i',Ai4 I ON
SERVICE/MOP SINK Ai3YKUVED NOT APPROVED
TOILET
URINAL . '
WASHING MACHINE CONNECTION
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 2( OTHER TYPE OF INDEMNITY D 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.
7 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 and 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 o r p' e ith all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of e General Laws.
PLUMBER'S NAME r(..D r(f pt/ LICENSE# 3'11Z 6 SIGNATURE
MP _ CORPORATION # PARTNERSHIP; ,,,,# LLC __#
COMPANY NAME: ADDRESS' I rC �, CW j ��
•
CITY .E�:: V.\ . 60 _,_ __. . . STATE G r �j ZIP ,6�.� TEL .._ 1�
FAX 1 CELL(4\13 ? jMAIL ,�.„.�..____
�/ yy.�..--1 22- 1
to z i_o1Vtfi o '(
,`4_ _ Commonwealth o///laddachadettd Official Use Only
4 • _i,� c� Permit No. 202 ---0�
m ,two -a T epartment o� ire Serviced
_t B i►r-', D OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked `�go
p,` ,••,cc�"� [Rev. 1/07] (leave blank)
n' AP ,LIC ��ION FOR PERMIT TO PERFORM ELECTRICAL WORK
o� k to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
'LEASE PRIN r,r, NK OR TYPE ALL INFORMATION) Date:
y n of: l-ec.. i' To the Inspector of Wires:
By this .•.,. : undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street& umber) 4 Z L¢.oy)G r ci SA
Owner or Tenant S LA f'at v) O CON Sf C_, Telephone No.
Owner's Address l at"`^
Is this permit in conjunction with a building permit? Yes ❑ No Pr (Check Appropriate Box)
Purpose of Building r-� �1 a 1 Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: I.? r ,o v rA v) 0).44 3 to I vt,r3 S
G A a ti,9 ,.t icy tc.G,e ,, t o(t y G 1✓1
Completion of the followin table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers
KVA
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 El Monnectionunicipal ❑ Other
C
No.of Dryers Heating.Appliances KW `Security Systems:*
No.of Devices or Equivalent
No.of Water Ku, No.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
i 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: 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 cove ge 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: jt,f t to k,- LIC.NO.: i 7._ f cf cl
Licensee: Z q L In A r y 4C.G✓► 4 le, Signature LIC.NO.: 12 1 of
(If applicable,enter "exempt"to the license number line.) Bus.Tel.No.: 4 7-6 S 114 •
Address: 21-I tri fcs(„$sQ !� A-la .4 n v i e."f /W4 0 10-fl'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 C.6
Signature Telephone No. PERMIT FEE: $
1 ,v-s,