23B-011 (11) 193 LOCUST ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot: CITY OF NOR`l'HAMPTON
238-01 1-001
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTLRi I) CONTRAC LORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0360 PERMISSION IS HEREBY GRANTED TO:
License:
Project# 2022 RENOVATION Contractor: 055201
WALTER MAREK III
Est Cost: 15100 Exp.Date:06/23/2022
Use G Class Owner: 193 LOCUST ST ASSOCIATES LLP
Use croup:
Lot Size (sq.ft•) Applicant: W MAREK INC
Zoning: OI
( .,�,rz ��)1 +�9�
Applicant Address
I' ,. Insurance:
�
73 SOUTIIAMPTON RD (.113)977-9539 W•
WESTllAMPTON, MA 01027
ISSUED ON: 04/11/2022
TO PERFORM THE FOLLOWING WORK:
RENO WAITING ROOM & BATHROOM INTO EXAM ROOM AND ACCESSIBLE BATHROOM
POST THIS CART) SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring D.1 .W.
l'ndcrground:
Service: Meter: Footings:
Rough:
Rough:C / ( -a'a House # Foundation:
Final: r, ,2.)- Final: Rough Frame:eAZ-
- 15- ZsIG(
�
Fip‘, 'r'.i l'-± 7 ' �/ /y^/,/ten
f f ugh: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil:
Insulation:
Smoke:
Final: 0.V.. 5- ►-Z2 )62.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REcU LA IONS.
Signature: iie
- T-0
1V� sue( 1 •
el
Fees Paid: $212.00
212 Main Street, Phone(413)587-I 240,Fax:(4l3)587-1272
Office of the Buildinu Commissioner
1(.1 5 L_t7CM 5( - f
Commonwealth oI 7aaeachuaette Official Use Only
* — t Permit No. FP-202-2--- d/lob
JJcc�� cc77
elvartment o/_tire Serviced
s, Occupancyj (leave and Fee Checked 3
BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
u- 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: February 23, 2022
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) 193 Locust Street
Owner or Tenant Northampton Pediatrics Telephone No.
Owner's Address 193 Locust Street
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building commercial Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wiring of lighting and outlets
READY FOR INSPECTION
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
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above El 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. Initiatingo n 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❑ C Municipal ❑
onnectidoon Other
Co
No.of Dryers Heating Appliances KW Security 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: 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 l BOND ❑ OTHER ❑ (S ecify:)
I certify,under the pains and penalties of perjury,that the infor ion o application is true and complete.
FIRM NAME: W. F. Johnson& Son Electrical Co., Inc IC.NO.: 4555A1
Licensee: Nicholas Johnson Signa u LIC.NO.: 13676E
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:413-537-0731
Address: 687 Silver Street, Agawam, MA 01001 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
Signature Telephone No. PERMIT FEE: $75
APP OMCED
MAR 2
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--- _ qq, if 15/20.-✓
__ �,MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
VA ' CITYjOrthampton I MA DATE 02/21/22 I PERMIT#/7P 2V2Z'" 00(0/
JOB$J1K ADDRESS 193 Locust Street OWNER'S NAME
C=2 co
Lop --IOW J'ER ADDRESS I TEL FAX
n
TYPE OIL OC 4JPANCY TYPE COMMERCIAL El EDUCATIONAL El RESIDENTIAL El
PRINT CLEARLY N RENOVATION:O REPLACEMENT:El PLANS SUBMITTED: YES❑ NO❑
_. m
FIXTURES-1 --` FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE '11...111111.11',
DEDICATED SPECIAL WASTE SYSTEM m�'. mr
DEDICATED GAS/OWSAND SYSTEM '
DEDICATED GREASE SYSTEM l IIMIMIM
DEDICATED GRAY WATER SYSTEM 1111111.1111,1111111. 1
' 1 I
DEDICATED WATER RECYCLE SYSTEM 1111111113111111111MIMMINIII'nil 1 1 I I I�
DISHWASHER ,111=111111 MK i—'�'I�.�
DRINKING FOUNTAIN illiill. M��, ' _i M
FOOD DISPOSER �!, �z ,�...1
FLOOR I AREA DRAINIIIP
INTERCEPTOR(INTERIOR) III
��
KITCHEN SINK ( immormill_____I
'�m� �(�i�LAVATORY �IRil_� 1111 111111. i
�; �g'ROOF DRAIN ®��
SHOWER STALL ' i t 3N
SERVICE/MOP SINK I ��FG ' •I e mfp
Min
TOILET Miff Iii URINAL iI ",
1111111n WASHING MACHINE CONNECTION ii
WATER HEATER ALL TYPES MMIBilli ;;�' 'Milli
WATER PIPING lag 1 w ille— 11111111111111MMIIIII
OTHER Iii. _' — _ n,
1 I 1 Mh11.111.11111111111
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 Q 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 ❑
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 compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / /- 1';7
PLUMBER'S NAME James walunas LICENSE# m12631 SIGNATURE
MPL JP❑ CORPORATION El#2667 PARTNERSHIP®# LLCQ#
COMPANY NAME Walunas plumbing and Heating Inc ADDRESS 218c College Highway
CITY Southampton STATE MA ZIP 01073 TEL 413-529-2675
FAX 413-529-2675 CELL 413-246-9850 EMAIL jimwalunasl@gmail.com I
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
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