02-025 (2) BP-A022-0458
661 NORTH FARMS RD COMMONWEALTH OF MASSACHUSETTS
Map:B°ck:L'ot:
02-025-001
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
Pe1711it # BP-2022-0458 PERMISSION IS HEREBY GRANTE TO:
License:
Project# KITCH/BATH RENO Contractor: 079160
Est. Cost: 47300 STEPHEN ROSS
Const.Class: Exp.Date:04/28/2023
Use Group:
Owner: V COULON STEPHEN C& SUSAN
Lot Size (sq.ft.)
Zoning: WSP Applicant: STEPHEN ROSS
Applicant Address Phone: Insurance:
36 Service Center Rd (413)584-1224 WMZ-800-8006546-2021IA
NORTHAMPTON, MA 01060
ISSUED ON:04/29/2022
TO PERFORM THE FOLLOWING WORK:
KITCHEN/BATH RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET BuildingInspector
Inspector of Plumbing Inspector of Wiring D.P.W. p
Underground: Service: Meter: Footings:
Rough: J ` �/��
�� Rough: House# Foundation:
Final: 7... J7 u Final �,}
Final: Rough Frame:,/ 6 p 32
.Z ) l'
Gas: / F e Department Driveway Final: Fireplace/Chimney:
Rough:
Oil: Insulation:
Smoke: Final: 0 VP/D2., ,tJ
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $312.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
6 (/ it!, Fo4Wm s Rb
C.omnwnwealth of///aeeachuQeffa Official Use Only
" 47 'j =� c� �17 ['� Permit No. t P-20 2 2"03 g 5 _
-a, ` s .Llaparfnsanf 0 JWO Jeruicas
= ' Occupancy and Fee Checked itA 77 y2_
I �-,. � V IOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
i IN, � :B`.i
i APPL TION FOR PERMIT TO PERFORM ELECTRICAL WORK
o Al work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00
l (PL- �+SE P INK OR TYP ALL. INFORMATION) Date: Q� is a ,.,
Ci i own of: To the Inspector of Wires:
=y ..._ .. a undersi Ives notice of hi r h . cation to perfo a electri al work described below.
Loc: .. , .: Number)Owner or Tenant fl Telephone No. Ir—k$ f bC 1/7
4
Owner's Address , t r fl(.
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building DweAling Utility Authorization No.
Existing Service Amps 121)1% C)Volts Overhead❑ Undgrd 0 No.of Meters
New Service Amps I 2.0/ND Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: (DIM ��a
Completion of thefollowin• table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiI.-Susp.(Paddle)Fans No. f T
Tranosformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above In o.or Emergency Lighting
grad. ❑ grad. ❑ 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. Tons No.of Alerting Devices
No.of Waste Disposers "Heat Pump umber Tons W No.of Self-Contained
Totals:I Detection/Alerting Devices
Municipal
No.of Dishwashers Space/Area Heating KW 'cal❑ Connection ❑ Sher
No.of Dryers Heating Appliances KW eci ty Systems:*
No.of Devices or Equivalent
No.of Water KW
No.of No.of Data Wiring:
HeatersSigns Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNviceorWiring:q m
No.of Devices Equivalent
0 I'HER
Attach additional detail if desirec4 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 jg BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of pedary,that the information on this application is true and complete.
FIRM NAME: Tower r:i(CxflC, La., LIC.NO.:A- Iec 1
Licensee:30 n ` jW' cY Signature a„,„ LIC.NO.: 0I.,l'
(Ifapplicabl a "exempt"in t�license number fine Bus.Tel.No.- I I
Address: 576 N.VV(St h - :si"Y2 tFerAin4 H t 1 is,N1 A 0 030 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Departrnint of Public Safety"S"License: Lie.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. 1 am the(check one)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ ( ,
11
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a21003 di goo()
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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r,�,�® CITY Northampton 1 MA DATE 5.6.2022 PERMIT# 22—i�l7
ti
v JOBSITE ADDRESS 661 North Farms Rd OWNER'S NAME Susan&Stephen Coulon
p -<
_, OWNER ADDRESS same TEL 413-584-8974(S.Ross) FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL I I EDUCATIONAL RESIDENTIAL El
PRINT '_2
CLEARL NEW:LJ RENOVATION:0 REPLACEMENT:U PLANS SUBMITTED: YES Li NOU
FIXTURES Z FLOOR—' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB I 1r- !I II I F_.-_ -- --I II 1 I1 —1' I1 I
CROSS CONNECTION DEVICE '
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM II 11 I- 11 if
DEDICATED GREASE SYSTEM I �' rL-1
DEDICATED GRAY WATER SYSTEM 1- — i }( a I
DEDICATED WATER RECYCLE SYSTEM 1- ` 1
DISHWASHER I 1 _. 7"---.1 —
DRINKING FOUNTAIN - il,_ __ — — i'i II _ j
FOOD DISPOSER MIMI 11111111111 111111-111111
FLOOR/AREA DRAIN illi
INTERCEPTOR(INTERIOR) INN-'- � i
KITCHEN SINK �� • j
LAVATORY r 1 mi .Ial as`lliit:i{�i�®
ROOF DRAIN ® SIIIIIIIIIIIMIWMIIIICIIILIIAIMII NMI'-
SHOWER STALL r— 1 IF I.— T i�l��igi1•i ll�li a • •i i__ i
SERVICE/MOP SINK NM® IMP NTIEM: ! MN
TOILET I— _ _�� ®_NW- M',�
' — _
URINAL
WASHING MACHINE CONNECTION l�I ® ��
WATER HEATER ALL TYPES _ `_
WATER PIPING FINE l
OTHER 1 IIIIIIIIIII _ =' r�
111111M1111111111111', UN
!=FM--' EMI ani•11iI
MMINIIIIII III=IIIIIIIIIIIIIIIIIIIIIIIIMMIIIII
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES 1.,
NO I 1
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY i OTHER TYPE OF INDEMNITY BOND I 1
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 I I AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application a ue and accura a to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in pliance with I P rtin t pr vi on of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. J /
li
PLUMBER'S NAME GARY STAHELSKI LICENSE# 9621 SIGNATURE
MPH JP❑ CORPORATION El# 2617C PARTNERSHIP # LLCQ#
COMPANY NAME EWS PLUMBING&HEATING, INC. ADDRESS 339 MAIN STREET
CITY MONSON STATE MA ZIP 01057 1 TEL 413-267-8983
FAX r413-267-45-2T1 CELL EMAIL EWSPH@COMCAST.NET
(S --2a -2;7 w1,e) Doti-.0-‘,. ��'