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23B-042 (9) BP-2022-0418 184 NORTH ELM ST COMMONWEALTH OF MASSACHUSETTS 231042(Map:Block:Lot: 01 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED C'ONTR ACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0418 PERMISSION IS HEREBY GRANTED TO: Project# KI'l'CH RENO Contractor: License: Est. Cost: 152350 THOMAS BACIS 070061 Const.Class: Exp. Date:03!06i2023 Use Group: Owner: HAGAN BRIAN A & .IAIME: M BROUSSARD Lot Size (sq.ft.) Zoning: URB Applicant: NEW ENGl AND REMODELING GC INC Aimlieltat .'L- i ess Mt;;c: I'st:inf<2nec: • 75 VALLEY RD (413)478-5772 5006015012021 SOUTIIAMPTON, MA (11073 ISSUED ON:04/26/2022 TO PERFORM THE FOLLOWING WORK: KITCHEN RENO, INSULATE PORCH POST THIS CARD SO IT IS VISIBLE FROM THIS: STREET Inspector of Plumbing Inspector of Wiring D.PAN Building Inspector Underground: Service: Meter: Footings: Rough: 6-1- Rough:(Qs,A— as House # Foundation: Final: Final: 7.10 Rough Frame: Ok / �7 pJ Gas: � Fire Department I)ri.e%ay Final: Fireplace/Chimney: Roo; Oil: - Insulation:0 K --1 2 11I Smoke: Final: r,)R *ri/d ' U ' THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLTHON OF ANY OF ITS RULES AND REGULATIONS. Signature:- tki Fees Paid: S990.00 212 Main Strect, Phone(4l3) 587-1240.Fax:(413)5S7-1272 Office of the Building Commissioner i ? N oT<f-t &Lir? 5T . _ Commonwealth of Massachusetts Official Use Only "4-:.�wg. 2- 03`7 �:^�, ..r Permit No. Zd2 - ili Department of Fire Services � W a i = ,. Occupancy and Fee Checked 41/75 >? 'V, ;---:<k BOARD OF ARE PREVENTION REGULATIONS [Rev. 11/99] 1 �.y,t ' (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK D'� N All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ;'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 05 //- a('�aa. g City or Town of: o +��m �-pn To the Inspector of Wires: placation the undersigns pip notice of his her intention to perform the electrical work described below. 16•oc eet& Number) /g y P SI- caner or Tenant j a,ry‘i,p g co LkSSc►A 4 a r et,- 49.e,n Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No q (Check Appropriate Box) Purpose of Building ])uje,/h',1 J q 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: J17.,,,!e/, re fyldd,2_l Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of CeiL-Susp.(Paddle)Fans No. f Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- 1-1 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 KNN Security 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 HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 ❑ BOND ❑ OTHER 0 (Specify:) (Expiration Date) 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. I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME:1)0n i��i�� y 1nt- LIC.NO.: 9,4Li53 Licensee:1(tn PA, S• '`itk`4 Signat re LIC.NO.: (If applicable,enter "exempt"in the license r-• ".t tine.) Bus.Tel.No.. i 3•S� iy t7 Address: _' CO a • t ,(� (' fl ( 1047 Alt.Tel No.. /3-,' -9 X6 OWNER'S INSURANC4WAIVeR: I am aware that he 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)0 owner U owner's agent. Owner/AgentPERMIT FEE: $ 00 Signature Telephone No. /p'�l�� I CP z � 7 3 q� 2,6- #1 DD. lylASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO ERFORM PLUMBING WORK I f-Q CITY hampton I MA DATE 05/21/22 I PERMIT# p --D a -<< JOB DDRESS 184 North Elm Street OWNER'S NAME 7 to r\.)4,„ OWN L DRESS I TEL FAX i'YP I OR N OCC CY TYPE 4COMMERCIAL El EDUCATIONAL El RESIDENTIAL El R PR PRINT ry C1, LY NEW:0 RENOVATION:0 REPLACEMENT:Q PLANS SUBMITTED: YES Q NO❑ FIXTURES Z�� _ lOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BA'HTt1B i U t i II li 1 11 11 1 r CROSS CONNECTION DEVICE I U I I II I _1 DEDICATED SPECIAL WASTE SYSTEM 1 ! i 1 1 1, U 1 I 1 i DEDICATED GAS/OIL/SAND SYSTEM ', (♦ DEDICATED GREASE SYSTEM IIIIII i DEDICATED GRAY WATER SYSTEM 7C II --1_ DEDICATED WATER RECYCLE SYSTEM ! MN DISHWASHER 1 ' _ INN 111111111_I DRINKING FOUNTAIN jI___;L i ,I I LI i FOOD DISPOSER { 1 __ ij = IIIIII_IIIM (INT 11 , 'INTERCEPTOR ERIOR I KITCHEN SINK + 1 Ir- ii- LAVATORY 1 � � ' ROOF DRAIN UM', P' UM• ING G ' IN''PEC OR SHOWER STALL IL I N !RT "AM• 007 SERVICE/MOPSINK ! �I _. I A •PRCPVER, N; IIPTA'!PRCVED ' TOILET i - - t WASHING MACHINE CONNECTION1 WATER HEATER ALL TYPES WATER PIPING ....1Eill ' I --I OTHER L i I ,� , , "Emr,, _ II --IF---- r--i----1---b .1111, INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[1 NO Li IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY t" t 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 c mpliance with all Pertinent provision e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME James walunas LICENSE# m12631 SIGNAT E MPH JP CORPORATION El#2667 PARTNERSHIP❑#, ILLC❑#I 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 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ /- Z PU(/e (4.7,6 ,j1 PERMIT# PLAN REVIEW NOTES ;�z citfi-rdl &11 ys — - MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK �4 a fl 5-TILE;' CITY::NII rthampton I MA DATE 05/21/22 I PERMIT#GP-2022 0 2-/ 2 3 JO 91 ADDRESS 184 North Elm 'OWNER'S NAME l 3 _)(o' r" OW DDRESS I TEL' : IFAX 34. o '` 'E 01 n OC NCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0 -P. NT ry i 11 1 ARLi' NE ?Tali RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES ID NOD c: J • •RkIANC;-2 ~ •IRS-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOOSTER I IIIIIII M ION___'I •111!11Muu1111111'I111111•f�'NM CONVERSION 1111111 COOK STOVE BURNER =I ��= gm � !MINE -�� =M_ DRYER _� I M��I�_ i DIRECT VENT HEATER �� IWII II ____ FRYOLATOR RE — E_ UR� gm FURNACE II II IOW� 1 GENERATOR GRILLE ha INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT i Fl amm i POOL HEATER - ' , "Is ROOM/SPACE HEATER 'Aor• ' gAROOF TOP UNIT ! iI . II1 IMAM UNIT HEATER 10111.1111.1111111ansaimon UNVENTED ROOM HEATER I OM j'1 II i!II!!prilliFillillilli WATER HEATERII! MHZir ... -_ ,,- OTHER 1 ..I 1 , ,FR-1.-i !ompul!E _m �I_ I� , , i i i,,- I II d 1 1 i INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE INDEMNITY ❑ BOND 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter"42 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 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 PLUMBER-GASFITTER NAME James Walunas LICENSE# m1263��/�p L SIGNATURE-2 MP 0 MGF❑ JP 0 JGF❑ LPG'❑ CORPORATION Q# 2667 PARTNERSHIP❑# I LLC❑# ' COMPANY NAME:Walunas Plumbing&Heating Inc ADDRESS 218 College Highway CITY Southampton STATE MA ZIP 01073 TEL 413-529-2675 FAX 413-529-2675 CELL 413-246-9850 EMAIL jimwalunas1@gmail.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# -/ Z Z G!/ PLAN REVIEW NOTES � �-S� / S 6av/ oupel