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32A-088 (17) BP-2022-0063 25 GRAVES AVE COMMONWEALTH OF MASSACHUSETTS Nlap:Block:Lot: 32A-088-00I CITY OF NORTHAMPTON Penn it: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0063 PERMISSION IS HEREBY GRANTE/ TO: Project# 2021 FIRE DAMAGE Contractor: License: Est. Cost: 80000 MARK DAVIAU 056785 Const.Class: Exp. Date:09/09/2023 Use Group: Owner: GANDARA MENTAL HEALTH CTR I C 1.ot Size (sq.ft.) Zoning: URC Applicant: BAYSTATE RESTORATION GROUP • Applicant Address ('hone: Insurance: 69 GAGNE ST (413)532_.3473 UB-1K792313-21 CHICOPEE, MA 01013 ISSUED ON:01/25/2022 TO PERFORM THE FOLLOWING WORK: REPAIRS DUE TO FIRE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector I_'nderground: Service: Meter: Footings: Rough: Rough: House# Foundation: Gas: Final: - / ? Final: Rough Frame: O}z "A pz Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation:( le S-1i' Y Z x- ill. ) Smoke: Final: 0,Je 8 12 ZZ K 2 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL ATION OIL' ANY OF ITS RULES AND REGULATIONS. Signature: 0 9- Pf�Fees Paid: $560.00 212 Main Street, Phone(4`:3) 587-I 240,Fax:(413)587-1272 Office of the Building Commissioner .4 (c f<tt\1[ ' /'c11 - Commonwealth o/1aaaacIivaett4 Official Use Onl t _-" c� a Permit No. -- D 22 0l Li �t ^ --mt 2eparlmenl of Jire )ervicea it =f-�— Occupancy and Fee Checked v • leave blank) BOARD [Rev.OF FIRE PREVENTION REGULATIONS1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK u.i All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 �, "'(PLE SK RINT IN INK OR TYPE ALL INFORMATION) Date: February 14,2022 ?)C ty or Town of: Northampton To the Inspector of Wires: �'-_ -By this app ication the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)25 Graves Avenue Owner or Tenant Gandara Mental Health Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n 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: Replace damaged wiring,smoke detectors,and co detectors due to fire Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Sus . Paddle Fans No.roof KVA P (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of Dryers Heating Appliances K Security Systems:* y No.of Devices or quivalent No.of Water No.of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or s uivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications iring No.H Y g No.of Devices or quivalent OTHER: Replace damaged wiring, smoke detectors, and co detectors due to fire Attach additional detail if desired,or as required by t e 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 .mpletion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical wo lk 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 o ice. CHECK ONE: INSURANCE ❑X BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this ap,li;tition is true and co ,lete. FIRM NAME: Eastern Electronics&Security, Inc. L1C. 8.: 2137 A � Licensee: William R Porfilio ee e � 4 LIC. I.: 736-D (If applicable,enter "exempt"in the license number line.) / Bus.Tel.NI.:413-736-5181 Address: 540 Main Street West Springfield,MA 01089 Alt.Tel.NI.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.N.. SSCC-002816 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 I PERMIT F�E: $50.00 Signature Telephone No. ,C1 :As 1Z Kg r4d Q J © Jd dtV Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. i -P 2 0 22—a l =�r5:. g BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE*INT IN INK OR TYPE ALL INFORMATION) Date: 03/01/2022 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) 25 Graves Ave Owner or Tenant Joseph Martins Telephone No. 413 2_4 5442 Owner's Address 25 Graves Ave Northampton,MA Is this permit in conjunction with a building permit? Yes X No (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd n No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repair fire damaged wiring in kitchen area and 2"d fl bathrooms Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans To.of Total 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 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 ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW 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. 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 li- censee 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 X BOND ❑ OTHER ❑ (Specify:) 08/05/2021 I certify,under the pains and penalties of perjury,that the information on this application is true d complete. FIRM NAME: AJ Electric LLC. LIC.NO.: 14362 Licensee: Nidal Abeid Signatur LIC.NO.: 26119 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 413-433-4175 Address: Po Box 561,Ludlow Ma.01056 Alt.Tel.No.: 413-433-4175 *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 PERMIT FEE $125.00 Signature Telephone No. iz E 25 GRAVES VE COMMONWEALTH OF MASSACHUSETTS EP-2021-1528 Map:Block:Lot:32A-088- 001 CITY OF NORTHAMPTON Permit: Elect Renovations Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) ECTRICAL PERMIT Permit# EP-2 1 -1528 PERMISSION IS HEREBY GRANTED TO: Project# ' 1 FIRE DAMAGE Contractor: License: Est. Cost: JRS II ELECTRIC INC 21377A Exp. ID.te:07/31/2022 Ow, : GANDARA MENTAL HEALTH CTR INC Applicant: JRS 1I ELECTRIC INC Applicant Address Phone: Insurance: 76 RAMAH CIR (413)262-9182 AGAWAM, MA 01001 ISSUED ON: 11/23/20 1 TO PERFORM THE F e LO G WORK: REPAIR/REPLACE DAMAGED WIRI • •P ND FLOOR BATHROOMS FROM FIRE/SMOKE DAMAGE Call In Date: Date Requested Ins') on Date ' Off: Reinspect?: Trench/UG: Special Instructions x 4.01. Roughfisse..4 x Special Instructions: Final: SRE Called In: 4.5 Signature: Fees Paid: $125.00 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspectorof Wires 5/17/22,6:37 AM City of Northampton Mail-JRS2 Electric j Roger Malo <rmalo@northamptonma.gov> Northampton JRS2 Electric 1 message Haley Thompson <H.Thompson@jrs2electric.com> Mon, May 16, 2022 at 2:38 PM To: kcarson@northamptonma.gov Cc: rmalo@northamptonma.gov Good Afternoon Kim, We spoke previously on the phone, thank you again for your help! We wanted to formally submit a request to withdraw our permit for 25 Graves St. If there is any additional paperwork I need to fill out please let me know! Haley Haley Thompson Office Administrator JRS 2 Electric, Inc. P: 413-262-9182 W: www.jrs2electric.com E: h.thompson@jrs2electric.com https://mail.goog le.com/mai Vu/0/?ik=1 a 11294c01&view=pt&search=a Il&permthid=thread-f%3A1733009142339808914&simpl=msg-f%3A 1733009142... 1/1 G�-.#327z IA/ /� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK p _.. wCITY I _WC)/ 4/�lNll{'(/� MA DATE ,.) -,,,, ,,,;,,2-c :.� PERMIT#PP—�ZZ^Qo, Y/ Y JOBSIT ;AEDRESS .c Z Gf6 _. AU ..< ,f/e, .. , ry OWNER'S NAME 6/ c. . 1= vOWNER ADDRESS ' TEL F X TYPEl OR ' 'OCCUOAN Y TYPE COMMERCIAL v EDUCATIONAL RESIDENTIAL -� PRINT C(EARLY NEW: ; RENOVATION: REPLACEMENT: -, � PLANS SUBMITTED: YES ,_ NO FIXTURES Z 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 PF-4! giPtri & t `,F !NIPE. Y�.�11 ROOF DRAIN / '� - I1K*-C HP r,,lr�fr•*r.t SHOWER STALL 1+ ` f)-'7VEC] J F .r,F'OC :O SERVICE/MOP SINK TOILET / 7g..7-/J42: URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER I INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES L_-110 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY --- ---- 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 Pe inent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME 4L jMA::W► v LICENSE# /S tfs7j SIGNATURE MP JP CORPORATION # PARTNERSHIP # LLC # COMPANY NAME ,.-�, /, 1 �t"e ADDRESS ,e-o 1e/T $y CITY ��� p.? _,STATE /144 ZIP Q/O)o TEL FAX CELL„��,s'- EMAIL L/1 7(fi/J P ,5"- - c.,, ' ai� � . .:::_,M ..�_. /Pvihw /47 .rl6 • :may ,?// c� 1' /k 4.74re72 rvr- /vo OZ / ' f,'4qv7t id�� ���. - -- ~-_ ~ - ' ' ^ _ MAISACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE -d | ouoovz m*mE '-���� rn --- �---- ----- OWN R ADDRESS TEL ' oz -------------- -----' - -- � ---- TYPE COMMERCIAL EDUCATIONAL __/ RESIDENTIAL � CPRINT L.L. 1 LEA@LY |' NEW,.' . EVV � RENOVATION: REPLACEMENT: PLANS SUBMITTED: YEO_ NO , ! APPLIANCES -1 FLOORB-~ aSm 1 2 8 4 5 h 7 0 8 10 11 '12 13 14 BOILER BOOSTER CONVERSION BURNER COOKST0YE ' ^� � --- -r— --- --- DIRECT VENT HEATER DRYER __-� � --- --,---[--- --- --- --- ---' --- --- �- �--- -- � FIREPLACE FRYOLATOR r- -- -- FURNACE ��� - -- --� --- T- � -GENERATOR - QENERATOR ---GRILLE INFRARED --�( --- --�� ---� ---1---` ---] ---���- ---,--� ---� --' ---' ---� |NFRABEDHEATER LABORATORYCOCKS MAKEUP AIR UNIT OVEN r '— ---'--- '--- --� --- --� t POOL HEATER _� � [ J � &U! |H ON__ ROOM/SPACE HEATER -_-_. � -__� -__J � � |-AuP..HOVED- NOT- AP ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER / -- ------------ -----� ��— --� -�� - ' -- � �� �-- ' �� — -� — r- -' ^------------- --- --- -��' �--�--- -�-� -- ---� ---- �� �-- -�� --- r-- - �� -' INSURANCE COVERAGE |have a current|iabi|itv insurance policy or its substantial equivalent which meets the requirements ofMQL Ch.i42 YES ^~-1�0 _J I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY �-_~- OTHER TYPE INDEMNITY _ BOND �--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 . AGENT SIGNATURE OF OWNER ORAGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate m the best vfmyknowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliancewith all Pprtinent provision of the Massachusetts suaua Plumbing Code and Chapter 142 of the General Laws. g �''~' ` '~.`��^ PLUM8ER'GASF|TTER NAME _^�,f� _�� � L|CENSE# SIGNATURE MP°��~�GF _i JP JGF ` LP8| _1 CORPORATION # ! PARTNERSHIP_-# LLC #______ � COMPANY NAME: ADDRESS ^ CITY ' STATE �'��iZ|P -|TEL - ,�_°�_ __/ - - « � -� ' / - FAX _ ROUGIi GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ r FEE: $ PERMIT# PLAN REVIEW NOTES 7- /Z zZ win -�c-f� /�✓�► p1415 7_' ,115/1fT 1�uY✓,� li _2 L ._ 7- /9-2Z (( 16-635_ 467)°= MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK I - lit, 424— .=�` NORTHAMPTON MA DATE 5/18/2021 PERMIT# P-2-02/t-or/v_ LOA cv . JOBSITE ADDRESS 25 GRAVES AVE OWNER'S NAME GANDARA MENTAL HEALTH CENTER �---5) V Q OWNER ADDRESS 25 GRAVES AVE TEL 413-214-5442 FAX n_� TYPE OR 6CCUPANCYTYPE COMMERCIAL EDUCATIONAL El RESIDENTIAL Xl L. PIUNT- i _ CLEARLY NEW:[] RENOVATION:0REPLACEMENT:® PLANS SUBMITTED: YES❑ NO ED APPLIANCES 1 FLOORS— BSM 0Q©11111 5— 6 7 6 1 9 10 m® �® BOILER BOOSTER CONVERSION BURNE R 1111111111 COOK STOVE MN MINI lila 1111.111111111111111.111.11111..1.1 DIRECT VENT HEATER Mi '1M �' � (REPLACE DRYER __. M�—im �' �.��im_I., jiiiii FRYOLATOR FURNACE iiiiIiIIIiIiiiI GENERATOR GRILLE INFRARED HEATER 11 . ' , a a, . , LABORATORY COCKS MAKEUP AIR UNIT OVEN lib.i MIME OM Oli iiiimmoni �il♦i�ma : POOL HEATER 1♦:� am III!inn;fl'!ra rim amili I! �J'Ss E! ROOM/SPACE HEATER ROOF TOP UNIT , 12 i ki To.' TEST ' � t UNIT HEATERIII — UNVENTED ROOM HEATER WATER HEATER OTHER ' - siii : i . 2. , II!II.., ., . .: ,. ., ! ,. . , , . - - ---E INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ONO❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE INDEMNITY ❑ BOND I OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the insurance coverage required by Ciropiei 142 of IIic Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [J AGENT El 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 co pIi nce���,,,���((('''th all Pertinen provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws` {� !1 u PLUMBER-GASFITTER NAME (Yl i(tu,e 2, PI v}c, LICENSE# 13 44OO iiP� ff�� C tS[I RE MP% MGF I I JP El JGF El LPGI n CORPORATION IZ# y 7.55-R...- PARTNERSHIP L i# I LC DI i COMPANY NAME: f.,et Se;v(.flS , al--r r. ADDRESS 1..- ry)Qln ,S..i CITY SO ut-1 {-tr,c) I STATE at rt ZIP 0 i 0- j TEL L//3 - .5 3 2 • .?SO C.)FAX 532. c>c 5 ?- CELL — EMAIL - -{z, 0 F— (Se I v:c ez . b,'2_ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY JrINAL INSPECTION NOTES Vs No THIS APPLICATION SBlVES AS pitman' 0 ❑ FEE:S PERMIT PLAN REVIEW NOTE] 7 . /Z-ZiZ ;; :- Zz / ti Tlfs' /yJWs° akt 7-/f 72 /�/