24D-306 (2) BP-I2022-0198
54 HILLSIDE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-306-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0198 PERMISSIONIS HEREBY GRANTE I TO:
Project# GARAGE Contractor: License:
Est. Cost: 33934 MICHAEL PHILLIPS CSL082683
Const.Class: Exp.Date: 10/10/2022
Use Group: Owner: BUSCHER ROBERT C& ELIZABETH : MARCH
Lot Size (sq.ft.)
Zoning: URA Applicant: MICHAEL PHILLIPS
Applicant Address Phone: Insurance:.
P O BOX 514 (413)250-7990
GOSHEN, MA 01032
ISSUED ON:03/03/2022
TO PERFORM THE FOLLOWING WORK:
REMOVE GARAGE AND BUILD NEW ON EXISTING FOOTPRINT
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: 3-I I-ZZ K
Rough: Rough: House# Foundation:
Gas: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final: 0,1e 8-25-Z Z. K'
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $220.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
JcfW/L--i-7/0 r--/-.) 1
C -- ith i"' Official Use Onl
t ommonurea o a9das ude1 x
ei' � c� Permit No.
' =41 - s T eparimeni o/.3ire�ervices
=i _-1 _-a,J,,. Occupancy and Fee Checked //�7y
N, :OARD OF FIRE PREVENTION REGULATIONS /
��� 4�' [Rev. 1/07] (leave blank)
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P- -, ATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(P EASE • it IN INK OR TYPE ALL INFORMATION) Date: 6/,,2. Op a
rw C 1 r Town of: /(10.e 7v"4''i/0 7—e.c.) To the Inspector of Wires:
Byrlis app C1,i n the undersigned gives notice of his or her intention to perform the electrical work described below.
0 &Number) 5 '/ ,4//, ( 5-/_ (- /,'c 4
N to i i it ,ea,Be-'2'C de&SCA/47e Telephone No.
•wner s Address .,� --
Is this permit in conjunction with a building permit? Yes No ill (Check Appropriate oxB )
Purpose of Building ems/¢-,le.,,g.�TeT 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: ai//ac- 4.400,4 .--
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires INo.of Ceil.-Susp.(Paddle)Fans No.of Toptal
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above
d e ❑ In- ❑ o.of Emergency Lighting
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. Total No.of AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons__ KW o.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 K`V No.of No.of Data Wiring:
Heaters
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP elecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desiree4 or as required by the Inspector of Wires.
Estimated Value of EIectrical Work: (When required by municipal policy.)
Work to Start:fe%z 9/ 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: INSURANCEBOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: LIC.NO.: 1
Licensee... ,tv 7 S-, �/�=�f-s-k— Signature ,�!/L - LIC.NO.:3p6$ 1 4--
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:6=2& -VG,/0
Address: COO/7 1g5/7if-"/4"-L�l /174 . a/L5.3® Alt.Tel.No.:,S122. - O i a-9
*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 ❑ower's agent.
Owner/Agent o
Signature Telephone No. PERMIT FEE: $90,e
(9, - 30-�D_ l'''`^ ( air,