36-137 (6) BP-2122-0491
20 LONGVIEW DR COMMONWEALTH OF MASSACHUSETTS
36-137-001ck:Lot: 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
Permit # BP-2022-0491 PERMISSION IS HEREBY GRANTE I TO:
Contractor: License:
Project# BASEMENT RENO 050099
Est. Cost: 2000 ED JAZAB
Const,Class: Exp.Date:04/02/2024
Use Group: Owner: DUFFY JAZAB, ED A. & PATRICIA A.
Lot Size (sq.ft.)
Zoning URA/WSP Applicant: DUFFY JAZAB, ED A. &PATRICIA A.E li JAZAB
Applicant Address
Phone: Insurance:
9 SHEPARDS HOLLOW
LEEDS, MA 01053
9 SHEAPARDS HOLLOW RD 413 222-47 1 0
LEEDS, MA 01053
ISSUED ON:05/05/2022
TO PERFORM THE FOLLOWING WORK:
FRAME & INSULATE BASEMENT - PERIMETER WALL AROUND EXISITING PLUMBING TO CREATE B 'THROM
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: House# Foundation:
Rough: g '�" ���3a
Final: Final: g� l J
9_ Final: Rough Frame: //! t
TS
/'l.
1M
Gas:
Fire Department Driveway Final: Fireplace/Chimney:
Rough:
Oil: Insulation: O TO" '22 ca
Smoke: Final:0,/l 9-ten iL
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I(
r1 _i. A . i - ..P1it
Fees Paid: $65.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
7 7 Lb Aft& V (fit) De._-,
(ununoaursa el Mead:4444a Official UseOnly
'' 1 c� Permit No. Z o 22 I-b 9t)
y+._= �spar6nsnt O f..7ies s rvic e
M( -' Occupancy and Fee Checked /034
BOARD OF FIRE PREVENTION REGULATIONS
,��,,, jRev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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: -7-7- 2--2s-
City or Town of: �O ✓'1 p 1 � 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) jinfulAa or
Owner or Tenant b J6--z i3 Telephone No. ilq- aaa-yti to
Owner's Address
Is this permit in conjunction with a building permit? Yes `r No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
1
Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: g4 n.e 1— g-i N c t,
Completion of the followingtable may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers Total
KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Pool swimmingAbove In- No.of Emergency Lightmg
grad. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Tansl No.of Alerting Devices
No.of Waste Disposers Heat Pump Number 1 Tons jKK W_..-. No.of Self-Contained
Totals: ._� Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Monnectiunicipalon 0 Other
C ...
No.of Dryers Heating Appliances KW rity Systems:*
No.of Devices or Equivalent
No.of IC Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wuiv .
No.of Devices or Equivalent
OTHER:
M Y , Attach additional detail if desire4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 7-5-- aea-ar- 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 cov is in force,and has exhibited proof of same to the permit issuing office.
"CHECK ONE: INSURANCE e BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and coMplete.
FIRM NAME: yi4''c h c.L( K$mil tp"� cj{i 0 a l2 LIC.NO.: 4-,57q/-13
Licensee: /44,6.1,�6( ,�i,- / Signature 7. --��.--- LIC.NO.: SS/Y/-'
(If applicable,enter "exempt"in the license number line) Bus.Tel.No,: yl169$ 'a
Address: 7( Old S/ky2 (f r Gvr.d-/4011e/V 1'h/ 6(°i 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.
Signature
Owner/Agent turre Telephone No. I PERMIT FEE: $ CA.-; "--,
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.et 1 foi71iy(pt
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VbbriCtil.1014 EO bEEWfl1 1c bEbk:Of-,' ' r tit) n
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,: __MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
- --- NCITY Northampton I MA DATE 9/112022 . PERMIT#PI°2A22-- 0322
H JOBSI t ADDRESS 20 Longview Rd I OWNER'S NAME Ed Jazab
C I OWNEi ADDRESS 20 Longview Rd I TEL 413-222-4910 4 FAX r__ _
TYPE OR ')CCU ANC Y TYPE COMMERCIAL[ EDUCATIONAL ID RESIDENTIAL
PRINT
CLEARLY NEW' RENOVATION:0 REPLACEMENT:L.:- PLANS SUBMITTED: ES I NO ,,
FIXTURES Z FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 112 13 14
7-1
CROSS CONNECTION DEVICE MM. II
_ r� ,� MIS',
DEDICATED SPECIAL WASTE SYSTEM _;
DEDICATED GAS/OIL/SAND SYSTEM , r _. r ',
.1 ' n! .6.11111
11'
DEDICATED GREASE SYSTEM ( a
DEDICATED GRAY WATER SYSTEM ------T--. _W_-
, 111111115#
DEDICATED WATER RECYCLE SYSTEM Min J.------ ,DISHWASHER ..... ._ pr .
DRINKING FOUNTAIN �M _ IMITIMIRMiliiiiiWillM
FOOD DISPOSER 11110111111.EM1 —j I I II I
FLOOR/AREA DRAINalliM111101111111111111/11.111111111.1
INTERCEPTOR(INTERIOR)
KITCHEN SINK I i �oirmi_w 7:7
LAVATORY I IQ'� .[ • �MIIII«)" __I
ROOF DRAIN IiI*I I Ii . ...
SHOWER STALL I� MN i
I �:�ii� 7 - _ ,
iii
SERVICE/MOP SINK F-.
M-. —
TOILET III �. 'M, iIIMI
URINAL ICI JI I si,;
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES .i
WATER PIPING E_ __-;. I
,
OTHER h1 -
I--- --- E----_ r
?AI! —MI , ra-
. ..
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES i. . NO I I
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY L OTHER TYPE OF INDEMNITY BOND [i
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 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application ar ru and ccu e t he best of my knowledge •
and that all plumbing work and installations performed under the permit issued for this application will be in ianc ith I P rtinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME[John T Geryk —"LICENSE#[16079 SIGNATURE 1
MP Ej JP CORPORATION❑# ;PARTNERSHIP #[1295560 m ,ILLCI _I#
COMPANY NAME[ John T.Geryk Plumbing&Heating,LLC I ADDRESS L5 Crescent St 1
CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057
FAX CELL l 413-336-3893 EMAIL 'ohn 'ohnt e k lumbin .corn
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