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32C-186 (4)
BP-2021-2014 398 PLEASANT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-I 86-001 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 Permit# BP 2021-2014 PERMISSION IS HEREBY GRANTE TO: Project# RENOVATION Contractor: License: Est. Cost: 25500 BAYSTATE RESTORATION 89485 Const.Class: Exp.Date:03/05/2022 Use Group: Owner: NIEDBALA, STEVEN J Lot Size(sq.ft.) Zoning: GB Applicant: J NIEDBALA, STEVENBAYSTATE RESTORATION Applicant Address Poe: Insurance: 36 JOY ST BOSTON, MA 02114 87 SHATTUCK RD (413)549-68'34 6HUB-6B21339 HADLEY, MA 01035 ISSUED ON:10/21/2021 TO PERFORM THE FOLLOWING WORK: 12 REPLACEMENT WINDOWS, 2 DOORS, BULKHEAD, PROCH REPAIRS, KITC'H&BATH RENO 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: Rough: .G c?,27 Rough:2 ` / House# Foundation: IttriveRav Final: Final: Final: Rough Frame: 7-/ z2 7-�7� OR3 a/pa4?. Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Q, e 3..6- r 2 V ,f' Final: 7 �Z2. 1)fke: Final: oil 8. i.z 2. Q THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: , ,2 . 61T Fees Paid: $182.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 11$ _ i Commonwealth o/Vaesactxuaetta Official Use Only " * Permit No. Zp2.2-O/(e 2_ ' �i , ^j epar1ment o ire ervices � Occupancy and Fee Checked`#/// -- BOARD OF FIRE PREVENTION REGULATIONS N :,,.�„0" i [Rev. 1/07) (leave blank) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK coAll 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: / 5 ,,r-r_4 ) ZZ ity or Town of: No4 l7-?4 p igi/t/ 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) i e_. Owner or Tenant 5/e i/f / i{' - hA ' ,+ Telephone No. L//7 ,2 6 26 9 Owner's Address /1 0 6j( r/ 6 5 l '7 . pet rl ni 4 ()/6 75 Is this permit in conjunction with a building permit? Yes [ o El (Check Appropriate Box) Purpose of Building CX ref/Zl/ /31AL/// Utility Authorization No. Existing Service Amps / Volts (verhead El Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity p e....4() .G U e"? / 1 cc /S X ,Q .5 c._.c"‹..Location and Nature of Proposed Electrical Work: /2U.f/,. — I' Ilrr rvi- Completion of the followin 1table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans T of Trr aa KVAnsformers 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 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 Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security :* No. f Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Eq i valent 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 licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this jtpp icationn is true and complete. FIRM NAME: n 5 /j r,,r (e Z -.(6 ( 7 (� 7`— LIC.NQ.: ,1 /6 Licensee: Signature L- IC.NO.: (If applicable,ent "ex_gmpt" the license ber line.) Bus.Tel.No.; y/3 `� - 3 Q/�'� Address: (%% 46)c r'07 9 (,/ 'j,,�/�y m it- Qlf 3�l Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Dep inent o1Public 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 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No. Na 5e/ /Ir- It/Mit6c ,ti,,n//af APp130wED #B 28'2i By:/. • v,,.."-.• N i 71 .., IbL. "--- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK . T� , 6_ i CITY�4) f �Cr'\� ®n MA. DATE t'a'a - r Q I PERMIT# Pa 2 ). O'7/3 ^' ' IOBSF;AbDRESS3qi PIQaSat44' % 11.. ROOT. OWNER'S NAMEET)Q WI ea 6G1'(-1 c'4JWNEkAODRESS . TE(1)13)a `60l6 f, FAX TYPE OR :000U(ANCYTYPE: COM ERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL E{' PRINT • NEW: `' RENOVATION: REPLACEMENT:0 PLANS SUBMITTED: YES'❑ NO ❑ CLEARLY FIXTURES T FLOOR- BSMT 1 2 - 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB . CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS - • DEDICATED GASIOIUSAND SYS _ DEDICATED GREASE SYS - DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER _ p j(1 FOOD DISPOSER FLOOR/AREA DRAIN _ INTERCEPTOR(INTERIOR) <i?, KITCHEN SINK ' ' • _- • • LAVATORY • - 1I ROOF DRAIN . _ _ • • SHOWER STALL . ^SERVICE/MOP SINK • ` PLUMB NG & GAS INSPECTOR _TOILET _ 1 —1 NORTHAMPTON URINAL . Y • APPROVED N T APPROVED WASHING' MACHINE CONNECTION.. 1 • WATER HEATER ALL TYPES. t WATER PIPING •• . . :t - _ OTHER. - • INSURANCE COVERAGE:I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes No ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY, OTHERTYPE 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 BOX ONLY: OWNER ❑ AGENT ❑ S gnature of Owner or Owner's Agent - • I hereby certify that all of the details and information I have submitted (or entered) re rding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performe nder e permit issued for this application will be.in compliance with all Pertinent provision of the Massachusetts State Plumbing Co e and C pter 142 of the General Laws- PLUMBER NAME Ob€'r i- S T,e1.SQt'S SIGNATURE LIC# I 10 1 MP' JP❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑ I# —COMPANY NAME ? M,� Z66S"'e012AN ?A-H ADDRESS:_ CITY oc--) r) . STATtnek ZIP v1( S$17' EMAILbo6Sfi.Q.04'ns?11C3. ()NON± f• tJ9_,1 • ..TEL • CELL(M1c' 1 %Cic FAX • 34‘ -3-0^1/ 2Z -�/ �-L • ( (/ /77' wo l ovy MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 1. g# ^ r� r 2L q.-ygB'= 6 CITY OV DaM P � MA. DATE 1 o!• cat ' .lJ�1 PERMIT#W'� - ‘.' JOBSITE^ADDRESS3�� P�EQ Sam c ) 0 NER'S NAMES /I IR, d t''G \.G p '6WNER ADDRESS TEL 4} ' 8-61:3(p FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ . EDUCATIONAL 0 RESIDENTIAL ] PRINT NEW: 0 RENOVATION:(3( REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO ❑ CLEARLY FIXTURES 1 FLOOR-' BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB _ CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS - DEDICATED GASIOILISAND SYS _ _ , DEDICATED GREASE SYS - • DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS • DRINKING FOUNTAIN DISHWASHER 1. FOOD DISPOSER • ni" v FLOOR/AREA DRAIN r`�v9, INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY - • _ • % ROOF DRAIN • - + . . • • SHOWER STALL . 1 _ °'�_,: 1 , SERVICE/MOP SINK • • • !' PLUMBING & GA 1NSPLG I OH • OILrI' • J -. URINAL • NORfHAMPTON • WASFliNG MAC-ONE CONNECTION.. . 1 • AP'iROVED NO APPROVED • WATER HEATER ALL TYPES. . - 1 • WATER PIPING . . : I - • - • • • OTHER. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which, meets the requirements of MGL Ch. 142. Yes ] No 0 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE COY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY - OTHER TYPE OF INDEMNITY 0 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 BOX ONLY: OWNER 0 AGENT ❑. Signature of Owner or Owner's Agent - • I hereby certify that all of the details and information I have submitted (or entered) r •ng this application are true and accurate to the best of my.Knowledge and that all plumbing work and installations performed nder the permit issued for this application will be.in compliance with all Pertinent provision of the Massachusetts State Plumbing Cod and Chap er 142 of the General Laws- PLUMBER NAME bcGv + cJ ' �nS' SIGNATURE \C)- Q-,- • - LIC#X l O9A MP JP❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑ # — COMPANY NAME IV Q1/ + 4-` ADDRESS:r 0' Box. 6 i , CITY nOnzn - STATL' C-% ZIP O -O %.71 EMAIL\OdS}'e'VeAS P 1%�0NUSter .4 �q.'t `.,TEL - CELly4'��31 `cir 9 FAX ZF 2Z --i7 -de C4#07W - b fVIASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK "1a `� P�n MA. DATE: .4 --� , 2 PERMIT#&1-.4Z- ODO J CIT V+hck-rn. '� JO JTE'ADDRESS:c Q - c S't Ke;o c OWNER'S NAME:St " 1\ :2 d 6a l 4 GOWNER ADDRESS: TE(W f>.�Es-15- 6 L FAX:_ 'TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY' NEAV:0 RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ i APPLIANCES-- FLOOR-0 Bsmt 1 2 3 4 5 6 7s ' 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE - DIRECT VENT HEATER DRYER PIP, , - - FIREPLACE " � ` FRYOLATOR ��— —__ / ' FURNACE H'_ - ._- GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT - OVEN POOL HEATER ROOM/SPACE HEATER PLUMB NG & GAS INSPECTOR ROOF TOP UNIT NORTHAMP-ON TEST APPROVED NOT APPROVED UNIT HEATER i''✓ UNVENTED ROOM HEATER WATER HEATER , - c2 .icy INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES K NO 0 If you have checked YES,please indicate the type of cover a by checking the appropriate box below. LIABILITY INSURANCE POLICY] OTHER TYPE 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 °� hereby certify that all of the details and information I have submitted(or entered)regarding this a placation are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this p tiorvill be in compliance with all Pertinent provision of the Massachusetts State PlumbingCode and Chapter 142 of the General Laws. `li, - PLUMBER/GASFITTER NAME. Rtk.C÷ 4.7t`I'Qdr'S LICENSE# ' 1.O c1 SIGNATURE COMPANY NAME: : 5C\ .1"' .\-q ADDRESS: &WY' 61 CITY/I:fOh SOT\ STATE 4 ZIP:O 0%1 FAX: TEL:I4 153ri-1 S C9 CELL: "9- EMAILb)6� /.111S P\B@ ' C .' N4 ,i' MASTER JOURNEYMAN 0 LP INSTALLER❑ CORPORATION 0# PARTNERSHIP❑# LLC ❑# w �- 7-Zz sv 7i:sr 7- /9- COI-0 7'/y ' � MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK .,_v1� ` CITY:t NO I. �'1Qrn p 'n MA. DATE:la'�.1-a O B 1 PERMIT#GP 24ZZ-GbO JOBSITE ADDRES = - - "'=T4 egnsat7t r 11 ` - OWNER'S NAME:��.�1�tiQ �tq G �' 100C OWNER ADDRESS: TEL: 11/4.4 o S* ( FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:El PLANS SUBMITTED: YES❑ NO❑ APPLIANCES? FLOOR-4 Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER - CONVERSION BURNER COOK STOVE / , _ DIRECT VENT HEATER DRYER �r/ FIREPLACE - jyL„ /)� FRYOLATOR Chap. , , 7 I;f -�-- 1' FURNACE �J err y- GENERATOR '/2 /21 , r/ ' GRILLE �. INFRARED HEATER LABORATORY COCK ,'', '7,,,-J - MAKEUP AIR UNIT - OVEN POOL HEATER ROOM/SPACE HEATER _ PLUMBING 31 GAS INSwti.:TOR ROOF TOP UNIT NORTh AMPTON TEST APPROVED NOT APPROVED UNIT HEATER �/� UNVENTED ROOM HEATER WATER HEATER i f i cA ------— INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ] NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY Er OTHER TYPE 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 CISIGNATURE OF OWNER OR AGENT `O� hereby certify that all of the details and information I have submitted(or entered)regarding this a plication ar true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this pplicatio will be in compliance with all Pertinent provision of the Massachusetts S to Plumbing Code and Chapter 142 of the General Laws.0 ' PLUMBER/GASFITTER NAME: 4- S �.Q�S LICENSE#11 (.) I SIGNATURE (� ATURE COMPANY NAME©6 .'/Qnn c) ±/41•5 ADDRESS 0 ' `80)• I ' I CITY: f)Cry STATEFG ZIP: 0r-021 FAX: G i' TEL: Ot Q., CELL: ,t`I t� SS? - f-2:1(:? EMAIL 6Z1'RVO \cp 13C C'6,1'� q VI' MASTERWJOURNEYMAN❑ LP INSTALLER El CORPORATION 0# PARTNERSHIP 0# LLC 0# .p3:7- 22-$ ` Z. � aAair .3Cie# )7x4 rs-cw II 2