12-011 (9) • LLB. -.7-- _. - --
150NORTII FARMS RD COMMONWEALTH OF MASSACHUSETTS
12-01 flock:Lot: CITY OF NORTHAMPTON
1?-01 -001
Permit: Alts Renovations
Repair
PERSONSC
WITH UNREGISTERED NTRACTORS
HAVE ACCESSTO THE GUARANTY FUND)
DO NOT (MGL c.142A)
BUTT DING PERMIT
PERMISSION IS HEREBY GRANTED TO:
Permit# BP-2022-0043 License:
Project# I3EM-2021-000493
Contractor:
Est. Cost: 30000
ConstExp.Date:
Use G Class: (*tier: VILLANI ANTHONY P
Use mup:
l,ot Size (sq.ft.) Applicant: VILLANi ANTHONY P
Zoning: WSP
Plai>m., insurance:
150 NORTH FARMS RI)
14i3)5:,A-3M) 0
HAVEN CE, MA 01062
ISSUED ON: 01/13/2022
TO PERFORM THE FOLLOWING WORK:
ADD 14X36 SHED AND RELOCATE 12X20 STIED
POST 'THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
lusper,or of Plumbing Inspector of Wiring D.P.W.
Underground: Service:
Meter: Footings:
h: House# Foundation:
Rough: Roug
Final: Rough Frame:
(:as: Final: qa /,9-ate
rr Fire IacclChimney:
Rough: Fire Department Driveway Final: p
Insulation:
i'iFral: Oil:
Final:l Au.�O q-15
2z k.,2 "-�
Smoke:
C}:IL q.yi..-zz 42.
I,HPS PERVAT MAY BF, i-1!d'`Y'( KLD BY THF- erry OF NORTH AMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
r.
Fees Paid: S195_00 ---- --- -- —
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
C-47.174 f. -1.-ecr? 7?a-7 2L--9a-17 e2J -
•
/)--1=107 —'%'-vQ svO CDPc>rit,iH 2,c1(2k ••••
(5U IV-'vt"t T d y.-) ‘ 1`CI/L� nn/
(�ommonwealtI.o/Maaaaciivaella Official Use Only
pp r Permit No.ei Z022-- 0 (-11
fk' 2 eparlment ol ire �ervicee
�� -.1 ,0 J Occupancy and Fee Checked tfr�8 3�
f =Q:OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
1 o C7
AP ' Li ATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts E�ctrical Code(MEC),527 CMR 12.00
(PL a EASE ' 'e TIN INK OR TYPE ALL INFORMATION) /Date: .5-' 7 cad a a
mg ,z
I— 'C 1 r Town of: Afp To the Inspector of Wires:
woo s applical on the undersigned gives notr notrof his or her intentionti to erform the electrical work described below.
Y--•1•1 •.'•i tr• •t&Number) /Let) .49,9 r"ei/�J kV t gt`j)r.evl tle___
Owner or Tenant otil l- '
l,e Telephone No.W3cS'? ' •? , 7
Owner's Address ScjM( ,
Is this permit in conjunction with a building permit? Yes I No (Check Appropriate Box)
Purpose of Building 6-1244 She et Utility Authorization No.
Existing Service 4'" Amps /•, /". 412"' Volts Overhead I I Undgrd R No.of Meters
New Service Amps / Volts Overhead I 1 Undgrd I I No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: E uc. reec f 414 w S Aite�
4 d cc,/K "VGA., .5/4d
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. f
Trano KVAsformers 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 AlertingDevices
Tons
Heat Pump Number Tons KW No. of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security ystems:*
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:- 7. " (When required by municipal policy.)
Work to Start: 5--7-.7a ? 3 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 cover is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:)
I certify,tinder the pains and penalties of perjury, that the information on this application is trite and complete.
FIRM NAME: K c/ PQ e eo ¢ LIC.NO.:3 7?i 5-1:
Licensee: �evr,- a e• s Signat a LIC.NO.:
(If applicable, enter "exempt"in the icense number line.) Bus.Tel.No.: 335.--;. L
Address: 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-WAN : I am aware that the Licensee does not have the liability insur coverage normally
required by I w:"13y my signattrr elow,I hereb wwaaive this requirement. I am the(check one) owner ❑ owner's agent.
Owner/A nt
Signatu a Telephone No.`7`/3^S`•2.J ? ?e PERMIT FEE: SW 1712
.
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