38B-283 (5) Ur—LULL—DUO°
264 SOUTH ST COM N1 ONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
3 13-.283 001 CITY OF NORTHAMPTON
Permit: Ails Renovations .
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Pc,-.,,it # BP-2022-0088 • PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATION - Contractor: License:
Est. Cost: 89348 CARL WOODRUFF 109983
Const.Class: Exp.Date:03/04/2022
Use Group: Owner: ROBERTS, JONATHAN M & ELIZABETH J HUGHES
LW Size (sq.ft.)
Zoning: URB Applicant: OXBOW DESIGN BUILD COOPERATIVE INC
Applicant Address Phone: Insurance:
122 PLEASANT ST SUITE 109 XWS2257412882
EASTHAMPTON, MA 01027
ISSUED ON:01/31/2022
TO PERFORM THE FOLLOWING WORK:
HOUSE RENOVATIONS INCLUDING KITCHEN AND BATH
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:
. Roughj / 'Z2 Rough: 3'al� �� House # - Foundation:
CIA: Final: („ a2 Final: Rough Frame: 3.• 0..7.2. l(o.
Rough: "� "Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation: a I 3 Z;',-Z2 l(#
IA-2-9` zL
`7
Smoke: .Final: 031 W'L-Z2 JGQ
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: Yl
• INAriC4.W., ,)2 , ci4,"JaV' .
Fees Paid: $579.00
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 '
Office of the Building Commissioner
L.to` ( 'U vl T 1 f
Print Form
____3) Commonwealth. Official Use Onl
o/ a�9ac u9¢tta
gt,
-° - c c/�� Permit No.E - 022 2
.2)epartment of ire Seruicei /
__ j Occupancy and Fee Checked t0 3
T = _i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] '
o �.'':_ _. (leave blank)
N ae
"A ' ^ !CATION FOR PERMIT TO PERFORM ELECTRICAL WORK
tr Q �_ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.007 LEA'a'= IN INK OR TYPE ALL INFORMATION) Date:3/11/22
_ ._ ei or Town of: Northampton To the Inspector of Wires:
--i-r $1 this appli ation the undersigned gives notice of his or her intention to perform the electrical work described below.
_= yeah eet&Number) 264 South St
Owner or Tenant Jonathan and Elizabeth Roberts Telephone No. 4132474468
Owner's Address 264 South St Northampton
Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)
Purpose of Building Residence 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: Kitchen, pantry, 2nd floor bath and bedroom remodel
Completion of the following table may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- r—i No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.pf Zones
ofNo.of Switches No.of Gas Burners No. Initiatinnggon Dete and
In Devices
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting De''ices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P � Connection
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring
No.H
Y g 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:3/11/22 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: INSURANCE ❑✓ BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: B&M Electric LIC.NO.:14093A
Licensee: Dan Szalankiewicz Signature \ i1", / LIC.NO.:53018
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:413478-7730
Address: 204 Hillside Rd. Westfield,Ma 01085 Alt.Tel.No.:413-478-8869
*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)0 owner 0 owner's agent.
Owner/Agent I PERMIT FEE: $/ D°
Signature Telephone No. -
L "I
i z g .k'�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
'�"E CITY \ ry•t-mP*c"n MA DATE PERMIT#6P-2.n22-79/21
JOBSF E ADDRESS L.a 6 y se<•r�I.r. L OWNER'S NAME TO ,e - 5
OWNER ADDRESS ! sA1 M 'TELL a Pi cos s Esc FAX -TI
TYPE OR OCCU NCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: ,. PLANS SUBMITTED: YES NO
APPLIANCES 7 FLOORS-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE /
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
r -
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER PLUMBING & GAS INSPECTOR
ROOM/SPACE HEATER NORTHAMPTO1
ROOF TOP UNIT APPROVED NOT APPROVED
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [ .NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE 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
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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME Mitchell Matusiewicz LICENSE# 9523 SIGNATURE
MP'''V, MGF ✓ JP JGF LPGI j CORPORATION # 2543 PARTNERSHIP # LLC LA r--1
COMPANY NAME: AM/PM Plumbing and Heating,Inc. ADDRESS PO Box 527,46 Prospect Street
CITY !Hatfield STATE MA ZIP 01038 TEL 413-247-5502
FAX 413-247-5544 CELL;6.9S Yyyg EMAIL.ampmplumbing@venzon.net
9-0?- 2z P,vere
Ck#/70 70
. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
c_ =a11iimg-y
_
-gi
g4 c.. CITY fWee r7v e-. /0 it,#9 MA DATE: PERMIT#PP 2").?-2- - D I r)
y__
---
I. JOB ITEADDRESS i .2 4 y souk, S} OWNER'S NAME 36 N 2a 75
!r OWNERADDRESS �'r't `- _I TELto.P/-Go.*-98So tFAX' _""_.-
TYPEOR-cg. OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ;-- RESIDENTIAL -
PRINT
CLEARLY NEW: RENOVATION:,_ REPLACEMENT:' PLANS SUBMITTED: YES L_ NO;._,._i
FIXTURES 1. FLOOR-I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB -- r---CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM -_- -- ---;._ ',.--_- -.--___.� .._._:_ _- ---t
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER j
_. _
DRINKING FOUNTAIN
FOOD DISPOSER /
_. r
FLOOR/AREA DRAIN _
INTERCEPTOR(INTERIOR)
KITCHEN SINK 7.
LAVATORY
ROOF DRAIN - _ - 1- -
SHOWER STALL _._; - _
SERVICE/MOP SINK _ _.___ L-LilvItIIVG��r GASTNSPECTOR
TOILET _. _ NORTHAMPTOlti.-._,_ .i =_
URINAL APPROVED NOT APP�QVED
-
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+ NO 4
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY(+ 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 the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ? _ AGENT F.,
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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ,9. Div
PLUMBER'S NAME I Mitchell Matusiewicz _ �____i LICENSE# 9523 ______- SIGNATURE
MP`+ JP CORPORATION ' # 2543 IPARTNERSHIP'__J#L ...._i LLCj._;'#L
COMPANY NAME; AM/PM Plumbing and Heating,Inc. �� ADDRESS PO Box 527,46 ProspectStreet
CITY'Hatfield STATE I MA I ZIP !01038 1 TEL 1413-247.5502
FAX 413-247-5544 'CELL 16 T s'V Y 94" EMAIL Iaampmplumbingi9veriztxt net_ �_
22
Retail cm6,
ZZ Arn44-t ref