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25C-259 (16) BP-2 22-0692 9 FAIR ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-259-001 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 1 Permit # BP-2022-0692 PERMISSIONIS HEREBY GRANTED I 0: Project# RENOVATION Contractor: License: Est. Cost: 15000 Const.Class: Exp.Date: LEVY BENJAMIN C &AMELIA CLAIR D NOVOTNY Use Group: Owner: TRUSTEES Lot Size (sq.ft.) LEVY BENJAMIN C& AMELIA CLAIRE NOVOTNY Zoning: SC/URC Applicant: TRUSTEES Applicant Address Phone: Insurance: 9 FAIR ST NORTHAMPTON, MA 01060 ISSUED ON:06/13/2022 TO PERFORM THE FOLLO WING WORK: INTERIOR RENOVATION 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: g 7 `— Foundation: Rough: Z Rough: �� 7-}� House # Final: /l�%8 d"0' nal: p a Final: Rough Frame: 4)4 171/8/9a0.. --->' Gas: Fire Department Driveway Final: Fireplace/Chimney: ''..0Rough: Oil: Insulation: O) A„. Ai Smoke: Final: ene ii•23, ZZ k 112 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA 'ION OF ANY OF ITS RULES AND REGULATIONS. Signature: •L I i l )2 ,„, •el in Fees Paid: $98.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner Ck FiEGL8e1M16, e tA5K j3' .‘ 1/e/P - . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 1._4 ,ti • /._eP c_ CITY .. o 'tdtl.N./ .f .. _ . : _ .1 MA DATE _`17--2 FERMIT#(�r2022-6247 • - a JOBSI- 9_ �D' DRESS %!�_ 5/ _ __ _ __I OWNER'S NAME cl2,.,2e pf0�1 �/ _. _,0 . j Lc'OVVNElinfiDDRESS L ^'� - - ..I TEL V/3,3,,24. k 2 FAX--•______ ---I OR a.000U TYPE COMMERCIAL 0 EDUCATIONAL [ RESIDENTIAL A PRINT C L RENOVATION: 1I REPLACEMENT:� PLANS SUBMITTED: YES j NOJ FIXTURES 1�� R-- BSM 1 2 , 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB -' 1= J —`IL�-_-�! L. L-- 1__ -- 1-- °I—=l it-. CROSS CONNECTION DEVICF LY_1__ II_ if__L'I._ fi_J._1'1__ '--�!. _ _..II L__�'1!_-.__I .--s-_ 1-�-_ DEDICATED SPECIAL WASTE SYSTEM !_ �1__ I__1I_. Ir uL 4i�_I�I !- :I--..-: .11__. __'..____I _ -i1 _ _ IDEDICATED GAS/OIL/SANDSYST€M L _1i :I�._ll__ _JL _JI__ L_iL-__R a- y DEDICATED GREASE SYSTEM [1L,___11-L'____JI__._1 I_J1____f`--� l DEDICATED GRAY WATER SYSTEM II-1L_. ._ !._..-1I__._A_ .1i77. 1 L_,1_ __ I_.___l_ _ DEDICATED WATER RECYCLE SYSTEM I L_ _II.-_.tii_. _. . -11_ . .. —l._ ___1I7 •DISHWASHER I _- 1 __•L __II— _II_ II. . .1_._ -`! - .-A! _-- DRINKING FOUNTAIN ql iL ... L_--_1[7731 L- i l- -' FOOD DISPOSER 1.=dl:._,._IL.-=��L-_-.-.-FE--Ti! JI I - FLOOR/AREA DRAIN -_ I__ _.._t_ (—'I I I _I L __L -P INTERCEPTOR(INTERIOR) . • L EI I___ I_____I1--_11 KITCHEN SINK I_=J1I I I.___ '---_i--.1 I ---i--P..— •LAVATORY L_ IL 1 _-11 f- A!- > W --=. L II— NIII ROOF DRAIN �� s �_ I M�fiN4�� trSHOWER STALL __ I ! i I SERVICE/MOP.SINKZ . . , • ra . . • a'�TOILET (_ � I ' e, URINAL -_ _ =-91- - -AL-6I_—�[L__II r !- ---;.___.1--11 -, WASHING MACHINE CONNECTION ____ al_-_ _ s _ ._-_I_.--=-il __-_11 I__._,L__i '___ , _ ._.'1 _._ 1. _ .I WATER HEATER ALL TYPES --- L .= 1- -- --II—-----IL -I! -JI I_—I i_ . IL__ , _ Ti ly:_ WATER PIPING 1-1_ j---1-.1__- -4L_-_I f €I_ -11==_li _I - a _i � 1_ OTHER -- J ,_ _J�—.1__ _;�_�L_ fli 1_.__L_ • , _ 1 ; ._ -�1-1 _ ._ --- 1f—?I---- ` #h -- __ --'I- _ <1 .- JI- - 'I. - _fly- --- - ;( jl __� --- -_-- - . . '-- _=.il..---��I_�_;[�_&fir_ 1.=3 1--ki---I- __ --I---JL _ill_ . INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES j NO 0 . IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY a OTHER TYPE OF INDEMNITY 1 BOND EI • 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 © AGEN- 0 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 co fiance with all P 'ne ro 'Mon of Massachusetts State Plumbing Code and Cha tee 142 of the Genera /ws. ,j PLUMBER'S NAME .r ,• - .. . ./. d�%l?�S 1 LICENSE#4 Y 1- t v SIG TURE s . MPIg JP[] CORPORATIONC# _ _ 1PARTNERSHIP # _•. LLC D# . _ . COMPANY NAMEwag ' �� ® ADDRESS fi_ V eC't 6 . . CITY STATE Lei ZIP __.P-_4 ?.9- --- . TEL S3� ..77 /7p--_. _ . FAX CELL 5-T-ii);?5EMAIL GG1 ( L *___gfiztt," !_._,_ ..-.•_---.-- --_ 1 7-�• �_ Commonwealth of Massachusetts Official Use U,�y Permit No. EFL-2-0 22 ~0 .3 1 r-- - -- - = _ Department of Fire Services • 1.rJ q . l_- Occupancy and Fee Checked �� 7'D _--- 41 BOARD OF FIRE PREVENTION REGULATIONS [Rev. ) ic5: f (leave blank N H PLICAT10N FOR PERMIT TO PERFORM ELECTRICAL WORK {aa N All work to be performed in accordance with the Massachusetts Electrical Code C),5 7 CMR 12.00 t;, _ (P pN't PRINT_DV INK-OR TYPE ATLINFORMATION) , Date: 4 492 ZZ —' z City or Town of: 'zy -A `iPj�l To the In ector of Wires: 1 -, B .17 .•plication the undersigned giv+6s notice of his or her intention to perform the electrical work described below. t___ Locatio i (Street&Number) 9 ` ‘12_ sT er- -----_. _ _ •wner or Tenant g J� /}C� -112C IVIWC m y n Telephoe •, v-/IfL Owner's Address .S 7 Is this permit in conjunc • nwith a building permit? Yes kr No n (Check Approp ate Box) Purpose of Building / tea g ip-4 -7-L Utility Authorization No. // • - • Existing Service Amps / Volts Overhead n Undgrd I I No. of Meters New Service Amps / Volts Overhead n Undgrd n No. of Meters Number of Feeders and Ampacity I • Loc 'on and Nature of roposed Electrical Work: /jcik �-- • . K e / 8,2.E s - Completion of the following table may be waived by the Inspector of Wires. No. of Recessed LuminairesTrans No. of Ceil.-Susp.(Paddle)Fans ra Ta Tformers KVA. No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting grnd grad Battery lints 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. Tons 'No..of Alerting-Devices No. of Waste Disposers Heat Pump Number .Tons __KW _ No.of Self-antained Totals: �- '- - - - Detection/Alerting?evices No. of Dishwashers Space/Area Heating KW Local❑ Municipa ❑ *Other Connection .. No, of Dryers Heating Appliances Kw Security Systems:*-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 lec 'cal Work: (When required by municipal policy.) • Work to-Start: Tnspections to be requested in accordance with MEC Rule 10, and upon completion. • INSURANCE C GE: 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 ❑ OTHER 0. Specify.) Icertify, under the p..ai and penalties-of perju , that the information on this application is true and complete. FIRM NAME; LIC.NO.: /0226- Licensee: - Signature LIC.NO.:0,7c0C • (If applicable, rater " empt"in the license nu'' er line.) �® - Bus. Tel. Address: M 1.ex /5 9 Alesf- *C%4( ,44- L/l)i' Alt TeL �l *Security System Contractor Licenst required for this worfC;if applicable, enter the license number here: 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 Owner/Agent • . Signature • Telephone No. PERMIT li��E: $�p?�(?z� • i I q-f FAul I 1 , . r• • ; ' • 1ft ' - . - , • , • , I • . • . • , , . • , .