36-114 (9) 13Y-ZULL-Un14
199 BROOKSIDE CIR COMMONWEALTH OF MASSACHUSETTS •
Map:Block:Lot: CITY OF NORTHAMPTON
36-1 14-001
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0814 PERMISSIONISHEREBYGRANTE TO:
Contractor: License: .
Cost: 33600 Project# ADD MUDROOM ROBERT GONZALEZ 072482
Est. Exp.Date:03/05/2024
Const.Class:
Use Group: Owner: LOVE STATHIS ERIN S &JAMES F
Lot Size (sq.ft.) a
Zoning: WSP Applicant: ROBERT GONZALEZ
Applicant Address Phone: Insurance:
143 LITTLE MOHAWK RD (413)221-3837
SI-IELBIJRNE, MA 01370
ISSUED ON:07/15/2022
TO PERFORM THE FOLLOWING WORK:
ADD MUDROOM
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: j U -b D14 cf.. 12.2 2 K q
h: /2 -/3- d House# Foundation:
Rough: Rou g 2PIN a rso � v
n ,I: z
. tv• vz-2 14d
Final: Z Its s 0,6G Final: Rough Frame:J,IG !Z- i4_22 hn
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: .1e, 1 Z- 1 97.z kiZ
Smoke: Final: ,CZ Va5/p3 da,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
>2 , Is , ,
Fees Paid: $218.00
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272
Office of the Buildine Commissioner
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Commonwealth.
// // Official Use Oily
Commonwealth o/Mamachuaetfa
' ' ii cc�� nn Permit No. El"-20 - iD,��
c'J = 1'— 1Jepartmen�o/'.Jire Jervicea
c\J € / Occupancy and Fee Checked Af b,.3�c"
�-- I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
'= rn u. (leave blank)
i
-f111 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
oAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
L.-1.,
(PLE4SE RINT IN INK OR TYPE ALL INFORMATION) Date: I ')-/ -J a a
� - �-
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t3' or Town of: � � ti,a� 3A.)o r -►� a, To the Inspector of Wires:
l -1 $ 7_14y this ap ication the undersigned gives notice of his or her intention to perform the electrical work described below.
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Location(Street&Number) / �/ 9 �r v vle St a�.C.
Owner or Tenant I V V E 5 I A in i s 1 Z 1, ). S 4- -3.4.'e s F Telephone No. `► ' 3 • -t j may;
Owner's Address S - (,-.,-
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd E No.of Meters
New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 70 r t, 1, / G N 4 r y (Er c cosceR 5 1 t-0o(r)
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers KVA 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 Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total No.o f AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.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: t,}/r yr (When required by municipal policy.)
Work to Start: /XI t-/ -a- 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 e'uivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing offs se.
CHECK ONE: INSURANCE El. BOND El OTHER ❑ (Specify:)
I certify,under theQains and penalties of perjury,that the information on this application is true and comp ete.
FIRM NAME: I -II 4 11 c 2 I'e C+r I L LIC.NO: t/t?-f 6
Licensee: "Br,,;N 1 4-IIe,tte11t Signature �^� LIC.NO: E `/a .t 6
(If applicable,enter "exempt"in the license number line)_ Bus.Tel.No.• Li i 3 - y b Y-II"
6 t)
Address: 7 U "Bo, tS 1 I (r«-€A/FiLio[ Al A 0 13 0 "0-- 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 El owner 11 owner's as ent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ ( -_«
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