24D-250 (5) 10-2022-0934
88 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-250-001 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-2022-0934 PERMISSION IS HEREBY GRANTli I TO:
Project# RENOVATIONS Contractor: License:
Est. Cost: 37000 GEORGE PROPANE 075223
Const.Class: Exp. Date: 1 1/27/2022
GEORGE, MICHAEL G. &GEORGE-.ARRY,
Use Group: Owner: KRISTEN E.
Lot Size (sq.ft.)
Zoning: URC Applicant: ROBERT WALDEN
Applicant Address Phone: insurance:
PO BOX 604 (413)695-0539
GOSHEN, MA 01032
ISSUED ON:08/10/2022
TO PERFORM THE FOLLOWING WORK:
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:
Rough: Rough:g-)) House# Foundation:
ar
Final/Z?—Z,Z Final: �.,2:3 Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: 6..16 y. 2-ZZ. Kt?
/'``-9"2 Smoke:
73--23 Final: (�.iC I-30 z5 /��
THIS PER BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $241.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the-Building Commissioner
CHECK#39007 $100.00
- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
NORTHAMPTON M DATE e acn QWN PERMIT
_
r ' '` JOBSITTADDRESS 88 CRESCENT STREET OWNER'S NAME MICHAE GEORGE
t
pCD OWNER A IDRESS _.. __._. TEL41 3:268.8360 FAX
TYPE OR ¢OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL D RESIDENTIAL gi
PRINT
CLEARLY ''NEW:CK RENOVATION: 0 REPLACEMENT:0 PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1 FLOOR BSM 1 2 I 3 4 5 6 7 1 8 9 10 11 i 12 13 14
BATHTUB
CROSS CONNECTION DEVICE , ._ r
DEDICATED SPECIAL WASTE SYSTEM �—--- A..,,,. _ : _. _ - J w.,
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED-GRAY WATER SYSTEM — _
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN -...
FOOD DISPOSER _-
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1 . - PLU1ABING & (SAS �1SP CTGR
LAVATORY _ CIO RTHA M PTC`N
-ROOF DRAIN ..,. APPROVD NOT,APPRfVED
SHOWER STALL_-- ._.
SERVICE/MOP SINK - d'
TOILET . - _ ., —� - - .
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES --.
WATER PIPING _ 1 ...
OTHER BACKFLOW PREVENTER 1
ICE MACHINE ' 1
f
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES® NO 0
:FY CJ'Cli.CKED YES,PLEASE INDICATE THE E TYPE OF COVEKAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY ® OTHER TYPE OF INDEMNITY ❑ BOND 0
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 compli with Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 'iC
PLUMBER'S NAME _SCOTT_BISBEE _._..__ LICENSE# 13541 SIGNATURE
MP® JP❑ CORPORATION ®#___ 25,78C ..... _ PARTNERSHIP❑#
COMPANY NAME GEORGE_PROPANE INC.__._____ ADDRESS 3 BERKSHIRE TRAIL_ WEST,Q BOX 102,
CITY _ GOSHEN _ STATE MA ZIP 01032 TEL (413 268-8360
FAX,_.(413)268-0206 CELL. EMAIL w_._______
'4'2-6- 0/
CHECK# 39006 $85.00
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
NORTHAMPT• MA DATE 8/2/2022 PERMIT# 6Q2,022--D307
JOBSITE ADDRESS 88 CRESCENT STREET OWNER'S NAME MICHAEL GEORGE
GOWNER ADDRESS TEL 413.268.8360 FAX-
TYPED, R OCCUPANCY TYPE COMMERCIAL ElEDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: RI RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
APPLIANCES-1 FLOORS— BSM 1 2._ 3 4 5 6 7 8 9 10 11 12 13 14
BOILER 1
BOOSTER 1
CONVERSION BURNER
COOK STOVE - 1
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR u _
FURNACE
GENERATOR
GRILLE _..___._...............__�._ .
INFRARED HEATER
LABORATORY COCKS _
MAKEUP AIR UNIT J
-&- i -OR
OVEN PL HEATER MORTI IAMPTO '1 H
ROOM/SPACE HEATER TAPP-RerVED--14011—A-1,PROVE-D—
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER EXTERIOR LINE I
TO BUILDING
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 M 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 pr vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME SCOTT BISBEE LICENSE#4534 SIGNATURE
MP❑ MGF M JP❑ JGF❑ LPGI ❑ CORPORATION M#130c PARTNERSHIP❑# LLC❑#
COMPANY NAME GEORGE PROPABE, INC. ADDRESS 3 BERKSHIRE TRAIL WEST, PO BOX 102
CITY GOSHEN STATE MA ZIP 01032-0102 TEL 413.268.8360
FAX 413.268.0206 CELL__, EMAIL migeorge@cIeQrgepropane.com
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEET$ PERMIT#
32/74 S'(// 6r / et T .V VIEW NOTES
2f 2r C/-C—SGG N 1- 67 yy
eCW. ....Whiz 0/UG"l��///f�////aoaciw.delb Official Use Only 1
W
Permit No. r7iO2Z ' ,5 qo��`ere�eusce9Occupancy and Fee Checked fN BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107) (leave blank)
o APPLIZA IO 'Flit' PErtilirliT TO PERFO :VI ELECTR CI.L ' ')ORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datta Ri l S �v as
au or Town ofo A\Pict vs,�
� ,� roc -Ez�.� 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) Z' X r4_f e Sr o n i S` - e
Owner or Tenant M i 2 reee.oret Telephone No.
Owner9s Address 3 ,c C h gee— V?r ci I W e s+ . Ca S o vr_1y t.LL'ik U lU 3 0
is this permit in conjunction with a building permit? Yes Ei No 0 (Cheek Appropriate Box)
Purpose of Building Jr_leo am) Utility Authorization No.
Existing Service .2t3o Amps Sad I gyp Volts Overhead E Undgrd(1 No.of Met --L-
New Service Amps 1 Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: cd c A—)iry _--iris.). -4.rel Crnb 4_i wtb�
Completion oftheffollowing table mar be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil>Susp.(1Paddle)Fans No
raTransformersrs �of 'li otA
Transformers �
Nog of Liuninaire Outlets No.of Hot Tubs Generators VA
Above In.' ice,et?emergency !Legtitiag
No.of Luminaires Swiimetting lPaal grad. ❑ grad. 0 i;attery Units
r
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection anti
Initiating Devices .
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste:►isposers float Pump Number _,o _ns _,.,_,.,__ ; o.of Self ontained
Totals: bDetection/Alertin Devices
No.of Dishwashers Space/Aren Heating KW .I<,ocafl❑ 9�dunnection ceci o n ❑ Other
Co
No.of Dryers Heating Appliances KW Security steins:
No.of Devices or Equivalent
No.of Water B No.of No.of Data'Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No. ydroinassage Bathtubs No.of Motors Total HPTelecommunications WiringsNo.of Devices or Equivalent
OTSEERt
.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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE A BOND ❑ MEER ❑ (Specify:)
I certify,ander the pains and penalties of perjuiy,chat the information on this application is true and complete
FERM NAME: Gi t> Bete e i e nn�4:... UC.NO.: j y Dci- t
Licensee: lekStr‘t itesea Get. ...ae Signature se/'- it ____ _ LlC.NO.: 1 J,? l' A
(Ifapplicable,.elrter " ipt"in the license number lire.) Bus.Tel.Noe'� .- " (rs.7
` ,43
Address: 0 C l t I.1 I. e bra �r� 2 , Alt.Tel.No,:
*Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety S"License: Lie.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 ❑owner's agent.
40 Owner/Agent n PERMIT FEE: $ ) : 5 --1
S
Signature Telephone Nog
- 1,1 - j
, � `.,11)eed -e e 1