17C-144 (9) BP-2022-1093
40 KEYES Sti COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-144-001 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-2022-1093 PERMISSIONIS HEREBY GRANTED TO:
Project# BATH RENOS Contractor: License:
HAYDENVILLE WOODWORKING &
Est. Cost: 46385 DESIGN INC 116208
Const.Class: Exp. Date:04/13/2025
Use Group: Owner: F. CRONIN, DENIS
Lot Size (sq.ft.)
Zoning: URB Applicant: HAYDF.NVILLE WOODWORKING & DESIGN INC
Applicant Address Phone: Insurance:
35 CONZ ST (413)665-7402 WMZ-800-8007423-202 I A
NORTHAMPTON, MA 01060
ISSUED ON:09/02/2022
TO PERFORM THE FOLLOWING WORK:
REPLACE LALLY COLUMNS AND RENO 2 BATHS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector
Underground: Service: Meter: Footings:O.
14 f-3-23 K ('
Rough"-...,/% "3 Rough: House # Foundation:
Finales Final3 .,2- P Final: Rough Frame:tl Zo 2'3 �C
v ,, , — 0 zP
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: ®Z 3/J7/ 3 P
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $299.00 _-
212 Main Street,Phone(413) 587-1240,Fax:(4l3)587-1272
Office of the Building Commissioner
'10 K&VEs '7 : .1_ Commonwealth of f 2aeeackuaetfa Official Use Only
ir+ * i =!t cc��,, nn Permit No. �P 20is- 09.9 D
s - t-_ 2 eparirneni o/,)ire Jervice.6
s+.= y ,1/21/1
�-_ ��_ e Occupancy and Fee Checked
-==` f BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07]
. ,,, (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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) D ate: I J I j1 l
City or Town of: QlQ,4 1 hg'1 To the Inspector of Wires:
c� By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
s _ Location(Street& Number) u 0vT-�S S�-
Owner or Tenant ' _ Telephone No.tIi? I-alicso
Cc) Owner's Address lI k) ‘c-e, :er-.S S-± .
Is thispermit in with a buddingpermit? Yes No
conjunction p � E (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd j j No. of Meters
New Service Amps / Volts Overhead n Undgrd n No. of Meters
Number of Feeders and Ampacity
y Location and Nature of Proposed Electrical Work: ),(NC1 -F\r 1,1 Pon.-F--- u an T
g-urv.).ick)c),),\. k r S b ,_
Completion of the followm&table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No. of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA _
No. of Luminaire Outlets No. of Hot Tubs Generators KVA
Above In- 'No.of Emergency Lighting
No.of Luminaires Swimming Pool 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 Mr Cond. Tons No.of AlertingDevices
Tons
No.of Waste Disposers 'Heat Pump INumber II Tons KW ,No.of Self-Contained
Totals:1 1 ".... . Detection/Alertinu Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑
Connection Other-
No.of Dryers Heating Appliances KW Security y
No.of Devices or Equivalent
No.of Water KW No. of No. of Data Wiring:
Heaters _ Signs Ballasts No.of Devices or Equivalent
s W
No.Hydramassage Bathtubs No.of Motors Total HP Telecommunication iring: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: A 5 A 1' 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 ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this applica ' n is true and complete.
FIRM NAME: F a s*in t;+�,0-ot, et,C-tYi Q S z r y' ' LIC.NO.: 2_0 -)1 A
Licensee: "T i,,, ,,4.4, 4-0 dr\i r ki Signature LIC.NO.:
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: `'1 I')•- 521 - Zt
Address: 2 i:, 91 z Fsc„nA- Si- FAS}t„ W..Vi"-Ci I fi\A- Gib?"l 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 hove 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
PERMIT FEE: $ (lc —Signature _ Telephone No.
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
�'=s CITY/TOWN ‘1 - MA DATE 1 PERMIT#p/P--2022, —O`-Pl1
..,- JQBSF E ADDRESS "\O E\
VAray__`b
OWNER'S NAM %h C(Yi►r7
jOWNER ADDRESS TEL AX
TYPE O 1 PANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL lV
RIN
CLEARLY N 1 RENOVATION:NJ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO El
FIXTURE4.7_ j FLOOR—+ BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY 1 I
ROOF DRAIN PLUMBING & GCS IN5PECTOH
SHOWER STALL 1 NORTHAMPTON
SERVICE/MOP SINK APPROVED NOT APPROVED
TOILET _ _
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY ❑ OTHER TYPE OF 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 El 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 co 'o••nce wit all Pe • ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME G )cy). LICENSE# P 't S GNATURE
MP® JP❑ CORPORATIONr El#r PARTNERSHIP El# LLC Ni#O4-6S �51cC�5
COMPANY NAME P‘cxw� \
it \I C�„ 1�YWJ%CC1[`IfYYNAc ADDRESS I �.C1.5t ar\
CITY `_0C'A,V`iZ• STATE VW ZIP C.1O"6 a TEL JAV3 NAB • toCedN
FAX A VY'WA-c--V09iO3 CELL EMAIL �YZ rJ pvo Nf1Vc1r. Cr icy)
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