24D-088 (17) BP-2022-1 2tit
60 NORTH ST COMMONWEALTH OF MASSA.CHUSETTS
Map:Block:Lot:
241)-088-00 I CITY OF N ORT 11 A M PTO N
Permit. Ails Renovations
Repa ir
PERSONS CONTR M.'I I NG WITH 0Nll .:i1:.-;11:1ZL0 C!ONTRA( TORS
DO NOT HAVE ACCESS TO THE GUAPANT'f' FOND (MGL c. ,12A)
B1 1 1 I")INC PERMIT
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Permit # BP-2022-128o PERMISSION IS HEREBY GRANTED TO:
Piojeci f KITCHEN KENO COB Ira cloy: License:
Est. Cost: 58500 JB V,'A VSON CONSTI-z,liCTI ON
.oust.Class: Lxp. Date:
Use Group: Omwer: FREY JOI;N D,k. IENNIFER K DlERINCk,R
1.01 Size t so.1t.)
;-?otiiri: URC Applis:astr: ,t1.5 ,`,1-5-,0 : ( 0-7,, ,.-floi,:T!ot.,T
,Auplicant Address Plm,n6.•: : Insurnp.,:e: •
SO MAPLENN OOD DR (41.'6 5:7.-77(04
AMHERST, MA 0 I 002
ISSUED ON: 10/12/2022 .
TO PERFORM THE rot LOWING 4'0 R K7
Ka:lift N R ENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of'4.,k itin,;--- 0.1'.7."---- lt!iitling !tispector
Lmlerground: Service: Tided Footings: ,
ALUM.. +I
Rotigliii), - /..)--014 . „
A'taki4141$I0n.
"1"1:31,A00..,ag Minal .? 121/2) 6.16‘. i inaI: Hough Frame:iliz, KZ- 15- ZZ v,a
Gas: Fire Department !Nivea ay Final: Fireplace/Chimney:
Rough*A0 _23 Oil: Insulation: -1/ i.2--2-2"Z 2- Iti.
g5C - smakv: 1 nal: o,e4 `--i ii-i-23 g-R
THIS PERMIT MAY BE REVOKED BY Tit IF, CITY OF "';,DRIIIINNIPTON UPON VIOLATION OF
ANY OF ITS RULES AND RTC UL ATIONS.
,
Signatu re:
1 i r . • 1 k
Fees Paid: $380.00
. 212.M.a in Street, Phone 013) 587Fax -1 I ..7-127.7_,
Office of thc 3uilding Corn in is.,ioiler
!'O Al Olz-TI'71 s
Commonwealth.o///lamachasetta Official Use Only
rq-* — c� C� Permit No. E�Z022-- l"3 J
p .2epartment o,�ire Jervicei
_°_1_ Occupancy and Fee Checked .3/Z
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
.. (leave blank)
U
°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) i Date: (2,c--Zz
City or Town of: go raw0 n 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) 60 �pr Sty I gig-320 42-4sS'
Owner or Tenant Se*vN d- ?jre Telephone No. 'q/3-5-8"7--89Y5
I
Owner's Address
Is this permit in conjunction with a building permit? Yes EZ No ❑ (Check Appropriate Box)
Purpose of Building residi",c., Utility Authorization No.
Existing Service (00 Amps (Zc) / 2 Volts Overhead IT Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Vikk t 1,C rM re.rh i 1 W111'11 se(1l•S
Completion of the followingtahle may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. f
Trano KVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool 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.of Alerting Devices
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 Kam, 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 Electrical Work: g,000 (When required by municipal policy.)
Work to Start: iZ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit fo•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 prof of same to the permit issuing office.
CHECK ONE: INSURANCE EN BOND ❑ OTHER ❑ (Specify)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: ae4- P co ti-nt LIC.NO.:414V1244 f
Licensee: 42releG Signature - LIC.NO.: ( S-E
(If applicable,enter "exempt"in the license n q be•line) Bus.Tel.No.; Yf'3-771f-76e(9'
Address: �'�Z S e �,L�ar :/ MA Ol37 ' 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)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $ IZs.os
1� �3 - 29. �+. R�
312A [73
GAL' (,vu3 9dQ.°.
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
*Hi4.117 CITY VI:i11,rf-,w'1 to ( MA DATE / -- PERMIT# pews o112-
�C.) ivoy 1, r}_ OWNER'S NAME,,, d/s) bey JOBSITE ADDRESS '
POWNER ADDRESS TEL 3v20-1,02-bb f FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL_1 EDUCATIONAL 1 RESIDENTIAI7
PRINT
CLEARLY NEW:❑ RENOVATION:M REPLACEMENT:El PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7 FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1 — — f
CROSS CONNECTION DEVICE (—
DEDICATED SPECIAL WASTE SYSTEM 1 _ 1111 1
DEDICATED GAS/OIL/SAND SYSTEM ( IIF 1
DEDICATED GREASE SYSTEM MINIM imil gill'
DEDICATED GRAY WATER SYSTEM ( I -;I j"j
DEDICATED WATER RECYCLE SYSTEM _' imaiMraip Rip iwilmiltirmor
DISHWASHER r-'
DRINKING FOUNTAIN ( III rll filli,1111!Migi
t
FOOD DISPOSERRE 111 .11REI ,
FLNTOERCEPROR(INTERIOR) �EA DRAIN (������'—���.�_I�� u
�__�� ����� ~1
KITCHEN SINK 1� _M IO MI ��.;
LAVATORY —
DRAIN �'� - h����•� __ P-
ROOF --
SHOWER STALL ( �j ( 1fi
SERVICE I MOP SINK II - Ail� t 11111116 il, --- 1 it
TOILET I ( 1011111111111 r 11111 AlMi
W
URINAL 1 m a am M WIN NM War (---,
WASHING MACHINE CONNECTION im am am IIIIIIIIIIIN 1111111111111111101 alu6 MUM I
WATER HEATER ALL TYPES Ella at MP INIIIMISILOWOMP '
WATER PIPING ii "I
111 'MN linlOTHER 11imusii_ at am jia, _mum
i
I
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO n
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Li BOND I
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.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accura the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complia a wit I Perti ent provis Vf the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. (•r,
PLUMBER'S NAME Mark Wendolowski LICENSE# 112394 IGNATURE
MP J JP❑ CORPORATION❑#I 1PARTNERSHIP❑# LLC I j# 3675
COMPANY NAME Express Plumbing, Heating & Solar LII ADDRESS 131 Prospect St l
CITY Hatfield STATE MA ZIP 01038 TEL 413-626-3862
FAX CELL 1 EMAIL mwendolowski@comcast.net
rne L"2
q'tV -ei
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
_
i gTY !i/Of1I'tcjt'1 t„) , . MA DATE /l>/S/.Ilrr PERMIT#( Zo 22 - ' 'I-7 3
C BSITE ADDRESS (96)_.__AkY.. . ...Sfi OWNER'S NAME
GOWNER ADDRESS TEL FAX _ __
ED
TPRINOTR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL'
CLEARLY NEW: RENOVATION: - REPLACEMENT: __ PLANS SUBMITTED: YES NO
APPLIANCES 7 FLOORS-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER f
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
-__. __.__. _ ___. ..,....
GRILLE1. _... .. .. _ _._._.... _.,.,,.,
INFRARED HEATER
LABORATORY COCKS
..........
MAKEUP AIR UNIT
OVEN rt_tifV1FMNIC & GAS INS-'ECTUti__
POOL HEATER
ROOM I SPACE HEATER IVO R T 1 IAMPTON
ROOFTOP 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 I
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 a accur o the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compf ce ' all Pe ' nt provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME f 4 / Werado pock I' LICENSE#j t,3y SI TU E
MPik MGF JP JGF LPGI _ CORPORATION # _ PARTNERSHIP # LLCe #36...- 5
CITY ! eta
l. , __._._,_ STATE/I/e'I ZIP Q/!> ._._._._...TEL .,13-6 3_F6s}-,,,....-......
FAX CELL EMAIL
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
��— ZZ /k 71-x5$--IL,2P 7 e REVIEW NOTES