32C-070 BY-2022-U9Z4
28 MAPLE AVE: COMMONWEALTH OF MASSACHUSETTS
Map:Block:1 ot:
32C-070-04/1 CITY OF NORTHAMPTON
Permit: Alts Renovations lit'
Repair
PERSONS CONTRACTING WI'TEI UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0924 PERMISSIONISHEREBYGRANTED TO:
Project# •ADD 2ND LEVEL Contractor: License:
Est. Cost: 343000 DALHAUS CARPENTRY INC 101628
Const.Class: Exp. Date: I I/17/2022
Use Group: Owner: KYSA NYGREEN
Lot Size (sq.ft.)
Zoning: URC/WP Applicant: DALHAUS CARPENTRY INC
Applicant Address Phone: Insurance:
I I CHERRY ST (413)977-6094• t B--5R90846 I
EASTHAMPTON, MA 01027
ISSUED ON:08/10/2022
TO PERFORM THE FOLLOWING WORK:
ADD 2ND LEVEL
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P. V. Building Inspector
Underground: Service: Meter: Footings:
Rough:// _4 ' Rough: >'J°�+ house # Foundation: ,/
Final: Final: _ _ .�2 Final: Rough Frame: 01Z IIi? a `d(15-
Z 7
Gas: hire Department Drivewav Final: Fireplace/Chimney:
Rough: Oil: Insulation:U` K 11Z-/'3 ZZ 14 A
Smoke; a ---- Final: 0.1e 6-t-1 .23 ie,2
�� O L
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: t
,>:-' CAT,
Fees Paid: $2,229.50
If
212 Main Street, Phoi e(413) 587-1240,Fax: .413)587-1272
Office of the Building Comm issic ncr
lOr 2 = /6 ?
0 d &O n^z"P ry 0-/
X (YI y-f 'L- /-t 't //
(Commonwealth o/Maeoachumette Official Use Only
"! '; c� Permit No. 7_02z—c?L?j
e _al' .Jipartment o/?ire ervice�
,,__��_ " Occupancy and Fee Checked#/t),/
, a
, .., ,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
M
APP !CATION FOR PERMIT TO PERFORM ELECTRICAL WORK
,-,_ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
EASE P NT IN INK OR TYPE ALL INFO u RMATION) Date: /13 /ti 1--
Ci or Town of: N D f.{cuA t,A Q t ' l To the Inspector of Wires:
By this appli ation the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) Z,$ MA'?L C AV C IQ J 6-
Owner or Tenant k`t S A NI& C t`) Telephone No.
Owner's Address
Is this permit in conjunction with a builkling permit? Yes 121 No ❑ (Check Appropriate Box)
Purpose of Building R_k5 S\ ' '$ Utility Authorization No. ` Q4rjr-J6 3 -
Existing Service [b Amps MO / VW Volts Overhead Q Undgrd❑ No.of Meters 1
New Service 1..0 U Amps I / "7'y 0 Volts Overhead d Undgrd ❑ No.of Meters l
Number of Feeders and Ampacity i,
Location and Nature of Proposed Electrical Work: 2.Nn �L_ Ato,i 1 o-"' A...0 Nt.1a .S Vx
Completion of the following table may be waived by the Inspector of Wires.
No.
r
otal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers 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
oNo.of Switches No.of Gas Burners No. Initiatingon nDete and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p° Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
p Connection
No.of Dryers Heating Appliances KW Securitys:*
N f Device s or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Wiri
No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devic scommunions 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: 4/13 1 ZZ 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 pedury,that the information on this application is true and complete.
FIRM NAME: U1 OA V Le L't``2' LA., L LIC.NO.: g 114 Al
Licensee: (Iv.) 1 U �{64 Signature f JL_ LIC.NO.: Z 3 2 1 `1 A
(If applicable,enter "ex t"in the license number,4i Bus.Tel.No.: 1 l 3 ' 7,6 L 'O t Y Z
Address: fl-O Milk.'A'`1 St ii D I L(01 M 0)010 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 PERMIT FEE: $ I g J ' O D
Signature Telephone No.
ota govi ti 1)ah
3 acr ( ^AJz 12.e`\-N
ASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_� CI _ Northampton —I MA DATE 8/21/2022 (PERMIT#PP 2O d 30
c "' � o
o N JO SITE ADDRESS 128 Maple Ave OWNER'S NAME Kysa Nygreen '
I _ —1
P c•JOWNER ADDRESS 28 Maple Ave TEL 413-977-6094 FAX
c�
TYPE OF OCCUPA'ICY TYPE COMMERCIAL[ EDUCATIONAL 0 RESIDENTIAL
I PRINT
ICLEARLY NEW:Ej RENOVATION:Rf REPLACEMENT:E PLANS SUBMITTED: YES! j N0fl
FIXTURES 1 FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
. _ ,€ iL I_ ___ i"_
BATHTUB l� 1 I 1.-- t; .- 1
CROSS CONNECTION DEVICE 1._ _ r ''
DEDICATED SPECIAL WASTE SYSTEM 1__In_._.F - 117 1' I 1 I =,,,,,,,,,,,,,,=
DEDICATED GAS/OIL/SAND SYSTEM irr i C .- €
DEDICATED GREASE SYSTEM ',
DEDICATED GRAY WATER SYSTEM _ [--i• 1 -( i it i ( ral
`� r—
DEDICATED WATER RECYCLE SYSTEM r ( 11 �. [ ��-1 �� 1 vTi
DISHWASHER ... i Is.. 1[ . I. L F
DRINKING FOUNTAIN �1f 1 in i1 1 1 1 1 F t
FOOD DISPOSER 1 II I I
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) I i -)..... J i
KITCHEN SINK L, -1[ F L IL W i IF i .__. _. [ 1
LAVATORY 3 , _ '` r L I, Pit0/40 2` GA #$ f C
ROOF DRAIN
SHOWER STALL 1 .1-----1 . _ - t ' 0 . , .i. 33 •
— lr _M_ i -�.'--------------7-I x , rt D -F� T* ivr
SERVICE/MOP SINK _ „ [ (, _ (
TOILET .,
URINAL 1
WASHING MACHINE CONNECTION i r ii 1 rIIii.
WATER HEATER ALL TYPES ' w
WATER PIPING
OTHER I 1---11— _ r t r ,-
I--E [ r. 11 1 _ 1[ I r p C
' 11
i[ Ir . :a- l �i
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO I I
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY[—Ij OTHER TYPE OF INDEMNITY BOND L j
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 LI AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application ar- rue a Prate o the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in '. •lia- all ertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Geryk LICENSE# 16079 Sit URE
MP LE JP® CORPORATION El#----1
_. __. ,PARTNERSHIP #[1295560 LLC J#
COMPANY NAME John T.Geryk Plumbing&Heating,LLC i ADDRESS;5 Crescent St
CITY Northampton 'STATE W MA ZIP _01060 TEL 413-727-3057 I
FAX 1 CELL 413-336-3893 1 EMAIL john@johntgerykplumbing.com -
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