23C-065 (10) Br-2022-1 U 34
113 BLISS ST COMMONWEALTH Of M, .SSACHUSETTS
Map:Block:Lot: `
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23C-065-001 CITY OF NORTH AMPTON
Permit: Alts Renovations
Repair
„wow immol
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-1034 PERMISSION IS HEREBY GRANTED TO:
Project# renovation Contractor: License:
Est. Cost: 46631 BARRON &JACOBS 060475
Const.Class: Exp. Date: 1 1/10/2023
Use Group: Owner: KEMPtMA, SHALYN & MARTIN, JACOB V.
Lot Size (sq.ft.)
Zoning: WSP Applicant: BARRON &JACOBS
Applicant Address Phone: Insurance:
70 OLD SOUTH ST WMZ80080063652020
NORTHAMPTON, MA 01060
ISSUED ON:08/24/2022
TO PERFORM THE FOLLOWING WORK: sonio_ ,
INTERIOR RENOVATIONS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
014111
Underground: Ser 'ce: Meter: Footings:
Rough: Rough:Ja. ')$'3' House# Foundation:
411111
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Finalr� /2 - Final: /1--/L1 ,lk Final: Rough Frame: C z 1-4-Z 5 K.O.
Gas: V Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: IL I'i 3.Z.3 I4 4' r
Smoke: Final: Fi tLeo 5"IL 2.75 it+(Z -.
ail 5•24-23 i•v ill
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: ,
ti
V
Fees Paid: $305.50
1
212 Main Street,Phone(413) .587-1240,Fax:(413)587-1272
Office of the Building Commissioner
• Ahxa, TO r10ro 5l10 7 ita exts71 :, Sc0a =-1 i F74-00
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113 6 LA 35 sr_. ,r .,o-K.51 ✓
Conm.eaith o//I/a.machtoetid Official Use Only
,,�s o a agtir i! f! cc�� Permit No. L— i ?— /G9
rn - °()apartment o� ire Serviced I
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Occupancy and Fee Checked 101 N CI
f. ;v BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
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_-- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
,o v iv All work to be performed in accordance with the Massachusetts!Electrical Code(MEC),527 CMR 12.00
c,75 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) ' Date: / I -.1(' z 1
City or Town of: > (L,gy.•L( 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) /13 73 I S'S'S' 5r
Owner or Tenant a c /" A rr r,-, Telephone No. 51c7— la 37
Owner's Address 'iA-►M re
Is this permit in conjunction with a building permit? Yes Iti.e. No ❑ (Check Appropriate Box)
Purpose of Building (.e9,'"1.41 al.G ra gib. s 4'iiii-fttility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd [1 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: .y(Z. g.. g p t o26et..S' t /Y4-7/i n siys,
Completion of the followin• table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No KVA. f
Tr.
KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above ❑ In- ❑ 'o.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 Switches No.of Gas Burners No.of Detectionand
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 HeatingKW Local❑ Municipal 0 Other
p Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP el No of Deviaeso orsWiring:q al
No.of Devices 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: / ) j)' .. Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO5.4
E GE: 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 oreration"coverage or its substantial equivalent. The
undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify)
I certify, under the 1. 11s a d enalties of per my,that the information on this application is true and complete.
FIRM NAME: . p LIC.NO.: A'A`g1Lo
Licensee: IJJ,J m.,�, IL p,rE./c Q/jyp„„Signature � ,., E./t 1I at. LIC.NO.: Any 010
(If applicable,fgt. "exe t "'tin the liivumber line.) "us.Tel.No.: Le -io",,c,
Address: t (mot J CKv75 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61, curity 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: $ 1 d`S
Signature Telephone No.
LT)i V2,4 ,4 il.5111
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Lk_ 1,22zz 4170,(4L)
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
A l `~' CITY Ni0(1)-.rA,A0t MA DATE , )/ /,.2 1PERMIT Ppu "b 1
`— JOBSITE ADDRESS 112j 63 I 55 fi OWNER'S NAMEI_ pe (vitti t I I
P
C OWNER ADDRESS TEL 1 fl..-750-b 25-3 (FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL,'
PRINT
CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO®
FIXTURES Z FLOOR--, BSM I 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB ( I _ � �.. I
CROSS CONNECTION DEVICE
E � r _r
DEDICATED SPECIAL WASTE SYSTEM � 7 ( - li _ 1 � �;r -11 "
DEDICATED GAS/OIL/SAND SYSTEM l ( 11 `-P 11 _ - I ��
DEDICATED GREASE SYSTEM - 'f DEDICATED I
DEDICATED WATER RECYCLEAY WATER S SYSTEM J l (TEM , -I� �� �1 -jr
' i i _(— ii �j ,j__ �j
DISHWASHER .___._ _._.-__ __�_ 1 I
DRINKING FOUNTAIN J1 I 1I II 11 I 1
FOOD DISPOSER 'r ) MN Milli a
FLOOR I AREA DRAIN mi
II _ ,,
INTERCEPTOR(INTERIOR)
ROOF DRAIN 7 ]I I - �i
SHOWER STALL —�l 1----1 II IF __ r,. -
•5 I ,-;': rt.';
.9 I. I
SERVICE/MOP SINK I( I1—
li . .!�'iRr'- AT, P i a 1[ l 1 -r-
TOILET li ' fi :. • . . 0 . . op . r •
URINAL ( I f
! I f II !
WASHING MACHINE CONNECTION I( )I �-i 1 j iAIMIN7 1- I_ ) '`1
WATER HEATER ALL TYPES
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WATER PIPING �- _ _ . i __ I I1 f 1i i -'I
OTHER 11111
_ �li II r _ um�; —__ --—
�� �i i1 l i f 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 v OTHER TYPE OF INDEMNITY ❑ BOND El
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 1 I AGENT El
SIGNATURE OF OWNER OR AGENT
1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and rate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complia ith all rtinent provi • of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Mark Wendolowski LICENSE# 12394 NATURE
MP[-.3 JP❑ CORPORATION❑# IPARTI�ERSHIP❑#, JLLC�# 3675 1
COMPANY NAME Express Plumbing, Heating &Solar LL ADDRESS 1131 Prospectll St
CITY Hatfield STATE MA ZIP 01038 TEL 413-626-3862
FAX ' �11 CELL j EMAIL mwendolowski@comcast.net j
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