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38A-013 (5) • BP-2022-1.2t 3 33 CHAPEL ST COMMONWEA.LTH OF It'M.ASSACHi1SETTS Map:Block:Lot: 38A-013-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACT!NG" WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Penult tt BP-2022-1203 PERMISSION IS HEREBY GRANTED TO: Project# 2022INTERIOR RENO Contractor: License: Est. Cost: 82000 StiN\\:OOD BUILDL S 065400 Const.Class: Exp. Date:06/25/202 Use Group: Owner: SUNW )OD DEVELOMENT CORP Lot Size (sq.ft.) Zoning: URB Applicant: SUNWO-D BUl I DFRS '4':7:1it.:atet Address Phone: insurance: • 84 POTWINE LN (413)259-1000 WMZ80080056582022A AMHlRST, MA 01002 ISSUED ON: 10/06/2022 TO PERFORM THE FOLLOWING WORK: IVIER IOR RENO POST THIS CARD SO 1T IS VISIBLE FROM THE STREET Ili Inspector of Plumbing Inspector of Wiring Building Inspector thidergrouud: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: -� '� Final: Final: Rough Frame: v i 12-S Z.Z k iZ Gas: Fire Department Drivessa !'final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke Final:►=Au.co 5 -Z3 1612 - IS—•3-� ims PErt74T 1: l IZE �..e- 'lam;'- Pt, -- ._ :TY ice,- a P ^ iI / �, �L : x . TI.::�., x n,.�, � x ,.'3��t�'' BE c�.� t :.�.�.,� Ii3 x 1 x►rl:. �.x . _ vd iV��i:.s [dui:r'FIA�`311 UPON i •�)a�:'�AT ION v0� ANY OF ITS RULES AND REGULATIONS. Signature: Fees fait: S533.00 • II • • 211Main Street. Phone(4i.;) 587-1240.Fa t•-113)587-1272 Office of the,Bo lid l;_> ('orrmmnission:c -to-110V c! `1'41— M 1(2 1 s%I A)()J CV V ZIC :I V Qi-7E-LRCI s� C 3' CNof%'� , I PermitNo. t�P-2�22 - oIt- € - Int .- !�epartment of Fire Services , - ! _°' I Occupancy and Fee Checked 4" M E. 3 ',4 .�`�' BOARD OF FIRE PREVENTION REGULATIONS j[Rev.9/05j (leave blank) N P P L I C A T I 0 N FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRLNTW INK OR TYPE ALL INFORMATION) Date: II — I l Z Z City for Town of: ,F'(-f J qpW-1t7 ') 1 To the Inspector of Wires: ByWiiis application the undersigned gives nonce o fits or her inters on to perform the electrical work described below. Location(Street&Number) 3 i t4 G1 `,J' Owner or Tenant Se h t/a p al ill1 I de l� Telephone No. 2 S3'Yak) Owner's Address $4 tib 9(+WI tie L N A h hers J fi l ojva 7 Is this permit in conjunc n with a building permit? Yes J No ❑ (Check Appropriate Box) rl -a ? Purpose of Building pt.4, , 1�� Utility Authorization No. 50670 7ga Existing Service La..) Amps /Zj7 4y0Volts Overhead Undgrd ❑ No. of Meters New Service 1 Amps (j )i 2(CA%olts Overhead❑ Undgrd ❑ No. of Meters 1 Number of Feeders and Ampaci y '3 ,Z,— WO 1 3M Location and Nature of Proposed Electrical Work: /i ,,f l�v5e.. -r 6-it AGE. • Completion of the following table may be waived by the Inspector of Wires. • No. of Recessed Luminaires Tip.of Ceil.-Susp.(Paddle)Fa No. of Total Zt� ns Transformers KVA INo. of Luminaire Outlets r No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- r—} No.of 1 mergency Lighting grad. grnd. Battery Units Nb.of Receptacle Outlets 30 iNo.of Oil Burners 1 1 1FIR.E ALARMS No. of Zones No.of Switches '� No. of Detection and 4. No.of Gas Burners Initiating Devices I Total No. of Ranges l No.of Air Cond. Tons rNo. of Alerting Devices No.of Waste Disposers Heat Pump I Number [Tons . -KW......... No. of Self-Contained Totals: 72.- ___- ;Detection/Alerting Devices No. of Dishwashers 1 Space/Area Heating KW Local❑ Municipal 0Other _ Connection1 No. of Dryers , IHeating Appliances KW Security Systems:* No.of Devices or Equivalent 'No. of Water No.of No.of Heaters jam` I Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OT1TRR: 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: /f—/f' ZZ-Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for a performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed ope ation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proo_of same to the permit issuing office. CHECK ONE: INSURANCE 40 BOND ❑ OTHER ❑ (Specify:) I certify, under t epains and penalties ofperury that the informatipn on this application is true and complete. M!FIR N9.ME: 1,Ci-1 el( S t r) C` ( E.Lec r i C_I G_; e LIc.NO.: 32-C/Sc3 - Licensee: r.,s cieel r0' (�/))GI( .3 G( Signature LIC.NO.:'_ _, (If applicablenter "exempt' in he lice se number lin .) /y� Bus.-Tel.No.:4/, ./�l '`7/14 Address: .� .J...,5 r'l (4p 14 ,f/1�d/7 !i r l C1/4.3.� Alt.Tel.No.: 'Security System Contractor License requited or this ork;if applicable, enter the license number here: — — OWNER'S INSURA..NGE-WAIVER:I am-aware-that-the-Licensee does-not-have the-liability_insurance.coverage.nor-mally..._- required by law. By my sizaature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. --- Owner/Agent --. -- — - --. . -_. _-. -- -- - -- ,--- Signature Telephone No. PERMIT FEE: $2 o i • I 2/2812022 14:36:42 EST Page:2/2 From:KICK Lereen Ineurunua nganuy,,rt.. AC®Y CERTIFICATE OF LIABILITY INSURANCE DATE(MMTODrYYYY) kho,.,,,.-- _ a2rzRr2o2z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER y r cr Sarah Curtis Richard R.Green Insurance Agency,Inc. 32 Somers Rd A/C No.ex* (413)267-3495 Na):(413)267-3496 Hampden,MA 01036 'E.mAR ADDRESS: g sarah.curtis rlchard reeninsurance.corn INSURER(S)AFFORDING COVERAGE HAIL A INSURERA: Mapfre Insurance Company 23876 INSURED Richard M.Smart,Jr, INSURERe: COMMERCE INS CO 34754 3 Isaac Bradway Rd Hampden,MA 01036 INSURER C: INSURER D: INSURER E: INSURER f COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R ADOi.SUER POLICY EFF POLICY EXP L7R TYPE OF INSURANCE INS° MD POLICY NUMBER �jMM"DDtYYYYl (raw gtxrYYYy I LIMITS A ,J COMMERCIAl.GENERAL LIABILITY 8008030017610 01/1S/2022 b1/1912023 EACH OCCURRENCE $ 1,000,000 D vIIFAGir IO HINTED CLAWS-MADE E VI OCCUR PREMISES(Es occurmncel $ 100,000 _—. MED EXP(Any ono person) S 5,000 PERSONAL&ADV INJURY 5 1,000,000 OENLAGGREGATE LIMIT APPLIES PER: 1 GENERAL AGGREGATE $ 2,000,000 Naor POLICY O JTCT I I LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY 'BJGLBO 11/14/2021 11/14/2022 CCTMBINED SINGLE LIMIT (ER occident) S —ANY AUTO BODILY INJURY(Per parson) S 100,000 — OWNED , 1 SCHEDULED AUTOS ONLY Y AUTOS eooILY INJURY(Per accident) $ 300,000 HIRED NON-OWNED PROPERYY IAMAGE S 250,d60 AUTOS ONLY AUTOS ONLY (Per eccieent) I $ UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LtAB _CLAIMS•MAOE AGGREGATE S DEO RETENTION$ $ WORKERS COMPENSATION ( ) AND EMPLOYERS'LIABILITY YIN I STATUTE I I ER ANY OFFICER/MEMBER EBR ELDE PROPRIETOR/PARTNER/EXECUTIVE N r A E.L.EACH ACCIDENT S (Meneaiorr In NH) E.L.DISEASE•EA EMPLOYEE S II yes.deer-rem talent i CESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S 1 DESCRIPTION OP OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule may be atteched II more space is resulted) / ' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUC(ES BE CANCELLED BEFORE "1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For insured's Records ACCORDANCE WITH THE POLICY PROVISIONS. """*"'"FOR INFORMATIONAL PURPOSES ONLY"«"»'" , AUTHORIZED REPRESENTATIVE t"`ti J C,1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The}�ACORD name and logo are registered marks of ACORD / 1- -.D.-7-1--- Se(si,J a,.,. -L Cuff Ro o ZQ Y"N J c7's1 1 1 °t 1 :,., i' ,,,;.( ` I L iv col' , [ 6-,2, 1'170 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM WORID V /"f(/ .- 'C f-,0 CITY �O1*lo f)11Q y1 MA DATE �`'7/ax) 1 PERMIT# C/(749 JOB SITE ADDRESS ' 33 ) iJe rxA \�c\G, C�p�,1 s�2�� OWNERS NAME _ on POWNER ADDRESS TEL FAX- �j TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL RESIDENTIAL IY I PRINT CLEARLY NEW n RENOVATION ✓ REPLACEMENT ED PLANS SUBMITTED YES ❑ NO ❑ FIXTURES 1 FLOOR--+ BSM 1 2 3 4 5 8 7 8 9 10 11 12 13 14 BATHTUB --- --F— - t t CROSS CONNECTION DEVICE , ,�' DEDICATED SPECIAL WASTE SYSTEM , DEDICATED GAS/OIL/SAND SYSTEM — J NpV _ . DEDICATED GREASE SYSTEM T r ?Z I DEDICATED GRAY WATER SYSTEM L DEDICATED WATER RECYCLE SYSTEM No i.DING INSPECT S DISHWASHER - DRINKING FOUNTAIN — -, r FOOD DISPOSER FLOOR/AREA DRAIN — INTERCEPTOR(INTERIOR) - KITCHEN SINK I ' LAVATORY al fi ROOF DRAIN SHOWER STALL I - SERVICE I MOP SINK - 1 TOILET a ' URINAL { WASHING MACHINE CONNECTION 1 I 1- _ I WATER HEATER ALL TYPES , �'�� & €"4" iNe,PE.ci:UR - WIRTHL M DTTAI WATER PIPING APPROVED 1\,0LAPPR7)VF1� OTHER - - .2,15._ I - , - - INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 22 NC ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY EL 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 ❑ AGENT El SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered recarding this applications uv=and accur e o he st of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be',jT�•h. ce with P ine ovision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Phillip Hurteau LICENSE;;: 1°963 SI ATURE MP❑ JP❑ CORPORATION L/73 2974 __ PARTNERSHIP CI# LLC 0#____ __ COMPANY NAME Phillips Plumbing & Heating, Inc. 15 Arthur Street ADDRESS _____CITYEasthampton STATE MA ZIP 01027 TEL 413-527-0340 FAX 413-527-2406 CELL 413-626-9725 EMAIL pph15arthur@gmail.com U 3 ,,,,,/ , ./_/,-_,2 I _ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM WORK skT. i :_ CIn , of P 1 MA DATE y16/ ,.3 A PERMIT#6P-2023--6f / r JOB SITE ADDRESS 33 ciG�1 5+ OWNERS NAME Sc n� .{(� 5 OWNER ADDRESS TEL FAX J I� 1 { v� OCCUPANCY TYPE COMMERCIA 1 j EDUCATIONAL ( I RESIDENTIAL 'TYPE OR. NEW n RENOVATION REPLACEMENT ❑NO ❑ �!RIN'd' � I PLANS SUBMITTED YES CI:.EA ELLY APPLIANCES 1 FLOORS BSM 1 2 3 [ 4 _ 5 1 6 7 -8 9 . 10— 11' -1-2—...13 1 14 BOILER BOOSTER } CONVERSION BURNER r COOK STOVE j DIRECT VENT HEATER I I DRYER I I f FIREPLACE I I 1 FRYOLATOR I F 1 1 It I FURNACE { ! ( ( I I GENERATOR I I I I 1 GRILLE I I I 1 INFRARED HEATER , I I I I LABORATORY COCKS I I I I I I MAKEUP AIR UNIT �{ I OVEN I I I POOL HEATER I I { I I I I ROOM/SPACE HEATER 1 I I 1 I ROOF TOP UNIT ; I ( , 1 TEST I I } Ot_U;vbiNG & AS INSP-ECTOR UNIT HEATER I 1N ORTHAMPT N UNVENTED ROOM HEATER I APPROVED NO ijAPPHOVED WATER HEATER 1 I I I I OTHER 1 //�- I I 1 I 1 1 r1 1 1 1 I I I L ! I I 1 1 I i I I 1 1 ( I l l i I l INSURANCE COVERAGE 1 I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ® NO 0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY © OTHER TYPE INDEMNITY 0 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 0 AGENT 0 SIGNATURE OF OWNER OR AGENT i hereby certify that all of the details and information I have submitted or entered regarding this application are �- d accurate to t t of y knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co •r,>� `li` all Pe n provi the Massachusetts State Plumbing Ccde and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Phillip G. Hurteau LICENSE# 10963 SIG URE MP® MGF❑ JP❑ JGF❑ LPG!❑ CORPORATION a# 2974 PARTNERSHIP❑# LLC❑# COMPANY NAME Phillips Plumbing&Heating, Inc. ADDRESS 15 Arthur Street i CITY Easthampton STATE MA ZIP 01027 TEL 413-527-0340 FAX 413-527-2406 CELL 413-626-9725 EMAIL pph15arthur@gmail.com 04, '7-- i z3117x/ire 71t.