17C-281 (8) BP-2023-0042
107 NORTH MAPLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-281-001 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-2023-0042 PERMISSION IS HEREBY GRANTED TO:
Project# KITCH RENO 2023 Contractor: License:
Est. Cost: 60000 HANS DALHAUS 101628
Const.Class: Exp.Date: 11/17/2024
KITCHEN, ANTHONY & KRISTA TURNER
Use Group: Owner: KITCHEN
Lot Size (sq.ft.)
Zoning: URB Applicant: DALHAUS CARPENTRY INC
Applicant Address Phone: Insurance:
11 CHERRY ST (413)977-6094
EASTHAMPTON, MA 01060
ISSUED ON: 01/19/2023
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
POST TI-HS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring J.P.W. Building Inspector
Underground: Service: Meter: Footings:FIZD-sV fO'2U O. .Li•1323
tee.
Rough: Rough: House # Foundation:
FinaN,p ^/r-* Final: ' `'1 I2 2,v4 , Final: Rough Frame:i.°), 2-2-Z� u i?
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: Vr( 6a-J6)•Z3 i 2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $390.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
( 0 ( IW)U<-TY-f NI14 rw T
Commonwealth./ OfficialV Use Only
Commonwealt o�///aSSac�au�el�
CPRI cc�� cc77 Permit No. Cr-�Z3— OO Its
= l a. /epartm.ent oo,}ire�ervice9
.�__�_
__ Occupancy and Fee Checked ///0
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
`APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts lectrical Code(MEC),527 CMR 12.00
Q
(PZEASE PRINT IN INK OR TYPE ALL INFOR�TION) Date: I I 12.(1
City or Town of: (J 0 1Z �� -Atkp i) ' To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to erform the electrical work described below.
Location(Street&Number) ( t- `-t t p tt c l a M,'P L C
Owner or Tenant k ke\s•Y'4.N, Ct C u f s Telephone No.5 11 /4 6 c{1.1
Owner's Address S A • -
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd E No.of Meters
New Service Amps / Volts Overhead Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: %.r(, -E vJ kt",/..)3y f,-}ka ^l
Completion of the followingtable may he waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above 1 n- 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
of
No.of Switches No.of Gas Burners No. Initiatinnggon Dete and
In 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 KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H
y g 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: t /1 17 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 cov rage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [A BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties�of perjury,that the information on this application is true and complete. G 2 FIRM NAME: U R.�E� l: Z E "C fL�G. L L, C LIC.NO.: a '7 'j A
Licensee: (A, --t- ]� U av A Signature f kgt____ LIC.NO.: / 3/ 3 q C.
(If applicable,enter "exempt"in the license number line.) 'd Bus.Tel.No.: V t 3` 1,6"z. ' 61 HZ.
Address: [1-o k0�R-G `t S>.' i" 14611 d,Ric J d 1 a IN 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: $ D°
Signature Telephone No.
/
\AcU6 E-C 52/
Cit.-0/‘6 6 I rO
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
- CITY[Northampton MA DATE 1/ttt
30/2023 1 PERMIT# P#2023—00s--
N, JOBSITE ADDRESS 107 N.Maple OWNER'S NAME Anthony Kitchen
Po OWNER ADDRESS 1107 N.Maple I TEL 757-943-1297 FAX I,.,
co
TYPE OR OCCUPANCY TYPE COMMERCIAL Li EDUCATIONAL El RESIDENTIAL El
PRINT
CLEARLY NEW:[1 RENOVATION:0 REPLACEMENT:Eil PLANS SUBMITTED: YES El NO['.[
FIXTURES 1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB L t ._ i 1 ° r.._ I . . .I
CROSS CONNECTION DEVICE Wan MN
DEDICATED SPECIAL WASTE SYSTEM I I - ?M � (�1�1 1 `r
DEDICATED GAS/OIL/SAND SYSTEM l $ __�.
. _; Ill
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM i - , i IIIIM i— 111.1111[--— i
DEDICATED WATER RECYCLE SYSTEM i . I � i ,
DISHWASHER W 1 °
DRINKING FOUNTAIN L [ � 1 1
FOOD DISPOSER 1 i 11.1111
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) ti ,
KITCHEN SINK
LAVATORY I1111111111
ROOF DRAIN .{ � I �' i" """�`
SHOWER STALL r f ij ,. _..
SERVICE 1 MOP SINK €_.. ______ _�:"___
R �`' ill `
TOILET '1 ' .__11_ Er- 'P ' M.�.� . .. •1L7T'
URINAL t __..._..
WASHING MACHINE CONNECTION ` ,�„0,r�1_ - I
WATER HEATER ALL TYPES ...____ I [ € _____
WATER PIPING r 1 i ._____ 1
OTHER
___._._
•-------- _..._ r __-- ____ .. .....-- 7—' . ..
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES El NO L
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY[ -1 OTHER TYPE OF INDEMNITY 171 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 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 true acc a t best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application,will be in co is e wit all rt' ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Geryk LICENSE# 6079 SIGNATURE
MP El JP Q CORPORATION 0# m PARTNER SHIP# 1295560 LLC .,#
COMPANY NAME E John T.Geryk Plumbing&Heating LLC I ADDRESS 15 Crescent St
CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057 1
FAX CELL 413-336-3893 I EMAIL 1'ohn 'ohnt e k lumbin .com
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