18C-123 (7) BP-2023-0054
19 ALLISON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
18C-123-001 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-2023-0054 PERMISSION IS HEREBY GRANTED TO:
Project# BATH 2023 Contractor: License:
Est. Cost: 10500 STEPHEN ALBERTSON CS081426
Const.Class: Exp.Date: 01/21/2024
BAILLARGEON EMILY ESTES &PHILIPPE
Use Group: Owner: BAILLARGEON
Lot Size (sq.ft.)
STEPHEN ALBERTSON DBA S B ALBERTSON
Zoning: URB Applicant: PROFESSIONAL CARPENTRY
Applicant Address Phone: Insurance:
95 CRONIN HILL RD (413)522-3158 AWC-400-7030930
HATFIELD, MA 01038
ISSUED ON: 01/19/2023
TO PERFORM THE FOLLOWING WORK:
NEW BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: �` f" Rough:0E- e* -3 House # Foundation:
'Nn 6 -- r Final: (p_/j -a 3� , Final: Rough Frame:0.14 t-f--2.8-Z3 i<, r7
Gas: ? Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:t) g. 7.41.3 le le
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
gr,„AiLi . '1,.‘,,,,,,,,y
Fees Paid: $69.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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, , MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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� I MA DATE 4/4/2023 I PERMIT# 7?4 2-33-- 14-r
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Northampton
JOBSITE ADDRESS 19 Allison St I OWNER'S NAME Emily Estes i
P .P OWNER ADDRESS 19 Allison St I TEL 413-320-6199 IFAX
TYPE OR '.')OCCUPANCY TYPE COMMERCIAL u EDUCATIONAL ❑ RESIDENTIAL 0
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO(I
FIXTURES-1 FLOOR-I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE all 111111111.1110 INN,milons NM NM NM NM 111111111111111 NM IIIIIIIIIIIMII
DEDICATED SPECIAL WASTE SYSTEM 111111111 En MIN in.111111111MIMI 1.11111.1
DEDICATED GAS/OIL/SAND SYSTEM MI NMI illill,111.1 allil aiiiiiiiiiiill NM NI [ I r�
DEDICATED GREASE SYSTEM wrapum mut imiumignon
DEDICATED GRAY WATER SYSTEM � , WPM ail NM FillIMM NM 1.11�
DEDICATED WATER RECYCLE SYSTEM MN 111.1111.MIIIIIIM,I NEE`1 is NM
DISHWASHER
alunan
NMI
DRINKING FOUNTAIN
FOOD DISPOSER _I__NM �
FLOOR/AREA DRAIN ���'�1 ow am miii NMI am—lu'rm vim
INTERCEPTOR(INTERIOR) an imilisliallalin am nu um NE gni gni Imilias Non am
KITCHEN SINK '_I_l—l__I an am millifilliglims mom gm
LAVATORY 111.111111111 ;' ___ M��_
ROOF DRAIN I I _.
SHOWER STALL 1 I laitjuis ► t i ,m • MN
SERVICE/MOP SINK I glif1 it•T MIN MN MIMI NM MB
URINAL ,.. ., = �I�I� _ iirla '
TOILET 1 i nYi �i .T IIIIIIII
WASHING MACHINE CONNECTION
WATER PWATER IPING
ALL TYPES 5_.. r _ .._,l 1=MIMI NE Is I-
EIS �I MO NM 1 :OM
OTHER utility sink replacement I maiimulawnima.�
limeimal_mmi.....wwismt , 111111F11111.1111111111F111•111.111111111111111111111111111111111111111
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY❑ OTHER TYPE OF INDEMNITY 0 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 ❑
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are e a ur to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c lian w Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Ge k LICENSE#116079 ! 1 SIGNATURE
MP❑ JP El CORPORATION Ej# PARTNERSHIPQ 1295560 LLC 0#
COMPANY NAME John T.Geryk Plumbing&Heating,LC i ADDRESS 5 Crescent St t
CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057
FAX I CELL 413-336-3893 EMAIL john@johntgerykplumbing.com
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Commonwealth of MassachLj ts7 r' q cial Use Only o33
=,_ _ Permit No.: �P 7°23 al 3
' - ►+-1a't Department of Fire Services 9 Occupancy and Fee Checked: /2 dr 6 a C4 l i 3 3
= ie1 ) BOARD OF FIRE PREVENTION REG. LATIONS [Rev. 1/2023]
PLICATION FOR PERMIT ' 'P 'OR�nn ELECTRICAL WORK
Alwort to-be performed in accordance with the Massachusetts Electrical.Code(MEC) 27 C 12.00
City or #own of: Pj 0 oZ'C'k-k M Ffia tJ Date: (a 1.3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 1 c\ A CLS a N ST Unit No.:
Owner or Tenant: art t t-I gq L.L.A�,4,�a ) Email:
Owner's Address: S p ..C Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes Er No❑Permit No.: 13,1P"la/VS , 0 b 5 Li
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: 1_i Ampst1.. / LJ .o Volts Overhead❑ Underground❑ No.of Meters: I
Description of Proposed Electrical Installation: W%— N i6' ) gallli'2646
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grad.❑ Above-Grad.0 Hot-Tub 0 No.of Self-Coitained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: 4/( ' ''ii3 Inspections to be requested in acco ce with MEC Rule 10,and upon completion.
FIRM NAME: u YL1 (A CL-CZ.-vcvc. L''L., (.' A-1*or C-1 0 LIC.No.: $Z1 LI
Master/Systems Licensee: t A^1 "` D LPIL ,64 LIC.No.: 7.3 7 1 I A
Journeyman Licensee: A r4 \ T7 u1R. c LIC.No.: l 3 1 O C{,
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: t—O 1''10 VL./. A St • I N b L�do" O 1t t((�
Email: t(A to t/+l (" 0 rna 1 `• ()oIV\ Telephone No.: Lii3 ' L . 01 CI L
I certify,un ler the p and penalties of perjury,that the information on this application is true and complete.
Licensee: 1'"1 Print Name: I A 14 1)v v-J1 G A Cell.No.: 103 •7- `Z ' CS I(41
INSURANCE COVE GE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof ohame to the permit issuing office.
CHECK ONE: INSURANCE En BOND 0 OTHER 0 Specify:
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: Tel.No.:
Signature: Email.:
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