06-064-015 (2) BP-2023-0186
12 BEAVER BROOK COMMONWEALTH OF MASSACHUSETTS
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Map:Block:Lot: CITY OF NORTHAMPTON
06-064-015
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0186 PERMISSION IS HEREBY GRANTED TO:
Project# ADDITION/RENO 2023 Contractor: License:
Est. Cost: 180000 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
Use Group: Owner: DUFFY LAUREN E &ELIZABETH M MULLIN
Lot Size (sq.ft.)
Zoning: RR Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST, 2ND FLOOR (413)586-8600 MCC20020005382021A
FLORENCE, MA 01062
ISSUED ON: 02/21/2023
TO PERFORM THE FOLLOWING WORK:
FRONT PORCH ADDITION, MUDROOM/BATH ADDITION AND KITCHEN RENO
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:'q Z W - Rough:au House# Foundation:
Final: !%k Final: 6," ?'`13 Final: aiZD .2�cn
Rou I L
a -tL za 0'
LI-iC-.7.3 re�' rl:iC 5-3 23 Ie. ,2
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:a.IC S 5•Z 3 I<(
Smoke: Final: $-I4"LE0 6 3o-z3 K ILL - -...L.'
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
''{ J , ItAt
Fees Paid: $1,170.00
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
MIRK' CITY/TOWN Northampton MA DATE 2/23/2023 PERMIT#PP Z0z3 -DO$1i
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JOBSITE ADDRESS 12 Beaver Brook Loop OWNER'S NAME Duffy Mullins
P OWNER ADDRESS 12 Beaver Brook Loop TEL _FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW: ❑ RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) PLUMBING & GAS INSPEC`OR
KITCHEN SINK 1 NO'RTHAMP`ON
LAVATORY 1 APPROVED NOT APPROVED
ROOF DRAIN d' ✓ i
SHOWER STALL 1
SERVICE/MOP SINK
TOILET 1
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
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 ❑ 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 true and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. R:n,�,.a/?-a. �,Pi,�ro�
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP EI JP❑ CORPORATION®# 4386-PL-C PARTNERSHIP❑# LLC❑#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
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Commonwealth o///Iliac th Official Use Only
}�+ _;t c� Permit No. 2023—Oz L1(7
' � =_ a 2eparEment ol3ire Service9
m 4,, ," Occupancy and Fee Checked 4.- 7 g 72_
,. _ '" BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
,APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
o All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
WILEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of: Iefd\I ND ( -�� Jo the Inspector of Wires:
By this application the undersigned gives otice of his or her in ntion to perform the electrical work described below.
Location(Street&Number Yl.� )
Owner or Tenant at L` lIwL ` Telephone No.
Owner's Address same,
Is this permit in conjunction with a building permit? Yes 10 No ❑ (Check Appropriate Box)
Purpose of Building Dwe I ling Utility Authorization No.
Existing Service Amps J 2 /2LK) Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps J7-0 /240 Volts Overhead❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ( L" f- v navy( cAr\
Completion of the.following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf
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
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Ton s. KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW ' Connection
Local ElMunicipal ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HIP TelecommunicationsNofDevices
or
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: 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 ►:1 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of erjury,that the information o is application is true and complete
FIRM NAME: r E lean LIC.NO.:A-t Q 1
Licensee: arm-flan le/ Signature LIC.NO.: — ; ; ,
(If applicable.a exempt the pse n nr line Bus.Tel.No. - PI-3.i I I
Address: 5 I . v tes e�o`� F Hii Is, MA 01030 Alt.Tel.No.: IYi i.!.. '4 5
*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 (�
Signature Telephone No. PERMIT FEE: $1 .
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