38B-226 (3) 51 FAIRVIEW AVE COMMONWEALTH OF M SSACHUSETTS
Map38B-226-001ot: CITY OF NORTHA. PTON
38B-226-001
Permit: Ails Renovations
Repair
PERSONS CONTRACTING WITH UNREGIS ERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A)
BUILDING P ' RMIT
Permit # BP-2022-1350 PERMISSION IS HEREBY GRANTED TO:
ADD 1/2
Project# BATH/MUDROOM/KiICH RENO Contractor: License:
Est. Cost: 100000 RHI CONSTRUCTIOI 055236
C'onst.Class: Exp.Date: 01/I 8/202
Use Group: Owner: HODG " DANIEL J & LUCILLE G SCHMIDT
Lot Size (sq.ft.)
Zoning: URB Applicant: RHI C• STRUCTION
Applicant Address Phone: insurance:
128 RYAN RI) 413-885-9038 7PJUB I K06038421
FLORENCE, MA 01062
ISSUED ON: 10/24/2022
TO PERFORM THE FOLLOWING WORK:
ADD I/2 BATH & MUDROOM, 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: 1 14 'Z-16- Z3 K, r2
Rough:_g���7 - z/3 Rough:3-3 -2 House# Foundation:
13 WeFinal: Final:7ag-a3 Final: Rough Frame: 1 ,L 3 .
Gas: Fire Department Driveway Final: Fireplace/Chimney:
1,4 3 Wfg
Rough: Oil:
Insulation: 0,11 3' "-
Smoke: Final: 6 16 e-Z-Z3 Icig
THIS PERMIT MAY BE REVOKED BY THE CITY OF INORTHAMP`r'ON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
tt,i,44AL
•
Fees Paid: $650.00
2`I 2 Main Street,Phone(413)587-1240.Fax: (413)587-1 272
Office of the Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_ �' i CITY ltib NI-Woo Ice)=v��>��, !�J I MA DATE ,i f 3l�3 PERMIT# PP 2 0 2�" 0 /o D
• ` JOBSITE ADDRESS 7 Pt i.rt.)t e vJ h t1�. OWNER'S NAME j 1 c)[n J
p cci OWNER ADDRESS I 1 TEL 5,yg-—�(F-/G IFAX 1
TYPE ORS OCCUPANCY TYPE COMMERCIAL FT EDUCATIONAL ® RESIDENTIAL a
PRINT
CLEARLY NEW:❑ RENOVATION:Cr REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO'1
FIXTURES Z FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1 1 1 , I ,
CROSS CONNECTION DEVICE r� ! V—.
DEDICATED SPECIAL WASTE SYSTEM ��I ;
DEDICATED GASIOIUSAND SYSTEM M i =Man
DEDICATED GREASE SYSTEM MI MI. ONIII MEIMIIIIIR
DEDICATED GRAYWATER SYSTEM I_iI�
DEDICATED WATER
RE
R RECYCLELESYSTEM
1111191111
DISHWASHER MN��I�I Mail
DRINKING FOUNTAIN
FOOD DISPOSER �I ` Rort#
FLOOR I AREA DRAIN I
INTERCEPTOR(INTERIOR) m
KITCHEN SINK .—.—.- ll�!MP MR�E�_am
AVATDRY IIIIM W ME
VA MitMr I r N•
ROOF DRAIN _ _
SHOWER STALL i r�— lip _ f
SERVICE/MOP SINK II� !� !
TOILET REM
,�,
URINAL ��,�
WASHINGERHEATER MACHINE TYPES
CONNECTION � m,M; ����
WATER ALL TYPES i�i�
WATER PIPING _. . �'�,� �—
OTHER i
i I i
1 1
; , .........
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 H OTHER TYPE OF INDEMNITY fl BOND LI
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 Li
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 complia ith all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
"---.!------- --------
PLUMBER'S NAME Ronald Hodges 'LICENSE# 9452 SIGNATURE
MP . JP CORPORATION Q# 472616345 PARTNERSHIPQ# LLCL# I
COMPANY NAME Hodge City Plumbing,Inc. ADDRESS 60 North Maple Street 1
CITY Florence STATE MA ZIP 01062 J TEL 413-586-1150
FAX 413-585-5747 CELL 413-575-9030 EMAIL scott@hodgecity.net
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT El ElFEE: $ PERMIT#
PLAN REVIEW NOTES
.3-/5 -zs �av6 AAA Liv,.6. a
7 - zz
( Al1gv1 / j
Commonwealth of Massachusetts Official Use Only
•*=_
Department of Fire Services Permit No. ?n2.3-- 01(1 b
('" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked # � 0—
[Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEA{' 'PRINT IN INK OR TYPE ALL INFORMATION) Date: 2/22/2023
City or Town of: Northampton 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 51 Fairview Ave
Owner or Tenant Dan Hodge and Lucie Schmidt Telephone No. 413-588-8816
Owner's Address Same
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 ❑ Undgrd ❑ No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Bathroom, Breezeway,Kitchen Remodel
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
No.of Lighting Fixtures 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 Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other
Connection
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 HP Telecommunications Wiring:
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: 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 under-
signed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify) General Liability 1-1-24
(Expiration Date)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Paciorek Electric, Inc LIC. NO.: 20318-A
Licensee: Timothy M. Paciorek Signat e cLGCore2c' LIC. NO.: 38731 E
(If applicable, enter "exempt"in the license number line.) Bus.Tel. No.: 413-247-0334
Address: 65D Elm St. Ste 104,Hatfield MA 01038 Alt.Tel. No.: 413-563-7724
*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: $125
3 _3 - _2 3 - /1fo - � a��y�w+ N,e,(X ( 6c y .a-- J, -4)or poor