24C-096 (2) BP-2023-0421
73 MASSASOIT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24C-096-001 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-2023-0421 PERMISSION IS HEREBY GRANTED TO:
Project# RENO 2023 Contractor: License:
Est. Cost: 74000 -E,'��,./„�,,�1 (4 41/7 �7 107919
Const.Class: q Date: /24/ 23
Use Group: Owner: TRUSTEE MELLEN KATHLEEN A
Lot Size (sq.ft.)
Zoning: URB Applicant: THE TUCKER GROUP LLC
Applicant Address Phone: Insurance:
60 SCHOOL ST (413)387-7381 7PJUB-4N82783-2-21
HATFIELD, MA 01038
ISSUED ON: 04/10/2023
TO PERFORM THE FOLLOWING WORK:
INTERIOR 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: Rough: � ( House # Foundation:
Final: Final: Final: Rough Frame:,e)le 5 z-23 K,R
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: t),g ®-II Z3 X-,I
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: r r
cset\i4v
Vv6,1
Fees Paid: $481.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
7 3 M pvssi,Nso+T sr
Commonwealth of Massachusetts Official Use Only
_ r .„'� Permit No.
.,� Department of Fire Services
:�l Occupancy and Fee Checked l Z7 on
'° ," `--'' BOARD OF FIRE PREVENTION REGULATIONS11/99] (leave blank)
-p ,„ [Rev.
f.3 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
5! (0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: \ \
-, City or Town of: \ .( To the Insp�r of Wires\
67, By this application the undersigned gives notice of is or er inten ion to perform the electrical work described below.
Location (Street&Number)
Owner or Tenant Nk)\N •f-\\-N \ Q_\ (.\ Telephone Nou\\--ksiSc
Owner's Address - S f'\^-\-k — i p t
Is this permit in conjunction with a building permit? Yes f. No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
\SC- - cY rk VAOAQ \
Completion of the following table may be waived by the Inspector of Wires.
NoNo. of Recessed Fixtures No.of Ceil.-Susp. Trano KVATota(Paddle)Fans f
Trsformers 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 Connection ❑ Other
No. of Dryers Heating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of Water No.of No.of
Heaters KW Ballasts Data Wiring:
Signs 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.
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 tg. BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
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.
I certify, under the pains and penalties of perjury, that the i, _i rma 'on on this application is true and complete.
FIRM NAME: A_ iv "Ai_ _ au& ' / \ - ` - _ LIC.NO.:1 )\�0%
Licensee: L� � ; J� !t1 i�/ / LIC.NO.:
(If applicable, enter "exempt 'in the icense number live.) Bus.Tel.No.:S —�W)
Address S Y\ (1 c5r . \,11 4 (A/) -' f k k o\O'"' Alt.TeL No.:
OWNER'SINSURANCEWAIVER: I am aware that the Licensee does -of 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: \�.U)
(1-g - 07D \AJC2.Lr
L- 97- 23 'Pre4 (
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