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23A-115 (11) BP-2023-0394 10 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-115-001 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-2023-0394 PERMISSION IS HEREBY GRANTED TO: Project# OFFICE RENO TRANSHEALTH Contractor: 1:5% ,\4Qrs License: Est. Cost: 70500 THAYER STREET A336CIATtut, I-NC 117527 Const.Class: Exp.Date: 09/02/2026 Use Group: Owner: LLC TEN MAIN STREET FLORENCE Lot Size (sq.ft.) Zoning: GB Applicant: THAYER STREETEg, INC Applicant Address Phone: Insurance: 8 COATES AVE (413)665-4018 WMZ8008008007 SOUTH DEERFIELD, MA 01373 ISSUED ON: 04/03/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR OFFICE RENO -TRANSHEALTH 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: 61* 0 K: House # Foundation: Final: Final: (/ 0 Final: Rough Frame:() e S_ i�,-z-14 Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final:a g 8-cf- Z 3 h 1 R THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ,1400,k) �(`'y' � „ Uri Fees Paid: $493.50 ` / ONL 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 0 /V►ft I IV S 1— l.ommoniueattl o/?aMacLuielle Official Use Only =__-= ZO2 3-O2-8 6 ►'__�_�l c� �/ Permit No.�- "= .el_ y 2eparlment of }ire.e►vicee __4`_ Occupancy and Fee Checked �?o,�4, —: 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 Electrical Code(MEC),527 CMR 12.00 1,-.) (P1ASE PRINT IN INK OR TYPE ALL INFORMATION) Date:March 29, 2023 City or Town of: Florence 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)10 Main Street Florence Owner or Tenant TransHealth Telephone No. Owner's Address 10 Main Street Florence Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Commercial Utility Authorization No. Existing Service Amps / Volts Overhead E. Undgrd❑ 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: Add outlets and light switches Completion of the following table may be 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 No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting 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 g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Othern P Cyonnection No.of Dryers Heating Appliances Kam, Security Devi es or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW 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: 10,000 (When required by municipal policy.) Work to Start:3/29/2023 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 ❑■ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PALMERI ELECTRIC LLC LIC.NO.:3792A1 Licensee: Matthew R. Palmeri Signature C.NO.:21730A (If applicable,enter "exempt"in the license number line.) No.:413-625-6356 Address: 679C MOHAWK TRAIL SHELBURNE FALLS,MA 01370 A t.Tel.No.:413-625-9882 *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: $90.00 (. 7 - 0_?