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43-141 (9) BP-2O23.02479 26 LONGFELLOW DR COMMONWEALTH OF MASS ACHUSETTS Map:Block:Lot: CITY OF1 ORT AMPTON 43-?41-001 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) iii isi .Y3W4Al2T43 i--Vall,ri..9'1--- LR't1tL4t'7i..Y17M16L r=MoilLitTE :1R�i1M1i,":..—'loin VOl L9R(AY'Y64i,S130 Permit # BP-2023-0879 PERMISSION IS HERESY GRANTED TO: Project# 2023 BATH?RENO Contractor: License: Est. Cost: 40000 Cent.Class: Exp.Date: Use Group: Owner: THURSTON MICHAEL T &EMILY WOJCIK Lot Size (sq.ft.) Zoning: WSP Applicant: THURSTON MICHAEL T& EMILY WOJCIK Applicant_evddress Phone: Insurance: 26 LONGfELLOW DR FLORENCE, MA 01062 ISSUED ON: 07/05/2023 y j.'VJ PERFORM THE FOLLOWING WORK:RKi BATH KENO • V( S t 11115 C AUD SO IT IS VISIBLE FROM THE STREET cspiTtor of`1 lunrbing ��lnsisector of%%icing —-_9.E?W_.—_.._.— 13u1dini Inspector Underground: Service: Nictcr: Footings: ?eeno, 7'45'- Rough:? , 3 House# Foundation: ?Ina l' 2 Final: �er r\" Final: Rough Frame: V u 7- 7.Z3K o— r Cols: `���� Fire Department Q� Driveway Final: Fireplace/Chimney: }fa,,arl;l• Oil: in:;ulatien: Smoke! Final: Ole, e-2 -23 K. 1 Q THIS PERMIT MAY BE REVOKED BY THE CITY OF ,NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS, Signature: ) C. _ _ _ _.___.-4- ---- Fees Paid: '260,00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building ing Commissioner *,- 'SSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK a I sti_ . CITW.-,. )2,-�,4 4L %-7`L' ..' MA DATE 1� 43.: PERMIT#719-2023-014/ .r'tii z �, JOE ri-?ADDRESSr 4 Alton- OWNER'S NAMESw items-/�ryvr, b u PCA) O ,' ' A DDRESS I : p:.... 51..:...... TEL .. :_ FAX 0 3 PE O CC 5 NCY TYPE COMMERCIAL 1 EDUCATIONAL ' I RESIDENTIAL _'RINT rr, • - : RENOVATION: t REPLACEMENT:EI PLANS SUBMITTED: YES D NOLI c j1 FIXTURE& LOOR-* 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 DRINKING FOUNTAIN FOOD DISPOSER " FLOOR/AREA DRAIN PLUMBING & GAS INSPECTOR INTERCEPTOR(INTERIOR) NORTHAMPTON KITCHEN SINK APPH JVED NOT APPROVED LAVATORY ' , ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET i , 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 Lgj NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY IN_ OTHER TYPE OF INDEMNITY BOND OWNE ' I SURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass c La ,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- rue 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-6 plianc ith ill- nent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. J /j/ PLUMBER'S NAME ;1 � �7 r„ LICENSE# /v`/Y j' SIGNATURE MP kl JP....._ CORPORATION _- # PARTNERSHIP # LLC # COMPANY NAME" % y L�.t•G�S ....W..... .. ,;,„; ADDRESS h. .n!l/ *5., _ 1 CITY )/24. L ,z,�tz, STATE _ �. ZIP ._. TEL TEL / t - .fi ,-(.7.--1 FAX 1 CELL I- 'EMAIL 1 _L e-v-.-ZW ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ r Rizoili9c-n76FEE: $ PERMIT#Z3PLAN REVIEW NOTES (S)—' Zi—Z3714 • _ , 1 2(0 LoN6 6--(Ado-to 4-,04<__. Commonwealth of Massachusetts Official Use Only a•r r Permit No.ge Z02,3—O(eve• Department of Fire Services c.� Occupancy and Fee Checked ,0(. 4.t...t t (—. „ BOARD OF FIRE PREVENTION REGULATIONS IRev. 11/991 (leave blank) 1 D o 9. u, _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -.0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 D N 'LEA• ' 'INT IN INK OR TYPE ALL INFORMATION) Date: 7 /s/ z3 v , or Town of: f/i 1,4 e 4 c e i /h 4 To the Inspector of Wires: : a.4�rn�ru, ation the undersigned gives notice of his or er intention to perform the electrical work described below. N ►!!!R, t., I eet& Number) Z (p/,G e//OGU )/1/2e Owner or Tenant `yj j'A4e / —7- /I//Z.5 -6A11 Telephone No4/.305 t5624/ Owner's Address 5,,arne Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building pGU�///.'/ ' Utility Authorization No. Existing Service 7-4 0 Amps /2.4.) /z`f Volts Overhead❑ Undgrd Er. No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 13M.,41-1 /?,g iide / --- /L-6✓ii -6'fG 7;?/..0>ieC iL€d Do-/(e f/ Z. /lb/7 i�t �i'fh 74-r/ / 67FG1 d u t Le An '%a jd wp 5/l (.e -i-,. Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Fixtures No.of Ceil: Tr p Tranosformers KVA Sus .(Paddle)Fans f VA 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.Initiating Devices No.of Ranges No.of Air Cond. TonsTotal No.of Alerting Devices No.of Waste Disposers \ri Heat Pump Number Tons KW No.of Self-Contained Pas Totals: Detection/Alerting Devices No.of Dishwashers 1V2 Space/Area Heating KW Local ❑ Connect on ❑ Other No.of Dryers Heating Appliances KW Sec rstems: No ofSyDevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel co 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 ErBOND ❑ OTHER ❑ (Specify:) /J///ZOZ(/ (PE cpi�ation Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: .s• 2 roc°S Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: -rq i7,e �i'%q/u<ty 4ckzf/I,'C U/.4� LIC.NO.: 4.2-6?2 F Licensee: t L IQn77c G', 7-AZ')00y Signature ,/ ec'',,,e4.4.17 LIC.NO.: 11 (If applicable,enter "exempt"in the license nuntlfer line.) � Bus.Tel.No.:4/5 3.1 ' 5?45 Address: l'I a /1/21 Ai e/L S t"O1�oCtG� 7'. i4/2 '? /tea ©/d0 2 Alt.Tel.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ '! f c1�C7!l ��[e� l�A e)7 h; n A n 0 d g/L,2_c✓L. r rl/ 76. a323 , I