Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
41-067 (2)
BP-2022-1348 1093 WESTHAMPTON COMMONWEALTH OF MASSACHUSETTS RD Map:Block:Lot: CITY OF NORTHAMPTON 41-067-001 Permit: New Build PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1348 PERMISSION IS HEREBY GRANTED TO: Project# NEW SINGLE FAMILY Contractor: License: Est. Cost: 850000 TIM SENEY CONTRACTING INC 061088 Const.Class: Exp.Date: 03/25/2023 Use Group: Owner: F. CUMMINGS, THOMAS &PATRICIA Lot Size (sq.ft.) Zoning: RR/WSP Applicant: TIM SENEY CONTRACTING INC Applicant Address Phone: Insurance: 371 PROSPECT ST 413-6261797 2001W8413 NORTHAMPTON, MA 01060 ISSUED ON:11/07/2022 TO PERFORM THE FOLLOWING WORK: SINGLE FAMILY HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector -a&-a1 �t��lh Underground: Service: Meter: Footings: (),it i I-ZS 2.2 ie.Q Feough: " Rough: Cr' 3 c c` House# Foundation: 0-([ 12-Z-ZZ IC/le Final:C�zc ' z nal: (a, - 23 Final: Rough Frame: d, i� 3 •16 Z3 ie' —� Gas: Fire Department~ Driveway Final: Fireplace/Chimney: Rough: Oil: ��JJ�� Insulation: O)1, �f/9fa3 Smoke:�I� `,�`�� Final: 0)Z 6/30/ & it 2° '0 'row. �� C-0, 1 UFC, THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION ANY OF ITS RULES AND REGULATIONS. 1:)0‘.,a,& _ 80,,/a3 By Signature: d b 6 Fees Paid: $2,582.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner on;i�,�;�o,� V OR 3 f a J1 , xis"' 4 oa S�p lc� i A-, /3 ry-t �'`IISSIJJC,> -CIbi 0).1 � G,d1�Li"c r,),lp pSµ0. pTo City of Northampton Certificate of Use and Occupancy This is to certify that work granted under 780 CMR,9th Edition of the Massachusetts State Building Code, allowing the occupancy of use of the premises or Structure or part thereof located at address below as shown on the Assessor's Map. Owner: THOMAS AND PATRICIA CUMMINGS Location: 1093 WESTHAMPTON RD. Permit Number: BP-2022-1348 Construction Type (780 CMR Table 602): 5B Use Group Classification (780 CMR 3): R-3 Occupant Load Per Floor (780 CMR Table 1004.1.2): 200 Square Feet Per Person Live Load Per Floor (780 CMR Table 1607.1): 40 PSF Under the following limitations,special stipulations,and/or conditions of the permit: NEW SINGLE FAMILY HOUSE Issued this 28th day of AUGUST 2023 Northampton Building Inspector(Name):_Jonath n S. Flagg 1 Northampton Building Inspector(Signature): ta• *1 111� This Certificate shall be posted by owner, in a ermanent manner and in a visible location, on all floors designated as use group H, S, M,F, or B, and in every room where practicable of use group A, I, R-1, or R-2 per the requirement of 780 CRM section 120.5 Posting Structures. 'O�KIA 0'IYrO r` Sv City of Northampton Temporary Certificate of Use and Occupancy This is to certify that work granted under 780 CMR,9th Edition of the Massachusetts State Building Code, allowing the occupancy of use of the premises or Structure or part thereof located at address below as shown on the Assessor's Map. Owner: THOMAS AND PATRICIA CUMMINGS Location: 1093 WESTHAMPTON RD. Permit Number: BP-2022-1348 Construction Type (780 CMR Table 602): 5B Use Group Classification (780 CMR 3): R-3 Occupant Load Per Floor (780 CMR Table 1004.1.2): 200 Square Feet Per Person Live Load Per Floor (780 CMR Table 1607.1): 40 PSF Under the following limitations,special stipulations,and/or conditions of the permit: NEW HOUSE—OK TO STAGE FURNITURE AND BRING IN BELONGINGS To expire in 30 days Issued this 30th day of JUNE 2023_ Northampton Building Inspector(Name):_Jonathan S. Flagg Northampton Building Inspector(Signature): . This Certificate shall be posted by owner, in a permanent manner and in a visible location,on all floors designated as use group H, S, M, F, or B, and in every room where practicable of use group A, I, R-1, or R-2 per the requirement of 780 CRM section 120.5 Posting Structures. Home Energy Rating Certificate Rating Date: 2023.06-21 I. Final Report Registry ID: 206966600 clast Ekotrope ID: Ydx3DK8Lc HERS® Index Score: Annual Savings Home: your home's HERS score is a relative 1093 Westhampton Rd performance score.The lower the number, 8 8 5 7 i�lorthampton, MA �l ?_ 4 the more energy efficient the home.To Builder: learn more, visit www,hersindex..com 'Relative to an average U.S.home Til l Seney Your Home's Estimated Energy Use: This home meets or exceeds the Use tMgtul Annual Cost criteria of the following: Heating 63.7 $2,674 2018 International Energy Conservation Code Cooling 1.9 $133 Hot Water 11.S $479 Lights/Appliances 29.5 $2,041 Service Charges $84 Generation (e.g.Solar) 0.0 $0 Total: 106.6 $5,410 Home Feature Summary: Rating Completed by: „At. r Home Type: Single family detached Energy Rater: Michael Bailey zw Model: N/A _ RESNET ID: 0671935 E Lea Community: N/A 230 Conditioned Floor Area: 4,562 ft2 Rating Company: Power House Energy Consulting n0 PO Box 9571,North Amherst,MA 01059 way of Bedrooms: 3 hat !OQ Primary Heating System: Furnace•Propane•95 AFUE 413-835 5162 Hoot is Primary Cooling System: Air Conditioner•Electric•14 SEER Rating Provider: Energy Raters of Massachusetts 2 Woadlawn Street MA 01913 Primary Water Heating: Residential Water Heater•Propane•0.95 UEF Amestxny, 7b 978-270-3911 r•�•.. House Tightness: 992.3 CFMSO(1 39 ACH50) so.....to Ventilation: 151 CFM••100 Watts••ERV ,'' `�i' •al F•Yw ` � Ibis Duct leakage to Outside: 10 CFM 1@ 25Pa(0.22I 100 ft� � $ so Above Grade Walls: R-214 Ceiling: Attic,R-73 aiad a " fe 2° Duo e Window Type: U-Value:0.28,SHGC:0.28 Michael Bailey,Certified Energy Rater OW IOW urm«mr Foundation Walls: R 27 Digitally signed:6/23/23 at 11312 AM Framed Floor. N/A kofi ro e [kotrope RAr[R-Version:3.2.4.3135 The I nergy Rating Disclosure for this horn,.1 ,deltic from the Approved Rating Provider. • . . • - •• ••• • •• • •• - I p - , • • r 0 This r('porr do;•,not 4 onstit Ute ally wrrrar rty or gu.trantc•+•. RESNET HOME ENERGY ik RATING Standard Disclosure ram rxr t For home(s) located at: 1093 Westhampton Rd, Northampton, MA Check the applicable disclosure(s): 1_ The Rater or the Rater's employer is receiving a fee for providing the rating on this home. D. In addition to the rating, the Rater or the Rater's employer has also provided the following consulting services for this home: A. Mechanical system design fl B. Moisture control or indoor air quality consulting fl C. Performance testing and/or commissioning other than required for the rating itself D. Training for sales or construction personnel LI E. Other(specify) Zj 3. The Rater or the Rater's employer is: O A. The seller of this home or their agent T.B. The mortgagor for some portion of the financed payments on this home 7.1 C. An employee, contractor, or consultant of the electric and/or natural gas utility serving this home 04. The Rater or Rater's employer is a supplier or installer of products, which may include: Products Installed in this home by OR is in the business of HVAC systems ORater rlEmployer ilRater FlEmployer Thermal insulation systems DRater DEmployer FiRater tEmpooyer Air sealing of envelope or duct systems ORater 'Employer FiRater _Employer Energy efficient appliances I [Rater Employer LRater DEmployer Construction(builder,developer, construction contractor, etc) ORater Employer FIRater DEmpioyer Other(specify): fRater Employer ORater `Employer 05. This home has been verified under the provisions of Chapter 6, Section 603"Technical Requirements for Sampling" of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network(RESNET). Rater Certification #: 0671935 Name: Michael Bailey Signature: /f is liaei Bailey. Organization: Power House Energy Consulting Digitally signed: 6/23/23 at 11:02 AM I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry NationalHome Energy Rating Standard as set forth by the Residential Energy Services Network(RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 102.1.4.6 of the standard and are posted at https://standards.resnet.us The Home Energy Rating Standard Disclosure for this home is available from the rating provider. IECC 2018 Label 1093 Westhampton Rd Ekotrope RATER-Version: 3.2.4.3185 HERS®Index Score:46 Ceiling: R-73 Above Grade Walls: R-21 Foundation Walls: R-27 Exposed Floor: N/A Slab: R-0 Infiltration: 992.3 CFM50(1.39 ACH50) Duct Insulation: Supply: R0, Return: RO Duct Lkg to Outdoors: 10 CFM @ 25Pa (0.22/ 100 ftiammumaimmour U-Value:0.28, SHGC:0.28 Door R-3 Heating: Furnace• Propane•95 AFUE Cooling:Air Conditioner • Electric• 14 SEER Hot Water: Residential Water Heater•Propane • 0.95 UEF Av a Mechanical Ventilation: 151 CFM Signature: Air Leakage Report Property Organization Inspection Status (411 1093 Westhampton Rd Power House Energy Con: 2023-06-21 POWER NEE Northampton, MA 01062 Michael Bailey Rater ID(RTtN): 0671935 Y .T RESNET Registered PHEC-2601 1093 Westhampton Rd Builder (Confirmed) confirmed Tim Seney General Information Conditioned Floor Area[ft'] 4,562 Infiltration Volume(It') 42,818 Number of Bedrooms 3 Air Leakage Measured Infiltration 992.3 CFM50(1.39 ACH50) ACH50(Calculated) 1.39 ELA[sq. in.](Calculated) 54.58 ELA per 100 s.f. Shell Area(Calculated) 0.581 CFM50(Calculated) 992 CFM50/s.f.Shell Area(Calculated) 0.106 Duct Leakage System 1 Leakage to Outdoors 10 CFM©25Pa(0.22/100 ft') Total Leakage Test Type Post-Construction Total Leakage[CFM @ 25 Pa] 175.0 Total Leakage[CFM25/100 s.f.] 3.8 Total Leakage[CFM25/CFA] 0.038 Mechanical Ventilation Rate[CFM] 151 CFM Hours per day 24.0 Fan Power 100 Watts Recovery Efficiency% 72.0 Runs at least once every 3 hrs? true Average Rate(CFM] 151.0 CFM 2010 ASHRAE 62.2 Req. Cont.Ventilation 75.6 2013 ASHRAE 62.2 Req. Cont.Ventilation 133.3 Ekotrope RATER-Version 3,2.4.3185 All results are based on data entered by Ekotrope users.Ekoiope dsdaias aD Ii& fly D r the information shown on this report. I 03 WSS"f-4-AMPTON f ) Commonureallh-o/Ma3tactzuae1ta Official Use Only :ro; �/ cc77�� /\7 Permit No.Cj-2a -- O1 CS r = 0__ ii T epartment o/7ire Je uiceJ 1'_ Occupancy and Fee Checked .,.� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I f //o/ D. City or Town of: Alps-YVA X;n To the Inspector of Wires: By this application the undersigned gives notice oirhis or her intention to perform the electrical work described below. Location(Street&Number) /0 9 CO e. - he v'. ' Owner or Tenant Th o wke:r U vr`M 1/N 5 S Telephone No. I e(o 0 6(-1 ),09 q Owner's Address 0-t-I ,M i\‘ \:)or\ D^,`✓-e- A d'+- 5— Is this permit in conjunction with a building permit? Yes V No ❑ (Check Apuronriate Box)Purpose of Building S ; e' ` Utility Authorization No. - 3(547, C q3 D -1 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 3a0 Amps I?t / 2 V0 Volts Overhead❑ Undgrd No.of Meters \ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Lol r .-' . a a_ Nt-- Roy,ct. : - L t L l-L 144•Xc CL(� tc.(t,cj�.- , 0 Ft '6 7 S Q^i ....c_2 J 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 Kt A 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 AlertingDevices 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 ❑ Other Connection No.of Dryers Heating Appliances KW Securlty Systems:* No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices orEquivalent 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: /2/t'/Z _ Inspections to be requested in accordance with MEC Rule I0,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,tinder the pains and penalties of pedury,that the information on this application is trite and complete. FIRM NAME: Steele's Electrical Service, Inc. LIC.NO.:22437-A Licensee: Steele M. Kott Signature e_..e(_ ((1 F LIC.NO.:14225-B (If applicable,enter "exempt"in the license another line.) Bus.Tel.No.:413-527-3760 Address: 54 Pomeroy Street,Easthampton, MA 01027 Alt.Tel.No.:413-563-8265 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. Owner/Agent ('' Signature Telephone No. PERMIT FEE:$a )Ot e 6 Ct aa _ Zr MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK AZT yt CITY Northampton I MA DATE 02/24/23 I PERMIT#P1-2023 " rri JOHSITE ADDRESS 1093 Westhampton road OWNER'S NAME Cummings POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0 PRINT CLEARLY NEW:Q RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES Z FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB IIIIIIIIWIllff III CROSS CONNECTION DEVICE _l E1111- _11111111•111 DEDICATED SPECIAL WASTE SYSTEM .1111111111., 11111111111111111111= DEDICATED GAS/OIL/SAND SYSTEM nit d EMI DEDICATED GREASE SYSTEM 1 1 MBE DEDICATED GRAY WATER SYSTEM DISHWASHER WATERDEDICATED RECYCLE SYSTEM M I�, I .11.10111111.1111. DRINKING FOUNTAIN — 'I 1 __ 1 1 IMIIIIIIMIIIIIIIIIMIMIM FOOD DISPOSER 5 , II (- FLOOR/AREA DRAIN �, ---), MN 1 INTERCEPTOR KITCHEN SINK INTERIOR �, �_. U (INTERIOR) M r E• =1 , 'LAVATORY ► •,�Ti � M�TiT.S 1 ROOF DRAIN r— • • , � • r7n7 SHOWER STALL , SERVICE MOP SINK M 1I TOILET � l ' _ • - i _ URINAL „Eff— ERNIE WASHING MACHINE CONNECTION WATER HEATER ALL TYPES Q FOIMIWNIIIM , WATER PIPING 11 _ [� I I�'' OTHER MN 111 IWMIMIIIII r i 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 0 OTHER TYPE OF INDEMNITY ❑ BOND pi 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 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 ompliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. !]�� _ � '� PLUMBER'S NAME James walunas LICENSE# m12631 SIGNATURE MPD JP CORPORATION El#2667 PARTNERSHIP®# ILLC❑# COMPANY NAME Walunas plumbing and Heating Inc ADDRESS 218c College Highway CITY Southampton STATE MA ZIP 01073 TEL 413-529-2675 FAX 413-529-2675 CELL 413-246-9850 EMAIL jimwalunas1@gmail.com ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No 3 - '-a3 0/ /' THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# �j - Z 3 -ZZ rf/ , PLAN REVIEW NOTES CCG' 2692_ W( MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 276'=- CITY NORTHAMPTON MA DATE 3/29/23 PERMIT#6r-2.023 O/Sl JOBSIT6 ADDRESS 1093 WESTHAMPTON RD OWNER'S NAME TOM CUMMINGS 1093 WESTHAMPTON RD 860-692-2092 OWNER ADDRESS TEL FAX fV TYPE O4 OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL M PRIN7� CLEARLY NEW: M RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN PLUMBING & GAS INSPECTOR POOL HEATER NORTHAMPTON ROOM I SPACE HEATER APPROVED NOT APPROVED ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER LINE FROM TANK TO HOUSE INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES M NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY M OTHER TYPE 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 accura to the best of m ..wledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with a P i rov•. • of th- Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Timothy D'Astous LICENSE# LP 974 SI MP❑ MGF El JP El JGF El LPG' ❑ CORPORATION ❑# PARTNERSHIP El# Lc❑# COMPANY NAME Pioneer Valley Propane Inc. ADDRESS 40 O'NEIL ST CITY EASTHAMPTON STATE MA ZIP 01027 TEL (413) 568-4443 FAX (413) 568-6766 CELL EMAILSALES@PIONEERVALLEYOIL.COM ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT El [I FEET$ PERMIT# / -23 ,A.7 3s V / L /e 06/ PLAN REVIEW NOTES 6 -rs -2 3 �;,� (-: a /vvGY 710 , MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK C..WilliM iT`.d CITY Northampton MA DATE 03/13/2023 PERMIT#( 2D2 - Of Li' JOBSITE ADDRESS 1093 Westhampton Road OWNER'S NAME GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:0 RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES 1 FLOORS-i BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER 1 I' 1 i I 1 I I 1 BOOSTER ' CONVERSION BURNER COOK STOVE ._,ol itin DIRECT VENT HEATER 1 DRYER FIREPLACE ' I il�' i h _ d_� FRYOLATOR _�� IL JEl _ _ FURNACE �� GENERATOR M' _ I I h ��iM' I�'�' GRILLE M ,MIIMh'— _lf IWL-11 IM INFRARED HEATER _____________________________________ -I(��I �Ihmi �'I c_ ►IIMI m 1 LABORATORY COCKS 7, ...,,ir QR HA 'TOMAKEUP AIR UNIT PP' •VE ppR'A 1I IOVENPOOL HEATERill -'ram 1I ROOM/SPACE HEATER I�.� � IC i III II ROOF TOP UNIT Ennummusimmullut II , UNIT HEATER UNVENTED ROOM HEATER II V If ianI I I1111.11 f V I 'MI WATER HEATER i1 Ian= =t OTHER ��'� i1 1 1 rii-i*rilli,w,w-Ilw ' II 1 Iiill , 1 INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES El NO n I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY I❑ OTHER TYPE 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 c pliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME James Walunas LICENSE# m1263 � 51GNA( MP n MGF❑ JP 0 JGF❑ LPG!0 CORPORATION El# 2667 PARTNERSHIP❑# LLC❑# COMPANY NAME:Walunas Plumbing & Heating Inc ADDRESS 218 College Highway CITY Southampton STATE MA ZIP 01073 TEL 413-529-2675 FAX 413-529-2675 CELL 413-246-9850 EMAIL jimwalunas1@gmail.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# �^ PLAN REVIEW NOTES �� }YLd ✓x,3S G� ✓ Z.-sr' 6 -z3 /D y3 N TNT' fT oit/ F-D Official Use Only Commonwealth of Massachusetts 1'-* _ft Department of Fire Services Permit No. EP'LD22'b2-3 e)C ,. 1_ _I_i= BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 4'31/8 6 ,,,�,�+ n [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C> All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/6/23 CiE 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) 1093 WESTHAMPTON RD Owner or Tenant TIM SENEY CONTRACTOR Telephone No. 626-1797 Owner's Address SAME Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box) Purpose of Building RESIDENTIAL 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: SMOKE,CO& SECURITY SYSTEM Completion of the following table may be waived by the Inspector of Wires. No.ootal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA Above ❑ In- ❑ No.of Emergency Lighting No. of Luminaires Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 10 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ® Other Connection App liances of Dryers HeatingA fiances KW Security Systems:* No.of Devices or Equivalent 8 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 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: $5,500.00 (When required by municipal policy.) Work to Start:_3/6/23 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 li- censee 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 X BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the informatio on this application . e and complete. FIRM NAME: Hackworth Systems,LLC LIC. NO.: 286C Licensee: TROY HACKWORTH Signature LIC.NO.: 685D (If applicable, enter "exempt"in the license number line.) Bus. Tel. No.: 413-203-2217 Address: 83 College Hgwy Southampton,MA 01073 Alt. Tel. No.: *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License Lic.No. SS002458_ 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 PERMIT FEE$50.00 Signature Telephone No. C2. (4-'3 r. d / e`~