11C-065 BP-2023-0925
82 FLORENCE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
11C-065-001 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-2023-0925 PERMISSION IS HEREBY GRANTED TO:
Project# GARAGE CONVERSION 2023 Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 37000 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: LARAREO WILLIAM
Lot Size (sq.ft.)
Zoning: URA Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P 0 BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON: 08/02/2023
TO PERFORM THE FOLLOWING WORK:
CONVERT GARAGE TO LIVING SPACE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Numbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: 7- 0 -a3 House # Foundation:
Final: Final:/Q , ,�3 Final: Rough Frame:U,{e; '-11 Z3 K.R •
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: t - -Z3 IG,e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $240.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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Fillable electrical permit pdf form_202305081146175338.pdf https://northamptonma.gov/DocumentCenterNiew/217/Electrical-Pe...
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Commonwealth of Massachusetts �O ial Use Only
Permit No.: 2023-0�J 2
; Department of Fire Services Occupancy and Fee CheckediJD/7
:_e.'RD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] r�
r°l"PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All wo 1. 1i be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
'City or Tt . t o i ke-lici S Date: 7-S-ao1-3
To the Inspect( ' ires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street umber): 2 'RC)rd./)Ce._ Skf Unit No.:
Owner or Tenant: Email:
Owner's Address: hone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes Sill4o®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Cpnu/Zfi- (lacer. /ri To I'y)7 IQ.W` (4 , R)
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total 1IP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: ` 1-?w 13 Inspections to_be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: g„1 A✓ Suy S tecu"C4 A-1 ❑or C-1 ❑LIC..NNo..:^
Master/Systems Licens J /j,',(a tt.A KI✓t LIC.No.: a3 sJ j- A
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 7/ of d S,t {d (J S t IkfgcIA_ terlig 40 I-F-
Email: /44.G`t44.4 (Gi✓t y11C��ri ..,-/, Cow- Telephone No.: if/3 Li Sf Frei 0
I certify,under the pains and penalties of perjuury,that the infor a • n on this application is true and complete.
Licensee: P ?'ctvL( i(7 Print Name: Cell.No.: Y'I-Ciff—/e)
INSURANCE COVERAGE:Unle• waived by the owner, ermit for the performance of electrical work may issue unless the licensee
provides proof of liability including" leted operation"co age or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s e to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER El Specify:
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 0
Owner/Agent: Tel.No.:
Signature: Email.:
1 of 1 8/24/2023,9:50 AM
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