17C-006 (16) BP-2023-0547
24 LAKE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-006-001 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-2023-0547 PERMISSION IS HEREBY GRANTED TO:
Project# ADD 2ND LEVEL Contractor: License:
MOST BUILDERS AND GENERAL
Est. Cost: 110773 CONTRACTING 102746
Const.Claass: Exp.Date: 04/02/2025
Use Group: Owner: RATHAUS, JASON K&WAGMAN ALEXANDRA S
Lot Size (sq.ft.)
Zoning: URB Applicant: RATHAUS, JASON K&WAGMAN ALEXANDRA S
Applicant Address Phone: Insurance:
24 LAKE ST
FLORENCE, MA 01062
ISSUED ON: 05/05/2023
TO PERFORM THE FOLLOWING WORK:
DEMO ROOF OVER FAMILY ROOM AND ADD 2ND LEVEL
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: `Z- `0 Rough: . i q. 3 House# Foundation:
er5,fig
Final:Ll O Y Final: Q ?J., Final: Rough Framer (1 6 20 2 3 1e'2
Gas:Q Fire Department (1447)/IN Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: O,jL (,.ZZ-Z 3 )4,Z
Smoke: Final: FARAD q-2.2 2'3 Ka
O.iL 1 i-13-23 iC P
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: ilzacyv, C;11 t
Fees Paid: $715.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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'` :ti 1] Commonwealth of Massachusetts official use only,
" Permit No.: t�20y3"��
Q '' Department of Fire Services Occupancy and Fee Checked: ei1) ??
�' Y ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] Al on
o� ',`� PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
if All :J to b Mgrµ d o oXd�t�c;� t �achusetts Electrical Code(MEC�c/05%2023
s
Cityor T I • • of: U K I ���� Date: V
,� o he_ of Wires:By this• plicati kthe u der ' ves o e of his or her intention to perform the electrical work described below.
V'I Lo�aQat�.: Number): 2 L� � Unit No.:
Owner or enan: ALEX WAGMAN Email:
V■ Owner's Address: 24 LAKE ST, NORTHAMPTON, MA 01062 Phone No.: 413-548-0853
HIs this permit in conjunction with a building permit?(Check appropriate box)Yes Eallo 0 Permit No.:
✓ Purpose of Building: RESIDENTIAL Utility Authorization No.:
W Existing Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
W New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
he Description of Proposed Electrical Installation: MASTER BEDROOM ADDITION WITH
o BATHROOM AND CLOSET
). Completion of the following table may be waived by the Inspector of Wires.
CI No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
Z No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total El
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:ln-Gmd.0 Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 1 0 Level 2❑ Level 3 0 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: AK ELECTRIC, INC. A-1 ®orC-1 ❑LIC.No.: 940-EL-Al
Master/systems Licensee: SCOTT KIBBE LIc.No.: 17504A
Journeyman Licensee: LIC.No.:_
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 345 Wilbraham Street, Palmer, MA 01069
Email: weedy@akelectric.us Telephone No.: 413-283-6876
I certify,u= •- the =,. nd p n ties of perjury,that the information on this application is true and complete.
License-. / r Print Name: Scott Kibbe Cell.No.:41 3-374-9900
INSURA'CE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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:
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 0
Owner/Agent: Tel.No.:
Signature: Email.:
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1J( 1/03
(s,• i .1 \ MAESACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
, 1
art 0(k(Act cr.f I-0,4 MA. DATE '''
PERMIT#R22492/3--0 211
JOBS DRESS i IA Lake 4.\-- OWNER'S NAME ill e>c 1,.1 a 5 rico\
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) OWN DRESS Sum,e.. TEL tlq--915-ext6'3 FAX
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S2, rC)
TypE OR W OCCUW Y TYPE: COMMERCIAL El EDUCATIONAL D RESIDENTIAL
cLeAt-d2
PRINT ,
NEW; RENOVATI, ON:XI REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO""
FIXTURES__1 :.:— OR-+ BSMT 1 2 3 4 5 6 7 6 9 10 11 I 12 1 13 14
BATHTUB
CROSS CONNECTION DEVICE I I - .
DEDICATED SPECIAL WASTE SYS "
DEDICATED GAS/OILJSAND SYS
DEDICATED GREASE SYS
DEUICATD GRAY WATER SYS _
DEDICATED WATER RECYCLE SYS
DRINKING FOUNTAIN
DISHWASHER I I I -
FOOD DISPOSER 1 I
_ —
FLOOR/AREA DRAIN I I 1
-
INTERCEPTOR(INTERIOR) ------1 I ---_.
KITCHEN SINK
--ROOF DRAIN . K-bikti3-1tlG & G-A-S It SPECTOR
SHOWER STALL / NORTHAMPTON
SERVICE/MOP SINK APPHOVLD NUT APPROVED
TOILET - I , _yen .
URINAL '
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES 1
-WATER PIPING '
OTHER 1 _
1 .
_.....,
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Cti.142. Yes -No 0
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY- -- OTHER TYPE OF INDEMNITY 0-., BOND 0
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 IBOX ONLY: OWNER 0 AGENT 0
Signature of Owner or Owner's 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
compliance with all Pertinent provision of the M sachusetts State Plumbing Code and Ch 42 of the G ne I Laws.
PLUMBER NAME N)\LA•-• W 1 14'WC ‘ ' SIGNATURE . .#1-.----.----"
LAC tr, P l 1 72 icr.,-4t J:D1r, CORPORATION CI 4 • PARTNERSHIP 0# ac cj
COMPANY NAME ADDRESS. / 1 Ce 1 enNaik I 0, ,
cirf 50 A a Alloy\ STATE PI P. ZIP 0101 45 EMAIL
TEL. CELL Ltri-1-a i 14 V FAX
_____
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