24A-135 (4) BP-2023-1167
22 ROE AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24A-135-001 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-2023-1167 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 RENO Contractor: License:
Est. Cost: 23500 ROBERT J WALKER 034783
Const.Class: Exp.Date: 10/18/2023
Use Group: Owner: DELAGE MAR1E-JOSE
Lot Size (sq.ft.)
Zoning: URA Applicant: JUST WALKER
Applicant Address Phone: Insurance:
36 Service Center (413)584-1224 0
NORTHAMPTON, MA 01060
ISSUED ON: 08/28/2023
TO PERFORM THE FOLLOWING WORK:
FIRST FLOOR BATH RENO
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: 7:2 /, Rough:q- 33 House # Foundation:
Final: inal:r -/y- Final: Rough Frame:614 c1 ZZ•23 14 a
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:[).t' iI-17•Z3 6 g
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
)2 . 'NT
Fees Paid: $153.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
op
ck Zi1l13 /c (J
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
p'y CITY[Northampton MA DATE L8.3.2023 . PERMIT#Ph2d23—0291
- JOBSITE ADDRESS 122 Roe Ave I OWNER'S NAME Maria Haas I
POWNER ADDRESS same 1 TEL 413-538-1754 _ JFAX r —
2 PE OF-7 OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL XJ RESIDENTIAL C
PRINT
CLEARLY NEW: Li RENOVATION:[±_ REPLACEMENT:1-1 PLANS SUBMITTED: YES J NO®
FIXTURES 1 FLOOR—* BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB [ Ir`_ —Ir II Il � —It IF I
CROSS CONNECTION DEVICE y
DEDICATED SPECIAL WASTE SYSTEM [ g
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM r ___.
DEDICATED WATER RECYCLE SYSTEM ( I' I
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER 1' —',
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR) [
KITCHEN SINK
LAVATORY r_ 1 —Tr —'
ROOF DRAIN _ �___ __r__._._
SHOWER STALL 1 1 i IL l 1t K ,h
F' UiVI ifil G " G "1N;.I~' ,. 1 e�
�
SERVICE/MOP SIN 1� _____ NORTAI\nPTO ,;__.
TOILET 1 PRY 17' VLU T APPROVED
URINAL
—
1.
WASHING MACHINE CONNECTION ( ?
WATER HEATER ALL TYPES 1
WATER PIPING —: it„
OTHER i t__ - U U _
ki rat- 14 I,w 4. it"e}-e,l,+c we ![
E .... _ ......». --I
_ ^'^gyp
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 v OTHER TYPE OF INDEMNITY i] BOND 11
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 Li AGENT U
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are tr a 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 fiance with P rtin t pr isi of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. '
PLUMBER'S NAME GARY STAHELSKI j LICENSE# 9621 -I SIGNATURE
MPS! JP Li CORPORATION M#I 2617C PARTNERSHIP®# Lc®#
COMPANY NAME EWS PLUMBING&HEATING INC. 1 ADDRESS 339 MAIN STREET
CITY MONSON STATE MA ZIP 01057 TEL 413-267-8983
FAX 413-267-4523 1 CELL EMAIL EWSPH@COMCAST.NET
9- 13 et-P4-6,
2.2 F Pvt9-/3 -00 gO),,, Ca'
_ 1 ommonwealth of Massachusetts Official Use Only,,,,
�_—_= Permit No.-! -9�02,S l 7
Department of Fire Services Occupancy and Fee Checked
_, I BO Rt OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] #l`
'� '''.: A ;, !CATION FOR PERMIT TO PERFORM ELECTRICAL WORK
�� Allwork t be erformed in accordance with the Massachusetts Electrical Code(MEC , 7 CMR 12.00
t� (�la aD
��i or Town o ,5 Date:
o the Insper J r :By thi plica ion,the undersigned gives notices of his or her intention to perform the electrical work described below.
cation(S.trt& u er): Unit No.:
wner or-Tenant: Email:Owner's Address: atme, Phone No.: LII - -i— Ob`-1
Is this permit in conjunction with a building permit?(Check appropriate box)Yes[YNo 0 Permit No.:
Purpose of Building: �t it Utility Authorization No.:
Existing Service: Ati s I2 0/2_40 Volts Overhead❑ Underground 0 No.of Meters:
New Service: Amps I 20/N O Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: ate kcjhAtinni 1 oloOLIS Ora
1CM)9 g.4'u1x L netvit t
As
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 HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.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: ¶Unl+er elec-Ffl A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: '3-0 ThU 1 R.iDW A' LIC.No.: f thOtol A
Journeyman Licensee: 3 allia ! 1 .-TDO(fr LIC.No.: l tP E.
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
N) N
Address: 5 . Wp M--Field +LSI-ree+ (mitt-5 Ni[[S, MA oto30
Email: A'I7UVerq powers corn(ASt ne-f- Telephone No.: ""1 3_ 10a"U
I certify, under t to ains and penalties of perjury, that the information on this application is true and complete. t'�'/
Licensee: Print Name:zonal-f TowerR. Cell.No.: 1413'op'•`t 31/3
INSURAN RAGE: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 me to the permit issuing office. �
CHECK ONE: INSURANCE E]BOND OTHER❑ Specify: A 0cUa u ancc CPgScI22 l
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 I Agent: Tel.No.:
Signature: Email.:
AI i ' ce - 4/ -//