12C-029 (4) 1111 12C-021—i901 BP-2023-0711
ORTH MAPLE ST COMMONWEALTH OF MASSACHUSETTS
lock:Lot:
9-001 CITY OF NORTHAMPTON
Alts Renovations
4 /v i PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
it „ g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0711 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOW/BATH RENO Contractor: License:
Est. Cost: 5700 BRANDT GOULD 118232
Const.Class: Exp.Date: 10/09/2026
Use Group: Owner: FRANKL LAURIE A
Lot Size (sq.ft.)
Zoning: RI/WSP Applicant: BRANDT GOULD
Applicant Address Phone: Insurance:
34 CANTON AVE SOLE PROPRIETOR
AMHERST, MA 01002
ISSUED ON: 06/05/2023
TO PERFORM THE FOLLOWING WORK:
REPLACE PICTURE WINDOW, BATH RENO ON 1ST FLOOR
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: ' '`/'e. Rough: 7 IF L.3 House # Foundation:
Final:9,..2z7_ C-� _ 7....a2 Final: • Final: Rough Frame: (.1.IC. 8 4-23 ie,)2
Otis
Gas: Fire Departmen Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: O K 6_ty.2 3 K.Q
Smoke: Final: v. JI-q-Z3ele
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I , .52
I ' • r '
- TAIT
Fees Paid: $65.00
116, 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner 4
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITiY�I�'`" A Iv\--1C) MA DATE 6 -Z� PERMIT p-2D23`624s
q
ry JOB ADDRESS ti M 4-�lenni , OWNER'S NAME F (�lk� "fir
°O OWNEIR ADDRESS /e TELF FAX
TYPE Off; OC:UPANCY TYPE COMMERCIAL 1 EDUCATIONAL Ej RESIDENTIAL
PRINT
I CLEARLY -N :E RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES -' NO
FIXTURES
f LOOR—P 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
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL PLUMB NG & GAS IN5NEC1 OR
SERVICE/MOP SINK NOR fl-CAMP ION
TOILET t AP'PROOD NOT AFPROVED
URINAL 5
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 NO f ,
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF 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 compliance with all/¢inent provision of e
Massachusetts State Plumbing Code and Chapter 142 of the
General Laws.
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PLUMBER'S NAME FR 0 V -(i �( \�'�G,_,en; LICENSE# J. Q�I SIGNATURE
MP JP CORPORATION # 1PARTNERSHIP #( LLC #
COMPANY NAME I`ckP76P- i `J1 P ADDRESS � ," `�T L'OC\
CITY ./ �.� a a_b STATE I..�� ZIP TEL t> I TEL V NPAri/�"I�,,.�l�M
FAX CELL ( 1 'EMAIL c T 1 ,
Ft Hwy
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
2e z3 / / N- SEE: $ PERMIT#
PLAN REVIEW NOTES
Z-110 N(TIt /r/ftel-C- at
-- --- -C o mmonwealth of Massachusetts Official Use Only
yi * - i c�. - Department of Fire Services E ZO2 - Oc 4
Permit No.
�' BOAf 'nF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked /O8 2
fE—
• -�� �fJ `� [Rev. 1/07] (leave blank)
AP 1 ATION FOR PERMIT TO PERFORM ELECTRICAL WORK
1 �" .rk to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEA'SE P�JNT I ' OR TYPE ALL INFORMATION) Date: 6/29/23
Citor T of Northampton To the Inspector of Wires:
By this application th is ersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street- um',er)
T J' 296 North Maple Street
_
Owner or Tenant: 1 rie Frankl Telephone No 671-755-4645
Owner's Address--29• North Maple Street
Is this permit in conjunction with a building permit? Yes X No (Check Appropriate Box)
Purpose of Building 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: Bathroom remodel wiring
Completion of the following table may be waived by the Inspector of Wires.
No.
rano
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
3 grnd. grnd. Battery Units
No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones
oDetection and
No.of Switches 3 No.of Gas Burners o. In Initiating Devices
Tota
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other
P .5 yConnection
No.of Dryers Heating Appliances KW Securitys.
of Devices 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 Telecommunications No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1500 (When required by municipal policy.)
Work to Start: 7/3/23 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 ofperjury,that the information on this application is true and complete.
FIRM NAME: A.G.E.Electric LLC LIC.NO.: 8653A
Licensee: Alexander Bielunis Signature f4/QXalid&N B je(Uk/,t LIC.NO.: El 8287
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:413 562 2988
Address: 8 Sequoia Dr Holyoke,MA 01040 Alt.Tel.No.: 413 204 3762
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License Lic.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 owner's agent.
Owner/Agent v a
Signature Telephone No. PERMIT FE 645
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