31A-097 (14) BP-2022-0347
63 VERNON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-097-001 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-2022-0347 PERMISSION IS HEREBY GRANTED TO:
Project# PORCH Contractor: License:
Est. Cost: 60001 JONATHAN TOSCH 116108
Const.Class: Exp.Date: 10/08/2024
Use Group: Owner: BURNHAM SOPHY
Lot Size (sq.ft.)
Zoning: URB/WP Applicant: JONATHAN TOSCH
Applicant Address Phone: Insurance:
312 AMHERST RD (630)902-1627 WC5-33S-B22DGV-012
PELHAM, MA 01002
ISSUED ON: 04/07/2022
TO PERFORM THE FOLLOWING WORK:
DEMO DECK AND ADD SCREENED PORCH
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:0,4 S-IZ-ZZ K�(7
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:ON2`_
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
FA,LL-O 9.9-22 k.►12 C145PA15tr
Smoke: Final: i..lp¢1-1)1241L
0,v. 77-23K
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
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Fees Paid: $390.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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�4�_Ji Commonwealih h lfa Official Use Only
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m _`- _ �/, c� �7 Permit No. �P?0'L2 3�
�1_ 2eparimeni of ire.erviced
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^, ,7 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
ry All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
0
o R (PEAS P NT IN INK OR TYPE ALL INFORMATION) Date: 5/16/2022
or Town of: Northampton To the Inspector of Wires:
w ' tion the undersigned gives notice of his or her intention to perform the electrical work described below.
L et& Number)63 Vernon Street , Northampton MA.
Owner or Tenant Sophy Burnham Telephone No.
Owner's Address 63 Vernon Street , Northampton MA.
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Residence Utility Authorization No.
Existing Service 200 Amps 120 /240 Volts Overhead ® Undgrd❑ No. of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical \bork: install lights, fan, and receptacle on back porch addition
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires 4 No.of Ceil.-Susp.(Paddle)Fans 1 Transformersot KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ N0.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No. of Zones
oNo.ofSwitches2 No.of Gas Burners No. Initiating
and
on Devices
No.of Ranges No.of Air Cond. Total No. of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
p Cyonnection
No.of Dryers Heating Appliances KW Security No. ms:*
f Devi es or Equivalent
No.of Water Kam, No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No. H dromassa a Bathtubs No.of Motors Total HP Telecommunications No fDevices
or
y g No.of Devices Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 950 (When required by municipal policy.)
Work to Start: 5/23/22 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 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,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Jeremy Latch Electric LIC.NO.:/Dot 2 9`//4_
Licensee: Jeremy Latch Signature //„4.477 / L_ LIC.NO.:
(If applicable, enter "exempt"in the license number line.) / Bus.Tel.No.:413-522-2367
Address: 80 4th street turners falls MA.01376 Alt.Tel. No.:
*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 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ 1 I C
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