25C-167 (11) BP-2022-0596
30 ORCHARD ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-167-001 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 It BP-2022-0596 PERMISSIONIS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 90000
Const.Class: Exp.Date:
Use Group: Owner: JAEGER MARCHAND SOSHANA & LUKE
Lot Size (sq.ft.)
Zoning: URB Applicant: JAEGER MARCHAND SOSHANA & LUKE
Applicant Address Phone: Insurance:
31)ORCHARD ST
NORTHAMPTON, MA 01060
ISSUED ON:OS/27/2022
TO PERFORM THE FOLLOWING WORK:
INTERIOR RENOVATION
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: `77" 0 Rough: �((,�ae f House # Foundation:
y
•
Fiinal:te, ✓ ` Final: T?_oZ Final: Rough Frame:0,14 ry- Zq•ZZ KI`�
t
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: 18-23 ) 12
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
ty� f
Fees Paid: $585.00
212 Main Street, Phone(413) 587-1240,Fax:(4l3)5't7-1272
Office of the Building Commissioner •
IMAiSSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
y= crruiponv Northampton MA DATE 6/8/2022 PERMIT IX2022,`D?ZS
s,31 JOBS f.DDRESS 30 Orchard Street OWNER'S NAME Shoshana Marchand
oa
OWNERA)DRESS 30 Orchard Street TEL 615-522-9213 FAX
E OR OCCL:FANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL
RNT oz
CEE'ARLY NEW:[V RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO❑
FIXTURES7_-_, FLDOR— 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/OIUSAND 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 1
ROOF DRAIN
SHOWER STALL 1
SERVICE/MOP SINK PLUMBING & GAS INSPECTOR
TOILET 1 NORTHAMPTON
URINAL APPROVED VOT APPROVED
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES 2115
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 ❑
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 El 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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /�iceaC,Ptif 99
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP[ JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP El# LLC❑#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
Vi. tfoArn vbfoirmED
coHiHv,,mmi4
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•,-,,rich/9/04EY
3(9 o/2Ct� 5T pp
Comnwnwealt/ �e o/7aachueetta Official Use Only ''/
►` c�r� c� Permit No.E-P-2 0 22- D`! ,v
�_ .Z epartment o/.}ire Services
It'__ �i' !f=: Occupancy and Fee Checked 14/Z/'0?
't ,`�;+r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
EJi All work to be performed in accordance with the Massachusetts Electrical C e(MEC),527 CMR 12.00
7' (PLE SE PRINT IN INK OR PE ALL INFORMATION) Date: ` �.p Ci , c
--) City or Town of: 10( 1 To the Inspector of Wires:
P... By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 0<0 , CAN
. ,nr Tenar� t�� �a^ � 4 'hone No.
C��,___ T Owner's Address '- 1 , —
Is this permit in conjunction with a building permit? Yes A. 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:
c'Q J\< - ®\ �. . I t,�LO c(1 l-30('c�,
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above r-i In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
oNo.of Switches No.of Gas Burners No. Initiating
and
on Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.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 Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 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 co erage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ElOTHER ❑ (Specify:)
I certify,under the pains and enalties of perjury,that the in or n o this application is true and complete.
FIRM NAME: LIC.NO.: \_1 \,...
Licensee: . • nature LIC.NO.:
(If applicable,enter "exempt"in t to license number line.) Bus.Tel.No.:�j -(D-�)
Address: .11 • 1 �i_ Pr O'\(�C� Alt.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safe y 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
Signature Telephone No. PERMIT FEE: $\Act ,
9_ 01,1 _ 72_
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