32C-289 BP-2023-0861
134 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-289-001 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-2023-0861 PERMISSION IS HEREBY GRANTED TO:
Project# demo/addition 2023 Contractor: License:
Est. Cost: 125000 JASON GRAVER 103229
Const.Class: Exp.Date: 06/27/2025
MCCONKEY MATTHEW B&JESSIE GAGNE-
Use Group: Owner: MCCONKEY
Lot Size (sq.ft.)
Zoning: URC Applicant: ELEMENTAL CARPENTRY & CONSTRUCTION INC
Applicant Address Phone: Insurance:
118 HAWLEY ST (413)320-6427 UB4J619853
NORTHAMPTON, MA 01060
ISSUED ON: 06/30/2023
TO PERFORM THE FOLLOWING WORK:
demo garage and add attached dwelling unit •
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: ,' l� 7_1q. Z 3
Rough:B.., dam• Rough:q - House# Foundation:
Final:i/ Z/..-
Final: /1-.10 _g3 Final: Rough Frame:61Z q•i 2-Z3 14 la
Gas: �re Depar E�.l IV Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: bit TA4.3
Smoke: Final: ()) )i/ /a3 �, d'
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON((VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 11
I� yyji
Fees Paid: $813.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
- tat-- C
r, ,. :4-L,1141,t
City of Northampton
Temporary
Certificate of Use and Occupancy
This is to certify that work granted under 780 CMR, 9th Edition of the
Massachusetts State Building Code,allowing the occupancy of use of the premises or
Structure or part thereof located at address below as shown on the Assessor's Map.
Owner: MATTHEW& JESSIE MCCONKEY
Location: 134 WILLIAMS ST.
Permit Number: BP-2023-0861
Construction Type
(780 CMR Table 602): VB
Use Group Classification
(780 CMR 3): R-3
Occupant Load Per Floor
(780 CMR Table 1004.1.2): 200 Square Feet Per Person
Live Load Per Floor
(780 CMR Table 1607.1): 40 PSF- 1"Floor/35 PSF—2nd Floor
Under the following limitations,special stipulations,and/or conditions of the permit:
DEMO EXISTING GARAGE & ADD AN ACCESSORY DWELLING UNIT
Issued this: 22ND day of NOVEMBER 2023
Northampton Building Inspector(Name): Jonathan S. Flagg
Northampton Building Inspector(Signature):
This Certificate shall be posted by owner, in a permanent manner and in a visible location, on
all floors designated as use group H, S, M, F,or B, and in every room where practicable of use
group A,I, R-1, or R-2 per the requirement of 780 CRM section 120.5 Posting Structures.
Gk. 25? 4 130°
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
Q; _.• CI 'Northampton —1 MA DATE 7/17/2023 I PERMIT#PP'2t3-02?S
'i '. ITE ADDRESS 134 Williams St I OWNER'S NAME Brock McConkey I
IV, 0 ER ADDRESS TEL 4133264930 IFAX
TYPE C)R OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL LI
PRINT
CLEARUY NEV:El RENOVATION:C'! REPLACEMENT:PI PLANS SUBMITTED: YES[j NO❑
FIXTURES 1 FLOOR-+ BSM 1 1 2 3 4 5 1 6 J 7 1 8 1 9 10 11 1 12 13 14
BATHTUB
CROSS CONNECTION DEVICE III _ _
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOIUSAND SYSTEM 1,
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN _____11I
wr i r -
FOOD DISPOSER
FLOOR I AREA DRAIN ___
INTERCEPTOR(INTERIOR) t
KITCHEN SINK 1 4.."-- r
LAVATORY 1
ROOF DRAIN r , rL tsiNta & aAS NSP;CT
SHOWER STALL 1 14Ut' I HA /IPTIM
SERVICE/MOP SINK AI-113140VID NOT P V
TOILET 1
URINAL 1 1► 4 i `, '�r 1 1
WASHING MACHINE CONNECTION _
WATER HEATER ALL TYPES 1 A
WATER PIPING 7
OTHER utility sink s , , ,
i i 1
, a 1 L limmilmem."—tam pli
I 1
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[ NO 7
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 Li
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 a the best y knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in a)ce Perti vis of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Christopher Salve I LICENSE# 15800 I SIGNATURE
MP n JP❑ CORPORATION D#4491 I PARTNE ❑# LLC❑#
COMPANY NAME CTS Plumbing&Heating Co I ADDRESS 200 Old Belchertown Rd I
CITY Ware I STATE Ma ZIP 01082 I TEL 413-230-9705
FAX CELL EMAIL chris(a2ctsplumbing.com I
ill
•
E.. 2-12-1/
,0,,,,my g2 - 9/ -4e
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---36, I _I
c ay w c Li...It mS 57` Official Use Only
Commonwealth of Massachusetts
. Y "` o Permit No. E1 2o23 07(52-
k ' ; Department of Fire Services
'-' Occupancy and Fee Checked 61-/be 7
�... BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank) *�O
C\8
(, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
,..� All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 f MR 12.00
(1EASE P T IN INK OR TYPE AL .INFORMATION) Date: b �3
-, Ci or Town of: f,�,-/"a in A11 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Sti*et& Number) 13 N kJ,7/i?lv%1 S Si.
Owner or Tenant BrOc Lk I)( ( CA , Telephone No. =/t 3- 6- V,33
J
Owner's Address Gib /
Is this permit in conjuncon with a building rmit? Yes 1r No ❑ (Check Appropriate Box)
Purpose of Building �!�'L pG y'i/14 /
1 ii- t 6i/v✓ Utility Authorization No.
Existing Service VAmps / Volts Overhead❑ Undgrd U No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: j /fpI?v1/ wt A11YI • jl/i' l
/1 A I JV. o w,____ }-G w.: \, w \\..-4, - too .,,„? s .� c.—1 ct- C
Completion of the foiowin&table may be waived by the Inspector of Wires.
Total
No. of Recessed Fixtures No.of CeiL-Susp.(Paddle)Fans T .of
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
Above In- ❑ No.of Emergency Lighting
No.of Lighting Fixtures Swimming Pool
grad ❑crud• Battery Units
No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No. of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. TotalNo.of Alerting Devices
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:
Eq
No.of Devices or Equivalent
OTHER:
Attach adrtitional detail if desired or as required by the inspector of Wires.
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:)
(Expiration Date)
Estimated Value of El 'cal Work: (When required by municipal policy.)
Work to Start: /(p Inspections to be requested in accordance with MEC Rule l0,and upon completion.
I certify,under th pains and penalties of perj�ryI ,that the information on this application is true and complete.
FIRM NAME: ( Ge (, c ;h1 c q,( d� 7,P C G L LIC.NO.: /VO3`23
Licensee: in u ail Signature LIC.NO.:
flf applicab ainter "exe t"in licepsJ nu line) ,4 Bus.TeL No.�S/DO"�'oc-3��3
Address: 30 MC) Y i ��/� f/a t dr 1/?//Pl / Alt.TeL No.:
OWNER'S INSURANCE�A R• thm aware that'the Licensee does not have the liability' ce 4,4 •i• _ normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one owner R..owner''s nt.
Owner/Agent I PERMIT FEE:S ,.� ' i 1
Signature Telephone No.
f(- (1oc)coih, r V.
I/, 00 -DI ,`;`'/,
The Commonwealth of Massachusetts
Pi001= I Department of Industrial Accidents
:El0M- 1 Congress Street,Suite 100
_l{=$ Boston,MA 02114-2017
.— www.mass.gov/dia
��t Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
/`
Name (Business/Organization/Individual): �j f ttC-P Ric h 114( Vl ZP.S
Address: `3 6 /Ui fitti-e kit
City/State/Zip: (e l/f-rt / iM ()/U51 Phone#: Y0 - g(/S —36 T3
Are you an employer?Check the appropriate box: Type of project(required):
I. I am a employer with employees(NI and/or part-time).* 7. 0 New construction
2. I am a sole proprietor or partnership and have no employees working for me Ni 8. 0 Remodeling
any capacity.[No workers'comp-insurance required.]
3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.)'' 9. ❑Demolition
10 D Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 1 I Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
5.0 I am a general contractor and I have hired the moors listed on the attached sheet.
These sub-contractors have employees and have workers'comp insurance; 13.0 Roof repairs
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c_ 14.0 Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.)
"Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the nave of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'communion insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby e ify under the pains and penalties of perjury that the information provided above is e and correct.
Signature Date: 1// ( " -3
Phone#: (n O— V 3 6`6 3
Official use only. Do not write in this area,to be completed by city or town ofciaL
City or Town: Permit/License#
Issuing Authority(circle one):
, 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
I
Contact Person: Phone#: