25A-137 (14) BP-2023-0785
20 GLENWOOD AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25A-137-001 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-2023-0785 PERMISSION IS HEREBY GRANTED TO:
Project# ENCLOSE PORCH 2023 Contractor: License:
Est. Cost: 10000
Const.Class: Exp.Date:
Use Group: Owner: ERVIN ERINN R
Lot Size (sq.ft.)
Zoning: URB Applicant: )ERVIN ERINN R
Applicant Address Phone: Insurance:
20 GLENWOOD AVE
NORTHAMPTON, MA 01060
ISSUED ON: 06/13/2023
TO PERFORM THE FOLLOWING WORK:
ENCLOSE PORCH TO CREATE 3 SEASON ROOM
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: Rough: (2, House # Foundation:
r"Th
Final: Final: Final: Rough Frame: Cy .7. 3-Z3 K i 2
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: 0.IL 11.3-Z 3 K t
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
• .52 - 1 •
Fees Paid: $130.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
2Z &LrA.1 SOD)/4
_L. M Official Use Only
Commonwealth of Massachusetts permit No. —2.O 3 O �
_- 1ii- ' f� Department of Fire Services Occupancy and Fee Checked:Ak 3 35
.' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] y /��°
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Y��-.0' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
='�,+ All wor "to a ormed in accordance with the Massachusetts Electrical Code(MEC),52 CM 12.00
i "p ��\\aa,Ma �, 21 23,city o>��'own�of:.' "" Date:
To the Inspector "Fires:By this appli on,the undersigned give notices of his or her intention to perform the electrical w rk de ribed below.
I Location(Street& ber): 2 ) \b L v C D Unit No.:
Owner or`Tenant: ` (kW r\ EAV%r. Email: ` x iS NkAgNic(S%f-lter.P1%-•LO•..
Owner's Address:_ " PttvA. Phone No.: tka-°V.A- S\‘c,
Is this permit in conjunction with a building permit?(Check appropriate box)Yes®, No®Permit No.:
Purpose of Building: ,Sits .fs`. Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: klAR‘4C1 tCR, 'S Sr-i\SW-N VCACA
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 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ 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 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Ele�\tric Work: 1St�_ (When required by municipal policy)
Date Work to Start: L 14 11 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 1111 Q. A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: '. 9, cv\i k— -4.. LIC.No.: 2.ktk,'\'A
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational L' ensure"S"LIC.. S-LIC.No.:
Address: 2.‘k .Negh 4�t. .1,`V h U\ols
Email: 11 CL.0.-\\kalt.k.Ns&aGv\ANI..,<-0 Telephone No.: k3'Z.41.3‘ +2..\�A,
I certify, e he Er' s and penalties of perjury,that the ' ormation on this application is true and complete.
Licensee: N\.•\ Print Name: t L L Cell.No.: kt1l.lt(4•Z124
INSURANCE COVERAGE: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 same to the permit issuing office.
CHECK ONE: INSURANCE El BOND❑ OTHER❑ Specify:
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: Tel.No.:
Signature: Email.:
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