17C-082 (9) BP-2O23-173f
-",7 HIGH S T COMMONWEALTH OF MASSACHUSETTS
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17C-082-001 CITY OF NORTHAMPTON
Permit: Ails Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-1730 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 RENO Contractor: License:
Est. Cost: 4000 KD CARPENTRY INC 111815
Const.Class: Exp.Date: 01/28/2025
Use Group: Owner: HEALTHY NEIGHBORHOODS GROUP LLC
Lot Size (sq.ft.)
'Lcning: URB Applicant: KD CARPENTRY INC
Applicant Address Phone: Insurance:
7 SOUTH STONE MILL DR 508-718-8571 3FH 1658
DEDHAM, MA 02026
ISSUED ON: 12/21/2023
TO PERFORM THE FOLLOWING WORK:
REPLACE EXISTING PORCH -OPEN INTERIOR WALLS TN BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Itispeetw• of l`iui:11,ing Iii5pectur of Wiring U.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough:/ 'p�9- 23 House # Foundation:
Final:Q r -43 Final: gb " \ Final: Rough Frame: Og OM/ dv '
Gas: Fire Department Driveway Finai: Fireplace/Chimney:
Rough: Oil: gle"l Insulation:
Smoke: Final:0,lZ )•t3-Zil / 1Z.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I , ,
Fees Paid: $130.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
ry
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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' 'r�lititii/• CITY/TOWN f UC3R MA DATE /// f PERMIT#I 2023-CAMP
-"/ ` r o JOBSITE ADDRESS y, F/vfAce OWNER'S NAME Pa/l' ^'*O POIllqD
POWNER ADDRESS 75 4A-,L3 5 5O A" /G()Ic TEL /13,50.5? (I/ FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL I]
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:El PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7. FLOOR-1 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
X X
ROOF DRAIN PLUMBING & GAS INSPECTOR
SHOWER STALL 'NOR I HAMP I ON
SERVICE/MOP SINK X. APPROV NOT APPROVED
TOILET ?<
URINAL
WASHING MACHINE CONNECTION x'
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 0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY pr. 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 tr :n 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 co . :rye :II Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME DCWO got,Nye. LICENSE# olrr251 SIG ATURE
MP❑ JP Nj CORPORATION❑# PARTNERSHIP❑# LLC❑# <WY,
COMPANY NAME DAY I Bp Ci r pit
ADDRESS S7M A) 4g,44 To(
CITY West �p1 �� STATE ZIP LU ir`r TEL
FAX CELL `1 3 4i?2--COIC1 EMAIL
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Commonwealth of Massachusetts Official Use Only
*_- Permit No.:g-p 2023— //3.5-- (ino,)
Department of Fire Services Occupancy and Fee Checked: ?$(,/2412. /S C S"
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] eo
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: NalfAaMrioA Date: /////1.413
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): t/7 /-//c'4 S�• Unit No.:
Owner or Tenant: 4"4441.a Koh a Email: Q/���e �a//l r��(T�►/b �.,,Q JJ4(4"l
Owner's Address: 75 S^-f. ro/.0 �/f, /Gb V./.3t Phone No.: `5 5— 2 9i9/
Is this permit in conjunction with a building permit?(Cher appro irate box)Yes❑ No❑Permit No.:Purpose of Building: Utility Authorization No..J O d O 4
'(e(09
Existing Service: /#o' Amps/21 /2.y6 Volts Overhead❑ Underground❑ No.of Meters:
New Service: ado Amps/te / 2yyVolts Overhead L. Underground❑ No.of Meters: I
Description of Proposed Electrical Installation:
_FM/0Jres f Scc /fir/t/ f/D,S/ 2 p 04 4al /47/cdt ---.!'e J Completion of the following table may be wailed 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-Gmd.0 Above-Grad.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ 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 Electrical Work: (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee:('C C J 25' S f eveAJSO U LIC.No.: 'S 1 y 6 O
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: / 7 /1 Ofre .D4 m ST rp.ileterfilzi l/1, I I D`f
Email: t`,S 4-e✓e taS o v Sy.?a-Covyi CO$ - -,-et)e,r' Telephone No.:
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
Licensee: Print Name:C_ha rIeS SSe(,'rAJSo.v Cell.No.: y/3 —211?-2t'S7
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❑ 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 J Owner's agent❑
Owner/Agent: 4C'(1,44 G/4) /10/4 44.1 Tel.No.:
Signature: Email.: /fic JiA,*4of p/60rA4210/5j/oYi'
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