17D-035 (8) IMP-20234082
21 SUMNER. AVE COMMONWEALTH OF M.ASSACHUSETTS
Map:Block:Lot:
1'7D-035-001 CITY OF NORTHAMPTON
Permit: Ails Renovations
Repair
PERSONS CONTRACTING WITII UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
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Permit # BP-2023-I082 PERMISSION IS HEREBY GRANTED TO:
Project# KITCHEN RENO 2023 Contractor: License:
Est. Cost: 19655 EXTERIOR ASSOCIATES INC 113456
Const.Class: Exp.Date: 07/23/2024
Use Group: Owner: A ENGEL JOHN P&LOR1
Lot Size (sq.ft.)
Zoning: URB Applicant: EXTERIOR ASSOCIATES INC
Applicant ram.dress Phone: Insurance:
408 SOMERS RD (860)978-59 1 1 WC9097314
ELLINGTON, CT 06029
-'SWED ON: 08/11/2023
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
POST THIS CARD SO IT IS VISIBLE P ROM THE STREET
inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final:7/ . 2, - 5 Final:.l— � Final: Rough Frame:
Gas: !! 1. 5.
Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: 0,V 9 Z3 K. �
Smoke: Final: 0 l/ I2- 1.23
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: S130.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
40‘) . cle__A-25-2_3 4 7 p`=
f MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
I
I
CITY etl-`` ril ri I MA DATE 6-10'64'6 PERMIT#rp p-Z!1 2-3 "03 DC-.
__+ j JQBSITE ADDRESS 4 t °yy)r er (.�f,(t._ OWNERS NAME F �j�i Leff ri-t��,
P— OWNER ADDRESS I TEL I FAX
TYPE OR OCCL PANCY TYPE
r! PRINT COMMERCIAL ( EDUCATIONAL P RESIDENTIAL
CLEARLY---JEW: RENOVATION:I_ REPLACEMENT: ✓('' PLANS SUBMITTED YES i NO
I ,
FIXTURES-1 FLOOR BSM 11 2 3 4 5 6 7 8 9 10 11 12 13 14 '
BATHTUB f I I I I 1 9 ! I I ( I I I
CROSS CONNECTION DEVICE ( I I ( I ( ! ( I ( I I I I
DEDICATED SPECIAL WASTE SYSTEM P I I I i,\ {' I I ( ( I I I
DEDICATED GAS/OIL/SAND SYSTEM ( I I I I I I I I I ( I
DEDICATED GREASE SYSTEM ( i I I I I i I I I i { I
DEDICATED GRAY WATER SYSTEM I I I I I ( ( ( I I
DEDICATED WATER RECYCLE SYSTEM I I I I I' I I i i I I i I
DISHWASHER I ✓ I I I I f I I I I ( I I
DRINKING FOUNTAIN I ( I I I I, I I ( I I ( I I
FOOD DISPOSER I t/k I I I 6 I I I I I I: I I I
FLOOR/AREA DRAIN ( I I ( I I ( I I I f r t. I
INTERCEPTOR(INTERIOR) I I I I I I I 1'LpMBING It GA4 INSIrtC"CJR If
KITCHEN SINK I V I" II I I I i' I' N(1)-i I H CMP SUN s I 1
LAVATORY I I` I' ( I I APPROVED I NOT Ar ROPED f
ROOF DRAIN I - ... I I I ! I I E I I
SHOWER STALL I - __.. _. I P ! I I I I I'
SERVICE/MOP SINK — I ( I, I I 1 ! I I I�
TOILET I t ii
URINAL I I I I . I I I l
WASHING MACHINE CONNECTION i I I 'u --I I I I
.. I iJ
WATER HEATER ALL TYPES f I I I I I I f I I I I
WATER PIPING ___ _ I I IS I { I I I f I I
OTHER 1 " I I I I ( I I I I I f F 1
__ _.. I I I I I I I
I I ; I I I I
I, I I f I I I I I I I I I I 1
I I I I f I I I I ( I I ( i I
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES!e.4- NO I I
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICYI. ''- 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: 9WNE,R I AGENT 1
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 acct;rateosthe best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliant ith,lf'Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the Genera!Laws. /.7(74"----
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PLUMBER'S NAME Vyacheslav Tsukanov LICENSE#,16160 SIGNATURE
MP ,I JP I CORPORATION: '' 4250 I I PARTNERSHIP 'I# I LLCI I#
COMPANY NAME Biermann Plumbing and Heating Inc I ADDRESS I23 Oregon rd
CITY i Ludlow _ 'STATE MA I ZIP TEL I TEL[413.547 2970 1
FAX . I CELL 413-363-5952 EMAIL 1Slav@biermannplumbing.com J
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Commonwealth of Massachusetts Official Use Only
*_= Permit No.: w23 o')7
' = lil+= t Department of Fire Services Occupancy and Fee Checked:.#),b I
[Rev. _
%,=1___ BOARD OF FIRE PREVENTION REGULATIONS (
\-s. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
d All work to be p rform d in accords ce with the Massachusetts Electrical Code(MEC)a 7 C R 12.00
City or Town of: 4I( `,�cn n Date: 1 a'
To the nspectorl of Wires:By this applic ion,the undersigned-gives otices of his or her intention to perform the electrical wo described below.
Location(Street& umber): at �1 !x � Unit No.:
Owner or Tenant: C% En e j Email:
Owner's Address: Ibf 1 qQl PTt 1 . Com Phone No.: M _1. - 15-C r�
Is this permit in conjun t.on wifWa buil ing ormit?(Check appropriate box) Cl Yes® No Permit No.:
Purpose of Building: \ Pcnol,�,1Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: i"
L QY Q (,t ) C 1 + ftxAi„rs
Completion of the folio ing 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-Grnd.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❑ 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❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Elec 'cal Work:s� �
(0 ' (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Rec iTIC , A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee:`, LIC.No.:
Journeyman Licensee:Dana
ltabgOnd LIC.No.: S3 k0 "Z
Security System Business requires a Division of Occupational Licensure"S"
LIIC..�{ S-LIC.No.: �o "'�
Address: 1�___�__f)(� 6 CI I1 Lem CT OCa c _
Email: 04ml nemorrietecfric,
1C O 'Y) Telephone No.: 1^ Z3(.0"-5C1 Ct I
I certify,and r the pains and penalties of perjury,that the information on this application is true and complete.
Licensee. _ .not Name:, 1 �a, '� tj Cell.No.:0'6 .5q 9
INSURA E COVERAGE:VAless waived by the owner,no permit for the per'ormanceutelectrical 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 ame to the permit issuing office.
CHECK ONE: INSURANCEi►� :OND 0 OTHER❑ Specify: E"'C., 1
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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