38A-004 (18) BP-2023-0662
2 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38A-004-001 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-2023-0662 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 BATH Contractor: License:
Est. Cost: 15000
Const.Class: Exp.Date:
Use Group: Owner: WOODFIN ELIZABETH &DEIDRE CUFFEE-GRAY
Lot Size (sq.ft.)
Zoning: URB Applicant:
Applicant Address Phone: Insurance:
ISSUED ON: 05/19/2023
TO PERFORM THE FOLLOWING WORK:
BATH RENO
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:7- House# Foundation:
FinaLJ Z —`,�� 78 a Final:� _1 , a3 Final: Rough Frame: i�.ie 8 `1•Z3 14,/L
Gas: ,�/J(� Fire Department�� Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: O,1L 1Z- 1 3 Z3 K rK.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $97.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
- CITY/TOWN Northampton _ MA DATE 4/18/2023 PERMIT#I J 202b- 0
JOBSITE ADDRESS 2 Burts Pit Road OWNER'S NAME Libby Woodfin
v' OWNER ADDRESS 2 Burts Pit Road TEL 413-834-2908 FAX
P
•TYPE OIJ OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
!CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR—* ASM 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 1
ROOF DRAIN
SHOWER STALL 1
SERVICE/MOP SINK PLUMBING & GAS INSPEC OR
TOILET 1 NORTHAMPTON
URINAL APPROVED NOT APPROVED
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES 41f`—
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 ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
1 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. irr//zoii/�,P/r z.4
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP EI JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP❑# 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
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/��� Commonwea.tlh of//taeaachiuealie Official Use Only
i' • i't t Permit No.G��23 -o40�f a
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ft ; I :apartment of lire Servicee
' li ;' d/, Occupancy and Fee Checke ,3(p3�
• .. ,.; ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] leave blank) a'
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r AP _y J ICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
r"E.,
r� All work to he performed in accordance with the Massachusetts Electrical Code(M 'C), 527 CMR 12.00
tUPLEASeP NT IN INK OR TYPE ALL INFORM TION) Date: -7 Z 7/2 3
or Town of: NO/ ,,� rt To the Inspector of Wires:
`-- .By t 1r� ation the undersigned gives notice o is or her intention to perform the electrical work described below.
YLQatt it._ ir`rect& Number) Z 77t./T P, t 121)
Owner or Tenant , j 24 7e k )Zp / Telephone No.
Owner's Address
is this permit in conjunction with a building permit? Yes Vf- No n (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead Undgrd 1 i No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ,'Ate RE�'e3 zj'v 1`—.
Completion of the followin,table ma o he waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans T Tot
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ -No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
n
No.of Switches No.of Gas Burners No. I of Deteg_D and
nitiatinng_Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertint_Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection
❑ Other
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 BPTelecommunications 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: James Mailloux Electric LIC. NO.:A16187
Licensee: James Mailloux Signature LIC. NO.:E33364
(i/applicable,enter "exempt-in the license number line.) Bus.Tel. No.:413'585•1592
Address: 221 Pine St.Suite 180 Florence.MA 01062 Alt.Tel. No.:413.563-4854
*Per M.G.L.c. 147, s. 57-61,security work requires Department of Public Saf ty"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: $ l S
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