17D-038 (11) BP-2023-1465
24 HIGH ST COMMONWEALTH OF MASS ACH USETTS
17D038-01 Map:Block:Lot: CITY OF NORTHAMPTON
17D-038-0O1
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-1465 PERMISSION IS HEREBY GRANTED TO:
Project# FINISH BATH RENO 2023 Contractor: License:
Est. Cost: 29088 MICHAEL PHILLIPS CSL082683
Const.Class: Exp.Date: 10/10/2024
Use Group: Owner: GANTZ ELSAESSER CAITLIN M&JEREMY D
Lot Size (sq.ft.)
Zoning: URB Applicant: MICHAEL PHILLIPS
Applicant Address Phone: Insurance:
P O BOX 514 (413)250-7990
GOSHEN, MA 0i032
ISSUED ON: 10/19/2023
TO PERFORM THE FOLLOWING WORK:
FINISH BATH RENO FROM ORIGINAL BP-2018-0399
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:/ — 42�� House # Foundation:
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Fin al:%2. Final: �'1 _O`r7 k`a Final: Rough Frame:0 40L�j"23 X
�C n c.:Na-K. P no-1J
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: d.,R i1-13 -23 g4
Smoke: Final: O)4 Ioj/ 7/a3
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
- 55-ti •1.
Fees Paid: $189.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
/C ;317 (vO i-/G 0- O/d— r - , aCt 14261 * 4570
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITY;Northampton MA DATE 12/15/23 PERMIT# 3- ) G16
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JOBSITE ADDRESS 24 High Street Florence ] OWNER'S NAME[Jeremy Gantz
POWNER ADDRESS same TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL El RESIDENTIAL E
PRINT
CLEARLY NEW: RENOVATION:[' REPLACEMENT: PLANS SUBMITTED: YES laNOE
FIXTURES-1 FLOOR BSM 1 2 3 4 5 6 7 8 EC E I VIE+-11 13 14
BATHTUB
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM DEC 1 5
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
1),-"'T nF r;UIMING, G iIONS I
DEDICATED GRAY WATER SYSTEM `` POaF++AFnnlun.�_?n1o&fl_ _.J
DEDICATED WATER RECYCLE SYSTEM t_ r-----
DISHWASHER
DRINKING FOUNTAIN
P00 01'SPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY 1
ROOF DRAIN
SHOWER STALL 1
SERVICE/MOP SINK
TOILET 1
URINAL
WASHING MACHINE CONNECTION
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 El
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
I 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 I Pe inent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Kevin S Purinton 'LICENSE# 15295 SIGNATURE
MPO JP CORPORATION]]#[ PARTNERSHIPu#[ 1LLCL#
COMPANY NAME Arnold Purinton plbg&Htg I ADDRESS 4 C el sson Brook Road
CITY iCharlemont -I STATE Ma ZIP t01339 TEL 413-625 8194
FAX CELL 413-834-7358 I EMAIL Mkitsimple@aoI.com
Stl3 f a t`:$94 1,..
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Finable electrical permit pdf form_202305081146175338.pdf https://northamptonma.gov/DocumentCenter/View/217/Electrical-Pe...
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-+ Z I Commonwealth of Massachusetts Permit No i
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D C .. v'� Department of Fire Services Occupancy and Fee Ch _ecked: �I`') .,, ( I ` i
o t BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] (^' Kj�l"
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°' >- _• e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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om 11 work to be perfo ed in accordance with the Massachusetts Electrical Code(MEC?)527 CMR 12.00
i4, Ci Town of: 'UP VAN Y\ Date: i(--C
m e pector of Wires:By this a rlication,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location Street& umber): Unit No.:
- er or Tenant: �..R.rN V Email:
Owner's Address: Cj.�•.A' r Nate...._ hone No.:
Is this permit in conjuncon wit a buildingpermit?(Check appropriate box)Yes'No®Permit No.:
Purpose of Building: �`�g '� `�( ll U'lity Authorization No.:
Existing Service: t Amps 1� / olts Overhead M Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: )&1\-1-4-0D(n PC exI--
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.Transfonners: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: f
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub❑ 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 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❑ Rating:
OTHER:
Attach additional detail if desired,o&.ps required bye Inspector of Wires.
Estimated Value of Electrical Work:3t I C40 O• a_J (When required by municipal policy)
Date Work to Start: -.GI W Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Dec 4.1 �'�S C/CcAi-jtie A-1 ❑or C-1 0 LIC.No.:
Master/Systems LicenseDe.---e
: LIC.No.:
Journeyman Licensee: it actue5 LIC.No.: 5-2) 7Q� 13
Security System Business requires a Division of 1Occupationalln Licens e"S"LIC. ` S-LIC.No.:
oC►Address: Y�P. v ` ���� it`L. U 1 U 1
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Email: T6 (tCh it 1 1 .CCA'.. TelephoneNo.: 7/?—q25 — LS/ J
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: Print Name: Cell.No.:
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 fierce and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 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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