17A-081 (2) BP-2023-0985
31 CAROLYN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-081-001 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-2023-0985 PERMISSION IS HEREBY GRANTED TO:
Project# RENO ADD DORMERS 2023 Contractor: License:
Est. Cost: 171605 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
Use Group: Owner: MORGAN ERIK C
Lot Size (sq.ft.)
Zoning: RI/WSP Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST, 2ND FLOOR (413)586-8600 MCC20020005382022
FLORENCE, MA 01062
ISSUED ON: 07/28/2023
TO PERFORM THE FOLLOWING WORK:
2ND FLOOR RENO AND ADDITION OF DORMERS
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: O1( 4107 f
Rough:/0 - :22 Rough: 9-,D.2")3 House# Foundation: •
Final: , U `� Finale -,I)-_ �? Final: Rough Frame: Oi . )eb/93 Y'S
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: 0,14- I0-1 I 23 K,1?
Smoke: Final: f
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
It1M--, TsA
Fees Paid: $950.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
aro
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
E_ WN Florence MA DATE 09/01/2023 PERMIT# 2 -D? —037s
•
JO j ADDRESS 31 Carolyn Street OWNER'S NAME Keiter Builders
P CA
0 ADDRESS 31 Carolyn Street TEL FAX
TYPE O0CUE3,NNCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:
RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO❑
FIXTURES. —.LOOK—' 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 1
ROOF DRAIN
SHOWER STALL 1
SERVICE/MOP SINK
TOILET 1 PLUMBING & GAS INSPECTOR
URINAL NORTHAMPTON
WASHING MACHINE CONNECTION APPROVED NOT APPROVED
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 In 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
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 all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �����r��
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP 3 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
i 1' /-- 2 /
31 C KOLIAJ 67
Commonwealth of Massachusetts Official Use Only
= �.t I Permit No.:EP-2023 —O I D
' ;. Department of Fire Services Occupancy and Fee Checked:' /3 2-y
BOARD OF FIRE PREVENTION REGULATIONSili [Rev 1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
_° Atwork to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 2.00
Ciiy or fawn oft" Npr O N y` Date: 1\ �rytZ 3
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&Nutitber): We-�y\`I6 %"f' Unit No.:
Owner or Tenant: �'� Email:
Owner's Address: atrne, Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes'1.To❑Permit No.:
Purpose of Building: PIKe,((i Utility Authorization No.:
Existing Service: Ati s 12O/ZI{QVolts Overhead❑ Underground❑ No.of Meters:
New Service: Amps 120/2,40 Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: O fte ` ,- ; `t 9
+ 1
Completion of the following table may be waived by the Inspector of Wires. elj-NAACi j
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-Grad.❑ Above-Grnd.0 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 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 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: `lower EIec+ri LI1, A-1 ❑or C-1 0 LIC.No.:
Master/Systems Licensee: 1-O fhQf R.Towi!' LIC.No.: I 9g)co 1 A
Journeyman Licensee: 3nathox1 IZ.TOwet,- LIC.No.: jtV(P(Q(p a
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 5 S N. em- ietd L5-1ree+, Fe der5 Hills, MA oro30
Email: ''
`OW&'1 power@ a DM cast ty&^f Telephone No.: LI I r 1%a-11111
I certify, under t e pains and penalties of perjury, that the information on this application is true and complete.
Licensee: Print Name:3rua,'I'han IZ.Tower Cell.No.: Lit 3-6S0-4343
INSURANC 'tV ERAGE: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 me to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify: /taeuc Insurance*CPA 514( g221
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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