32C-014 (8) BP-2021-1562
100 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-014-001 CITY OF NORTHAMPTON
Permit: renovation
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2021-1562 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002592 Contractor: License:
Est. Cost: 53000.00 FORREST DEVINE 095779U
Const.Class: Exp.Date: 07/07/2024
Use Group: Owner: SPERO PHILLIPS
Lot Size (sq.ft.)
Zoning: CB Applicant: DEVINE CONSTRUCTION INC
Applicant Address Phone: Insurance:
129 LOVERS LANE (413)478-9691 2001W89165
GRANVILLE, MA 01034
ISSUED ON: 06/30/2021
TO PERFORM THE FOLLOWING WORK:
RENO STORE FRONT
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: //—/f�i2 PC Rough: House # Foundation:
Final: . .zdr Final: Rough Frame:
Gas: Fire Departmaf Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: Q. f iJ ci/ 3J , Irb,�.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
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Fees Paid: $371.00
.411 1;i U tud t 2/i/z3
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 PER ORM PLUMB WORK
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c"fYPE dk OCCUPANCY TYPE COMMERCIAL 4 EDUCATIONAL ❑ RESIDENTIAL❑
PRINT CLEARLY NEW:El _RENOVATION:i REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑
FIXTURES 7 FLOOR—. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB Ma OMB MIR 1111111 NM M -._...1 1;
CROSS CONNECTION DEVICE IIIIIIIIII 11.1111110111.111111111.11011111111 IIIIIIIIIIiiiii an aim
DEDICATED SPECIAL WASTE SYSTEM in MMIMMF _Mi JIMI DEDICATED GAS/OIL/SAND SYSTEM � a 11�Imo'.
DEDICATED GREASE SYSTEM MN OMB M,—
DEDICATED GRAY WATER SYSTEM rill1111.1.111111111111•111111111111101111111111111011111011FOINMI MIIII r-111111 MI
DEDICATED WATER RECYCLE SYSTEM M 1 i ing.IKMRallIlMMIP_Sili IMO 1M
DISHWASHER air IM. --- , Man IIIIIIIIIIIIIIII NM MR NI an Am
DRINKING FOUNTAIN ailMai,iiirMiidIFWIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIrllIllFIIIIIIF
FOOD DISPOSER
FLOOR/AREA DRAIN__
INTERCEPTOR INTERIOR I=1. in IMIIIVIIIIMrini Ng rill7PW WI lilt
KITCHEN SINK MN MS NM MN IIIIIIIIIIIIIIIIMM:!PIW MI*1111116 Mid WM MN NM
LAVATORY idimwmignimilioripa,„Ilmikimiloasiginiimixer
ROOF DRAIN 11111111111111111111rwaiiiiiiiiiiiwilik*lailliNkat MI laiiiii
SHOWER STALL iiiiiMall,an iiii 111111 MI illar/� AIM M MI M'Mill MI
SERVICE I MOP SINK [ II_________IIIIII:INN all 1 /,ME to M IIiii am an an
TOILET MIIMMOMM am MI IIMN'illIlli NM MN NM 1111111 MB NM
URINAL 111111iiiiinilitiiiIIMIIIIIIIBINFINIIIIIIIIII11111111111111111/111111111111111111
WASHING MACHINE CONNECTION IIIIIIFIIMIIFINIIIIIIKEMIIIIIIIIIIIFIIIIII lit IIIIIFIIIIIFIIIIIFIIIIFIIIIII-
WATER HEATER ALL TYPES 111111Williff1111111111111111111111111111111111 111111111111111111111111111111111111111111
WATER PIPING
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11111111111111111111111.111111111.1111 Mill min mini OW--MIIIIIIIrWIIIIIIIIIIIIEIMmiuswuuuruor
L ioneMI''ONINSNM 111111111111 fIIIIIIII0II1II INN INN Ilia lag INN INN
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES leNO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Ej BOND Ej
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 Pe inent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /'
PLUMBER'S NAME -Ti. t k.C ZG ILICENSE# 1�D/7�O SIGNATUR S.
MP 1' JP❑ p CORPORATION❑# PARTNERSHIPE #E [LLC❑#I
COMPANY NAME T /4 6.14. ._..0 �14 ADDRESS ji'1`- /Var n 1~-f' P-CQ I
CITY c 1 STATE 1,14A ZIP O!6 S - -1 TEL ti/3 6-- g L-4,97-1
FAX CELL i EMAIL
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Commonwealth of Massachusetts Official Use Only
1 r De artment of Fire Services O�� �+� P Permit No. �►��2'?�
—%�°E— BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked- - 51
e _ P Y
[Rev. 1/07] (leave blank)
IS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE]RINT IN INK OR TYPE ALL INFORMATION) Date: 4/24/23
City or Town of: NORTHAMPTON To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 100-104 MAIN ST
Owner or Tenant BALLY BUNION Telephone No. 478-9691
Owner's Address SAME—FOREST DEVINE CONCTRUCTION
Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box)
Purpose of Building COMMERCIAL Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
ADD RESTROOM STROBE&BASEMENT PULL
Completion of the following table may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T T
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
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices 1
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local ❑ Municipal ® Other
p Connection
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
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H
Y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $900.00 (When required by municipal policy.)
Work to Start: 1/13/23 rough 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 li-
censee 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 X BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury, that the information ofi this application is true and complete.
FIRM NAME: Hackworth Systems,LLCM / 7 LIC.NO.: 286C
Licensee: TROY HACKWORTH Signature LIC.NO.: 685D
(If applicable,enter "exempt"in the license number line.) v Bus.Tel.No.: 413-203-2212
Address: 83 College Hgwy Southampton,MA 01073 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License Lic.No. SS002458_
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 El owner's agent.
Owner/Agent PERMIT FEE$50.00
Signature Telephone No.