32C-192 (7) BP-2023-1417
12 HOCKANUM RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-192-001 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-2023-1417 PERMISSION IS HEREBY GRANTED TO:
Project# LAUNDRY ROOM 2023 Contractor: License:
Est. Cost: 22500 SCOTT NICKERSON
Const.Class: Exp.Date:
Use Group: Owner: LLC ADB-1 PROPERTIES,
Lot Size (sq.ft.)
Zoning: URC Applicant: SCOTT NICKERSON
Applicant Address Phone: Insurance:
PO BOX M (413)896-3347 0
LAKE PLEASANT, MA 01347
ISSUED ON:10/13/2023
TO PERFORM THE FOLLOWING WORK:
CONVERT PORCH TO LAUNDRY ROOM
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: ✓1"09ti `
Rough: j 1 + /(o" 03 Rough://i—/S:d3 House# Foundation:
Final: Final: / , / '. 1 Final: Rough Frame: 2G Z3 ^Q
/"V —�`� ' (.:-rc K. i..(,- 1-1.44 ei.1]IJS.%LN�1CY.+
Gas: Departme Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: e 11_2 .2'3 e,g
Smoke: Final: ().k 1-IZ-Zei /Zig
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: r)
I•
Fees Paid: $147.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
L^�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
='t= ; CITY/TOWN Northampton MA DATE 1 1/07/2023 PERMIT#pi?Zo Za—sm
12-14 Hockanum Street
JOBSITE ADDRESS OWNER'S NAME
OWNER ADDRESS 12-14 Hockanum Street TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 121
PRINT
CLEARLY NEW: ❑ RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR—+ 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
ROOF DRAIN
SHOWER STALL i'LUMBINia & GAS INSPEG1 C R
SERVICE/MOP SINK N O H rHANI P I O N
TOILET APPROVED NOT APPROVED
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES 1
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
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. Rr,"c44.4/ ,P/,za.
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP El 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
p R76/1- A ,1-6
( -f' NUM --KJ>
`'� Commonwealth of Massachusetts Official Use Only
=*_=r Permit No.: �ZP 7o 23" 6i
1---z.31 ,_ Department of Fire Services Occupancy and Fee Checked: 5-1011-
I
• ill BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
L
N- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
c"' All work to be erformed in accordance with the Massachusetts Electrical Code(MEC),527 C 12.00
City or Town of: h p-wl n''tn., Date: lJ
Z3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electricwork described below.
Location(Street&Number): I. L - )'-( -trZ.IrC., �j✓YI um..-721 Unit No „tr}-y G/V l �e
Owner or Tenant: a� ae t„,-,„gd Email:Q/4 i-)a is e
Owner's Address: (pi e lalt,- - // qtf aaz44,4. ir7 Phone No.: 6/3) 5 31- 6 9
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: s.-, Utility Authorization No.:
Existing Service: /ry Amps/24 / N-eCoVolts Overhead EPUnderground❑ No.of Meters: C
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: 6 i.f ,{/'. -, j CIL , 7-B0-� 7 '-----
Completion of the owin 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❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub❑ 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 ❑ 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 0 Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: fa O (When required by municipal policy)
Date Work to Start: / /1f Z3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:��-I,5 /7;:tO �_<--/ A-1 ❑or C--1 ❑LIC.No.:
Master/Systems Licensee: ,iz.,,,,4„../ , - -- LIC.No.:(4-1 .5.241)'
Journeyman Licensee: --_,,.eiL 4,,0 /)-y, c LIC.No.:E 3T-3 2
Security System Business requires a Division of Occupational Licensure"S"L . S-LIC.No.:
Address: A ,Yi/C (�?,9�.-, ,.i�. A If 61 ,� y /
A Email: -a/ „ / i ���_`i/�at > eiti, Telephone No.: ,j..3 D•- 70/
I certify,under the pains and penalties of perjury,th a 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 undersi lit•a certifies that such coverage
is in force and has exhibited proof of same to the permit issuing office. /
CHECK ONE: INSURANCE)1OND El OTHER❑ Specify: Q�i" _
OWNER'S INSURANCE ,AIVER: I am aware that the Licensee does not have the li./ty 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.:
‘Ao O 06J ! - I/