16B-034 (5) BP-2023-0537
78 FERN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
16B-034-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0537 PERMISSION IS HEREBY GRANTED TO:
Project# ADDITION 2023 Contractor: License:
Est. Cost: 93000 TRISTAN EVANS 114112
Const.Class: Exp.Date: 09/29/2023
Use Group: Owner: JANE BRADLEY ELIZA
Lot Size (sq.ft.)
Zoning: URB Applicant: TRISTAN EVANS CONSTRUCTION INC
Applicant Address Phone: Insurance:
61 PLEASANT ST 413-824-0069 WCC-500-5022784-2022A
GREENFIELD, MA 01301
ISSUED ON: 05/04/2023
TO PERFORM THE FOLLOWING WORK:
REMOVE DECK AND INSTALL ADDITION
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:'� �,�,; ' rg v:iz, Q�k S 2Z-Z3
Rough: Rough: 'z 4-3 House# Foundation:
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Final: Final: ' a�( Final: Rough Frame:6,V 5-18-23 K•)Q
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Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: 0,14 q- 2-3 i
Smoke: Final:61( 2 Z zioa
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: LIN -
3'41 •
Fees Paid: $605.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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11.1 Commonwealth of Massachusetts Official Use Only
_,= a� Permit No.: ZD23 -d w77
E-; 1+_ �'=s Department of Fire Services Occupancy and Fee Checkedi /2L,
*-t w , :4ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] * kr—e�o
=� `y - PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
LUS = All o . to be pe. i ed imccordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
lull City—Sr To n 1 f: �'0 t Ci P_iV—r' Date: 7-• 7-2 3
—To-the . : Mr t f Wires:By this application the undersigned gives notices of his or her intention to perform the electrical work described below.
L6cato�t(Street Num/ber): 7 7r C Unit No.:
Owner . ., • Fl 6 7.�- 3 el:►eik Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes . No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / ,• Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: N/!/1 r= 4c 4././ 5-,....4 CV e R.0dr4/j.
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.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.0 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❑ 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 ❑ Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as_ceuirgddb the Inspector of Wires.
Estimated Value of Electrical Work: ;lee �� (When required by municipal policy)
Date Work to Start: —.:: .3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ,i rV/'J j / 4_ A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee:,,//�� LIC.No.:
Journeyman Licensee: A.
P-tc7 / 67nC LIC.No.: c,..9 3
Security System Business requiresir a�Diiv_isi�on of Occupational Licensure"S"LIC. S-L1�C.No.:
Address: 4 ' /i/74A-�,;(" /i (ley/t.✓o�V a/J7
Email: 4s? Jkoccf'/ ")r t ( oifrza._, � •Cow / Telephone No.: 7''(3w-,2. ,7 /
I certify,under ee ins and penalties o perjury,that the information o/n/this application is true and complete
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Licensee: Print Name: �,,f /1/C ' c A Cell.No.: �.i"gc lq
1NSU CE OVERA :Unless waived by the owner, 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 same to the permit issuing office.
CHECK ONE: INSURANCE®- 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 0
Owner/Agent: Tel.No.:
Signature: Email.:
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