23A-083 (6) BP-2023-1126
15 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-083-001 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-2023-1126 PERMISSION IS HEREBY GRANTED TO:
Project# LANDING 2023 Contractor: License:
Est. Cost: 8500 ROBERT GOULD 90940
Const.Class: Exp.Date: 02/19/2025
Use Group: Owner: FATHALLAH MIRIAM&KATHLEEN HULTON
Lot Size (sq.ft.)
Zoning: GB Applicant: ROBERT GOULD
Applicant Address Phone: Insurance:
62 LYMAN ST 413-531-1391 SOLE PROPRIETOR
GRANBY, MA 01033
ISSUED ON: 08/30/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL SLIDING DOOR AND NEW LANDING WITH STAIRS
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: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: l
Smoke: Final: 651( i a/Ay/'a3y i:.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
c),148L
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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<1 Commonwealth of Massachusetts Official Use Only oq9
Permit No.:
` ' Department of Fire Services Occupancy and Fee Checked /..51.
°; BOARD OF FIRE PREVENTION REGULATIONS [Rev. 12023] 45 fy
`' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52�CI�IR 12.00
City or Town of: C I or let u Date: t o la
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&Number): 15 1 .-•, Unit No.:
Owner or Tenant: NV.r‘‘a•� A. F 1ka Email:
Owner's Address: Sa-,e Phone No.:(5O' ) 6 15- 63ti o
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 2 No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: (Z e,....0 uC, o tk 6( A.e,,,J ,U,-j dv)r, o'a k ..�-,-)
€ LJct((o( o,)i\eT c.>acL 1. 1,k co( v-t.v a.e,.1.,
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-Grad.0 Above-Grad.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 Conditioner Total Tons: Telecom System 0 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 0 Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of E1cetriFal Work: (When required by municipal policy)
Date Work to Start: 10 I/t.12 3r( Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ,,;u,�K C ra.,,xC4 C k t LA-r;r ... L I-I- A-1❑or C-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: "<i,n s‘ u...1 A,•l Cre 1 LIC.No.: (14606 r a
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 2.7 t rtt c‘,1tw . K.,,j),1...j;\\c. P'A 01 O J G1
Email: A=\„C1(t vk (.,-m w troc wK t% \ , c o& Telephone No.:&113) 3 20 .- 1 1 S 8-
I certify,under the and penalties of perjury,that the formation on this app n is true and complete.,
Licensee: 1,. Print Name: 1 t v.,•l.` try..) Cell.No.:
INSURANCE C 1 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 one to the permit issuing office.
CHECK ONE: INSURANCE[BOND❑ 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 0 Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
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