28-018 (13) BP-2023-1160
203 SYLVESTER RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
28-018-001 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-2023-1160 PERMISSION IS HEREBY GRANTED TO:
Project# BATH RENO 2023 Contractor: License:
Est. Cost: 38544 BRJ BUILDERS LLC ') } �!O
Coast.Class: Exp.Date:
Use Croup: Owner: SCHIFF ALTWARG AMY S & THOMAS F
?_,of Size (sq.ft.)
Zoning: WP/WSP Applicant: BRJ BUILDERS LLC
Applicant Address Phone: Insurance:
PO BOX 505 413-800-4253 A106-587-711
BERNARDSTON, MA 01337
ISSUED ON: 08/28/2023
TO PERFORM THE FOLLOWING WORK:
BATH RENO
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:`d-/7-23 ugh:/O - ((,. 13 House # Foundation:
Final: 29 Final: C`G Final: Rough Frame: 0;K lb-IQ k'-23 'IL
Gas: ,® d� ire Department Driveway Final: FireplaceiChimney:
Rough: Oil: Insulation: Ode, to-)q-2 '16 l¢
Smoke: Final:V.le. I-2t,•'ZL4 K.I4
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
)2 (pi,I •
Fees Paid: $273.00
212 Main Streit,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
REC - .---; .----7--,)
1
OCT 1 3 2023
Commonwealth of as••chusetts e°t .43nyq 7
_ Permit 0.: Q
*6Ilk„ Department of F're �F �ccup cy and Fee Checked: 61 J
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but_ = L r l T p l V'
pi BOARD OF FIRE PREVEN • •e, , ev- 1 023 6
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in acfj�prdance wi h the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: . - fray' abn Date: /0- J3-2 3
To the Inspector of Wires:By this application,the nd�isigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): a.a 3 t.S//1/G5f-be rd Unit No.:
Owner or Tenant: To 5 :K Email: %IA.,e4.1.A. ,$'f e6, 4,e-o,.t
Owner's Address: Sem.4,t Phone No.: Lt t 5 G.is 4 y y y
Is this permit in conjunction with a building permit?(Check appropriate box)Yes[Er No❑ Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: 6 raty..t /Cd//�„44:r)-7
Completion of the following table may be waived by the Inspector ofWires.
No.of Receptable Outlets: 0L No.of Switches: 3 Generator KW Rating: Type:
No.Luminaires: i No.of Recessed Luminaires: a 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.❑ Above-Gmd.❑ Hot-Tub 0 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 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❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspectors Wires.
Estimated Value of Electrical Work: itScgl2e9lr, .S/dcrd (When required by municipal policy)
Date Work to Start: (0-42•'.27 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: JCamp Electric Inc 1 x❑or C-1 ❑LIC.No.:_8214 Al
A-Master/Systems Licensee: J e C p LIC. No.: 22645 A
Journeyman Licensee: LIC.No.:
Security System Business requires Divisio Occupational Licensure"S"LIC. S-LIC.No.:
Address: _6 Nash Hill P Willia urg MA 01096
Email: JCAMPELEC@GMAIL.COM Telephone No.: 413-268-4224
I certify,under t p ' an penalties of perjury,that the information on this application is true and complete.
Licensee: - Print Name: Jesse Camp Cell.No.: 413-268-4224_
INSURANC 0 GE: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 exhibit proof of saw to the penraissuing office.
CHECK ONE: INSURANCE IXI BOND L-1 OTHER LI 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 agentO
Owner/Agent: Tel.No.:
Signature: Email.:
- Pivq1 -10
C_ki4' O 3 7O s
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_ E 7,3, CITY/TOWN Florence _ MA DATE 09/19/2023 PERMIT#fi1"`/6 3-O31O
'7, ;" 203 Sylvestor Road BRJ Builders
�.1� JOB�ITE ADDRESS Y OWNER'S NAME
NJ
P�,
OWNER ADDRESS 203 Sylvestor Road TEL FAX
TYPE titt OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL ❑ RESIDENTIAL
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 1
ROOF DRAIN
SHOWER STALL 1 PLUIVMEING GAS INSPECTOR
SERVICE/MOP SINK NORTHAMPTON
TOILET 1 APPHCVED NOT APPROVED
URINAL
WASHING MACHINE CONNECTION
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® 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 El
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. /ae-4247Ci,Q217.rIR 99
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP❑ 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
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