18D-070 (3) BP-2023-1720
971 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
18D-070-001 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-2023-1720 PERMISSION IS HEREBY GRANTED TO:
Project# GOODWILL RENO 2023 Contractor: License:
Est. Cost: 245874 KEVIN PERRIER
Const.Class: Exp.Date:
Use Group: Owner: ELLENDAVE LLC
Lot Size (sq.ft.)
Zoning: HB/WP Applicant: FIVE STAR BUILDING CORP
Applicant Address Phone: Insurance:
123 UNION ST (413)527-4060 WMZ80080077052020
EASTHAMPTON, MA 01027
ISSUED ON: 12/26/2023
TO PERFORM THE FOLLOWING WORK:
INTERIOR RENOVATION
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:, lierV
House# Foundation:
Final: Final: 1`l :a1 Final: Rough Frame: U K i/i'/alf
Gas: Fire Departme V\ Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:(.14 2-15 7 4
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
1
Fees Paid: $1,721.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
`1 / / OK1IJ(oIJ -) 00'//
C,ommonwealh o/massachusetf4 Official Use Only
'! ,iii i!t c-� Permit No. �� 1-1—00�2
e 3 .2)epartment o/_tire�ervices
_[_�_ a Occupancy and Fee Checked/4-/8v-7)
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)�/,�j�( °D
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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 PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 -11-a 11
City or Town of: 1 .012.- I 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) 61:7 [ eGF /24I
Owner or Tenant 12 k 'I'6AI j.,a( '.{ -( 6 J aLZZ(_ Telephone No.
Owner's Address 5",1(;
Is this permit in conjunction with a building permit? Yes IR No ri (Check Appropriate Box)
Purpose of Building 5 rz)/j(,S 0 of-t)D( L Utility Authorization No.
Existing Service 1/C-V Amps /4)0 /obi Volts Overhead ❑ Undgrd %r No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: A-00 OUi .�5 rid) / I 5'
Ito Poo t,v/i-a-� A-W 3-cAsH Ld4 s rvf Vu
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grad. 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 AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.of No.of Data Wiring: 3
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
q Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical__ll Work: / ( 5U (When required by municipal policy.)
Work to Start: t ` 13 d`f 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 licensee 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 a BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: 5-� ��i ,off LIC.NO.: 3 5lo$'o�1,-
Licensee: S%Z w ( Signature ;jI C,�;LA4 1 LIC.NO.: 35 4 a (,-'
(If applicable,enter "exem in the lic ns numb 1' e.) �/�,,A �� ,�,/ Bus.Tel.No.: (1/�S 51-) D Z 32
Address: b UO igi i,Z /` 4 Alt.Tel.No.:
*Per M.G.L.c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
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.
Owner/Agent PERMIT FEE: $ 160—
Signature Telephone No.
"A-DZ9 -r�no2 A r" 2/ -/