29-016 (12) BP-2023-0071
32 HICKORY DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-016-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repa it
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Pcrrnit # BP-2023-0071 PERMISSION IS HEREBY GRANTED TO:
Project# BATH RENO 2023 Contractor: License:
Est, Cost: 7100 R'Y.YAN REGAN-LADD CSL060508
Const.Cla Exp.Date: 12/22/2024
Use Group: Owner: TRUSTEE FEICK EL:Z\BETH C,
Lot Si?-: (sq.ft.)
Zon r;. WSP A ,°),-7cunt: RYAN REGAN-LADD
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Inspector of Wi-ing I .!'.r »�za :, a.�spx<t r
tinders Service: Foetings.
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(_<.s: Fire Departtnent Driveway Final: l.'irepi acc%CtaiFnrtey
Rough: Oil: Insulation:
Smoke: Final: O.jL S'8"2y 1 e.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
Div Y Yi.. w RULa N AINTi REG TLA iC;NS.
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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,CITY Northampton ,J MA DATE 2117//2023 J PERMIT#PP Zola-Dv7�
JOBSITE ADDRESS 32 Hickory Dr I OWNER'S NAME Betsy Feick
.o P G OWNER ADDRESS TEL 4135841090 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL'r---' EDUCATIONAL 0 RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT:! PLANS SUBMITTED: YES NO
FIXTURES 7 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 P-LUICIIBTNIGA—GAS INSPECTOR
ROOF DRAIN NON►HA vih l ON
SHOWER STALL APPROVED NOT APPROVED
SERVICE/MOP SINK _
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER Utility Sink 1
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES V NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY V OTHER TYPE OF INDEMNITY El 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 edge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance all Pe ent ici f the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LChristopher Salva LICENSE# 1�5800 SIGN TURE
MP V JP CORPORATION`J#E491 PARTNER # LLC #
COMPANY NAME CTS Plumbing&Heating Co /ADDRESS 200 Old Belchertown Rd
CITY+Ware STATE Ma ZIP 101082 J TEL 413-230-9705
FAX CELL 1 EMAIL chris ctspIumbing.com
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Commonwealtho/faeiachadetti Official Use Only
_ —_ t Permit No. OP 2-013 — 0 I5
�1 T epartment o/. ire Services
Occupancy and Fee Checked 4 if Li/ _
\_"!_E BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
(leave blank)
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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: 2/10/2023
City or Town of: Northampton 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) 32 Hickory Drive
Owner or Tenant Elizabeth Feick Telephone No.
Owner's Address same
Is this permit in conjunction with a building permit? Yes V No ❑ (Check Appropriate Box)
Purpose of Building single family home Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps _ / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: basement bath and work area renovatons V;Ut ,tti
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans Tf Tot
Transformers KVA
No.of Luminaire Outlets No. of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units 30
No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No. of Gas Burners No. Initiating of Detectionand
Devices
No.of Ranges No. of Air Cond. Total No. of Alerting Devices
g Tons
No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained
Totals: Detection/Alerting Devices
No. of Dishwashers LocalSpace/AreaConnection
HeatingKW ❑ Municipal ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No. of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
mmunications Wiring:
No. Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 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 ® BOND El OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Marc R Bussiere Electrical Contractor LIC. NO.:A12331
Licensee: Marc Bussiere Signature/ l LIC. NO.:E26322
(If applicable, enter "exempt"in the license number line.) Bus.Tel. No.:413.665.3547
Address: 68 Christian Lane, Whately,Ma. 01373 Alt.Tel.No.: 413.478.5314
*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
Signature Telephone No. PERMIT FEE: $ 125
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