25C-051 (17) BP-2022-0459
59 LINCOLN AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-051-001 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-2022-0459 PERMISSION IS HEREBY GRANTED TO:
Project# KITCH/BATH REND Contractor: License:
Est. Cost: 195000 SCOTT NICKERSON 053156
Const.Class: Exp.Date:01/10/2024
, Use Group: Owner: SWEET GINTIS VALERIE &WILLIAM
Lot Size (sq.ft.)
Zoning: URB Applicant: SCOTT NICKERSON
Applicant Address Phone: Insurance:
PO BOX Ni (413)896-3347 O
LAKE PLEASANT, MA 01347
ISSUED ON:04/29/2022
TO PERFORM THE FOLLOWING WORK:
KITCHEN/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:7.� . �/� Rough:"7.,�(�q� House # Foundation:
Final: Final: IF- Final: Rough Frame:(j 14 6 2-Z2 I<,�
Gas: Lw 3G��1` Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil:
Insulation:0iz 8 5-22 K�2
Smoke: Final:
v.lt y-3-214 )2„12
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: .
Fees Paid: $1,268.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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-arf CITY/TOWN Northampton MA DATE 05/09/2022 PERMIT# m27-027--0l' /
v n J SJTE ADDRESS 59 Lincoln Avenue OWNER'S NAME Scott Nickerson Builders
Pf 0 ADDRESS 59 I incoln Avenue TEL 413-896-3347 FAX
v PE 9,g 0 CU ANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
RIND',
o0r EARLS N • RENOVATION: El REPLACEMENT: El PLANS SUBMITTED: YES❑ NO ElFI t1RE '4 FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB j 1
Ru552`oN ECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY 1 1
ROOF DRAIN PLUMBING & GAS INSPECTOR
SHOWER STALL NORTHAMPTON
SERVICE/MOP SINK APPROVED NOT APPROVED
TOILET 1 1
URINAL
WASHING MACHINE CONNECTION 1
WATER HEATER ALL TYPES
WATER PIPING 1
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES ll 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. Ri,iekea2a/C,easzaf
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP El JP❑ CORPORATION®# 4386-PL-C PARTNERSHIP El# 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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Official Use Onl P— 3
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l Occ panc and Fee Checked �j� 7
• 's' ` BOARD OF FIRE PREVE IO, ' GULATION1k Rev 1/07
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APPLICATION FOR PERMIT - 4. i'; ft p • R E ECTRICAL WORK
All work to be performed in accordance with the Masse 4 -_.. , S 1 Co. (MEC),527 CMR 12.00
0.
(PLEASE PRINT IN INK OR T PE ALL INFORMATION) :�• e: 1 22,
City or Town of: oy.7 Z� To the specter of Wires:
By this application the undersign gives notice df his or her intention to perform the electrical work described below.
Location(Street&Number) 59 1—'14 e,I At A
Owner or Tenant CiAJ_ed / V d ��i=� Telephone No.
Owner's Address S ��
Is this permit in conjunction s ith a building permit? Yes/0 No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service /a Amps f2j / lcVolts Overhead a) Undgrd❑ No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ,LC /, / /3�f{ f z_
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. grnd. Battery Units
No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detectionand
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
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 L.ocal❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.Or Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No fDevices
orWiring:q al
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of El trica Work: l 2-, G'IT17 (When required by municipal policy.)
Work to Start: z/L.Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO E: 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 0 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of edgily,that the information on this application is true and complet r
FIRM NAME: P LIC.NO.: C'�-V
Licensee: _ _ Signature LIC.NO.:
(If applicable,`e�t r 'exi. yr liye,iAnumhy ) �e' Bus.Tel.No.; �"� _`
Address: �] ! d / i/ / / �'l�'"�/ d/3 o I Alt.TeL No.: c�� `�U
*Per M.G.L.c. 1 7,s. 57-61,security work requ4 partme of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no!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 I PERMIT FEE: $ 12
Signature Telephone No. )�
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