16C-013 (9) BP-2022-0923
272 SPRING ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
16C-013-001 CITY OF NORTHAMPTON
Permit: Swimming Pool
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0923 PERMISSION IS HEREBY GRANT,1 I TO:
Project# ABOVE GROUND POOL Contractor: License:
Est. Cost: 13161
Const.Class: Exp.Date:
Use Group: Owner: ANN LOVELAND-PANDORA BETH
Lot Size (sq.ft.)
Zoning: WSP Applicant: TEDDY BEAR POOLS & SPAS
Applicant Address Phone: Insurance:
v! 1 AST ST (4s 3)594.2666() WC8665063
CHICOPEE, MA 01020
ISSUED ON:08/04/2022
TO PERFORM THE FOLLO WING WORK:
ABOVE GROUND POOL
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: 8'JR6QM Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:0.12. q-i-zz g i12
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
)2
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
'Z-?z 517I21i'(C 5T
-- - Commonwealth of Massachusetts Official Use Only
't Department of Fire Services ' Permit No. c/9-2b z�— 0-1 O W
�� BOARD OF FIRE PREVENTION r, Occupancy and Fee Checked L271
I REGULATIONS [Rev.9/05] (l_ r„meave blank)
,APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00
(PLEASE PRINT ININK OR TYPE ALL INFORMATIOII9 Date: /a,5 f 0
-= City or Town of: /v;,,. /4 a,., A+3 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work describ d below.
Location(Street&Number) a 7 2, .,5,„,,,. ; �,�
_. Owner-or-Tenant A'f , c...4 4 x C J'"-, eh,..„, Telephone No.
Owner's Address 4-r1 h..,
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Ref;Jam„f> ;,L Utility Authorization No.
Existing Service , b c,_ Amps /Jo /,e Y ,Volts Overhead ® Undgrd ❑ No.of Meters /
New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: I/; ,,,_t /l,ePc,,,, �'„r...`i 5,,4;,„,.,,,zd r.. A,(
,(
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grad, grad. Battery Units
i
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
•
No.of Switches No.of Gas Burners No. n Deten and
I nitiatinggon DevicesTotal I
No. of Ranges No.of Air Cond. Tons No.of Alerting Devices
Disposers Heat Pump Number To_ns `KW No.of Self-Contained
No. of Waste Dis
po .W.� Detection/Alerting Totals: I ` DevicesNo.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ other
No.of D ers Heating Appliances KW Lgecurity 'stems:"
rY No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofD ceor Wiring:
al
Y e No.of Devices 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 offce.
CHECK ONE: INSURANCE [ . BOND 0 OTHER 0 (Specify:)
I certify,tinder the pains and penalties o perjury,that the information on this application is true and complete.
FIRM NAME:Ari , i d 171 p2:. C l /e.-6•'( .rit,[- LIC.NO.:,4/t.3,3
Licensee: / „„ (d x„ , ( Signature i ja- -.-.1.-� LIC.N i 1 ' 2
(lf applicable,enter "exempt"in the licw a numb r line.) Bus.Tel.No.
Address: 7 .2 tit--. /,�,,K c e.,, 7 6.Cr..c,f,c c A v/t.`,2 c-' Alt.Tel.No.:
*Security System Contractor License required for this work;if applicable,enter the license number here:
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)0 owner ❑owner's agent.
Owner/Agent I PERMIT FE '
$ 00
Signature Telephone No. ���
1