17A-144 (3) BP-2022-0741
212 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-144-001 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-2022-0741 PERMISSIONIS HEREBY GRANTED TO:
Project# Contractor: License:
Est. Cost: WRIGHT BUILDERS 065521
Const.Class: Exp.Date:01/25/2024
Use Group: Owner: BROADBENT, JACKSON M. &MOORE, AMELIA S.
Lot Size (sq.ft.)
Zoning: URA Applicant: WRIGHT BUILDERS
Applicant Address Phone: Insurance:
48 Bates St 413586-8287 MCC20020005342021 A
NORTHAMPTON, MA 01060
ISSUED ON:06/24/2022
TO PERFORM THE FOLLOWING WORK:
INTERIOR RENOVATIONS TO KITCHEN AND BATHROOMS
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: 9*-/ Z1G2 . Rough: House # Foundation:
Final:2-2Z..Z{ui�)4Final: Final: Rough Frame: 0.1Z Cj;;20 2 2 V t t
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: r— Insulation:C) �� 11•s -2z ,re
Smoke: Final:
THIS PERMIT MAY BE R VOKED BY THE CITY OF NORTHAMPTON UPON VIOI,ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I
. • ii 2 �}!
I ' l
Fees Paid: $1,392.00
212 Main Street, Phone(413) 587-1240.Fax:(413)587-1272 .
Office of the Building Commissioner
21 a
C l4 EsmI't r- s 7--
Commonwealth of Massachusetts Official Use Only
,,,=At..M' Permit No. cT ZD ZZ "(cg�
...,, I Department of Fire Services
,,r' - ' Occupancy and Fee Checked753�
1 cr:,,,.-- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank)
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
N All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00
(PLEAS NT IN INK OR TYPE ALL INFORMATION) Date: 0 7- /9- ao 2
4
i or Town of: Flo re.,n e To the Inspector of Wires:
By this application the undersigned gives notice()This or her intention to perform the electrical work described below.
Location(Street&Number) a fa n ra en ' f m--- cAt +AA)
Owner or Tenant et ij th ,, f /Nino re_ ,, 11 /Telephone No.
/I
Owner's Address W rt Q/. iS f //de rs
Is this permit in conjunction with a building permit? Yes No , Check Appropriate Box)
Purpose of Building D toa//t y Utility Authorization No.
Existing Service fn O Amps IAD/a,ctD Volts Overhead n Undgrd n No.of Meters
New Service O?DD Amps MO /c O Volts Overhead W Undgrd n No.of Meters i
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 'c►`fGh.e r IQ,,hel.(1 R.eftveciej/s$r fy�cce, t'Q rcate
Completion of the fooll owing table may be waived by the Inspector ofWires.
Total
No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Tf
,Trr Transformers KVA
No.of Lighting Outlets No. of Hot Tubs Generators KVA
No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Batte 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 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 Local ❑ Municipal ❑ Other
_ Connection
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
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications.of Dvicsor EWquivalent
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
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 d BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
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.
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME::o n ko\ri,k e.tP, 1 n C• f/'^\,, 4LIC.NO.: 9,a."�'.53 ALicensee:)0,CI,Q,. S • ht.Anttet*e Signat ---�� LIC.NO.:
(If applicable,enter "exempt"in the licenser' s re- tine.) Bus.Tel.No.•41/3-5:)7"1 ()pp
Address: 5 I, Alt.TeL No.:"7i 3_ -��2-6
OWNER'S INSURANC WAIV 'R: 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: $/gS,do
Signature Telephone No.
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PL BNG WORK
", ti CRY , Y�pin .rt1 MA DATE 8//S/c\p�, PERMIT# 22--03 o G _
JOBSITE ADDRISSS 0?` C4e ,_ L, OWNER'S NAME vje`p /�(` �1
p OWNER ADDRESS 2d? '. JvU� TEL 5 c9 7 Fax
TYPE TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL C.------
PRINT !
CLEARLY NEW: RENOVATION:!/ REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES i FLOOR-. BSM 1 2 i 3 4 5 I a 7 n I 9 I 15 1 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE I
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
I k„ ,
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER ► / - - --- t'
DRINKING FOUNTAIN
FOOD DISPOSER / o
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY I6 H
ROOF DRAIN FL IVI. ' G tcliA INSPLG I DH
SOAR STALL l - •TH MP Off
SERVICE/MOP SINK J AP•H• ED ` NO APPROVED
TOILET r , s< ..
URINAL i
WASHING MACHINE CONNECTION / .
WATER HEATER ALL TYPES
WATER PIPING ..._. ._T�...._
OTHER : ... ..�..»� 4 I
INSURANCE COVERAGE:
I have a current jlabiity 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
UABILflY INSURANCE POLICY v 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 valve;this requirement
CHECK ONE ONLY: OWNER AGENT I
SIGNATURE OF OWNER OR AGENT
I hereby certify that aN of the details and information I have submitted or entered re 'ng this and accurate to the of my knowledge
and that all pluming work and instaHatlona performed under the permit iss Is will ce with P
the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /
PLUMBER'S NAME David Fredenburgh LI NSE# 11406 SI TURE
PAP d JP CCRIPoRAi on . #2-.9i4 PARTNERSHIP # LLC...,, ��___._.._
COMPANY NAME D F Pkanbing&Mechanical Contractors,Inc ADDRESS P.O.Box 1086 9 Stadler Street .._._ ....,_.._ .,...4
CITY Beichertowwn STATE MA • ZIP 01007 TEL 413-323-6116
FAX 413 323.7532 CELL EMAIL dfpkimbingbelchertowm®yahoo.oan . '
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