23B-011 (13) BP--2022-1291
193 LOCUST ST COMMONWEALTH OF ASSACH-USETTS
Map:Block:Lot:
23B-011-001 CITY OF NORTH MPTON
Permit: Alts Renovations
•
Repair
PERSONS CONTRACTING WITH UNREG STERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUAR NTY FUND (MGL c.142A)
BUILDING P'E RMIT
Permit# BP-2022-1291 PERMISSIO ISHEREBYGRANTED TO:
Project# INTERIOR RENO Contractor: License:
Est. Cost: 131500 WALTER MAREK Ilt 055201
Const.Class: Exp. Date:06;23/20 4
Use Group: Owner: 1931, CUST ST ASSOCIATES LLP
Lot Size (sq.ft.)
Zoning: OI Applicant: W MA'EK INC
A_Itulicant Address Phone: Insitrauce:
73 SOUTHAMPTON RD (41 3)977 91539 WCC-500-5014290
WESTHAMPTON, MA 01027
ISSUED ON:10/12/2022
TO PERFORM THE FOLLO J ING WORK:
INTERIOR RENO
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough:1-2" 7-?-M '— House # Foundation:
v 1( ` !` /a-
3
1'inal: Fin l(��N.� �Q 9''` Fin A-1,7 Rough Frame:C.IC 12- 7- L Z
Z Pi-44 a t7,IC Z a Z3 K.IZ
Gas: Fire Depaarrt� it Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:01( 5 11. 23 K.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NOR !"I-IAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
r' 2!
Fees Paid: $920.50
212 Main Street, Phone(413)587-1240,Fax. (413!587-.1272
Office of th; 13itilding Commis'met
a, at/...2 pc,1 " I-04" C61\f -
3 f�rrt-scs O.uc 3-2_Z-z3 )LR
19 3 Loc:c is r ST
Commonwealth el 711addacitudead Official Use Only
t — t c� Permit No.EP'J4022— 10 IC
..Department o` ire Serviced
__�1 Occupancy and Fee Checked-43/7Z
's � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
,APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PJEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: December 1, 2022
cn 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) 193 Locust Street
Owner or Tenant Northampton Pediatrics Telephone No.
Owner's Address 193 Locust Street
Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box)
Purpose of Building commercial Utility Authorization No.
Existing Service Amps / Volts Overhead 1- Undgrd n No.of Meters
New Service Amps / Volts Overhead 1 I Undgrd I I No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wiring of lighting, power, data and HVAC
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp. Transf ormersof 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 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 HeatingKW Local Municipal
p Connection Other
No.of Dryers Heating Appliances Kit Security Systems:*
No.of Devices or Equivalent
No.of Water K"; No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No. of Motors Total IIP Telecommunications Wiring:
1 No.of Devices or Equiv:iieat
OTHER:
Attach addition l 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 accordan a with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit fo the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed op ration"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 ❑ OTHER ❑ (Specify:)!
1 certify,under the pains and penalties of perjury,that the infor io on t • pplication is true and complete.
FIRM NAME: W. F.Johnson&Son Electrical Co., In L1C.NO.: 4555A1
Licensee: Nicholas Johnson Signa LIC.NO.: 21427A
(If applicable,enter "exempt"in the license number line) Bus.Tel.No.•413-5374)731
Address: 687 Silver Street, Agawam, MA 01001 Alt.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public "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: $108
Signature Telephone No.
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