32A-239-005 BP-2022-1533
2 POMEROY TERR UNIT COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot: CITY OF NORTHAMPTON
32A-239:WTb ov"
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
• BUILDING PERMIT
Permit# BP-2022-1533 PERMISSION IS HEREBY GRANTED TO:
Project# KITCH RENO 2022 Contractor: License:
Est. Cost: 16700 BEAUDRY HOME IMPROVEMENT CSL1086015
Const.Class: Exp.Date: 03/20/20 3
O'NEILL, WILLIAM CHARLES &FORMANT,
Use Group: Owner: PATRICIA TRUSTEES
Lot Size (sq.ft.)
Zoning: URC Applicant: BEAUDRY HOME IMPROVEMENT
Applicant Address Phone: Insurance:
117 FERRY ST (413)320-1348 6S6OUB2E863000
EASTAMPTON, MA 01027
ISSUED ON: 12/05/2022
TO PERFORM THE FOLLOWING FORK:
KITCHEN 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: 'ough: ,alp 3 House # Foundation:
final:q/,(6 (Aim Final: Rough Frame: ');( I-36-2 3 lea
Gas: Fire Department Driveway Final: Fireplace/Chimne\:
Rough: Oil: Insulation:
Smoke: Final: d k.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $117.00 •
212 Main Street,Phone(413)587-1240,Faxl(413)587-1272
Office of the Building Commissioner
z roM� Oy 7C—_
(ilW,T5 .
Commonwealth of Massachusetts Official Use Only
I „. __(1 Permit No. P-r%2023 "DC
,� Department of Fire Services
►19 Occupancy and Fee Checked /Zg
BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
-z All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN LVK OR TYPE ALL,INFORMATION) Date:
City or Town of: fry 744 6(—V 710,1 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)
Owner or Tenant /7 c S' Telephone No. y/2 3 c) 1.:
.. Owner's Address a f'pl� e jAu e„rj. L-1, • " , /3y�
I
Is this permit in conjuncts with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Mt fi Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ 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: &v Dr k lc'r L. 19/10 Wpm I, f'D
✓l-et,✓ iiileS'y n
Completion of the followingtable may be waived by the Inspector of Wires.
No.
No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
No. of Luminaire Outlets No.of Hot Tubs Generators ICVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of EmergencyLighting
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❑ Municipai ❑ Other
p Cyonnection
No. of Dryers Heating Appliances KW Security
Devices or Equstems:* ivalent
No. of IC Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent
01th R: '
Attach additional detail if desirecj 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 ❑ OTHER ❑ (Specify:)
I certify,under the ains and*penalties cifperjury,thal the information on this application is true and complete.
FIRM NAME: / /i n J tsiL.Wc G i et w` . LIC.NO.: t 0—2 9/26
Licensee: iliv j ri J W .1 . • Signature 7 2✓.41.:_ _P LIC.NO.: S S- b (�i
(If applicable, n er "�pt"i the li ense nu +ber i .) - J Bus.Tel.No.: Wit $3 0 S.FS'
Address: 772 /"ron1 3 TV-ee T �tt,to f a-i,4 (9/0 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) ❑ owner ❑owner's agent.
Owner/Agent
�:.. �.._ m,.1n..u......HT.. I PFRAITT FEE: 3c 6�01-
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
kIMILM
Mi?i, _ CITY cr} .. , MA DATE 5 PERMIT# 0021
o JOBSITE ADDRESS 2 o,u&e1*y fie frame OWNER'S NAME ct�-. ; ,a ,C,,,5 5 1
Pco OWNER ADDRESS„ I TEL! t/r3 - -320-'13 IFAX
TYPE ORS OCCUPANCY TYPE COMMERCIAL 1 EDUCATIONAL RESIDENTIAL F-
PRINT ---)
CLEARLY NEW:n RENOVATION:in REPLACEMENT:r PLANS SUBMITTED: YES El NOJ
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
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL X1---
_
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability 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
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND T
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 my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c ' n with all Pertin fit p ision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME W� _ LICENSE# y17 ,. SIGNATURE
MP JP /1 CORPORATION... # ,PARTNERSHIPS #` LLC , #i 1
=3 COMPANY NAME ADDRESS' 3 I iU^an (zptyg�
CITY Sct+t� uvt�ofdil STATE r l u ZIP 0f '')j TEL t-(/3-21 Z- 717/ I
FAX , I CELL EMAIL let Loh, - 1)rk4,,g, t e 4.Mq •4 Coin%
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