32A-171 (2) BP-2023-0444
10 HAWLEY ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-171-001 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-2023-0444 PERMISSION IS HEREBY GRANTED TO:
Project# ADD BATH 2023 Contractor: License:
Est. Cost: 37979 WESTERN BUILDERS INC
Const.Class: Exp.Date:
Use Group: Owner: LLC O'CONNELL HAWLEY
Lot Size (sq.ft.)
Zoning: CB Applicant: WESTERN BUILDERS INC
Applicant Address Phone: Insurance:
73 PLEASANT ST (413)467-9171 UB-6K239300
GRANBY, MA 01033
ISSUED ON: 05/01/2023
TO PERFORM THE FOLLOWING WORK:
3/4 BATH ADDITION
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: s! Rough: House # Foundation:
Final6 r'f�' Final:5 vr Final: Rough Frame:0 S 5-2-3
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: C:14.. ��a3
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
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Fees Paid: $246.00
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
SATIN I= PERMIT#/a/'�2 3'
Cal 3L
" CITYITOWN /�a�J�Tlt`*r�?J�jZw' MA DATE �f:��' '�3
o JOBSITE ADDRESS 1 U /1 hvi � $ f OWNER'S NAME #/4- vi
_ ) G' cuwEL1
32 A —275—aa5
a,-> OWNER ADDRESS t19& Y yc''itc nil/ TEL 4/t5 `/'tC)` J FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL Cr
PRINT Q
CLEARLW NEW:0 RENOVATION:(T REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO[--
FIXTURES 1 FLOOR-4 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 _ / t t(JG & GAS INS,"'EGTOR
ROOF DRAIN -NUR I hI IVIN I UN
SHOWER STALL API'HOVIrD NOT AP'RO1/ED
SERVICE/MOP SINK
TOILET e
URINAL
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 Ca OTHER TYPE OF INDEMNITY 0 BOND 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
:14..,,.4ar.husetts General Law3,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ® AGENT 0
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 ace to to_the b st of m - nowledge
and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance If II P p ovl of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Paul Duda LICENSE# 9954 SIGN URE
MP❑ JP 0 CORPORATION®# 1891 C PARTNERSHIP❑# LLC❑#
COMPANY NAME Aou►anger's Plumhing & NPatin0, Inc ADDRESS PO ROx 89, 373 Main Stre.Pt
CITY Easthampton STATE MA ZIP 01027 TEL 413-527-3240
FAX 413-529-9367 CELL EMAIL ccreswell@boulangersplumbing.com
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r Official Use Only
(Alt 2� � Commonwealth of Massachusetts OJ
Permit No. Cr 2023--o73
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Department of Fire Services i Occupancy and Fee Checked ( 3 %i, ."(1. �IBOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
(-APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
1 o , All work to be performed in accordance with the Massachusetts Electrical Code(MFC),527 CMR 12.00
(LEASE?R(NT IN INK OR TYPE ALL INFORMATION) Date: ,s/,,�,�i
Cityor Town of: ,,,,�i,�y� To the 1 ector of Wires:
By this application the undersign gives notice of`his or her intention to perform the electrical work described below.
Locat on-f eet&Number) /1f 4//7 l g amil dO
Owner or Tenant (92 . Telephone No.
Owner's Address !v[s jeciA jet ,04 i /'4
Is this permit in conjunction with of byilding permit? Yes ( No El (Check Appropriate Box)
Purpose of Building �y%,�'v�'1� Utility Authorization No.
Existing Service Amps / Volts Overhead 0 Undgrd 0 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:/1 14,E/` f—L /1/`9/1,
d,/-,�,fJ_Yrn-
Completion of 1hejollowing table may be waived by the Inspector of Wires.
NoNo.of Recessed Luminaires No.of Ceil: Trans Susp.(Paddle)Fans Tot
Trformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool 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.on InitiatingDetection and
Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste DisposersHeat Pump Number Tons Ir�W.......... No.of Self-Contained—
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
p Connection
No.of DryersHeating 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications NofDeior
Y B 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 office.
CHECK ONE: INSURANCE to BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Gustafson Electric, Inc LIC. NO.:A14142
Licensee: David J. Gustafson Signature ...„.. LIC.NO.:E33782
(lfapplicable,enter"exempt"in the license number line.) Bus.Tel.No.:413-596-9227
Address: 226 South Road Hampden,MA 01036 Alt.Tel.No.:413.537-4743
*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 gent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
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