16B-058 (7) BP-2023-0355
10 HAYWARD RD COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
16B-058-001 CITY OF NORTHA PTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0355 PERMISSION IS HEREBY GRANTED TO:
Project# BATH RENO 2023 Contractor: License:
MOST BUILDERS I GENERAL
Est.Cost: 31826 CONTRACTING 102746
Const.Class: Exp.Date: 04/02/202:
Use Group: Owner: LEAR LISA H
Lot Size (sq.ft.)
Zoning: URB Applicant: MOST ;:UILDERS AND GENERAL CONTRACTING
Applicant Address Phone: Insurance:
PO BOX 187 (413)777-3146 WC2-33S-B21Q1H-013
FEEDING HILLS,MA 01030
ISSUED ON: 03/22/2023
TO PERFORM THE FOLLOWING WORK:
BATH RENO, NEW KITCHEN WINDOW
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
t nderground: Service: Meter: Footings:
Rough: r- �, -�j Rough: <1. j„p...-i� House# Foundation:
_e a Final: Final: Rough Frame:OV. 5-31-Z3 ) R
;� is -t) 'To Aoo i��►..'c Loa),
Gas: 7l t Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:d ll 1-11• z3 J! e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NOR HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: i 1 .52 (4)-,1„. ,
. V • •
Fees Paid: $208.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissioner
/0 HAy7i� 0 Xt
Commonwealth of Massachusetts 0Aicial Use Only
r-= Permit No.6 2a 23 —0 Y`-13
�l=_ Department of Fire Services Occupancy and Fee Checked:/0 1
-=4!_1 7 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023J 0,65 oa
_ ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
W All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 MR 12.00
City or Tow_ � ""y rid relict Date: 5 iq ).3
To the Inspector of Wires:By this3pplicaltion,the undersigrdAives notices of his or her intention to perform the elec 'cal ork described below.
l
Location(Street&Number): NCI%va'd K . Unit No.: /
Owner or Tenant: G t S a Lea f / Email: I glen r/l4 S19,1�tt1 f l•Cen4
Owner's Address: ALA Pi / Phoine No.:Ira
a ' 7.. ‘y a
Is this permit in conjunction with a building permit?(Check appropriate box)Yes allo®Permit No.:
Purpose of Building: C`yjy le 7�uvn i I dwe/JlOIL L ti 'ty Authorization No.:
Existing Service: '7 007 Amp 1W) /) Volts Overhead Underground❑ No.of Meters:
New Service: Amps / Volts Overhead 0 Undergg and El , No.of Meters:
De criptionofProposedElectricalInstallation: tip,'+l'estode1-:-.Floe—.112(+lL11 /0uy it It-("irt atld
1,`4,`5)E d de✓f es --i"o Serve h kktra,
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grad.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 `Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of El 'ca Work: (When required by municipal policy)
Date Work to Start- v Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: a4.f t tv nieP)7 Yatilrl e llici2 11ed/%Ca 46 0 or C-1 ❑LIC.No.:
Master/Systems Licensee:M LIC.No.:
/Journeyman Licensee: (Q 4 t 4e,A7 f keeci LIC.No.: b 5 1,�/
f '$
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: )) 193 N, A' .4 55 ,, 5;14►SI'e I� Or2SS dI� 1�
Email: ! (9 c&/c,Q R.✓k y& r 1,MO,GOO Telephone No.: 1/i —1D /-- !rf
I certify,under theyr ains and penalties of perjury,that the information on this application is true and complete. p
Licensee:/ Print Name: /f a ) , a cl/ nee/di Cell.No.:Pi t'3 JU�-11'y
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performanclectrical work may issue unless the licensee
provides proof of liability including"co pleted operation"coverage or its substantial equivalhe undersigned certifies that such coverage
is in force and has exhibited proof of s e to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does riot 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: Tel.No.:
Signature: Email.:
- ate 3 �v 1,\J
L#I c - *77
,_\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
"�'��
_: ® CITY O re, L2 MA DATE S�c/�'Z3 PERMIT# P 2cD23 U!�(
JOBSITE ADDRESS LlO__-AUj_(,✓4 .. _$ _, ,J OWNER'S NAME!G,'SI__ Li ark. ..
`c-' OWNER ADDRESS TEL /,3 2 7-269' 'FAX
TYPE Orin OCCUPANCY TYPE COMMERCIAL LI EDUCATIONAL El RESIDENTIAL C
PRINT
CLEARLY NEW: RENOVATION: V REPLACEMENT: PLANS SUBMITTED: YES 11 NO'
FIXTURES 1 FLOOR—, BSM 1 2 3 4 5 61 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
SINK PLUMBING & GAS INSPECTOR
iVORTH,41' f fsl ON
LAVATORY
ROOF DRAIN APPE-WVED NOT APPROVED
SHOWER STALL
SERVICE/MOP SINK
TOILETd..17*.
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 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 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 compliance wit ertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME F...Suh h' LICENSE# I ry f SIGNATURE
MP JP V CORPORATION # _PARTNERSHIP 41 LLC #
COMPANY NAME
t ►. bi h ADDRESS CrS� ��po/ S y
.,�- air a
CITY C I,a L✓. .��.�-.re STATE ZIP e2/v6 / TEL;
v
FAX CELI(1440/1 EMAIL f7ah h
� ) S�L�►1��,� C,!^va/ /
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT El ❑
S a .13 "we. ,,"e.ye
FEE: $ PERMIT#
;ea 6 G�6 - / PLAN REVIEW NOTES
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