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38B-031 (3) BF-2023-1096 15 LASELI, AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-031-001 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-2023-1096 PERMISSION IS HEREBY GRANTED TO: Project# KITCHEN RENO 2023 Contractor: License: Est. Cost: 1000 JUSTIN SQUIRES 115236 Const.Class: Exp.Date: 09/02/2024 Use Group: Owner: HYLAND M THEODORE Lot Size (sq.ft.) Zoning: URB Applicant: JUSTIN SQUIRES Applicant Address Phone: Insurance: 177 E HADLEY RD 4136409647 AMHERST, MA 01002 ISSUED ON: 08/14/2023 TO PERFORM THE FOLLOWING WORK: 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: Rough: House # Foundation: ,� Final: 9- -23 Final:7-/ .-p3 Final: Rough Frame: /—pti_tO 6 -k,.z )LQ_ 1' 0 gl a-IL-23 4.1Z Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: i!,y.4,>G 9—.2/ -1z3 y% Smoke: Final:0.1G q • ly- Z.3 14.1Z THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: .; • . cs-A75, Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner COI fig ZI LI =�Z1 o M "'It el etC).G y?to /51-Igs t.LA,f*'V5 (4 d t r Commonwealth of Massachusetts Official Use Only :, , pi Department of Fire Services Permit No. Pe-?,D Z3'O(b L _-_ -_m: E. Occupancy and Fee Checked 1'�'et 2-4 Z =1�_ BOARD OF FIRE PREVENTION REGULATIONS p y ,.'`CNJ [Rev. 1/07] (leave blank) ' )2,6'_' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE RINT IN INK OR TYPE ALL INFORMATION) Date: 7/14/2023 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 15 Lasell Ave Unit#1 Owner or Tenant Devon Moore Telephone No.413-896-2687 Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El 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: Update wiring Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.Susp.(Paddle)Fans No.of Total 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. 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 Heating KW Local 0 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 Wiring: No.of Devices or 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 under- signed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify) General Liability 1-1-24 (Expiration Date) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Paciorek Electric, Inc LIC.NO.: 20318-A Licensee: Timothy M. Paciorek Signature Tihnotivy M. Paciorek LIC.NO.: 38731 E (If applicable,enter "exempt"in the license number line.) Bus.Tel. No.: 413-747-0334 Address: 65D Elm St. Ste 104,Hatfield MA 01038 Alt.Tel. No.: 413-561-7724 *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety "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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: $125 Signature Telephone No. N-^12) �n� Q E e_ b i c MASSAC H 3S'•ETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK 7_ GIT r' /1/cALTOLpyvli)/7lb✓ A_ DATE q Ik`ZOL3 PEP?tl1T ?rH Z(}?Z-0 35- 0- JOBSITEADDRESS IS L.,1'SFLt_ iir/13 OWNER'S NAME I itvrn 1- ,/doirn ' OWNER ADDRESS l� GrrSF�� � TEL `l b-�L -L6'Y7 FAX 1_L: `rJ OCCUPANCY TYPE: COI`NIERCIAL EDUCATIONALRESIDENTIAL�'��t�� � Q Q cp PRINT . CLc; FZI 'f NEW:fill RENOVATION:0 REPLACEMENT:El PLANS SUBMITTED:ED: YES ❑ NO ❑ FIXTURES? FLOOR'- I BSNI T 1 2 { 3 4 5 6 7 8 9 10 11 I 12 13 14 BATHTUB: CROSS CONNECTION DEVICE • DEDICATED SPECIAL WASTE SYS • DEDICATED GAS/OIL/SAND SYS I I I { DEDICATED GREASE SYS I • I • DEOICATO GRAY WATER•SYS {: { I DEDICATED WATER RECYCLE SYS I ( { I I { I { DRINKING FOUNTAIN DISHWASHER { �— FOOD DISPOSER - M ( I I - j I FLOOR/AREA DRAIN + I I ( { I INTERCEPTOR(INTERIOR) { I KITCHEN SINK I I J I ) ) • --LAVATORY I I ROOF DRAIN , SHOWER STALL 1 • SERVICE/MOP SINK PLUM BINC4 & GAS irrPEC1 OH TOILET I ''' N . URINAL I AIPPHOVED OT APP9OVED WASHING MACHINE CONNECTION I 1 } „ i • WATER HEATER ALL TYPES I I� I I I WATER PIPING I I I I I I ( OTHER I ___J { I F I I— f !• I I I I . INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142, Yps 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: Lam(/aware that the licensee does hot 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 BOX ONLY: OWNER DI AGENT ❑ Signature of Owner or Owner's 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 a tion will be in compliance with all MPertinent provisi n of`the aassachusetts State Plumbing Code and Chapter 142 of the Gene PLUMSER S=R NAME I Ia lY"t ' ° VV .'eivin^ SIGNATURE LIC , 6q 7/ MP a JP❑ CORPORATION ❑4' PARTNERSHIP T LLC ❑A COMPANY NAME ADDRESS: 9 / H-eVidocii IV _ CITY D VLi Q I '�S STATE Ad ZIP Q I o j a Et L-.iL 40 1/Ol GZ� t/ �' P / COW ,r TEL _ CELL `i i 3 N SS=9R FAX • c *g • MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK _ -T NRr[ ltm/ MA. DATE: PERMIT# CA 'Zvi`.43 J513SITE ADDRESS: lc LpLL OWNERS NAME: GOWNER ADDRESS: )s' 1 t3cL.4 n TEL: Ii 3-n6`21 Y7 FAX: LL: • TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ . EDUCATIONAL ❑ RESIDENTIAL LE PRINT CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ APPLIANCES FLOOR- Bsmt . . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER - COOK STOVE • DIRECT VENT HEATER • DRYER _ • FIREPLACE FRYOLATOR • FURNACE GENERATOR • GRILLE • INFRARED HEATER _ LABORATORY COCK MAKEUP AIR UNIT • OVEN POOL HEATER. - PLJMBING & GAS INSP LC 1 UH ROOM/SPACE HEATER NORTHAMPTON ROOF TOP UNIT TEST • APPROVED NOT APPHUVLD { - UNIT HEATER _UNVENTED ROOM HEATER WATER HEATER G", U1 L� 72�/1c �-l.'1/�3i - / !' INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YEs71 NO ❑ • If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the . Massachu•setts General Laws,and that my signature on this permit application waives this requirement. • • • *CHECKONEONLY: OWNER ❑ AGENT 'SIGNATURE OF OWNER OR AGENT • • 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 with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER/GASFITTER NAME: M I lakik..l, ' -56 TOCkAk LICENSE# /10 7( •SIGNA COMPANY NAME: ADDRESS: 't ' /4?_,V1.tho/1 t • CITY: r /H1t 4 STATE: / 'i ZIP: OC 0 3 FAX: TEL: CELL: t() 14 631 61 EMAIL: ke.9-U rtt,_ C%0714 MASTE y►7 JOURNEYMAN ❑ LP INSTALLER❑ CORPORATION ❑# PARTNERSHIP❑# LLG ❑# VP4V4 9 E2 _6 ;;aev pap, Hoy) tle gZ - 0-7