17D-004 (6) BP-2023-0967
540 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17D004-0p 1 CITY OF NORTHAMPTON
17D-00
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0967 PERMISSION IS HEREBY GRANTED TO:
Project# KITCHEN RENO 2023 Contractor: License:
Est. Cost: /2000 MATTHEW KOZUCH CS-106644
Const.Class: Exp.Date: 09/25/2024
BERCH-HEYMAN ELEANOR K& TIMOTHY P
Use Group: Owner: MINER
Lot Size (sq.ft.)
Zoning: RI/RR Applicant: MILL RIVER DESIGN BUILD
Applicant Address Phone: Insurance:
30 BAKER HILL RD 4133418893 WC2-315-624269-013
FLORENCE, MA 01062
ISSUED ON: 07/26/2023
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:
(J
Rough: Rough: b -0/`/;"13 House i# Foundation:
Final: Final: Final: Rough Frame:0%14 8-3f)-23 g of?
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final 0,j4 11-Z-25 J�Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: (I;
117
e
Fees Paid: $143.00
•
212 Main Street,Phone(413)587-i 240,Fax: (413)587-1272
Office of the Buildin¢ Commissioner
Fillable electrical permit pdf form_202305081146175338.pdf https://northamptonma.gov/DocumentCenterNiew/217/Electrical-Pe...
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4 Commonwealth of Massachusetts official use Only,$2r1,
` :: Permit No.:C��2.3'
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[NI_ Department of Fire Services Occupancy and Fee Checked//17
j � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] �^�° '
CD '•_.` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be )erformed in accordancl;with the Massachusetts Electrical Code(MEC),527 CMR 1 .00
City or Town of: i 0��`J P M pry Date: 1 Z i 1Zv`2,3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): c ti,0 gtZt O t,Cob Unit No.:
Owner or Tenant: Ti ►A. Mt N,c-P- Email:
Owner's Address: SA -1 LI. Phone No.: till .3 y i ' e g i 3
Is this permit in conjunction with a building permit?(Check appropriate box)Yes Ei No®Permit No.: &P- Z.a Z3- O It-7
Purpose of Building: Ujility Authorization No.:
Existing Service: \U'U Amps 1-1-° / Z1J Volts Overhead[l Underground 0 No.of Meters: /
New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: k.tv.L,-tC^t K-L ntDva-1tot'"
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-Cirnd.❑ Above-Grnd.❑ 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❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 1 0 Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Elect cal Work: (When required by municipal policy)
Date Work to Start: f I 1,S' Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:tot) e-N Ew Ft,Ertl L.t C L C A-1 []"or C-1 0 LIC.No.: g -1 7`1
Master/Systems Licensee: t A t ) b 1ce._,-t& LIC.No.: 2 3-7-- C ( A
Journeyman Licensee: (4 NJ p\N"-•-t fo LIC.No.: 1 3 1 6 K 6
Security System Business requires a Division of Occupational Licensure"S"LIC'. S-LIC.No.:
Address: 11-13 rt D v-CNA-N1 b 11 bk.6 ,A 0101i6
Email: t p.n"t A 1/4.)'rj h✓At...6 `l`\ lk i 1 i LO Telephone No.: 11 t 3'Z‘Z ' 0)U Z.
I certify,un er the ain�enalties of petjuty,that the information on this application is true and complete.
Licensee: _ Print Name: (At-1 I b V'2`1 64 Cell.No.: 47//3 Z6 z ' t3 i Y Z
INSURA, CE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s e to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER 0 Specify:
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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.:
1 of 1 8/24/2023,9:50 AM
I2J I ..rv ) CC • /-O/
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_w CITY N rthampton MA DATE 8/21/2023 I PERMIT?P-2023-p3(((e
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v JOBSITE ADDRESS 540 Bridge Rd I OWNER'S NAME Elle Berch Heyman
JOWNO ADDRESS 540 Bridge Rd I TEL 413-588-7205 FAX I
J
TYPE Olt OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL ❑ RESIDENTIAL El
PRINT
CLEARLY NEW:P RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOD
it
FIXTURES 1 FLOOR—, BSM 1 2 3 4 r. 6 7 8 9 10 11 12 13 14
BATHTUB 4 1 1
CROSS CONNECTION DEVICE iiiellivini siimiiiiilli1111111 11111111 NM I
_�.T .
DEDICATED SPECIAL WASTE SYSTEM , l I
1
DEDICATED GAS/OIUSAND SYSTEM f nor m
DEDICATED GREASE SYSTEM MI111111111111111111111 --
--- mew li
DEDICATED GRAY WATER SYSTEM ,,
DEDICATED WATER RECYCLE SYSTEM millimilli.mil
DISHWASHER 11111111Mjnimi
DRINKING FOUNTAIN 11�� `LL INN NM iIIIIIIIII
FOOD DISPOSER MIN KS NM NM looll.1011111111111111011iiirii11111111111 I
FLOOR/AREA DRAIN k T
INTERCEPTOR INTERIOR
KITCHEN SINK ji j
LAVATORY I _ r.—_.
ROOF DRAIN AM,� -
SHOWER STALL ^! '_- Q. `... v CP
SERVICE/MOP SINK ° � �
tea.
TOILET _ .:� , - j
URINAL
WASHING MACHINE CONNECTION A
WATER HEATER ALL TYPES _'
WATER PIPING Mill .
OTHER utility Sink
i
.a�
f��
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES L NO 0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY El 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: WNER I _I AGENT CI
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application ar ru and c u e t e best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in o ianc wi II P rtinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME John T.Geryk LICENSE# ,1„607,9 -.e.......J TURE
MP El JP Ej CORPORATION 0#1 PARTNERSHIP #I1295560 LLCEJ# ,
COMPANY NAME John T.Geak Plumbing&Heating, LLC ADDRESS 5 Crescent St
CITY Northampton STATE MA ZIP 01060 TEL 413-727-3057 1
FAX CELL 413-336-3893 EMAIL john@ajohntgerykplumbing.com I
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
( —2 '- 23 g a ,p -►'+'ic, FEE: $ PERMIT#
PLAN REVIEW NOTES
/c-d/ -"23 ;X
SSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
,r .i= CITY ; ortham ton MA DATE,9/4/2023 !PERMIT# .-)20 23-0312-
t_ —I)
JO Ali ADDRESS I540 Bridge Rd OWNER'S NAME Ellen Bercch Heyman
0 (VIE�t!ADDRESS 540 Bridge Rd 1 TEL413-588 7205 FAX
N a
TYPE Ot`I pRINe OCCUPANCY TYPE COMMERCIAL;,,,; EDUCATIONAL Q RESIDENTIAL,,nj
CLEARLY NEW:; t RENOVATION:0 REPLACEMENT:Q PLANS SUBMITTED: YES Ej NO..
APPLIANCES 1 FLOORS—+ BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER IllialkilliMilailialliMilillillir
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER j p �� jW
DRYER _............ �#
FIREPLACE I
FRYOLATOR
FURNACE . .
GENERATOR
GRILLE ............. "r.
INFRARED HEATER 8
LABORATORY COCKS
MAKEUP AIR UNIT 1
OVEN _
POOL HEATER �"
ROOM I SPACE HEATER j PL MBI JG 8v GAS INS'EC
ROOF TOP UNIT 1� .._ _ ____ � NO ��MPTON
TEST L .. ...." .::., a 'ED N. A `ROVED
UNIT HEATER
UNVENTED ROOM HEATER � i111111111nWI ,111111KM IMIIIMI
WATER HEATER
OTHER ;cap fireplace t 0 r
r
w. xkxw wwraww�r w y _ ... i
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YESu NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND ,tiy,1
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 w- „ AGENT L„„„
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are tru and ac u o th est of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in co nce w a e ' nt provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME;John T. Geryk LICENSE#1 16079 , GNATURE•
MP El MGF Li JP It... .'j JGF 1, LPGI CORPORATION Q# PARTNE SHIP;# 1295560 1 LLC Q#
COMPANY NAME: John T.Geryk Plubin &Heatin LLI
ry m ,� Heating,LLC ADDRESS 5 Crescent St
CITY Northampton 1 STATE MA ZIP 01060 TEL 413-727-3057
FAX CELL 413-336-3893 EMAIL''john@johntgerykplumbing.com
/61 -3/- Z7