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17D-015 (9)
BP-2023-1102 I1 VERONA ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17D-015-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NC"- HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1 102 PERMISSION IS HEREBY GRANTED TO: Project# 2023 BATH RENO Contractor: License: Est. Cost: 20940 KIM RESCIA 022464 Const.Class: Exp.Date: 01/02/2024 MULLER,AUGUASTUS H&JESSICA E. Use Group: Owner: MATTHEWS Lot Size (sq.ft.) Zoning: URB Applicant: KIM RESCIA Applicant Address Phone: Insurance_ 311 Locust St (413)320-1831 FLORENCE, MA 01062 ISSUED ON: 08/16/2023 TO PERFORM THE FOLLOWING WORK: BATHROOM 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: 9,,277-- Rough: '3/" 33 House # Foundation: Finch _� - Final:/1 .0 Final: Rough Frame:A t 1-12-23 ie Gas:� Fire Department. geo Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: lk Rr.1Z23 iLMI Smoke: Final: ag II-Z3-23 Kite THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: rY` s' Fees Paid: $136.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Fillable electrical permit pdf form_202305081146175338.pdf https://northamptonma.gov/DocumentCenter/View/217/Electrical-Pe... Il V AIM—5�' J Commonwealth of Massachusetts ° au�e°"ly Permit No.: Ga Y� D�� -= 1 1t'1.4 f� Department of Fire Services 4�l'�' a ��lza�7 E ``' r�. K ARD OF FIRE PREVENTION REGULATIONS [Rev. U2o'3] ���� ---' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All York to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 , '—G,---_-____ �O of: I' ianr a� Date: g/27/fl Tokth.7nspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. ,_--- oration(Street&Number): // (/1r0t7 Ct S'7`. Unit No.: Owner or Tenant: fl1, VI/IA c /) //,/r Email: Owner's Address: v // Ur re ct A S t Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No 121 Permit No.: Purpose of Building: S,'n AI a -Peg vw.I va. ant i d€of.;+l Utility Authorization No.: Existing Service: /9 0 Amps2.4 0/1-.p Volts Overhead ill Underground❑ No.of Meters: / New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: /6a t4ro 04-, rain a vafirm i't+yg L wire 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 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub❑ No.of Self-Contained DetectionAlerting 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 0 Level 1❑ Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6000 (When required by municipal policy) Date Work to Start:_3129 f 2 s Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 0 or C 1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee:/ ftpo i kin,/ I LIC.No.: .570 0$3—8 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:g Address: / 2ontroFi RJ 4/orfhamP441 ,4t4 e90000 Email: aa'-' " ktnaft/aAKtloo,i!.La , TelephoneNo.: 413 9 v3 1 tr,t I certify,un er the ains and penalties of perjury,that the information on this application is true and complete. Licensee' Print Name: /44t-06 /Cr+�o/' Cell.No.: 413 '10 OW INSURAi' E C V AGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El, BOND❑ OTHER❑ Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent❑ Owner/Agent: Tel.No.: _ Signature: Email.: 1 of 1 8/24/2023,9:50 AM /1 - 3 6:409`J,,,39 . _ MASSACHUSETTS UNIFORM APPUCATIOt FOR A PERMIT TO PERFORM PLUMBING WORK w"ki1�, CITY 2 ,-e✓eC_. ...___._�_.._ __ i23_ MA DATE i_i ._ 'PERMIT#PP-2923- 341 JOBSITE ADDRESS ._. ._._ NAME ,_ // __ t/ tre,Am_ S'� OWNER'S NAMEyA 0_57-4(5 /',/i/.&C OWNER ADDRESS : s'eLe!_ '... __ ___ —•. TEL;3d� 7J/i- FAX _.. ___. TYPPOR OCCUPANCY TYPE COMMERCIAL -: EDUCATIONAL 7-7 RESIDENTIAL L PINT .... _ CLEARLY X RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES N0 FIXTURES Z 3+ FLOOR-4 BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB - CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM , DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN : FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) J - _.:. ._ .___:. _ KITCHEN SINK LAVATORY Pl UM-BI�IG-$ -t GAS-1NSPECTC._J - ROOF DRAIN - _ NORTHAP PTON __ SHOWER STALL . _- APPROVED NOT APPIOvt©-- SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION • WATER HEATER ALL TYPES . _._. ._. WATER PIPING OTHER 1 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 v 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 Li AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that at 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. ����7n' PLUMBER'S NAME Mitchell Matusiewicz LICENSE# 9523 — ; GNATURE MP i JP .._ CORPORATION i # 2543 ;PARTNERSHIP'._# LW' # _ ___.__ COMPANY NAME AM/PM Plumbing and Healing,Inc. ADDRESS PO Box 527,46 Prospect Street _`m ______, _.._ CITY Hatfield ____ ________ ZIP �01038 _-�-�._.__..._._._1 -��_`_ 'STATE MA TEL;413-247-5502 FAX 413-247-5544 'CELL 169s fy%F EMAIL !ampmplumbing@verizon.net i 2PA-/' £z -Z a-/i qy,9 s2 -?