17A-139 (2) BP-2023-0984
221 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-139-001 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-2023-0984 PERMISSION IS HEREBY GRANTED TO:
ADDITION AND KITCHEN
Project# RENO 2023 Contractor: License:
Est. Cost: 163000 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
Use Group: Owner: HICKS GIPE JAMES W&KIMBERLY
Lot Size (sq.ft.)
Zoning: URA Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST, 2ND FLOOR (413)586-8600 MCC20020005382022
FLORENCE, MA 01062
ISSUED ON: 07/28/2023
TO PERFORM THE FOLLOWING WORK:
ADDITION AND 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: 1),j4: qrs.Z3 I..P
Rough: o'/� �O Rough:/f_/ �n-3 House# Foundation:
Final: ��� 7 D �1
Final: > Final: Rough Frame: 0 I 0-36.3 C7 r
Gas: Fire Department I` Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: f j a11'1133 L9 '
Smoke: Final: 6, e
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
or.,
Fees Paid: $1,060.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Q c�c 1 /2 L/- 460
'MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_
�= TY/TIOWN Florence MA DATE 09/01/2023 PERMIT#PP-ZU'23"b37 Lt
• J BSITE ADDRESS _221 Chestnut Street OWNER'S NAME
csr
cl WNER ADDRESS 221 Chestnut Street TEL FAX
N
frYPEcR CCtjPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 21
PRINT
CLEARLY _NEW/❑ RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1. FLOOR 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 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK PLUMBING & &AS INSPECTOR
TOILET
URINAL NORTHAMPTON
WASHING MACHINE CONNECTION APPROVED NOT APPROVED
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 with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �iaiba/Ce/2 gin/92
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP❑ JP❑ CORPORATION®# 4386-PL-C PARTNERSHIP❑# LLC El#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
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commonwealth of Massachusetts Official Use Only
j _- Department of Fire Services Occupancy and Fee Checked:'/G,Z
I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
i
".. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .
All work to be arformed in accordance with the Massachusetts Electrical Code(MEC). 27 CMR 12.00
City x Town of: 10r����- Date: (( 1{r5J 2tY
1�o the Inspector of Wires:By this a lice' n the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&N ber): a I U Unit No.:
Owner or Tenant �`.,pEmail:
Owner's Address: ,[I�i Phone No.: 1.4 13-.504 00
Is this permit in conjunction with a building permit?(Check apprupriate box)Yes No 0 Permit No.:
Purpose of Building; pw i{ Utility Authorization No.:
Existing Service: ;r'.s I 0 1 2.(40 Volts Overhead 0 Underground 0 No.of Meters:
New Service: aOJ Amps 12.0/ jO Volts Overhead[Q Underground Q No.of Meters:
Description of Proposed Electrical Installation: L AYJ f� (0 Fa (.c-+ t L 1 vo iv
$2 UJtc e tieVoteirkangt r9arolo set oVt
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-Grad.0 Above-Grad.[I Hot-Tub 0 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:
INo.of Modules: Roof-Mount j3 Ground-Mount 0 Level I 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of tI fires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: —rower Fiearia t--LC A i 0 or C-1 0 LIC.No.:
Master/Systems Licensee: rronothan eZ.1D - �LIC.No.: I P r
Journeyman Licensee: 70na41), o LIC.No.: 3utolotp .m
Security System Business requires a Division of Occupational LIcensure"S"LIC. S-LIC.No.:
Address: E5rM, re e - etd t -ee+ Patina Htf tcs MA to
Email: + el(LI po e r @ 0 DM r I s+ f - Telephone No.: -- ?''!°"
I certif fy,wider a pains and penalties of perju y,that the information ott this application is true and complete.
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Licensee: �#� .,._ � Print Name: � ,"� Cell.No.:
INSURANC Rc CIE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of Iiability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of in e to the permit issuing office. *Via
CHECK ONE: INSURANCE ►4 BOND 0 OTHER 0 Specify: Via sUfW lC * } ;1-41p 2. a
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.:
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