30A-029 (2) BP-2023-1618
347 RIVERSIDE DR COMMONWEALTH OF l'AvIASSA .,AUSETTS
Map:Block:Lot:
30A-029-001 CITY OF NORTHAMPTON
Permit: Alta Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1618 PERMISSION IS HEREBY GRANTED TO:
Project# KITCHEN RENO Contractor: License:
Est. Cost: 22000 BEAUDRY HOME IMPROVEMENT CSL108605
Const.Class: Exp.Date: 03/20/2025
Use Group: Owner: COMBEST ANGELA M
Lot Size (sq.ft.)
Zoning: URB Applicant: BEAUDRY HOME IMPROVEMENT
Applicant Address Phone: Insuyance:
17 FERRY ST (413)320-1348 • 6S601J82E863000
EASTAMPTON, MA 01027
ISSUED ON: 11/16/2023
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:
20
Rough: 7i J Rough:/).,— _c) House # Foundation:
Final: Z ._/)= Final:, �' U Final: Rough Frame:04L i2'.7-23 16'IQ
Gas: Fire Department' Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:a to 12-7-2 3!C'Q
Smoke: Final: O.e 2-21-ZM rk. i►Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
i
6 .52 C.fr°1 •
Fees Paid: $143.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
6O 6.
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
C,=€°1—. ; CITY/TOWN lV 0( 1,-01M P ►>� MA DATE [I"' - PERMIT��) PERMIT#Ff 1V 23 -D J9/
�Ia -
ry JOBSITE ADDRESS 141 g.41eT S e. D(i UL OWNER'S NAME f)h byE1A. I M b�
p � _ d
o OWNER ADDRESS S�vvt°Lr. TEL 31Z"11-) I-761 G FAX
OW
TYPE Oft' OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL El RESIDENTIAL 0--
PRINT
CLEARLY NEW:❑ RENOVATION:. } REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO
FIXTURES 7 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/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL PLUMBING & GAS INSNLCTVR
SERVICE/MOP SINK VORTHAMPTON
TOILET APPROVED VOT APPROVED
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 0
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 • all Pertinent provision of the
Massachusetts State Plumbing�` Code and Chapter 142 of the General Laws.
•
lv
PLUMBER'S NAME Of 1,l•11q5iA►q LICENSE#yL 1,1Zl5"
SIGNATURE
MP ( JP❑ CORPORATION 4-# 4 tctii PARTNERSHIP❑# + I LC❑#
`
COMPANY NAME W'
'1 ktv--i: Y" ( 1 C Al ADDRESS 31 C..G I t
CITY w4Lu„r,p.4r STATE MA- ZIP £16 73 TEL -I/ID~21 2 -qi ge
FAX CELL EMAIL r .1L.C - W Y 14 D�u<!. Coin-
Z _ r;ve*'r
3 \/-7 gl V' S I IBC b12.
.. Commonwealth of Massachusetts Official Use Only
o ►r_ +t Permit No. (_: J�- Za Z3 —11 t
m Department of Fire Services p
°° o ._ i_�_ _ Occupancy and Fee Checke
c c ' �f BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
',i' PHLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
5 z ,v im All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
cc (PL T+, _E'PRINT IN IlVK"OR TYPE ALL INFORMATION) •Date: jl,.�j 3 a / Z�� }
CA
0 o j"'"pity or Town of: To the Inspector of Wires:
di s application the undersigned gives notice of is or her intention to perform the electrical work described below.
. Location(Street&Number) 3 q o tl(J\. t1re-✓-s-, d L D Z
• Owner or Tenant iq A Ae, /--el f ii ( fl t'h 1 G 54 Telephone No. 31 Z 1/37 a 1—/
Owner's Address f9 iv, S
Is this permit in conjunction with a building permit? Yes [( No ❑ (Check Appropriate Box)
Purpose of Building 171 D yl, i. Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters
New Service Amps / Volts Overhead 0 Undgrd 0 No. of Meters
Number of Feeders and Ampacity p
Location and Nature of Proposed Electrical Work: K + t't e v, ee,i',11 1 in e L„+J K;-[ e Li e.,\
61 pe.- - r CIvid Li �I-�;�1S P sc-c P4i1e. II
Completion of the following table may be waived by the Inspector of Wires.
No.
No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No. of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightmg
grnd. grnd. Battery Units
No. of Receptacle Outlets No. of Oil Burners ID-RE 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 I
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❑ MunicipalConnection .❑ Other
No.of Dryers Heating Appliances jar Sec riems:*
No o Syyf 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 bluing:
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
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER 0 (Specify:)
I certify,under the ains and xenalties perjury/tha the information on this application is true and complete.
FIRM NAME: /4.11,n .J Li-L'► E(�cG'fr i it q v. • LIC.NO.: I*- 9/7t3
Licensee: My )n .I Li k.4-4.. " Signature9-4T 24.6,U.aJ LIC.NO.: ,$S' 0 by�(p 1
(If applicable,An er "e r pt"ipthe lie a nu ber i .) / J Bus.Tel.No.: W t Y f3 0 J $7.e5
Address: "l12 toA 5 T -C t f (t1,,t0 f c. i 4! 4 D Qz Alt.Tel.No.:
*Security System Contractor License required for this work;if applicable,enter the license number here:
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 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $
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