20-012 (6)59? SYL V FS I LR RD
C,ls_1t. ____ _
~1,UhRlod.: 20 -012
BP-2022-0021
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
1.ot: -001 PLRSONS CO'J I R.\CTING WI 111 UNRLG I ST[RbD CONTRACT ORS
a...:Pe=rm=it:,:._: --=B=ui=ld""'"in=g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cat~orv: ADOIT IQN
Pl·rmit,.,. BP-2022-0021
Project# JS-2022-000036
f5U'ost: $56000.00
I cc: $392.00
~ onst Claw
l 1 ,e Group_
I N Si,rug_ .fU
i' oning:_
BUILDING PERMIT
PERMISSION IS HEREBY GRANTED TO:
Co11trac tor: Lice11se:
DANIEL PEDERSEN. ___ 1=0=6..:...:19~4
Owner: GODARD LAUR I NCF:
Applicant: DANIEL PEDERS EN
AT: 592 SY LVESTER RD
Applica11t At/dress: Phone: /11s11ra11 ce:
(>4 V ILL AGE IIILL RD (413) 531-9026
W ILUAMSBURGMA01096 ISSUED ON:8/9/2021 0:00:00
TO PER FORM THE FOLLOWING WORK:EXTEND COVERED & ADD RESTROOMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
R,,ugh:
Final: Smoke:
S-,-?"-f-:7~ ~
D.P.W .
Meter:
House #
DriH'" ay F11ial :
Building In s pector
Footing\: • 3 j I f3' 'l~ v \\ Foundation: Of<.
-rl-{.,65 3/Vii I i."f l-tt
Rough Frame: O ·t<:. ;; I '( /z'-1 l.i,.i
Fireplace/Chimney:
ovQV
Insulation : 1 /J'5\A.<.. 0 I< S / "B/ 24 l. H-~
THI~ PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
\NY OF ITS RULES AND REGULATIONS. 1. ~
FceTypc:
Building
I~
Date Paid: Amount:
8/9 12021 0·00:0() $392.00
212 Main ~tr~ct, Phone (413) )87-1240. Fa,. (413) 5R7-l 272
Loui~ Hasbrtiud. Building ( 0111111 i~si0n<!r
g.ta-A0r. ' XS
592 SYLVESTER RD - -
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:20-012 CITY OF NORTHAMPTON
_Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2022-0021
Project# JS-2022-000036
Est.Cost:$56000.00
Fee:$392.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DANIEL PEDERSEN 106194
Lot Size(sq. ft.): Owner: GODARD LAURENCE
Zoning: Applicant: DANIEL PEDERSEN
AT: 592 SYLVESTER RD
Applicant Address: Phone: Insurance:
64 VILLAGE HILL RD (413) 531-9026
WILLIAMSBURGMA01096 ISSUED O_N:8/9/20210:00:00
TO PERFORM THE FOLLOWING WORK:EXTEND COVERED &ADD RESTROOMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector
Y2 23 a
Underground: Service: Meter:
Footings: K 31I ?A) (At
Rough: -�- House# Foundation:
J _0 3 -Z-� ��Driveway Final:/!J 3(0 121 L`K
- 1�1
Ce— Rough Frame: Q-/G v/ VAALI Lµ
I— 2`-/
`t"n'rL5- e_partinent Fireplace/Chimney
D04?-17
Rough: Oil: Insulation:iN51-4C o Et,/2
Final: Smoke: Final: 01( to 12.8I 24 L (A
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. 14 if • )9 - clVDIT
Certificate, �
of Occupancy Signature'
fr3LOFt
FeeType: Date Paid: Amount: DAN`d t, co w\
Building 8i9/202I 0:00:00 $392.00 ►1 k-E
PGCCI })
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck--Building Commissioner t �, -€
•
{
h I) AV) T1• r lhc, 7,1 �' � ! 0121 ?��� `a-°N
1�
592- 5y t.k-,67-5'/e.
IS, Commonwealth of Massachusetts OffiRial Use only i/
Per
mit No.: el'20 ur'- (14- /
1 lid pr Department of Fire Services Occupancy and Fee Checked:/l-/oaf
1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 12023] 41 75
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: r1c ce ,e Date: S/251 LL(
To the Inspector of Wires:By this application,the undersigneda notices of his or her intention to perform the electrical work described below.
Location(Street&Number): cit. s/\vcy Unit No.:
Owneror Tenant: t_'cc (c1 ,aC %. Email: y" t rig &vw.ck51"• v\ck
Owner's Address: $R....r Phone No.: Ht b C 7 S-`t 12
Is this permit in conjunction with a building permit?(Check appropriate box)Yes H No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: _ Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: W 1 Ct. I.ew 1)C&(00+M 5 to C
tkv.C.('\ \\;\\5 ALI
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Gmd❑ Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioner& Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Grouud-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Elec]rical)York: (When required by municipal policy)
Date Work to Start: ,3 2%/Z H Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:'f,.itith Cat,.J, C\e t.%a„` LL-C- A-1 ❑or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: 1,n ta, (,rac..a L..X LIC.No.: \'1606 -
Security System Business requires a Division of Occupational Licensure"S'"�,LIIC. S-LIC.No.:
Address: 27 c-a�frr c,\X AJG \-\cikv ay.. t11t 1"� 0,d3`l
Email: k1,ntavt C a d10ta-e 1 t,\ . co K-. Telephone No.: 1-11S 3Zo - IRS$
I certify,under the nd penalties of perjury,that the information on this 1icatiion is true and complete
Licensee: Print Name: \i Ak t~ (ru.44.) Cell.No.:
INSURANCE COVE GE: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 to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ 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 herby waive this requirement I am the:(Check one)Owner❑ Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.:
',/\'-1 I r EL- -
`�� `i �1e -/- J
c�� l 3�►� . � I q o
MASSACFUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
_rtg. `''CITY MA DATE 1/dy/� PERMIT# Pe-WV^06-37
0•110BSITE AD RE f S 9 d s 7/UW OWNER'S NAME 0 6I44i.:5 w_
PT„OWNER ADDRESS TEL FAX
TYPE OR • CUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL —]
PRINT 8,10
CLEARLY 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/OILISAND SYSTEM
DEDICATED GREASE SYSTEM _
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM _
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR!AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
ROOF LAVATORY DRAIN P!UMBING & GA-S1NSPEO 1 OH
S NORTHAAr1PTON
OW SHOWER STALL SERVICE I MOP SINK APPHOVE❑ NOT APPROVED
�
TOILET o�
URINAL 7152.
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
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 compli with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBERS NAME f�'IQ 0/64 g 4 ' ' LICENSE# 42_5.a2 J SIGNATURE
MP x JP CORPORATION # PARTNERSHIPLJ#L LLC #
COMPANY NAME .?„4.01j MI6 ADDRESS (> �C�
CITY s -./r STATE A ZIP Dip $Z ( TEL - a 2 y�
FAX 1 CELL I EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
_,,/FEE: $ PERMIT#
/0 ' Z3- ,igLv� ' ' "_7 PLAN REVIEW NOTES
13,170,id s . LAC//LAC n ,w>►-