21-005 (2) BP-2024-0061
567 SYLVESTER RD COMMONWEALTH OF MASSACUUSE'ITS
Map:Block:Lot:
21-005-001 CITY OF NORTHAMPTON
Permit: Ails Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2024-0061 PERMISSION IS HEREBY GRANTED TO:
Project# INTERIOR RENO 2024 Contractor: License:
Est. Cost: 60000 JUSTIN SQUIRES
Const.Class: Exp.Date:
Use Group: Owner: JEREMY DURRIN
Lot Size (sq.ft.)
Zoning RR Applicant: JUSTIN SQUIRES
Applicant Address Phone: Insurance:
177 E HADLEY RD 4136409647
AMHERST,MA 01002
ISSUED ON: 01/22/2024
TO PERFORM THE FOLLOWING WORK:
INERIOR 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: Z. 9 y Rough:2. /L/ -,2 T House# Foundation:
IN•
: Final:(2
Final: Rough Frame: �),/( 2.15.2 t
4r3_2
y -) �
Gas: Fire Departmen ♦G, " Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: .).k 2.20-24 KiQ
Smoke: Final: A(4 4,,iO-2j4 k
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Pflid: $390.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
\,
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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( CITY Northampton MA DATE 1/31/2024 PERMIT#PP 2t92`/-O C`/Z
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_ JOBSITE ADDRESS r 567 Sylvester Rd OWNER'S NAME Background Examine LLC-_, _ I
pOWNER ADDRESS TEL 413-727-5218 FAX 1
TYPE OR OCCUPANCY TYPE COMMERCIAL U EDUCATIONAL 0 RESIDENTIAL X❑
PRINT
CLEARLY NEW:❑ RENOVATION:ki REPLACEMENT:[1 PLANS SUBMITTED: YES❑ NOD
FIXTURES 1 FLOOR—• BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1.. II — l �_-
CROSS CONNECTION DEVICE ! ll� —11 'I
DEDICATED SPECIAL WASTE SYSTEM ji t I '
DEDICATED GAS/OIL/SAND SYSTEM I 11 ( II [
DEDICATED GREASE SYSTEM ( 1
DEDICATED GRAY WATER SYSTEM , Willig �,11111111,11111.
DEDICATED WATER RECYCLE SYSTEM I !( I �,— _ _^11111. _
'1-
DISHWASHER 7 �l I _A�IIII1J11��JIIIIII
DRINKING FOUNTAIN I I-1
FOOD DISPOSER , I PIP
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FLOOR/AREA DRAIN _ j 1.1111111 iiiiillipilliNM
INTERCEPTOR(INTERIOR) I ( =j
KITCHEN SINK I 1 _ M
LAVATORY I I Im; i
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ROOF DRAIN y ---- H--
SHOWERiimNB
STALLM ,L l►[�( ' .1 .I ► i MI�.
SERVICE!MOP SINK I ,, MI
TOILET
URINAL MBMkIMMN � ___MEW _ pmmam
WASHING MACHINE CONNECTION 1111111 St WE
UM,1111 El MINM NMI 11111..
I WATER HEATER ALL TYPES illiiir
0.1011111 gill
WATER PIPING MI Mg � M •1 'I ' Ma MI MR'
OTHER am MI OM iiillown i 1 I ,I I FM OM MK
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INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES n NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY❑ OTHER TYPE OF iNDEMNI T Y" Li 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 El
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-4n accurate to he best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in, om e with all P inent p sion of the c
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Mark Wendolowski LICENSE# 12394 ,
S ATU
MP , JPL J CORPORATION Li# PARTNERSHIP❑# LLCLLJ# 3675
COMPANY NAME Express Plumbing, Heating & Solar LL ADDRESS 131 Prospect St
CITY Hatfield STATE MA ZIP 01038 TEL 413-626-3862
FAX !CELL 1 EMAIL [mwendolowski@comcast.net
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8&7 SYLr/c-see-, -,,
T
T' Official Use Only
co Commonwealth of Massachusetts Permit No.: 2074 '_01 OS
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Department of Fire Services Occupancy and Fee Checked: /4917.•a BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] '/2_6-(2'
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�_•�'� 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: F/Ure,ncQ Date: .2/7 ';)LI
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): 50-7 Sy/I, S4er Rd Unit No�it:
Owner or Tenant: 5&fo''y NW' _Email: ,5ec(r yGk►ran 19mctit.c x'
Owner's Address: Phone No.: `11 737-Vie
Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No El Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: /0 b Amps 1.2a /O`IO Volts Overhead Underground❑ No.of Meters: --1-
New Service: Amps / Volts Overhead 101 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: 174,tultt. exrskh5 hbusc -fv Code
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-Grnd.❑ Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ 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 equired by the Inspector of Wires.
Estimated Value of Electrical Work: 'I'Mildtx1 (When required by municipal policy)
Date Work to Start: o?/$r*0 ei Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-i 0 or C-1 ❑LIC.No.:
Master/Systems Licensee: " /l ` LIC.No.:
��
Journeyman Licensee: ltik A T Ot'n5 LIC.No.: /0 7 a g-3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 1_� S-hot15 Cf FG lGn•10h M 010a-7
Email: \p"h pII/Grt 90g tO?MOT!1 tCo►v. Telephone No.: 1113-31 5'o(9 2
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: Dnia 4 Ybr~a Print Name: �ntt,( / 'A/) Cell.No.: 4117,3/5b(�6(o
INSURANCE 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 same to the permit issuing office.
CHECK ONE: INSURANCE 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.:
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