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16B-036 BP-2024-0336 92 FERN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16B-036-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING «TTH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0336 PERMISSION IS HEREBY GRANTED TO: Project# BATH RENO 2024 Contractor: License: Est. Cost: 12700 Const.Class: Exp.Date: Use Group: Owner: TK GLEASON FAMILY TRUST Lot Size (sq.ft.) Zoning: URB Applicant: TK GLEASON FAMILY TRUST Applicant Address Phone: Insurance: 92 FERN ST FLORENCE, MA 01062 ISSUED ON: 03/27/2024 TO PERFORM THE FOLLOWING WORK: BATH 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: 7- Z . -Gi"I Rough: House # Foundation: Final: Final: 7-zs ";� Final: Rough Frame: ?e Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: vie. 7 Ty S� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 172. Fees Paid: $83.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 2g-i3t. it 30.011 Cte k 3s t MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK :. _, MA DATE 'u;: <Y CI Y /L l�z T a'''t 51,3/��y . PERMIT# LA 42t< JOBSITE ADDRESS 9i f=pa..,)9• _ 1 OWNER'S NAME �Q 4 6�Pa,10 4 13 , TNER ADDRESS , /r,a, /-'t/L4, ,,tT TEL_`D) S?D- GL A' _]FAX,..._____.__ ._. TYfiE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL ate' PRINT CLEARLY NEW:© RENOVATION:Er REPLACEMENT:Q PLANS SUBMITTED: YES® NOI FIXTURES Z FLOOR-) BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB II _ • 1 • ' CROSS CONNECTION DEVICE — . ►, __ 1 DEDICATED SPECIAL WASTE SYSTEM �y � _ _ DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM T. i DEDICATED GRAY WATER SYSTEM , • .e - _ ,. �R__ ,,._,�,._..._ DEDICATED WATER RECYCLE SYSTEM DISHWASHER ..� -- -- . . . DRINKING FOUNTAIN 1-_. L. FOOD DISPOSER ...._..,�.__.. . . � _ _ ` ---•` •- r __...._ FLOOR/AREA DRAIN + u INTERCEPTOR(INTERIOR) ' • . -, KITCHEN SINK NW'1 1 , 1/4,- .r . 1 �' LAVATORY ----.-New/--mi _... .. ... ROOF DRAIN SHOWER STALL SERVICE I MOP SINK __- .. . . "Itb�P � A`f 311) v TOILET _-. INSPi,`„ ._. ___. �. • URINAL iv- .�.�. i . .. `- APP. �. 5 w ®D01, V1 WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING / OTHER 6 ___....:........ .. ..__.._.."- .., _ . .--..._r. _ . _. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Q NO EJ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0' 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 w'll be in c.mpli-nce with all Pertinent prov�n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / f �` 'l PLUMBER'S NAME Michael J.Moran,..Jr. - LICENSE# M7872 SIGNATURE MPD JP CORPORATION 0#„1079C_ _ I PARTNERSHIP Elk__. __ __1LLCQ# • COMPANY NAME M.J.Moran,Inc. ADDRESS 4 South Main Street CITY Haydenville I STATE MA ZIP 01039 - TEL 413-268-7251 I FAX 413-268-9375 CELL EMAIL ap@mjmoraninc.com Ai94��' tia-/7- qZ Fi i J Si- ' Commonwealth of Massachusetts Official Use Only Permit No.: e 202LI --oµy3 * ; Department of Fire Services Occupancy and Fe?.Checked:"59 2-0 go f �'` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231 °" °` 4PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Alliwork to be rmed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: t-A-- -V 4-N Date: s73(}l a0a y To the Inspector of Wires:By this plication,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): Unit No.: Owner or Tenant: GA,� L/ o tl ..o_ct.soc Email: Owner's Address: Q'a T'.ei2 n S-F Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes En No®Permit No.: Purpose of Building: .VIJJ Q`.\`� Utility Authorization No.: Existing Service: a0 Amps .A,()/ 9.y,0 Volts Overhead 0 Underground❑ No.of Meters: y New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters: Description of Proposed Electrical Installation: (cc d c.. .)*\�A S Cu Ark 6 W Pe�Ct � �.t��y1:i 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.0 Above-Gmd.❑ Hot-Tub 0 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 0 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: No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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: COc0t hr:t iv\ FIkC c1L ( A-1 for C-1 0 LI o.: o� 0�1 , Master/Systems Licensee: W.\\izn„nn ( )j c'ei\AL�CN LIC.No.: 15", 2,,,f1 Journeyman Licensee: LIC. No.: Security System Business requires a Division of Occupational Licenssure"S"LIC. S-LIC.No.: Address: or----:.e -c ja i q�P yA,0 1 a t .0. O 1 0 3(1Email: } Telephone No.: 9/J -,.2Gir-3d,3 ,/ I certify,under the pays and penalties of perjury,that the information on this application is true and complete. Licensee: Print Name: (vj///fl ., �r,.,Aoci. Cell.No.: 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 TBOND❑ 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 hereby waive this requirement.I am the:(Check one)Owner 0 Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: v\il I ",,,l; he-5e 4