38B-117 (9) BF-2024.0342
LTH OF MASSACHUSE'�'TS
COMMONWEALTH p-�pN
17 B-1
Map:Block:Lot:
38517-00AST ST CITY OF NORTHAM1 Permit: Alts Renovations
Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
M L )
DO NOT HAVE ACCESS TO THE GUARANTY
p..11i pINGTh1TTO:
GRANTED
PERMISSION IS HEREBYLicense:
BP-202a-0342 Contractor: CS-089458
Est, it# 2024_17 EAST ST CLAUDIO GARRIDO
Project it ADD BATH
17500 Exp.pate:08f2412424
Est, Cost: Owner:D: CASE MICHAEL A
Const.Class:
Use Group: Applicant: CI-A(SD10 GARRIDO
Lot Size (sq.ft.) URB la„c srance:
Zoning SOLE PROPRIETOR
RIE3UR
a d 41132ri121195906
140 T3ASH HILLKD
HIAYDENVILLF. MA01039
11,1 ,gip. 04I0 12424 WORK:TO PERFORM THE FOLLOWING
ADD BAT TO 17 EAST ST -ADD DORMER STREET
Bulldir8 Inspector
POST THIS CARD SO IT IS VISIBLE FROM THE
Inspector of Wiring Footings:
Inspector of Plumbing Meter:
Service: Foundation:
Underground: house #
, Y 7k ��,
Rough:iJ- - f Rough Frame . Cr` �S
Rough: Final:
j Final: �/.�'� �.�� Firehlace3Ghimney:
E iStyd: I b Driveway Final: �i{ (C+
Fire 1)epartmcn
lrisulation:�l le,. •�-
Gas:
Oil: ��� : .?�� 5 tF
Rough: Final:04, g
Smoke: MPTON UPON VIOLATION OF
CITY OF
THIS PERMIT MAY BE REVOKED
TIONBY � NORTHA
ANY OF ITS RULES AND Signature: it12— .
Fees Paid: $tSI91)_
a . .
212 Main Street,Phone(413)
587-1244,Pax:(413)587-1272 •
Office of the l3uildin¢Commissioner
-
�, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
I
_�= _ CITY/TOWN AiO TI Ham 031 MA DATE l9 � PERMIT#PP 2O VI- b28
JOBSITE ADDRESS / C4 5 r OWNER'S NAME Ali k e Cets
z f OWNER ADDRESS TEL FAX
r� i1(PE'OR I OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY, NEW:❑ RENOVATION:kr REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z' FLOOR-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB L i
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM ( _
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER I j
DRINKING FOUNTAIN ? I
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY 1 t i8-NG & GAS INISPEC1OR
ROOF DRAIN fa (h R MY I O N
SHOWER STALL
('ate_ f I
SERVICE/MOP SINK I /F HOVL.D Nc-fr Al P2O1/Fn
TOILET
URINAL filEft
WASHING MACHINE CONNECTION r I 1
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. YEW NC ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 0 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 with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME I �f l'' Zit LICENSE# 42 7 IGN RE
MPX JP❑ CORPORATION Piit y'7a7 PARTNERSHIP❑# LLC❑#
COMPANY NAME , X; C Z Q. 4. /! ADDRESS '7 / '1ve..r-
/1� � I
>S � > r
CITY �la � e STATE /"/� ZIP �D } TEL ��} J eS7V
FAX EMAIL CELL _ ___
- i '9"4/0/fl" �2' 9
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_� Commonwealth of Massachusetts Permit No.:
M I j Department of Fire Services Occupancy and Fee Checkedf094 (.
—:qua�:; BOARD OF FIRE PREVENTION REGULATIONS [Rev. 12023] (05-!
•_• 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: Northampton Date: 4/5/2024
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): 17A East Street Unit No.:
Owner or Tenant: Michael Case Email: mike @caseappraisal.com
Owner's Address: same Phone No.: 413-522-7976
Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Wire third floor bathroom _
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.❑ 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❑ 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 0 Level 2 0 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: Paciorek Electric Inc. A-1 ®or C-1❑LIC.No.: 3787 Al
Master/Systems Licensee: Timothy M.Paciorek LIC.No.: 20318 A
Journeyman Licensee: Timothy M.Paciorek LIC.No.: 38731 E
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 65D Elm St.Ste 104,Hatfield MA 01038
Email: info@paciorekelectric.com Telephone No.: (413)247-0334
I certify,under thepai���et?' ff perjury,that the information on this application is true and complete.
Licensee Print Name: Timothy M.Paciorek Cell.No.: (413)563-7724
INSURAN OVERAGE: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 m BOND❑ OTHER❑ Specify: General Liability
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.: permit fee$65
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