23A-134 (28) • BP-2024-0696
77 PINE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-134-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2024-0696 PERMISSION IS HEREBY GRANTED TO:
Project# PAVILLION 2024 Contractor: License:
Est. Cost: 62500 VALLEY HOME 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: HILL INSTITUTE
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant 144rsK fh911ei I,Da4ra lCV.
P O BOX 60627 (413)584-7522 6H62301-I
FLORENCE, MA 01062
ISSUED ON: 06/05/2024
TO PERFORM THE FOLLOWING WORK:
14X14 PAVILLION
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: 6 is G I /$(ZK t-0
Rough: Rough: `/s/27' (✓t14, House# Foundation:
V
Final: Final: oi 1 Final: Rough Frame: OK 7 2 ti /.
4124 Iz r `
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:oz. q.5 .ZH 314
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $406.25
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buiidina Commissioner
HIf l; / NS71 714i'L�
Commonwealth of Massachusetts Official Use Only
_ Permit No.:6)12—ZD?.+/ 053a
Department of Fire Services Occupancy and Fee Checked:*#/LJI 3
K ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 435r,
, PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
A All*bit to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0
City or Towp of: Northampton Date' 6/20/2024
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Lodatio tree tic Number): 83 Pine Street Florence Mass Unit No.:
Owner or Tenant: Hill Institute(77fK'sr 230/3N--bo 1 ) Email:
Owner's Address: Same Phone No.: 413-584-1725
Is this permit in conjunction with a building permit?(Check appropriate box)Yes :o 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 outside pavilion. One paddle fan That's it.
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-Gmd.❑ 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 750.00 (When required by municipal policy)
Date Work to Start: 6/25/24 Inspections to be requested in accordance with MEC Rule 10,and upon completion. •
FIRM NAME: Bridgman Electric A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.: 13885A
Journeyman Licensee: LIC.No.: 31368E
Security System Business requires a Division of Occupational Licensure"S"LIC. •S-LIC.No.:
Address: 13 Kylene Circle Southampton, MA 01073
Email: Bridgmanelectric@charter.net Telephone No.: 413-523-2565
I certify,under t! 1i"ns and p, allies of perjury,that the information on this application is true and complete.
License/. ' Print Name: Thomas Bridgman Cell.No.: 413-523-2565
INSU' • N E COVE' lT': Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability i uding"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of sake to the permit issuing office.
CHECK ONE: INSURANCE [M BOND❑ OTHER❑ Specify:/419ry .4 04 elf jW t5
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.:
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