32A-158-014 i'I HALi'L.EY ST UNIT 203
OT
Map:Block:Lot: COMMONWEALTH OF
32a Ins-0I4 T NC�i►SSA�, BP-2023_0397
Permit: Ahs Renovations CITY OF �, HSETTS Repair ORTHAMP.TON
PERSONS CONTRACTING WITH
DO NOT HAVE ACCESS TO THEUNREGISTERED CONTRACTORS GUARANTY FUND (MGM c,742A)
13UILDING PERMIT
Permit# BP-2023-0397 Project# SPLIT'CONDO
PERMISSION
>r�t.Project
# IS L' BY GRANTED TO:
Coast.Ciao: s4nnn Contractor:
Group:
SC-OT? Nt+'V x CctN License:
Lot Sizes Exp.Date:01/10/2024 053 t iF
( d.ft.) Owner: ST
ag. C$ SUNNY HAWLEY
Zo ii : Aa a Applicant: SCOTT NICKERSON
PO BOX M m
LAKE PLEASANT, MA 01347 10
(413j89tS 3337�
ISSIIED ON: Isis
----,��.,..,,_,,- 09ti?5/2023
TO PERFORM THE FOLLOWING W
SPLIT CONDO INTO 2 UNITS.- P WORK:
SPLIT CON
INTO
2 BETWEEN Zj PARTIAL PERMIT FOR I
WkI.LINC U�TS NI'ERIOR RENOVATIONS WITHOUT CREATING THE
REVISED ONLY RENOVATIONS, NOT SPc
POST THIS CARD SO IT IS VISIBLE FROM /T UNIT
inspector of Plumbing Ins /Z �y
Inspector of Wiring T�STREET
E T
Underground: laR '
laneis I
Service:
j�e+ctor
Meter:
Ro hr_/tY-� g 4L ;. �pn, House#
Footings:
fc Rough:vva
�- Final: ��h� Foundation: !
Gas: �� ' 7- Final: S►T6 V tSR' gl 31 14164
FistatFire Department ter''` Rough Frame:
Rough:
Driveway Final: 1 Pl1c a hi , y
OR:
Fireplace/Chimney:
Smoke: Insulation:
I k IB PERMIT MAYBE REVOKED BY THE Final:01C pt?tZci G.-t f
ANY OF ITS RULES AND REGULATIONS. CITY OF NORT
HA►1tiIPTON UPON VIOLATION OF
Signature:
cf,,_,,,,i.-, 4/,,,,k,,,„„42_
it
Fees Paid: S3SL00 .. • 11-
-----
212 Main Street,Phone(413)587-1240,Fax: 413
Office of the 8uildin8 Com )587-1272
Commissioner
M/qI/01--E-`/ ! -
LJiT2' l ,
/ _ Official Use On y q
Commonwealth of Massachusetts Permit No.: P2t ZD ,�'- �Z I Z p--2-iiiMI Department of Fire Services Occupancy and Fee Checked: 1,45-4 a7
? -I V, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] v�
(=> - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
r.,
All work to be erformed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: o-vt r a, Z -) Date: 7 2 21,
To the Inspector of Wires:By this plication,tife undersigned gives notices of his or her int tion to perform the electrical work described below.
Location(Street&Number): •� �, j/ -O? Sr j,Wi 1s ZUI t2421
Owner or Tenant �( /��, Email: y6"' �'-0/2 //
Owner's Address-.SGjt./7t,r // y„,Z.e_., c Phone No.:
Is this permit in conjunction with a building permitVCheck appropriate box)Yes 1p, No®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: f d T Amps 13c, 4'oVolts Overhead 0 Underground No.of Meters: I
New Service: Amps / Volts Overhead❑ Underground No.of Meters:
Description of Proposed Electrical Installation: 4?y„,i.6„1, /r ,l r, p€4 d6
2-02 e6a.L,lLLL ����Q
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-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ 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 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 Electric 1 Work: (When required by municipal policy)
Date Work to Start: $ 2, 4 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: yy� S _e::%0"/Z/�i A-1 ❑or C-1 LIC.No.:
Master/Systems Licensee: 2, gaj J3 LIC.No.:
Journeyman Licensee; / / LIC.No.: rs"-- -
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC No.: ,
Address: / 6 7/�� / /Q IS.. / 0/3O/
Email: -Q ,C 7 Te ephone No.i;6) 5 *O- 70/
I certify,under the pains and penalties/� lt of perjury,that the r ati i nth, pplication is true and complete.
Licensee:)f j ,.,� iglidr i-f Print Name - Cell.No.: � O-7 U/ 7—
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: INSURANC BOND 0 OTHER 0 Specify:r'll /-c
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have t 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 0
Owner/Agent: Tel.No.:
Signature: Email.:
i
Gar-T919 41170 vo
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY/TOWN Northampton MA DATE 03/04/2024 PERMIT#f-202)4-O(°7
JOBSITE ADDRESS 17 Hawley Street )5144.,,4„I Si-- OWNER'S NAME Scott Nickerson Builders
17 HawleyStreet N�'t� 201420Z
OWNER ADDRESS (.320_IS --o1z) TEL FAX
-
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION: ® REPLACEMENT: El PLANS SUBMITTED: YES❑ NO❑
FIXTURES 1 FLOOR—) BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 2
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK 1
LAVATORY 2
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET 2 PLUMBING & GAS INSPECTOR
URINAL NORTNAMPTON
WASHING MACHINE CONNECTION APPRC VED NOT APPROVFD.
WATER HEATER ALL TYPES 1
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 compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Ri��niarz,r 99
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP P9 JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP❑# LLC❑#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
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