44-068 (3) „ tar..2 01
1005 FLOREN ,E RD COMMONWEALTH OF MASSACHUSETTS -44q400
Map:Block:Lo :
44-068-001 CITY OF NORTHAMPTON
Permit: Ahs R ovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-1400 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 SHOWER Contractor: License:
YANKEE HOME IMPROVEMENT
Est. Cost: 16658 INC (V0..3ua
Const.Class: Exp.Date:
Use Group: Owner: AL MUSANTE WILLIAM J& MAUREEN P ET
Lot Size (sq.ft.)
Zoning: WSP Applicant: YANKEE HOME IMPROVEMENT INC:
Applicant Addr ss Phone: Insurance:
36 jUSTIN DR (413)341-5259 WC 9099267
CHICOPEE,MA 01022
ISSUED ON: 10/28/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL SHOWER ON 1ST FLOOR
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: Rough: House# Foundation:
Final://-?.-&Z Final: Final: Rough Frame: O. II VIA- PicrUi24..r5
I t-1-21-16f2
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: 0.1(
THIS PERMI MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS ',ULES AND REGULATIONS.
Signature:
t .
Fees Paid: S 10.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-127
Office of the Building Commissioner
c-` -^{-:- Aj SSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
�L'�
T
C( N 1 /L�y 'i G -- MA DATE /07 // PERMIT#JOBDDRESS /(/ 5- re v1r�' - Kam+ , OWNERS NAME C7L( J iOW DDRESSTE / L7—/7 FAX
OCCCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 1 in't
LiARL r-NE .:_d? RENOVATION:❑ REPLACEMENT: ( PLANS SUBMITTED: YES ❑ NO❑
F ' PRES I _. FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB _
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM 1
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM _
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RaCYCLE SYSTEM I
DISHWASHER _ - _
DRINKING FOUNTAIN f
! FOOD DISPOSER 1
FLOOR/AREA DRAIN _
INTERCEPTOR(INTERIOR) — _ r
KITCHEN SINK _
LAVATORY I PLUMGlNG
j ROOF DRAIN 8` G7N$ �OR
SHOWER STALL / NORTIAMPION"
SERVICE/MOP SINK NUT APPROVED 1
TOILET
j URINAL _
I WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES _ _ r
WATER PIPING _ -
OTHER _ r _ 1 - I _
I i - I
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES g NO E
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSIRANCE POLICY d 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 0
SIGNATURE OF OWNER OR AGENT
I hereby certify that all df the details and information 1 have submitted or entered regarding this application are true and accurat to th est of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in comp a wi a i t provision of the
Massachusetts State PlumbingCode and ChapterCha 142 of the General Laws. l�
PLUMBER'S NAME Jl hL'I [E Z C ,�' LICENSE;#/Jd',�'7 SIGNATURE
MP g JP❑ CORPORATION'# 7 i'D PARTNERSHIP❑# �''; ;LLCM❑#
COMPANY NAMEKA 4{�2-2 � 4Q.- 7 ADDRESS ''L ✓7� L2
CITY_ �4`Go) D12-Q - STATVW ZIP TEL TEL y. ///'k)
FAX CELL// 88-7?9 " EMAIL pa/Ilk-le:6' yM.k.--0,e_figfrig •
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