29-233 (4) BP-2023-0332
126 SPRUCE HILL AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:29-233-001 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-2023-0332 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 BATH RENO Contractor: License:
Est. Cost: 9000 S-CEL-O LLC 076237
Const.Class: Exp.Date: 04/24;2023
Use Group: Owner: KIMBERLY HARRINGTON RYAN &
Lot Size (sq.ft.)
Zoning: WSP Applicant: S-CEL-O LLC
Applicant Address Phone: Insurance:
142 HANCOCK ST (413)273-1431 085BAIX9625
SPRINGFIELD, MA 01109
ISSUED ON: 03/15/2023
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:..3 4 '' ough: House # Foundation:
Final:
a' . al; Final: Rough Frame: t1111-619 3-1('-z 164 —�
0,1L 6,-15 Z3162
Cas: 'ire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: ,(. 15 Z3'. 2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: o . +,
411 a .2 'l +
I ':
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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�►I �= MA DATE 5 J PERMIT#pP ZD"L ` OO'
�Nu .
JOBSITE ADDRESS ` l7. Sp,/ruse hill ll S� OWNER'S NAME 8 /
POWNER ADDRESS -7! 7 L �vr ,f + gip-{'l c,;1 TELLY .5 - / 3� C.2.,C,�AX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ,j RESIDENTIAL ti'
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT:'✓ PLANS SUBMITTED: YES` NO V7.
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER _
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK J PLUMBING & GAS IF.SPLCTOR
LAVATORY NORTHAM 7TON --4--- ---
ROOF DRAIN SHOWER STALL I APPROVED NOT /APPROVED
SERVICE/MOP SINK _
TOILET
URINAL
WASHING MACHINE CONNECTION
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. YES r,, 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 aw_.js a�t at my ignature on this per it application waives this requirement.
_____—,.. CHECK ONE ONLY: OWNER AGENT
SIGNATURE OF OWNE OR AGENT
I hereby certify that all of the details and information I hay 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 i compliance th all Pe i nt provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ` �.
i 1 / til
PLUMBER'S NAM C ✓t ` LICENSE# SIGNATURE
MP JP CORPORATION # PARTNERSHIP # LLC " #
S— C e f— 0 LI C ADDRESS r //10 . ; _ C U C\K �
COMPANY NAME aa �^ _
�J
CITY p d Ot STATE MCI_ ZIP (_' If f 0 - TEL 6 /3 ( o
/ " 7316
I
FAX CELL 1 j EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
lies No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
3-/3-2,3 /90 v6 N PLrn 6
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