32C-315 (6) ` r S BP-2017-0705
COMMONWEALTH OF MASSACHUSETTS
ck: 32C-315 32,0- CITY OF NORTHAMPTON
.001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
_ermit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2017-0705
Project# JS-2017-001163
Est.Cost: $25500.00
Fee:Si 66.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 5488.56 Owner: BAK JAMES A& BAK 2008 REVOCABLE TRUST
Zoning: LTRC(100)! Applicant: VALLEY HOME IMPROVEMENT INC
AT: 41 HENRY ST
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:11/22/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:UPDATE BATH FIXTURES, ADD 1ST FLOOR
LAUNDRY - NO STRUCTURAL CHANGES
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:
Driveway Final:
Final: //3 v/7 Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
(94°3 °t1
THIS PERMIT MAY BE REVOKE BY THE C TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND ' " :U T O
--t-c,,
Certificate of Occupancy � Signature: g-ta
FeeType: Date Paid: Amount:
Building 11/22/2016 0:00:00 $166.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
7o
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
.--. ift L..S CITY o ' 1,9- 2 —I MA DATE I/W,///� PERMIT# P/91?-e3
JOBSITE ADDRESS 7l f�P4.,;Q 7` OWNER'S NAME X,f-
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL U RESIDENTIAL
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT:I I PLANS SUBMITTED: YES❑ NOD
FIXTURES 1 FLOOR BSM. 1 2 3 4 5 E 7 8 9 10 11 12 13 14
BATHTUB MITINOIN/1pneWileglIMI
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM !! M'�M '
DEDICATED GAS"'OIL'SAND SYSTEM MO
DEDICATED GREASE SYSTEM 11'Mlalli 11111.1111_11.111111 Mill_ 11.['�..—iiiii mg
DEDICATED GRAY WATER SYSTEM �1'', J
DEDICATED WATER RECYCLE SYSTEMMN ,
DISHWASHER 111111111.1niiiiiii!pli: ,
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DRINKING FOUNTAIN MINIMI � � � _,
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FOOD DISPOSER �-�111.1 (®1as ETIMINIF imi NM En an
FLOOR/AREA DRAIN _®11.1111.11.1.1 WM OM Mil Mal MN NM EN NMI
INTERCEPTOR(INTERIOR)
151 .1111101.1.1011.1 am Um lostimi OE ism N.
KITCHEN SINK IMMMIM iMii UM INN MEI MIN ME Mill NM Mill
LAVATORY IMUNIIIIIIIMMI ME OM MENMMNNMMit Min —II.
ROOF DRAIN MIMIMIEN m MIN ism Nis ion Nis EnEnMINIM
SHOWER SALLIIII i.
M 111 III ill 111 III 1111 IIII 1111OP S MOP SINK
TOILET siiiiM-----®1111111Im Elam urn PPM MI N4 NMI MOam
URINAL
WASHING MACHINE CONNECTION 1 I AIM M111 mar Mr}TN NM NMI
WATER HEATER ALL TYPES NM iiii MIN Miii Mai MN m NE pm as
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WATER PIPING /
____
OTHEREME
implau IIIIIII.IMI MEM
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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 POLC' OTHER TYPE OF INDEMNITY Li BOND fl
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 1-7 AGENT 11
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 comp) e a Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws
PLUMBER'S NAME 19-41t// 6je-,¢-�ft LICENSE# 14,2„),".2 SIGNATURE
MP g JP❑ CORPORATION n# PARTNERSHIP # ^LLC_ I#—
COMPANY NAME f ,/-// ADDRESS 2 .Y
CITY /4_,,(7/774,4z STATE /17/44 ZIP Q/G 56 TEL - -c,2 7,VS
FAX CELL EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FI\AL INSPECTION NOTES
Yes No
Z J THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PIAN REVIEW NOTES
.40/77
_