31A-175 (3) ,2 MAYNARD RD BP-2019-107,
3lSN: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31A-175 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit N BP-2019-1077
ProiectA JS-2019-001751
Est.Cost:$23500.00
Fee: $152.75 PERMISSION IS HEREBY GRANTED TO:
Const,Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sa. ft.): 7492.32 Owner: WELCHEDWARDIIR
zoning: URB(100)/ Amikant. VALLEY HOME IMPROVEMENT INC
AT: 32 MAYNARD RD
AanlrcantAddress: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:4/22079 0:00:00
TO PERFORM THE FOLLOWING WORK.REMODEL 2ND FLOR BATH
POST THIS CARD SO IT IS VISIBLE. FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Mcter:
Footings:
Rough: Rough: House Foundation:
Driveway Final:
Final: ✓/--r ly FlukS,- 3 Pr.
J / / �.� Rough Frame:
Cas t--Fire Department Fireplace/Cilmneyt
Rauh: 011, lasulatinar
Final: Smoke; Final: 4,e 5 -13-IQ y
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND7— //r
I,tF�GG IONS.
ConPrr for ,(�// / �-. •. 7"�� - /v
Certificate of 9seHeeaew Sianature:
FeeTvoe: Date Paid: Amount:
Building 4/2/20190:00:00 $152.75
212 Main Sunt,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
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lz�l MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK[ y
WJCITY MA MA DATE '//9�/f }PERMIT#
JOBSITEADDRESSLZ? ^97,4 4,1 57- OWNER'SNAME (,1,1
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL .. . RESIDENTIALx
PRINT
CLEARLY NEW:[--] RENOVATION:71 REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES'l FLOOR— BSM 1 2 3 4 5 6 7 8 s 10 11 12 13 14
BATHTUB I
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIUUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREADRAIN _
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL _
SERVICE/MOPSINK — o
_-. TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING. _ _ A PTCNN
OTHER APP OV D NOT APP OV D
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 LI 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 L.J
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the delete and information I have submitted or entered regarding this application are truejux1p=mte to the beat of my knowledge
and that all plumbing work and installations performed under the permit issued Kittle application Will bein co a th all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Paul Graham 'LICENSE# [12322 z SIGNATURE
MP + JP CORPORATION # PARTNERSHIP # LLC #
COMPANY NAME Paul's Plumbing&Heating ADDRESS P.O.Box 303
CITY Huntington STATE MA ZIP 01050 _ TEL 413-238-0303 _
FAX CELL 413-626-2745 EMAIL paulsplgxhtg@aol.com .�
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