30A-079 (6) 8 HIGH MEADOW RD
GIS#: COMMONWEALTH OF MASSA CH BP-2020-0823
20 0823
Map:Block: 30A-079 CITY OF NORTHAMPTON
Permit: BuildinTTS
Lot: PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category Bath repo
Permit# BP-2020-0823 BUILDING PERMIT
Project# JS-2020-001420
Est. Cost• $46575.0
Fee:$305.5 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor:
User License:
Lot Sizes . ft.
VALLEY HOME IMPROVEMENT INC 077279
: 153766.80 Owner: SIRIOS DANIEL&JARA
Zoning: WSP(100)/SR(56)/URA(44)/ Applicant• VALLEY HOME IMPROVEMENT INC
AT. 8 HIGH MEADOW RD
Applicant Address
P O BOX 60627 Phone: Insurance:
ISSUED ON:1/21/2020 0:00:00
FLORENCEMA01062 413 584-7522 Workers Compensation
TO PERFORM THE FOLLOWING WORK.-RENO 3 BATHROOMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Building Inspector
Underground: Service:
Meter:
Rough: Z_S 20 Rough: Footings:
House# Foundation:
' ✓G Driveway Final:
Final:,_Z2�2�////dGGGG Final:
Rough Frame:0.1/ Z (, ZOZO IC.e
Gas: Fire Department o.t- 3-S-Zoz_o ,(.R
Fireplace/Chimney:
Rough: Oil:
Insulation: (),/c� 2-6 ZO22tj le'fe
Final: Smoke: �/
Final: O,K• 7-W -&)Z6 V W
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND R U NS.
(.OMI-em0,-
Certificate of
Si nature•
FeeType: Date Paid Amnnnt
----
Building 1/21/20200:00:00 $305.50
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
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ChMt /305- 4 //(D
L\_ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY northanptonMA DATE 1/10/20 PERMIT# Z�
JOBSITE ADDRESS 8 High Meadow OWNER'S NAME VHI
...
OWNER ADDRESS TEL
._ -__ _ ._ ._ I FAX .
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL r�l
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES.7 NO
FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB 1
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
LAVATORY 1 2
ROOF DRAIN ;
SHOWER STALL 1I Ll
SERVICE/MOP SINK
TOILET 1 2 EIc a lu t,
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING T A F PR VED
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.
PLUMBER'S NAME Paul Graham LICENSE# 12322 SIGNATURE
MP JP CORPORATION # PARTNERSHIP 4__._=LLCF_ I
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