16C-032 (3) BP-2021-0823
418 SPRING ST
COMMONWEALTH OF MASSACHUSETT
S
Mzplock:
S#------ CITY OF NORTHAMPTON
16C 032PERSONS CONTRAC I ING WITH UNREGISTERED CONTRACTORS
bP r -0
er 01_
rmit: Buildin DO NOT HAVE: ACCESS TO THE. GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Calegoa�': Bath rend
Perm BP-2021-0823
I'ro eet# JS-2021-001405
E_t„ Cgst:$10700.00
Fee: $'70.00 PERMISSION IS HEREBY GRANTED TO:
onst.Class:
Contractor: License:
Use Group: CHRISTOPHER O'GONNELL10850
Lot Size(sd_ft.): 121096.80 Owner: SAVINO SCOTT A&JUDETTE C
Zoning:,URA(100)/WSP(26)/ Applicant: CHRISTOPHER O'CONNELL
AT: 418 SPRING ST Insurance:
Phone: WC
Applicant Address: (413) 539-1521
63 WORTHINGTON RL�
HUNTINGTONMA01050 ISSUED ON:1/22/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:RENO BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring
Service: Meter:
Underground: Service:
House# Foundation:
Rough: Zl Rough: Driveway Final:
Final: Final: Rough Frame:f? il. 3 Z 3 21 ic-,q
Gas:
Fire Department Fireplace/Chimney.
Rough: O Insulation:
Oil:
Final: De .b/i�/a 1 p '`•
Final: Smoke: 1•
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
CO\PLC;IOU I a �� �
Certificate of.eccupancy i - V+1; Signatur
e:(
FeeType: Date Paid: Amount:
Building 1/22/2021 0:00:00 $70.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Cif-* (xto �
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY/TOWN FIt�f�1'1Ct MA DATE Li ( C1 2( -
PERMIT#! !�'w21.03
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JOBSITEADDRESS Li 1 S -se no, J tcCO" OWNERS NAME 3Ck SG.' 1 AO
P OWNER ADDRESS TELO 13)5161
- y ti SO FAX
'TYPE OR_,_ OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[�
PRINT
CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES Z FLOOR—. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND$YSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER I
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL PLUIOIBING
SERVICE/MOP SINK
F TOILET I _ NOH 1 HAIVIP ION ---
URINAL APPROVED NOT APPROVED --
WASHING MACHINE CONNECTION --1
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❑ NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABlLi I Y INSURANCE FUCK Y U OTHER TYPE Oh WUEMNI FY Li BOND Li
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. y
PLUMBER'S NAME 11/1 CA. t -51-1 ( i LICENSE#_,](1, Lt' J SIGNATURE
MP 121 JP❑ CORPORATION E# ^_ PARTNERSHIP❑# LLC❑#
COMPANY NAME St ie(' tc.CS LI C ADDRESS 7C1 JC CA.(" I e. I'OCZLI
CITY 1'I U i'lki Y1(�'Dy 1 STATE m A ZIP O t 050 TEL `I 13 - 0 31 I LD
FAX_ l CELL EMAIL Sh1trIUr1lb'4I3 a) Glm6U1 . (..eM
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