35-228 (6) 62 LADYSLIPPER LN BP-2022-0148
COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 -228 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2022-0148
Project# JS-2022-000258
Est. Cost: $28605.00
Fee: $188.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HAYDENVILLE WOODWORKING & DESIGN INC 115879
Lot Size(sq. ft.): 32452.20 Owner: FEIN SARI &CASEY
Zoning: Applicant: HAYDENVILLE WOODWORKING & DESIGN INC
AT: 62 LADYSLIPPER LN
Applicant Address: Phone: Insurance:
35 CONZ ST (413) 665-7402 O Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:8/9/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE PRIMARY AND HALF BATH
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: 9—f 7 7 Rough: House# Foundation:
Driveway Final:
77
Final:A°,�J V.2" Final:
r 0',2 7- a Rough Frame:, v. +03,z) t< ,�
J2c__ tR,
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
r!(:4: Smoke: Final: Q,I. ID- Zq• 2,0Zi
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE U TIONS.
(la . 1 , Ts° .
Certificate of / / Signatu I : l
FeeType: Date Paid: Amount:
Building 8/9/2021 0:00:00 $188.50
212 Main Street. Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
r 6.41l 32 r
r. -ACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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+,: O. ;iTt4+ TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL r'
• L L"lt'— NEW:L w RENOVATION:4 REPLACEMENT:;i,_ PLANS SUBMITTED:.Y_ NGE
FIXTURES Z FLOOR BSU ! 1 , 2 3 „ , j 8 ' s. - I,
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CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEbt
DEDICATED GAS/Oft/SAND SYSTEM _
DEDICATED GREASE SYSTEM _ k ! 1 ----
DEDICATED GMWATER:YSTE3rf '
DEDICATED WATER RECYCLE SYSTE1t1 I _-- _ _._ _rn. .,..x,..�_ -
DISHWASHER k - i _ I,
DRINKING FOUNTAIN
1+a+DISPOSER - --- '_____ --
FLOOR i AREA DRAIN _ ,f ! .',
INTERCEPTOR(INTERIOR
KITCHEN SINK f ;_
. LAVATORY IVA1_11111111
ROOF DRAIN MB Imo` __. _
SHOWER STALL t 1111111111111111111111111111
SERVICE I MOP SINK NW '• t
TOILET At is - � OVE f
WASHING MACHINE CONNECTIOP: NM—MN 11111111111MOLOWAir*-
WATER HEATER ALL TYPES .> <. L
WATER PIPING 11111111111111F11111111 'I
OTHER M
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INSURANCE CO^.VZR:AGE:
I have a current fiabi1iti insurance policy or its substantial equivalent which meets the requirements of 1.1GL Ch.142. _
4 IF YOU CHECKED YES.PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE A.PPROPR14TF ROX BELOW
LIABILITY INSURANCE POLICY I OTHER TYPE OF I DEMNITV _ BOND 7
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage requited 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 aetaes and information I have submitted or entered regartfing this application are trJe and accurate to the best of r'y knowledge
and that all plumbing work and installations performed under the permit issued for this appiicaton wilt be in • ,.; rice with ail P ' t provision of-re
Massachusetts State Plumbing CarIP and Chapter 142 of the General Laws. r/ (/jV
PLUMBERS NAME`Glen Wow. 1LICENSE#113788 I AT'JRE •
MP Ld JP _ CORPORATION 0# PARTNERS'=,=_ ;i.LC'�R 1 •
COMPANY NAME Pioneer Valley Envir en al LLC ADDRESS , E Main S:
CITY Ware STATE MA J ZIP 101037 .- ---_- • I
FAX [413-477-6802 `CELL t EMAIL 1 Diu nepvenvac.corr: pv+e I�eomcasi.ne i