37-083-031 BP-2022-0309
266 GROVE ST UNIT 31 COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
37-083-031 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0309 PERMISSIONIS HEREBY GRANTED TO:
Project# 2022 RENOVATION Contractor: License:
HAYDENVILLE WOODWORKING &
Est. Cost: 17625 DESIGN INC 116208
Const.Class: Exp.Date:04/13/2025
Use Group: Owner: ANNE-LOUISE SMALLEN
Lot Size (sq.ft.)
Zoning: URB Applicant: HAYDENVILLE WOODWORKING &DESIGN INC
Applicant Address Phone: Insurance:
35 CONZ ST (413)665-7402 WMZ-800-8007423-2021A
NORTHAMPTON, MA 01060
ISSUED ON:03/29/2022
TO PERFORM THE FOLLO WING WORK:
REPLACE BATHROOM FIXTURES & FLOOR
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: J !i Rough: House # Foundation:
�inal: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final: 0,iz Zf
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: Jam+
1 ' '
Fees Paid: $117.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
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" MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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. ' ' CITY I y. ,.�, ` MA DATE I `.11\\� . I PERMIT#PP-?,02,1— 00-'3
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r:,- JOBSITE ADDRESS OWNER'S NAMEI Q v-i c,.Srw,A 'L1
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OWNER ADDRESS , TELJ( a\0')4
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TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION:Er REPLACEMENT:0 PLANS SUBMITTED: YES 0 NOD
FIXTURES 1 FLOOR-0 BSM 1 2 3 4 5 6 7 8 9 10 ( 11 12 13 14
1
BATHTUB ( �
I �[ , 1 1- ' �`
GROSS CONNECTION DEVICE 1 1 J
DEDICATED SPECIAL WASTE SYSTEM I
DEDICATED GAS/OIUSAND SYSTEM ( -
DEDICATED GREASE SYSTEM I
DEDICATED GRAY WATER SYSTEM I
DEDICATED WATER RECYCLE SYSTEM H , I
{ I '
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN ( �.
_INTERCEPTOR(INTERIOR) r
KITCHEN SINK I
LAVATORY JI
ROOF DRAIN I l I N P _ .: t .I33i I iW _
_ mil♦,' AM TC)ty, 1
SHOWER STALL (
SERVICE/MOP SINK ( D P R ► , •_ • ,I
TOILET l
URINAL f ✓
WASHING MACHINE CONNECTION MI 1
WATER HEATER ALL TYPES li
I
WATER PIPING
OTHER I rlini MN -I
II,RE 1
-1 111
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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 POLICY® OTHER TYPE OF INDEMNITY 0 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 co is with all Pertine t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /o(,/JL
LICENSE#ItATIa� ( SIGNATURE
PLUMBER'S NAME �- cr> x "/. {
MP ElJP 0 CORPORATION Did 'PARTNERSHIP❑#I I LLC❑#I 1
COMPANY NAME , rr �,u , ��i i,L�C ADDRESS I \ ri_.4 YY10a,v1 1
CITY \),,:,,,,,.7_ STATE rry ZIP I 0\Octs a. I TEL( -A,`3-A1.4-G„g` I
FAX '-1t3-NI3•teito CELL EMAIL Ivo-CdZP,tg..\\%/rL. j rl-,,.r, I
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