38B-110 (2) B '-2022-1147
12 EAST ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-110-001 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
Penn it # BP-2022-1147 PERMISSION IS HEREB Y GRANT JD TO:
Project# BATH RENO Contractor: License:
Est. Cost: 15000 ANDREW MADERA 89404
Const.Class: Exp.Date:04/09/2024
REALL ELAINE M &FRANCES CE I A
Use Group: Owner: CORRIVEAU
Lot Size (sq.ft.)
Zoning: URB Applicant: ANDREW MADERA
Applicant Address Phone: Insurance:
430 ROCKY HILL RD (413)210-4014 SOLE PROPRIETOR
FLORENCE, MA 01062
ISSUED ON:09/14/2022
TO PERFORM THE FOLLOWING WORK:
BATH RENO
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:?.•Z® w Rough: House# Foundation:
Final: Final: Final: Rough Frame: 1DK e0l/ 2
{.as: c�ys Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: v.V 1O'er-Z• IG 2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $97.50
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Buildine Commissioner
�)O
04-123 7D
:; — --,MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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• _:: 'M n 22 Q3S�o
—��`_ , `" -I MA DATE 9/1512022 PERMIT#P(('-�NCITYVortNampton
COJOBSITEADDRESS 112 East St - l OWNER'S NAME[Elaine Reall
OWNER A[1)DRESS L., TEL 4132197728 FAX
IOt.
R - OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ElRESIDENTIAL .
T
W:7:_ Y NE1 RENOVATION: ° REPLACEMENT: PLANS SUBMITTED YES NO
_ 1
FIX(TURESC 7 F-tOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM I. ,
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM r1.11.I —I
D SDICAATSED RWATER RECYCLE SYSTEM_Il ,
Ilitillillill
! _.
DRINKING FOUNTAIN
11111 FOOD DISPOSER '
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY 1
ROOF DRAIN
SHOWER STALL 1 .
SERVICE/MOP SINK
TOILET 1 .
URINAL Mil
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER III
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES j 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 t e best of my knowled e
and that all plumbing work and installations performed under the permit issued for this application will be in complia ith all inent provisi
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Christopher Salve. LICENSE# 15800 SIGNATURE
MP - JP CORPORATION❑# ]PARTNERS #11 LLC❑#� �i
•
COMPANY NAME i CTS Plumbing&Heating Co 1 ADDRESS 200 Old Belchertown Rd
CITY j Ware STATE" Ma I ZIP [01082 _I TEL 413-230-9705 I
FAX CELL EMAIL chris ctsplumbing.com
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