24A-255 (13) BP-2021-2269
25 NORFOLK AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24A-255-001 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
Permit# BP-2021-2269 PERMISSIONIS HEREBY GRANTED S: '
Project# JS-2021-000201 Contractor: License:
Est.Cost: 5000
Const.Class: Exp.Date:
Use Group: Owner: BIDDLE JOHN S JR&MARY B
Lot Size(sq.ft.)
Zoning: URA Applicant: BIDDLE JOHN S JR and MARY B
Applicant Address Phone: Insurance:
25 NORFOLK AVE (413)658-8842 O
NORTHAMPTON, MA 01060
ISSUED ON:12/07/2021
TO PERFORM THE FOLLOWING WORK:
bathroom reno
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring I).P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
fz `�'///7j,Z, I ��
Driveway Final: Final: Final: Rough Frame: v.Y. 1 Z- 1 Z
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: U)Z. y`/8/$a•
•
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: S65.00
212 Main Street. Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
J
C.k z-a7 P7D°_
1N. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
'''1—
-IN
l� CITY MA DATE , PERMIT#pP" ,- o e3
` JOBSITE ADDRESS
+7� pr .k OWNER'S NAME ------IL
• .--- .
POWNER ADDRESS TEL 4/15"6. 4 FAX ma 6
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL ''`
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO
FIXTURES 7 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/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 i
ROOF DRAIN -r
SHOWER STALL t I;
SERVICE/MOP SINK
TOILET p —
URINAL
WASHING MACHINE CONNECTION
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
LIABILITY INSURANCE POLICY a 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 I
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.o 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
rtinent-pyovision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. , _,_— <. _
PLUMBER'S NAME ,, a✓t i v LICENSE# - '' SIGNATURE
MP^ JP CORPORATION # PARTNERSHIP+, # LLC,,,,'_#
COMPANY NAME ( . ,- v+,, l.�'�! Cc ADDRESS c- Cf
CITY -j �/t STATE ZIP TEL O (�
c_ _� �_ c am .. - w _.,.s fix.. ,,
FAX CELL EMAIL `
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT# _ 7,(3- a7
/2:3 .-2./ Rize,41 7 PLAN REVIEW NOTES