31A-297 (5) BP-2022-1498
94 VERNON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-297-001 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-2022-1498 PERMISSIO IS HEREBY GRANTED TO:
Project# SHOWER Contractor: License:
Est. Cost: 6000 ROBERT GOULD 90940
Const.Class: Exp.Date: 02/19/20 302/19/2023
Use Group: Owner: A B LER STEPHEN&CHERYL
Lot Size (sq.ft.)
Zoning: URB Applicant: ROBERT GOULD
Applicant Address Phone:, Insurance:
62 LYMAN ST 413-531-1391 SOLE PROPRIETOR
GRANBY, MA 01033
ISSUED ON: 11/16/2022
TO PERFORM THE FOLLOWING WORK:
REPLACE 2ND FLOOR SHOWER
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: !l 2%v 4.2Z Rough: House# Foundation:
Final: Z./y['37, Final: Final: Rough Frame:O k 12 t-22 I?
Gas: 5 Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: v 12 6. j -Z3 k
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
�, MASSACHUSETTS UNIFORM APF�tiCATION FOR A PERMIT TO PERFORM PLUMBING WORK
kt4t:61 CITY N0kr/Y/1/44 fli0 .. MA DATE 1/ 9-4,2 PERMIT#P 2022 b(14
R:1; JOBSITE ADDRES6 I �i P/ 04) ✓ OWNER'S NAMES jut k J
;-r, OWNER ADDRESS d� jy v� TEL (op1
P ..
A3 _LLIFAX�..._�
TYPE OR OCCUPANCY TYPE COMMERCIAL - EDUCATIONAL n RESIDENTIAL Ofir
PRINT
CLEARLY NEW: RENOVATION? REPLACEMENT:ET PLANS SUBMITTED: YES N0/L7
FIXTURES 1 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 "
ROOF DRAIN
SHOWER STALL ) G • INSt'ECTUR
SERVICE/MOP SINK
TOILET 11lO► THAWIPTON
URINAL APPROVPD t. T APPROVED
WASHING MACHINE CONNECTION `J�
WATER HEATER ALL TYPES
WATER PIPING •
OTHER I
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 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 tr and accurate to the es f my kno dge
and that all plumbing work and installations performed under the permit issued for this application will be i mp nce with Pe n t ovision o
Massachusetts State Plumbing Code and
OF--
142 of the General Laws.
PLUMBER'S NAME (N O.-- G d/jott1 LICENSE# i.S6 G ATURE
MP� JP CORPO TION #� PARTNERSHIP#° I LLCEI#
O �I�v
COMPANY NAME ADDRESS � (j alf7f-Vir _ .
CITY P' i& STATE 1 i/t- 1 ZIP ra `Qd.2_ TEL
FAX -- . CELL.I `1Cj1 EMAIL nc:5 -7 r"((0'(/,�i!/11 -e__G' _TC00 --_
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
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