32C-285 (10) BP-2023-0553
110 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-285-001 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-2023-0553 PERMISSION IS HEREBY GRANTED TO:
Project# BATH RENO 2023 Contractor: License:
Est. Cost: 18000 WRIGHT BUILDERS 115196
Const.Class: Exp.Date: 05/31/2024
Use Group: Owner: GIBLIN,M.BERNADETTE &VALENTA, JOHN
Lot Size (sq.ft.)
Zoning: URC Applicant: WRIGHT BUILDERS
Applicant Address Phone: Insurance:
48 Bates St 413586-8287 MCC20020005342021A
NORTHAMPTON, MA 01060
ISSUED ON: 05/02/2023
TO PERFORM THE FOLLOWING WORK:
BATH RENO 2023
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: Rough: House# Foundation:
Final: 6 — f!i Final: Final: Rough Frame:
40
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:0,K (,.6.23)C P
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
„opIL 0
Fees Paid: 464035:98' 3 1 I I-.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
LK- 1(-C 46,0 --
. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
ra">I°E_.t =CITY 1 MA DATE k4C412.1 PERMIT#f!2J L -O/g3
i - ' t JOBSI DDRESS j OWNER'S NAMEI //��
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ER ADDRESS � t1 i' 1 e __ I I TEL IJFAXI
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TYPE OR-3 OCCUPANCY TYPE COMMERCIAL;---1 EDUCATIONAL 0 RESIDENTIAL /sue
PRINT
CLEARLY NEW:� i RENOVATION: REPLACEMENT:11.V- PLANS SUBMITTED: YES El NO_
FIXTURES 1 1-hOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB iI �I 1 .. tl 1 tl n
CROSS CONNECTION DEVICE , y u 11 °r "'' �a
DEDICATED SPECIAL WASTE SYSTEM j ' .
DEDICATED GAS/OIL/SAND SYSTEM " --'----!;- _'!��- 1r—t r` � I-7.-- 7 I' 1--
DEDICATED GREASE SYSTEM - I , i `- ---d-_ , , a ,r- - �_ � if"' 1.--t-
DEDICATED _
GRAY WATER SYSTEM �� '- "I �'_� �( ,("� ��t "- g
DEDICATED WATER RECYCLE SYSTEM ---rlr------�_.- -1-
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DISHWASHER i �- r �1 _-ice 1`ll ._.. 1- -- _�� --1
'-- i - im Y
DRINKING FOUNTAIN _� I r
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FOOD DISPOSER 1 „
FLOOR/AREA DRAIN 1 �r" -�
INTERCEPTOR(INTERIOR) If I` it J f 1 '4--
KITCHEN
SINK .-.r __... _._ __-,t__- f. _ _ N •`,G• `J1TcttSteTUH
LAVATORY ,r li.
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irk �.._._ `• A
ROOF DRAIN t � — ���..� � ' - �
SHOWER STALL {
SERVICE/MOP SINK J .� i 4 '' i r / ' .. tL
TOILET ,_ - .7 _ i •
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i � may, 1 I'
URINAL r' ;r - 31 11--_-1i s{ Ir 17 - — --il --__ r-"__ ._ _ ,!_
WASHING MACHINE CONNECTION _ ;I ----7 -?!--;j- '- f , --, i`- 'i-' �r
r — ti --i r .. . _:: �... .
WATER HEATER ALL TYPES f ifi {-�!` r— ,f
WATER PIPING ---fir r- __—_. _ri c1` --1
OTHER '�-
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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 Q 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 to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance t all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME 1Robert Lamica ,(LICENSE#[Ma MM� SIGNATURE
MP - JP CORPORATION[ #I yc,54 'PARTNERSHIP❑#L__ 1LLC❑#r
r___ _COMPANY NAME' DF Plumbing,Inc. I ADDRESS PO Box 1086, 9 Stadler Street I
CITY Belchertown 'STATE-MA 1 ZIP 01007: TEL 413-323-6116
FAX 413-323-75321 CELL, EMAIL dfplumbingbelchertown@yahoo.com I
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