30C-052 (14) BP-2023-0573
105 CLEMENT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30C-052-001 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-2023-0573 PERMISSION IS HEREBY GRANTED TO:
Project# ADD SHOWER 2023 Contractor: License:
Est. Cost: 9000
Const.Class: Exp.Date:
Use Group: Owner: SCHAEDIG CYNTHIA S &BONNIE S COOPER
Lot Size (sq.ft.)
Zoning: SR Applicant: SCHAEDIG CYNTHIA S& BONNIE S COOPER
Annlir, nt Addrgis Insurance:
105 CLEMENT ST
FLORENCE, MA 01062
ISSUED ON: 05/03/2023
TO PERFORM THE FOLLOWING WORK:
ADD SHOWER
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Laspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: 'J Rough: House # Foundation:
Final: g. 6 -u Final: Final: Rough Frame: () }� L ' /d3 J��
1
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: Q,g Q- 23 Z.,Il
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buildin¢ Commissioner
252 �J
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
- '" env Northampton _ I MA DATE ..7RMIT#PP lO23- O1 q 7
vlti� n
JOBSITE ADDRESS 1 105 Clement St I OWNER'S NAME Cindy Schaedig
P OWNER ADDRESS- _�- I TEL 4135884549 IFAX
fV
O _
TYPE OR t3LCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL P�'
PRINT
CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES® NOD
FIXTURES Z FLOOR-. BM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
f__. r ---- it --i -�_.__.
BATHTUB li MINI'�'` �. In-
CROSS CONNECTION DEVICE =II MIN MINI _ r
DEDICATED SPECIAL WASTE SYSTEM MB MI MN ' ( I
DEDICATED GAS/OIUSAND SYSTEM ;I ,, ' Ill= I -
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM ` IIII -r
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER J
DRINKING FOUNTAIN E
dr 4 1
FOOD DISPOSER 1- - r
FLOOR/AREA DRAIN MiaIIIIIIMi ..----
INTERCEPTOR(INTERIOR) ' 1 .I
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL _■ •z
SERVICE/MOP SINK MIM Mini ail tI OFi"N A rl PTO
TOILET OM .Ili — � 0VL UI ' 'ter •VrU
URINAL ' f I. - r ...
WASHING MACHINE CONNECTION ';——illi n 1111111 NB Milrr
WATER HEATER ALL TYPES OM 11111111 ', ;
WATER PIPING MI M S r
OTHER MN
T ilia 1 MINI
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 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 with all P 'Rer rovision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. -'
PLUMBER'S NAME,Christopher Salve I LICENSE# 15800 SIGNATURE
MP - JP❑ CORPORATION#4491 --PARTNERS # _J LLCQ#r _ —
COMPANY NAME• CTS Plumbing&Heating Co -ADDRESS 200 Old Belchertown Rd I
CITY Ware STATE Ma I ZIP 01082 I TEL 413-230-9705
FAX CELL EMAIL chris@ctsplumbing.com
hev 2,4A/Zi .94