29-234 (5) 10"1114
134 SPRUCE HILL AVE
BP-2017-1501
ois#:__ COMMONWEALTH OF MASSACHUSETTS
• Mw_131,94:29-234 CITY OF NORTHAMPTON
L,ot,00i . PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
caier,oryi_Building BUILDING PERMIT
Permit il BP-2017:1501
proiceti--; • J8-2017-002482
Est. Cost: $29984.00
Fee;_!5_194,.00 PERMISSION IS HEREBY GRANTED TO:
Const. CIass: Contractor: License:
Use cirgup: _ THOMAS MALONE 055236
1-ot Sizeisq. It): 21954.24 Owner: HINDLE JAMES K& EMILY W
Zoning: 4 ,. -ri-zrqv 1,.6.. mA! .--,N
AT: 134 SPRUCE HILL AVE
Applicant Address: Phone: Insurance:
128 RYAN RD f4131885-9038 ___ _ liability
FLORENCEMA01062 ISSUED ON:6/23/2017 0:00:00
TO PERFORM TILE FOLLOWING WORK:BSMT - LAV, SHOWER, TOILET, PIPING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring 1") P.W, _Building Inspector
Underground: Service: Meter:
Footings:
Rough: /y/ 7 Rough:7- /Y- 17 House#i Foundation:
Driveway Final:
g" /
Final: 7 , . .„, , Fmal: i, ) 7
/
(52rvi.litik Rough Fram4
Gas:
eletiyen.] r707-16-rn .
- Fire Department , :Fireplace/Chimney:
' eP-2-0/9-00
Rough: oil:
pe_zor-I__ 06-0s—
Final: Smoke: Final: oic. 01-2.,eir (A4
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTH UPON VIOLATION OF
ANY OF 'Ts RuLES AND REGULATIONS.
Certate pf neciJoancANI-70 ----(k_i Signature:
EeeTvae: Date Paul; Amount: • , i
V-tINLE @ 1
Building 6/23/2017 0:00:00 $194.00
212 Main Street, Phone(413) 587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissionev
CA, okl f 5O
.• MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
=.�V�° ` \\ p
- s` CI ,` I d'(�e LLCe_, MA DATE I 2.11 t LP PERMIT# I P 1(0' 3o 3
m ► JOBS ` ' 'DRESS cI ic9OWNER'S NAME
`
Ptic fZ INER '' d -ESS 1 7 TEL' •`17 •z77JFAX
15,
TYPE v•` OCC '- CY T •E COMMERCIAL _1 EDUCATIONAL Li RESIDENTIAL `----
tk PRIN %o
4 CLEARL il NEW: RENOVATION: REPLACEMENT: `- PLANS SUBMITTED: YES NO
) FIXTURES Z 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 F'LL i/ICINa c. 3F,S INSP;C i c
ROOF DRAIN i ': �: 'i ON
SHOWER STALL P S ' NO`T APPROVE
SERVICE I MOP SINK r.
TOILET !! �`--
• URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES 1 •
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 iNO
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.
ECK 0 NLY: OW R ENT
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 an urate to the of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complian with all Pertin provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME TOURVILLE,DAVID LICENSE# 1268 S ATURE
MP "/ JP CORPORATION # PARTNERSHIP # LLC 3525 C
COMPANY NAME,__MR.ROOTER PLUMBING ADDRESS 109 A LYMAN STREET
CITY HOLYOKE J STATE MA ZIP 01040 j TEL 413-747-3800
FAX 413-315-6549 1 CELL EMAIL ROOTERHOLYOKE@COMCAST.NET
10A-S\-Ej1/4 1 ec_-ff V (-(� (.0a.�-Q�' ` - --t`., -
t_ r'r I�ILI cU V -k-t.Li� l e-cc-16 L—,
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
2' 4 / i�v�r12ift FEE: $ PERMIT#
PLAN REVIEW NOTES