25C-051 (18) BP-2023-0807
59 LINCOLN AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-051-001 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-2023-0807 PERMISSIOA IS HEREBY GRANTED TO:
Project# ADD BATH 2023 Contractor: License:
Est. Cost: 30000 SCOTT NICKERSON 053156
Const.Class: Exp.Date: 01/10/2024
Use Group: Owner: SWEET GINTIS VALERIE &WILLIAM
Lot Size (sq.ft.)
Zoning: URB Applicant: SCOTT NICKERSON
Applicant Address Phone: Insurance:
PO BOX M (413)896-3347 0
LAKE PLEASANT, MA 01347
ISSUED ON: 07/07/2023
TO PERFORM THE FOLLOWING WORK:
ADD BATH AND BAR TO GARAGE
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: / Final: 2d4 914
Final: Rough Frame:
Gas: tYfE Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: U 1.. lb "\L"2.3 $Q
Smoke: Final: O.IL Li-3-2u 1e.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
%It(
Fees Paid: $195.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
.d
F
—
‘10.
/
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
=)"= CITYI'TOWN Northampton MA DATE 07/10/2023 PERMIT#PI -2D2-3—b2-46
F- JOBSITLADDRESS 59 Lincoln Avenue OWNERS NAME Scott Nickerson
Pv OWNER ADDRESS 59 Lincoln Avenue TEL FAX
TYPE OR- OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT<i
CLEARLY NEW:❑ RENOVATION: ® REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO El
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 1
ROOF DRAIN
SHOWER STALL 1 PLUMBING & GAS INSPECTOR
T I MOP SINK NORTHAMPTOT\
URINAL
TOILETRVICE 1 APPROVED NOT APPROVED
WASHING MACHINE CONNECTION 1
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 In 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 Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /aa<enna/6ii.,../
PLUMBER'S NAME Richard Scott Cernak II LICENSE# 15672 SIGNATURE
MP[ JP❑ CORPORATION ®# 4386-PL-C PARTNERSHIP❑# LLC❑#
COMPANY NAME Western Mass Heating Cooling&Plumbing, Inc. ADDRESS 4 South Main Street(Suite K)
CITY Haydenville STATE MA ZIP 01039 TEL 413-268-7777
FAX CELL EMAIL info@westernmassheatingcooling.com
7 - / 2 -Z�3 c A riQemotavo
1--frgi6/e .1,,t,bri 77542F 45v,
a/6# -?v
/o - 3 a 3 Aroli p/i1 A 41,.4//
/-22 0( ;•ram