23D-149 (18) 127'>IINCKLEY ST-BLDG 4 BP-2017-0449
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D- 149 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS ,
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:NEW TWO FAMILY BUILDING PERMIT
Permit# BP-2017-0449
Project# JS-2017-000750
Est. Cost: $279984.00
Fee: $1266.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 047146
Lot Size(sq. ft.): 54450.00 Owner: FRIEDDMAN THOMAS
zoning: URB(100)/ Applicant: WRIGHT BUILDERS
AT. 127 - HINCKLEY ST - BLDG 4
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON,-10117120160:00:00
TO F RFORM THE FOLLOWING WORK.NEW 2 UNIT CONDO BLDG W/2 BAY
DETACHED 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: ti .d a - House# Foundation:
v� Driveway Final:
Final: Final: CI, 7 7
Rough Frame: "
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Gas: ire Department Fireplace/Chimney:
lgix.�*?,, Ifyf 6
Rough: Oil: Insulation:
Final: Smoke: /' A, 1('e_,o'L/ Final;/��J./z 4
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
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Certificate of Occupancy Signature:
FeeType: Date Paid: Amount: ,
Building 10/17/2016 0:00:00 $1266.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
J/
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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CITY����G��� � MA DATE i,�� PERMIT#
JOB SITE ADDRESS OWNER'S NAME
P OWNER ADDRESS VV TEL FAX{�
1
TYPE OR OCCUPANCY TYPE COMMERCIAL[ ) EDUCATIONAL RESIDENTIAL
PRINT
CLEARLY NEW: j RENOVATION:E'-'!' REPLACEMENT:Ej PLANS SUBMITTED: YES L-] NOD
FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB" ®®
.. E '%
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM'' �
DEDICATED GAS/OIUSAND SYSTEM I i
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM ��`
DISHWASHER
DRINKING FOUNTAIN --
FOOD DISPOSER
FLOOR/AREA DRAIN
I_
INTERCEPTOR(INTERIOR) I , """"`"'� =I i
KITCHEN SINK
LAVATORY
ROOF DRAIN a .
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION i
WATER HEATER ALL TYPES
WATER PIPING
OTHERIF-
IF �.
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 0 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 t best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in comp' ce h ment provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME LICENSE# SIGNATU
MPV'I JP[ CORPORATION#E::��PARTNERSHIPF-]#=LLcE1#
COMPANY NAME � ADDRESS F,;�- �
CITY ;� STATE�� ZIP TEL y/7"wo��'�
FAX ; CELL ����EMAIL
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