24D-283 (5) BP-2022-0599
190CRESCENT ST COMMONWEALTH OF MASSACHUSETTS
Map24D-283-001 t: CITY OF NORTHAMPTON
24D-283-001
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0599 PERMISSIONIS HEREBY GRANTED TO:
Project# RENO BATH Contractor: License:
HAYDENVILLE WOODWORKING &
Est. Cost: 29755 DESIGN INC 1 16208
• Const.Class: Exp.Date:04/13/2025
Use Group: Owner: WYNEKEN STYLES, LIZA M &MAX L
Lot Size (sq.ft.)
Zoning: URB Applicant: HAYDENVILLE WOODWORKING & DESIGN INC
Applicant Address Phone: Insurance:
35 CONZ ST (413)665-7402 WMZ-800-8007423-2021A
NORTHAMPTON, MA 01060
ISSUED ON:05/26/2022
TO PERFORM THE FOLLOWING WORK:
RENO 2ND FLOOR BATH
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,ay- 3 Rough: House # Foundation:
ev5Final: nal: Final: Rough Frame: 0 S 3l 2,3 lea
Gas: Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation: 0 k, 5.31' i 2 k,g
Smoke: Final: 0,V 8-10-ZS e,12_
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $195.00 /c_
G` na
s
212 Main Street, Phone(413)587-1240.Fax:(413)587-1272
Office of the Building Commissioner
•
ck 1 /(pc, 3 0o�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY/TOWN ! �C-stAN -1 uvVA-C)n MA DATE \ PERMIT#19P'2-
o 2-3-Oi8D
i JOBSITE ADDRESS \ t 0 Cc ,?u^►- 'SE 011E AME M..�7-a__
OWNER ADDRESSTEL
TELA ' Nk )af�`Z-0/S6 SFAX
-:=
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL 0
•
PRINT
CLEARLY NEW:❑ RENOVATION:Q/ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑
FIXTURES-1 FLOOR BM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
_DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK PLUMBING & GAS,INSPECTOR
LAVATORY l NQPTH AM PTON
ROOF DRAIN ^,err^OV ED (�I(LT APF ROVED
SHOWER STALL
MOP
SERVICE I MOP SINK
TOILET t
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
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❑ NO O
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 El
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 corn ,a nce with, all Pero ent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
lu/'�� �
PLUMBER'S NAME lw.�‘.Q.At'� L t ('�aC i LICENSE# �O CI`A / GNATURE
MP 0 JP❑ CORPORATION❑# PARTNERSHIP❑# LLC 51#04 Tali .0:7
COMPANY NAME ONCvY 4l 'A\c, CCy'Y+f'C( ADDRESS
STATE\Y\ ZIP CY1 C S :3 TEL t-11:)a" � = • 10t-�` 14
CITY �.� '�;:��i� .
FAX 1-4V"2 1-k-k-1 - �`7 c',). CELL EMAIL w1'0-Vc:" c1 VL'YlNIc'I .t (-c-:1/t`l
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