31B-179 ADA PHASE 1 BP-2023-1046
25 HENSHAW AVE COMMONWEALTH OF r., 4, ' `;HUSETTS
Map:Block:Lot:
31B-179-001 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-2023-1046 PERMISSION IS HEREBY GRANTED TO:
Project# ADA RENO 2023 Contractor: License:
Est. Cost: 80512 WRIGHT BUILDERS 065521
Const.Class: Exp.Date: 01/25/2024
Use Group: Owner: COLLEGE SMITH
Lot Size (sq.ft.)
Zoning: EU/URC Applicant: WRIGHT BUILDERS
Applicant Address Phone: Insurance:
48 Bates St 413586-8287 MCC20020005342023A
NORTHAMPTON, MA 01060
ISSUED ON: 08/08/2023
TO PERFORM THE FOLLOWING WORK:
ADA/MAAB IMPROVEMENTS -PHASE 1 RENO BATHROOMS
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: 1-g 3 Final: Rough Frame:( 6ZrZ3
._ems 19�71 TP(4—i Fire Department Driveway Final: Fireplace/Chimney:
`' 23 Oil: Insulation:
r-„,), `7 Smoke: Final: ) g q.21-Z3 V
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: „
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Fees Paid: $564.00
Th- .t,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner
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MASSACyH�U-S-�E-_T-T-.S-�U.NIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
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r 0PERMIT# PeZU2a-°�`f CITY MA DATE
JOBSITE ADDRESS ; (J OWNER'S NAME
P OWNER ADDRESS ( yY1 j 1/ 0is /l t'i
TEL FAX
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TYPE OR OCCUPANCY TYPE COMMERCIAL; EDUCATIONAL 0 RESIDENTIAL 0
PRINT CLEARLY NEW: RENOVATION:IX REPLACEMENT: PLANS SUBMITTED: YES f li NOI u
FIXTURES'. FLOOR-. BSM 1 2 3 4 5 8 7 8 9 10 11 12 13 1'
BATHTUB 11 I 7, ._.. 1 .w.._, 11 -1— -1-
CROSS CONNECTION DEVICE Ii ' --,g,--._ 4ti - L.
DEDICATED SPECIAL WASTE SYSTEM nJ 1 t ,; Il '11
DEDICATED GAS/OIL/SAND SYSTEM , -
DEDICATED GREASE SYSTEM
DEDICATED GRAY'vVATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM ` : i it - - _l
i, � i t tl � � ;1_ t
DISHWASHER , 1:---- ;� ( r `
DRINKING FOUNTAIN l `-, . i
FOOD DISPOSER r---11---1�-----it- .-_. ;I___ ' —1
FLOOR/AREA DRAIN I i II , ,
INTERCEPTOR(INTERIOR) i i .I - - -7' W..
W. - - --- rt
KITCHEN SINK r 1_.. .W U M(E q & :
LAVATORY __° _.__ ,•. ,. v.
ROOF DRAIN :{ t P EtpVE:P i PPT OV
SHOWER STALL j .. I . I
- rt .
SERVICE/MOP SINK 1 L_ - 1 In
•y_.., i
TOILET 6-T r a . '_____ __
URINAL I 1 _T _ --r
WASHING i I,
WATER HEATER MAHINE TYPESOCONNECTION �_�_ . _ I _..T�._ __.!- - t
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WATER PIPING �� � „ I t l ?,
OTHER _. , _...�.. �.__. . . _ .. --.. _t�.. ...._;�
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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 t all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Robert Lamica:_ ._ _ _, ..__, LICENSE#i170587M 11 SIGNATURE
MP'•. JP CORPORATION]#ry(osr-7 'PARTNERSHIP' #E JLLCQ#[
COMPANY NAME DF Plumbing Inc. 1,ADDRESS APO Box 1086, 9 Stadler Street
CITY.Belchertown STATE LEA l; ZIP ,01007 1 TEL 413-323.6116
FAX i413-323-7532 1 CELL 'EMAIL ldfplumbingbelchertown@yahoo.com
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