32C-172 (14) 270 PLEASANT ST BP-2021-1010
is#: COMMONWEALTH OF MASSA NHUSETT
S
G CITY OF NORTHAMPTO
Map'Block: 32C- 172
Lot: PERSONSGUARANTY FUND (MGLH UNREGISTERED � 142A)
Permit:
_ Building DO NOT HAVE ACCESS TO THE � TTT
LDIN G
case a ►v
o • renovation �3UI
Permit# BP-2021-1010
Project# JS-2021-(J01711
Est Cost• $13605.00
Fee• 4j100.00 PERMISSION IS HEREBY GRANTED TO:
coi1j5g_Class_
Contractor: License:
Use Group: CORNERSTONE BUILDING SERVICES 11236
Lot Size(sg ft)' 2352.24 Owner: DBR PROI't?RTIES LLC
?mina:CB(1OO)/ A licant: CORNERSTONE BUILDING SERVICES
Al:' 270 PLEASI ' ST Insurance:
194 APREMONT HIGHWAY UNIT#1 Phone: WC
Applicant Address: (413) 533-3100
HOLYOKEMA01040 ISSUED ON:3/23/202 O:OO:O(J
TO PERFORM THE FOLLOWING WORK:RENOVATE 2ND FLOOR TO BE A RESIDENTIAL
APARTMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring D.P.W.
Service: Meter:
Underground: Footings:
Rough: Rough:
House# Foundation:
Driveway Final:
Final:?-A-2/ Final:
Final: -0"' Rough Frame: ,) It L1 1 21 IL•
T/ �
Gas:
Fire Department Fireplace/Chimney:
Insulation:
Rough: Oil:
Final: v,Il L�- ii, -Zi 11,E
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE ULATIONS. to yQ U , ,t
Certificate of Occu anc siSnat e:
FeeType: Date Paid: Amount:
Building 3/23/2021 0:00:00 $100.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
#/L2�3 °° ci2 t''y7R 7c
, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
. e,
F 1 CITY MA. DATE PERMIT# PP-ZO21-D3cee
,�•' JOBSITE ADDRESS )7D A 715.4 •Y TT" OWNER'S NAME �R iZ J
f-fie-17ii2FS
POWNER ADDRESS TEL 01-S -ga 74. FAX
TYPE OR OCCUPANCY TYPE: COMMERCIALRP EDUCATIONAL ❑ RESIDENTIAL
PRINT NEW:0 RENOVATION:0 REPLACEMENT:p PLANS SUBMITTED: YES 0 NO 0
CLEARLY
FIXTURES 1 FLOOR-• BSMT 1 2 3 4 5 6 7; —13 - • . ! 12 13 14
BATHTUB I vi
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYS ;
DEDICATED GAS/OIUSAND SYS _ �fA+Y - 2021
DEDICATED GREASE SYS LL
DEDICATD GRAY WATER SYS L_____
DEDICATED WATER RECYCLE SYS ! ' "'T O�e,UI_D!N r -
^i'Dr1Tll4 �'!.
DRINKING FOUNTAIN - - • • i
DISHWASHER _ 1
FOOD DISPOSER -
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY . . _
-
ROOF DRAIN _ •
_SHOWER STALL / NLUIVIbING & GAW {NSF EC 1 OR
SERVICE/MOP SINK NORTHAMPTON '
TOILET • I APPROVED NOT APF ROVED 1
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 0
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY - OTHER TYPE OF INDEMNITY 0- BOND 0
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 BOX ONLY: OWNER 0 AGENT ❑ •
Signature of Owner or Owner's 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 42 of th eNl Laws.
PLUMBER NAME pn10 // /47_hir6idt�7 SIGNATURE
LIC# `L1 0 MP 0 JP jiais CORPORATION 0# PARTNERSHIP ❑# LLC 0#
COMPANY/TAME ADDRESS: il j&J�'TPa/2-r 1ID
CITY l iCt C STATE AAA-'ZIP OlCZrN EMAIL
TEL CELL p 11 - q Sg 1 FAX
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