32A-272 (7) ��-�021-2�5�
21 MAIN ST CO ON OF MASSACHUSETTS
Map:Block:Lot:
32A-272-001 CITY OF NORTHAMPTON
Permit: Alts Renovations \\111
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRAC 1S
DO NOT HAVE ACCESS TO THE GUARANTY FUND ( GUc.
BUILDING PERMI
Permit# BP-2021-2258 PE1RMISSIONIS HEREBY GRANTED TO:
Project# REPAIRS Contractor: License:
Est. Cost: 4000 106527
Const.Class: Exp.Date: 12/23/2021
Use Group: Owner: CHAMISA CORPORATION
Lot Size (sq.ft.)
Zoning: CB Applicant: BEYOND BUILDERS
Applicant Address Phone: Insurance:
117 SUNNYMEADE AVE 6HUB-2E676637
CHICOPEE, MA 01020-1780
ISSUED ON:12/03/2021
TO PERFORM THE FOLLOWING WORK:
REPAIRS TO DRYWALL, FLOORING REPAIRS
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:
YFinal: Final: Final: Rough Frame: rti-txa, O.r IZ- q-21 1C.R
Gas: - Fire Department Fireplace/Chimney:
Rough: Oil: • Insulation:
Final: Smoke: Final: 0.14 '3- 1 1 •ZZ i /Z.
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: AI\ 91v. ,
Fees Paid: S100.00
•
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212 Maur Street, Phc ''.Fax:(413)587-1272
Office c issione-
CST• ioGAr-. rrt 2v.'---
�, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CnY11 /VD/�he.pp-,4fDAl _ ----s MA DATE ""_'5-z, ,j PERMIT# P(-zo2)-6�SL
- b 42. 4 -1 b- --�-66- 31 PN W ST
o JOBSITE ADDRESS j,o'{3 A44A 4 S-fr€e t _ OWNER'S NAME F-1 T ow i/I kS
poo OWN R ADDRESS 1 __I TELL -- - --- FAX
TYPE C R OCCUPANCY TYPE COMMERCIAL R* EDUCATIONAL D RESIDENTIAL D
PRI _CL I NEW: RENOVATION _ REPLACEMENT:1>e PLANS SUBMITTED: YESJ NO_
FIXTURES Z FLOOR-. ' BSM I 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB Y. - — -_— Y= _.. ._..
CROSS CONNECTION DEVICE t 1 ____ __ -` __ ` j--_-_5 __
DEDICATED SPECIAL WASTE SYSTEM - ; _ Fr—�� -' f
DEDICATED GAS/CIUSAND SYSTEM t — — -- - — ,- — :
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM _- ._ _ .' I --
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER }
DRINKING FOUNTAIN _
t
FOOD DISPOSER - - ..- _ _._-. =1. ..,._'._
FLOOR/AREA DRAIN s - —��2_.�— _-._-- 4-'"'f -r is r -, .. ,.-_--.,T_ - - _ 4_ • , . e
INTERCEPTOR(INTERIOR) =_ -_ - _i
KITCHEN SINK _ �_ J
LAVATORY _ -. -- --- _ , 1
ROOF DRAIN - ISU � _ ��; w
SHOWER STALL --'1-- -i- _ _ +
SERVICE/MOP SINK I- _. .--4---3, .--' .. 1.____,. --- -- - F ., ' ~I�- —_
TOILET - . . • :
WASHING MACHINE CONI�ECTtatd t= `
WATER HEATER ALL TYPES T - .. - _.
WATER PIPINGE. . __ --— __ -
OTHER
I
in -----..---17-: . ,.
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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 Ij NO I. I
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
.BILE INSURANCE POLICY:A 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 I_ AGENT 17
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 ii r- Alations performed under the permit issued for this application will be in p rance with,all/�Pertinent provision of the
of Massachusetts State Plumbing Code and Chapter 142 the General Laws. t `
I PLUMBER'S NAME j Rol:rer-4_(3-r_SF.R'+ru�.�d-q- ---- _^---'LICENSE',. I q 1 9 SIGNATURE
MP _ JP= CORPORATION RI#; I4#13 PARTNERSHIP;..-.;#1 -- ±LLC #I__. '.... .
COMPANY NAME c1:,ne dv- -Plt.rhkxt-+-He,ailnq; .;b+G,i ADDRESS 1 Box 3d3 `
env kiw4,pt.n t1 ,-__-_, - 1STATE ZIP j 0Io39 I TEL1('4t3) - 000s. j
FAX q4t3)AGS 114111 CELL1 — *EMAIL 5..P In 1te3y a Yay,eo_cae+-_--
� yw„Y 22-42 -7