29-451 (4) ,- DEPT. FILE COPY
TMEJT OF BUILDING INSPECTIONS zo
STREET BUILDING
NORTHAMPTON, MA, 01060 PERMIT
VALIDATION
29 - 451
DATE September 28I 19 79 PERMIT NO. 482
APPLICANT Frank Picard ADDRESS 32 Crestview Drive
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO installation of stove ( 1 ) STORY wood burning stove DWELLLIING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 32 Crestview Drive DI
DISTRSTRICT Ultk
(NO.) (STREET)
w BETWEEN AND
a (CROSS STREET) (CROSS STREET)
a LOT
m SUBDIVISION LOT BLOCK SIZE
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN.CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
R (TYPE)
a REMARKS: Thsta l wnnrl•..hiriling ,RtovP in PXisting nhimn.y
eizelle, EI-a A..47 crse-r rice, Ff., 12 1.0 41M'7 f
AREA OR
VOLUME ESTIMATED COST .$ 70.00 FEE $ 10.00
(CUBIC/SQUARE FEET)
P.,
OWNER Frank Picard
ADDRESS 32 Crestview Drive, Northampton, Na. BY D� '
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of.record
and I have been authorized by the owner to make this application as his
authorized agent.
e `
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
w,
CITY OF NORTHAMPTON � /
OFFICE OF THE INSPECTOR OF BUILDINGS i7
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to/complete all items in sections: I, II, Ill, IV, and IX. 0 ZONING I. AT (LOCATION) . `-�t.- 'L^✓4+"e"GC/ iX /itt y‘(3...„ D STR CT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUI LDING (CROSS STREET)
4,-14. (CROSS STREET)
LOT
SUBDIVISION LO BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
xt
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
—I
1 I I New building Resid tial Nonresidential
2,... t-Addition(If residential, enter number 12 One family Y 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious
number of units— — — — --0. 20 I Industrial
3 I 1 Alteration (See 2 above) 14 I I Transient hotel, motel,
21 I Parking garage
4 I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential, of units — —0. 22 Service station, repair garage
enter number of units in building in 15 I Garage 23 I Hospital, institutional
Part D, 13)
16 I I Carport 24 I Office, bank, professional
6 I I Moving (relocation)
17�Other — Specify `. 25 Public utility
7I I Foundation only
26 I School, library, other educational
B. OWNERSHIP -.r4... _ !i_.NA— ' 27 Stores, mercantile
8 K. Private (individual, corporation,
28 I Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 I I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ 7e.(2
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS f
30[_]Masonry (wall bearing) 40 Public or private company Number of stories /
314 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I j Other — Specify 42,Public or private company 50. Total land area, sq. ft.
43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 I I Gas Will there •. central air 52. Outdoors
36 -Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 I Electricity 44 I I Yes No 53. Number of bedrooms
38 1 I Coal ///
39 I I Other — Specify Will there be • elevator? Full /
54. Number of /
46 I I -s 47I I No bathrooms
Partial
NOTES and Data — (For department use)
NTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or , Sp.
Lessee
0,3 73
2
Builder's
--TtS7 / Liccen nse No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval l Check Date Number B
Obtained y pp Obtained By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII, VALIDATION
Building Q FOR DEPARTMENT USE ONLY
Permit number l�
Building Use Group
Permit issued _ F 19y
Building Fire Grading
Permit Fee $ /��CV. Live Loading
Certificate of Occupancy $ Occupancy Load
prov by:
Drain Tile $
t-1n(.1—d
Plan Review Fee $
TITLE
r