29-451 (5) Department of I ; Inspisetions '
212 Main Street BUILDING D° *4/4.1��
Northampton, Ma PERMIT Qa
29 - 451'
VALIDATION
DATE October 12, 1982 PERMIT NO. 573
APPLICANT FrAnk Picard ADDRESS 32 Crestview Dr,
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
— PERMIT TO Add;tion (-1—) STORY deck DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 32 Crestview Drive DONIRG Tip.
(NO.) (STREET) DISTRICT URA
AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sliding doors And Pxt,rinr deck 81 X 10/
AREA OR
VOLUME ESTIMATED COST $ 500_00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET) /
0e/e,
OWNER Frank Picard BUIL• ( iI T
ADDRESS - 1 . • . .I., • . . 6 6 .B BY j
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
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��P�� ,I NTASSACHUSETTS
�.���` �(�- �,- OFFICE of the INSPECTOR of BUILDINGS
��%=L'� Page a ? yS—j
Plot ' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
ZONING /
I. AT (LOCATION) > /� DISTRIC • ST
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
�'7 LOT
SUBDIVISION LOT / BLOCK SIZE
tn
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —I
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 1 I New building Residential Nonresidential
2 I_j Addition(If residential, enter number 12 KI One family 18 I I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 19 I Church, other religious
number of units— — — — —0. 20 I I Industrial
3g Alteration (See 2 above) 14 I Transient hotel, motel,
21 I Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 Li Wrecking (If multifamily residential, of units — --,... 22 I I Service station, repair garage
enter number of units in building in 15 Garage 23 Li Hospital, institutional
Part D, 13) 16 Car ort 24 Li Office, bank, professional
6 Li Moving (relocation) I p
17 I Other — Specify 25 Li Public utility
7 I 1 Foundation only
� /0 K�&/pi, 26 I I School, library, other educational
B. OWNERSHIP "—""1 27 pi Stores, mercantile
8 AI Private (individual, corporation, [, 1_ 28 I Tanks, towers
nonprofit institution, etc.) �'V"/ • "l't X 0 0 29 I I 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 $ U 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 sec-6O
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
/
30 I I Masonry (wall bearing) 40 Public or private company 48. Number of stories
49. Total square feet of floor area, 4/ C' a'a Olio
31 11$) Wood frame 41 I Private (septic tank, etc.) all floors, based on exterior
32 Li Structural steel dimensions
33 L J Reinforced concrete H. TYPE OF WATER SUPPLY
34 I_j Other — Specify 42 IXI.Public or private company _
50. Total land area, sq. ft.
43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES N/A
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TY•E OF MECHANICAL
35 Li Gas Will th- - be central air 52. Outdoors
36 IV] Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 Li Electricity 44 1 I Yes 4 No 53. Number of bedrooms 3
38 LI Coal
39 l I Other — Specify r Will there e an elevator? Full /
54. Number of
�,Kjtr 46 L 1 Yes -47 I—1 No bathrooms
Partial
-,
IV. IDENTIFICATION — To be completed by all applicants
Name (} /Mailing address — Number, stmt, city, and State IP code Tel. No.
Owner or
Lessee
Builder's
2. License 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 Applicatii n date
/67 f
✓i'_`il/T
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approval Check Obttained Number 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 FOR DEPARTMENT USE ONLY
Permit number
Building- /, /2 Use Group
Permit issued C/u 19 Fire Grading
Permit Fee ' 0 Li
$ Live Loading
Certificate of Occupancy $ Occupancy Load
Awed by:
Drain Tile $ l (� y �/'• �--���_,'�-'t
Plan Review Fee $
TITLE
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NOTES and Data — (Fdllide rtment use)
L
VIII. ZONING PLAN EXAMINERS NOTES
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DISTRICT
*VP'
•
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
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