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'r-� ' 212 Main Street•Municipal Building '!t. j 4
Northampton, Mass. 01060
ow y.
CERTIFICATE OF OCCUPANCY t/W17p
Page No. c241 Plot J`/
Building (Name) ff 6 Addr �f.-44 �
Owner Address
Applicant Address
Use: 1st _ ---��..� Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District C4 P4
Required Inspections: /
New Building l/ Existing Building
Elevator Electrical • ,; = -",:. • e>
PlumbingOV4 / / 0/e- Fire
Building - Other
cp,244,04.1)Inspector of Build s
THE'PRIRTING PRESS
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
,: ( D�4-
,f' tt 1�
" , tne5y ?fi .
t 2= •6' A/1955 J�33—Y"Y
Owner or
Lessee
�
/ c /� 7� j Builder's y
2. , V t ��'�t�f � lL ! e
Contractor CI Io1'c'
3. 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 authzed agent and we agree to conform to all applicable laws of this jurisdiction.
,lure o applicant � dt-
Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans Notes
Plans Review Required Check Fee Started By Approved By
BUILDING $
PLUMBING $
MECHANICAL $ •
ELECTRICAL $ x
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 l
Building . Use Group
Permit issued 19 —
Fire Grading
Building
Permit Fee $ O - Live Loading
Occupancy Load
Certificate of Occupancy $
ved by: •
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Data — (For department use) _
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 "EZ. 'Y' PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, II, III, IV, and IX. O
/
I. AT (LOCATION) `-`7 e f7"
/ i 'e“/ D STR CT t-
LOCATION /��� (NO.) (STREET) / 1
OF BETWEEN 7/1L1 C% CJAICD 6 f r AND Lt7•1M'‘CP i26-
BUILDING (CROSS STREET) f (CROSS STREET)
SUBDIVISION yp
��O E 1�� G '— LOT V BLOCK SIIZE i d 0 ,4 ( 0
Vt
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —I
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 I Addition(If residential, enter number 12IS7 One family 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- - - - --).• 20 1 Industrial
3 I Alteration (See 2 above) 14 I I Transient hotel, motel,
4 Repair, replacement 21 1 Parking garage
I P P or dormitory - Enter number
5 1 1 Wrecking (If multifamily residential, of units - -. . 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
Part D, 13)
16 I I Carport 24 Office, bank, professional
6 I I Moving (relocation)
7 I Foundation only 17 I I Other - Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 LX, Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
9 I 1 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 $ ��' O °•
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 L Masonry (wall bearing) 40 ® Public or private company Number of stories
31 Liii Wood frame 41 I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I Structural steel dimensions 6-
33 I Reinforced concrete H. TYPE OF WATER SUPPLY �
34 I I Other - Specify 42 ICJ Public or private company 50. Total Ibnd�r a, sq• ft. ��,0 CS L3, S'
43 I I Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 I I Gas Will there be central air 52. Outdoors /
36 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 I I Electricity 44 I I Yes 45 IX No 53. Number of bedrooms 3
38 I I Coal /
39 I 1 Other - Specify Will there be an elevator? Full /
54. Number of '
46 I I Yes 47.LX No bathrooms
Partial
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.
SIGNATURE.OF ACEN7
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE , 19 .
DEPARTMENT OF BUILDING INSPECTIONS ,- DEPT. FILE COPY
212 MAIN STREET
NORTHAMPTON, MA. .01060 BUILDING
x.
PERMIT
VALIDATION
G
DATE April 2, p19 79 PERMIT NO. 107
APPLICANT .1.0.14, Tne, ADDRESS 84 Whittlesey Ave., Chicopee
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New Residence ( 1 ) STORY Residence DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Stoll Crestview Drive D STR ICT URA.
(NO.) (STREET)
ae BETWEEN Brookwood Ave. AND Florence Rd.
. (CROSS STREET) (CROSS STREET)
a
LOT
m SUBDIVISION 13rookl od Sub LOT 67 BLOCK SIZE 100 X tOD
a
p BUILDING IS TO BE 44 FT, WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2
(TYPE)
Oti- REMARKS: New one-family residence - 3 bedrooms, 1 full bath, oil heat, wood frame
Public sewage disposal & water supply
AREA OR 6i74j,joi?
VOLUME 1056 ESTIMATED COST $ 28,000 FEEMIT $ 84400
(CUBIC/SQUARE FEET)
OWNER George & flisne met Ley
ADDRESS 84 Whittlesey Ave•, Chicope9Ma. BY' •�` ,, j A
(Affidavit on reverse side of application to be completed by authorized agent of owner)