29-365 (5) .4.'--d.
DEPT. OF BUILDING INSPECTIONS BUILDING �O �(4 L—�)
212 Main Street 004
I IL
Northampton, MA 01060 PERMIT
29 - 365 VALIDATION
�� DATE December 18, 19 85 PERMIT NO. 721
T�
APPLICANT Lacasse i1C![1[1L1 Heating ADDRESS 5 So. Canal St. , Holyoke
(NO.) (STREET) ICONTR'S LICENSE)
Solaf Hot Water .S stag One Famil y g Dwellin NUMBER OF
PERMIT TO 1_) STORY DWELLING UNITS
(T PE OF IMPROVEMENT) NO. (PROPOSED USE)
Austin Cir. Florence ZONING
AT (LOCATI DISTRICT-
BETWEEN
• (NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION /- p LOT BLOCK SIZE
ofIS TO BE 4 FT. WIDE BY 8 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Permit for the installation of a solar hot water system
VOLUME 32 sq. ft. ea. panel ESTIMATED COST $ 5,400.00 FEEMIT s 24_M
(CUBIC/SOUARE FEET)
OWNER Wolf Heizu�
ADDRESS
79�tin�i , Florence, Ma--s-s-.--M60 BY I
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY I,1 IIP
ZONING •
DISTRICT
FRONT ■
SIDE YARD SIDE YARD
IX. SITE - l
OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Nurnbrr, street, city, and State ZIP code Tel. No.
owner or
Lessee �ij i�[l ��4 1 ➢l /
/ SS - ✓ U ('-7✓� 'f 1 - rl.'� y Builder's
2. I 1 L' �' 't / "C�l.. 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 Application date
00 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
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is t I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obta ned 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
11. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued � � 19 b
Building ll// '' Fire Grading
Permit Fee $ !
an•'r°
CITY OF NORTHAMPTON
�• e MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
w T
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
ZONING
I•
AT.(LOCATION) ��G-- �� �l'j� �.� DISTRICT
LOCATION (NO.) r (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Resident' I Nonresidential
2 F-1 Addition(It residential, enter number 12 ne family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
3
/ number of units- - - - --o- 20 ❑ Industrial
;,�L.+.
S j 14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Alteration (See 2 above)Repair, replacement or dormitory - Enter number
5 F-1 Wrecking (it multifamily residential, of units ------- - -� 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other - Specify 25❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private�individuo , corpo ration, 28 ❑ Tanks, towers
nonprofi n, etc.) 29 ❑ Other - Specify
9 ❑ 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................ S 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.....................
r
b. Plumbing ..................... L /vv r
c. Heating, air conditioning.........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT E
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. DIMENSI NS
30❑ Masonry (wall bearing) 40 ❑ Public or private company 0. Numbe of stories.:..............
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total sq are feet of floor area,
all floors based on exterior
32 ❑ Structural steel dimension .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OFF-STRE�T
PARKING S ACES
51. Enclosed `. ...................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
350 Gas Will there be central air 52. Outdoor-'...`.....................
36 ❑ Oil conditioning? L. RESIDENT( L BUILDINGS ONLY
37 ❑ Electricity 44 F-] Yes 45 _7 No 53. Number of b drooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
- 54. Number,*tit
46 ❑ Yes 47 ❑ No bathrooms
Partial........