29-005 (3) •� tPTy CITY OF! NORTHAM PTO N "ELEC�RICA #Q
212 Main Street
y Northampton, MA 01060 GATE k5
Telephone 586-6950 ext.244
( ' PERMIT NUMBE
CONTRACTORS LICENSE NO.. 0 c?,3,2 Z R } >• �I
LOCATION
OWNER
KIND OF BUILDING y USED AS
TO BE COMPLETED ABOUT Q S C-411610 ESTIMATED COST$ '
ALTERATION — REPAIR — ADDITION (Circle One)
! ITEM NUMBER FEE
.. CEILING OUTLETS-
SWITCHES
PLUG RECEPTACLES T
i
TOTAL OUTLETS
f- AIR HEATERS
RANGES
SIGNS
WATER HEATER
LIGHTING CIRC.
OTHER CIR.
TOTAL CIRCUITS
MOTORS
PANEL SIZE
RANGE COND.
SUB FEEDER SIZE
1104
i
TOTAL FEE ,
CONTRACTOR'S NAME AND ADDRESS
a q3 �r s
CITY STATE IZIPCODE
READY FOR INSPECTION ON OR WILL CONTACT PERMIT CLERK LATER
3 Idatal
APPLICANT CERTIFIES THAT ALL INFORM ION GIVEN IS CORRECT AND THAT ALL PERTINENT
ELECTRICAL ORDINANCES WILL BE CO LIE ITH IN PERFORMING THE WORK FO RICH THIS
PER*IT'dS ISSUED.
4"
P IRf ba . Wire Ins or
ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
—"b Or IL
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
' Faith. Baptist Church- 219 Florence Road Florence MA 01060 584-028
Owner or
Lessee Pastor Richard Pa sch
2. Craig Samuelson 269 Honey Pot RD Westfield L icen
MA01085 Buildsere's No. 040438
Contractor
040438 568-9492
3. Newton A!i5ociatesl 1 amhill Road , WorthinI4ton QIQ99 238-592
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
r`
6`.�✓C ;.7�. - -..�_.i�._2_G;i�' -I f ! f.0 r :1.,<�. Jac,(. ��it�l7 tc' fi/A ,
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval 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 / FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 19
Building // /;' O w, Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ve by:
Drain Tile $
Plan Review Fee $
TITLE
;4 CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,vT Page -:9-/ Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. 0
I. AT (LOCATION) 219: Florence Road DIOSTR C
LOCATION (NO.) (STREET)
OF BETWEEN Scanlon Avenue AND Brookwood Drive
BUILDING (CROSS STREET) (CROSS STREET)
LOT 1 . cres
SUBDIVISION LOT--)C BLOCK SIZE 76 A
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ® New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One 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
number of units— — — — --)- 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — --i 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) 17 ❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ® Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, 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
�ODO� 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....................... WA
Hold c,�hru�r�tch services:4� (b. Plumbing ..................... l '/L"L "
c. Heating, air conditioning.......... n
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT s40 000
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 Masonry (wall bearing) 40 [_X] 48. Number of stories......... 2 Public or private company ••••� �B,Q,_J
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior 5760
32❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 2880
34❑ Other — Specify 42 ® Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑J Gas Will there be central air 52. Outdoors........................ 78
36 ' mil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 [X] Yes 45 j_I No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Spoci/y Will there be an elevator? Full..........
54. Number of
46 [_1 Yes 47 [X] No bathrooms
Partial........
or—
t
Department of Building ng Insepctions
212 Main Street BUILDING
Northampton, Mass. 01060 O<
PERMIT $160.00
29 - 5
VALIDATION
DATE June 29, 19 84 PERMIT NO. 271
APPLICANT Richard Paasch ADDRESS 219 Florence Road
(NO.1 (STREET) (CONTR'S LICENSE)
New Building UMBER OF
PERMIT TO g (�) STORY Church DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
219 Florence Road ZONING 11RA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 36 FT. WIDE BY 80 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: rmlt for the construction of a church to h d
or gravel parking area
AREA OR 5760 sq. ft. ESTIMATED COST $ 409000.00 FEE PERMIT 160.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Faith Baptist Church/Pastor Richard Paasch
, . Bu I
ADDRESS 219 Florence Road_ Fl arPnr.P, M a s$
BY
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