23A-004 (3) ^. I-° exs nlDEFILE COPY
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2t�12 SADE STREET BtAldfntG > P « s BUILDING Vc. re",."^?,.
NO N, M. 01060 PERMIT 4A""`cr
23,E 4. Code
/79 VALIDATIONf,TI
l R Y
DATE
1Tl September 11 , 19 79 PERMIT NO. y[
APPLICANT Albert Coasts ADDRESS kO North St•. Hatfield
(NO.) (STREET) MEDIA'S LICENSE!
F
PERMIT TO Addjtl(In (J'_) STORY Addition to kitchen DWELLRING UNITS t
(TYPE Or :14PROVEMENT) NO. (PROPOSED USE) �fOp
AT (LOCATION) 25 .. IS
Meadow _ 0TR CT_JB} .
1P10.) ISTRQETI
BETWEEN AND
a▪t
IDEA'S STREET) floss STREET/
1.OT
m- SUBDIVISION LOT BLOCK_ SIZE
• Addition
OXiii301MM IS TO OE Ell FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
GI
O
Z TO TYPE— USE GROUP BASEMENT WALLS OR FOUNDATION
2 (MEI
ECO
N REMARKS: • .. Ewa1J 1.}1R mFl.aN1' a'!I!j ldaad etOTre
Auteg9.tPu - ✓eon- - 34e 47-4‘,.. arop/e real ° LwSRI.Nb, c... el'J.,Rry +(�..z .a.t. Swift,' /Z IV f.us
7
3 -a'r_1/4,0NO c*c, k unw.c, /beg* q
VOLUME ESTIMATED COST $ AFJo.00 FEEMIT $ 12,00
l CUBIC/50UARE FEET)
OWNER Willi Ain Tiy(:Y1RTE'P / OP
noDREss 25 Manlove Street, T9.orenaa, Ma. 01°60 BUILD'a. APR"
!Affidavit on reverse side of application to be completed by author • - .- of owner)
I hereby certify that the proposed work is authorized by the ownerof. record
and I have been authorized by the owner to make this application as his -
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19_. _ _,
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREETAPPLICATION FOR
NORTHAMPTON, MA. 01060 .23 //c— /!� PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IY, and IX. O
2 ZONING /�� ',`
AT (LOCATION) v_J Q y' N / ,
LOCATION Ina.) 1STREET]
OF .t(
BETWEEN AND
BUILDING (CROSS STeEETI {CROSS STREET)
SUBDIVISION LOT BLOCK LOT j /y / �[ vSIIE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -1
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use tin
m
1 I I New building Reside tial Nonresidential —I
2 7 Addition(If residential, enter number 12 One family IB I 1 Amusement, recreational
of new housing units added, if any, 13 Two or more family - Enter 19 [T Church, other religious
inPart D. 131 number of units- y— — —
31 1 Alteration (See 2 above) 201 Industrial
141 Transient hotel, motel, 1
21 I I Parking garage I
41 1 Repair, replacement or dormitory — Enter number 221 Service station, repair
5 I Wrecking (1/ multifamily residential, of units — ygarage
enter number o/units in building in 15 I I Garage 23 I Hospital, institutional
Part D. 13)
-14 6 Moving (relocation) 16 Carport 24 Office, bank, professional
171 1 Other — Specify 251 I Public utility
7 Foundation any 26 Hi School, libmr
y, other educational `
B. OWNERSHIP 271 I Stores, mercantile `�.
8 IN Private (individual, corporation, Tanks, towers 1
nonprofit institution,etc.) 29 1 1 Other — Specify
9 [1 Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
10. Cost of - ( processing plant, machine shop, laundry building at hospital, elementary tar
improvement $ 3 SCO school, secondary school, college, parochial school, parkin
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 /.0 6 r
a. Electrical 1, 1 ,1 ,fit /% .9 ��7 e 9 .".
b. Plumbing ,Z Sc) Y4•LJ/' t ,l/ �/�' ,r ll.I
c. Heating, air conditioning // �V
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT $ .3pp
S 0
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for oil others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS i /
30 n Masonry(wall bearing) 40 aPublic or private company Number of st
31 1- Wood frame 41 I 1 Private (septic tank,etc.) 49. Total square feet of floor area,
ed
321 1 Structural steel all floors, basdimensions °°% nor
33 7Reinforced concrete H. TYPE OF WATER SUPPLY �f
341 1 Other — Specify 42 /I Public or private company 50. Total land area, sq. ft
43 PT Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SI. Enclosed
35 -VI/Gas Will there be central air 52. Outdoors
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
371 1 Electricity 441 Yes 45 IU No 53. Number of bedrooms
39 1 Coal
39 1 1 Other— Specify Will there be on elevator?
�p/I� 54. Number of Full
461 1 Yes 47 No bathrooms
Partial
NOTES and Data - (For department use) `-y
L)//P ��, "
.j
s - /
1 . 0,-Ec.e 1/21 '
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number,.s neer dry, and State ZIP code Tel. No.
VII ‘71114
O cne, or Wi(A(
LQyy G xLe et.5T..�.at.- l e oloGO $G Lgyul
Lessee
�/ a../a License No.
Contractor .
3.
Architect or
Engineer
—.kr"'
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 lows of this jurisdiction.
Signatur F applic Address ppb anon dote
DD NOT WRITE BELOW THI LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans ByDate Plans
Plans Review Required ad Check Fee Started By y Nares
•
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dote
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
FURNACE ISIGN ORI ELECTRICAL STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building ��� FOR DEPARTMENT USE ONLY
jPermit number
Building Use��// Group
Permit issued � - - �l 19,., Fire GradingBuilding /
Permit Fee $ i(- -4(t1 LI ye Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
$ 7 '
Plan Review Fee ` _
F / E [
VIII. ZONING PLAN EXAMINERS NOTES
EMI ,,MMPM
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN — For Applicant Use
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60CA FORM APEBP - 669 C1969 BUILDING OFFICIALS B CODE ADMINISTRATORS INTERNS NC. ,—���