38B-095 (10) r PARTmm QF BUIt.mm iNgpwTTLoNS CERTIFICATE ISSUED
W IWN SUE'ET DATE
N01 IMPrOW9 M"' 01060 BUILDING PERMIT -
3* - 45 CERTIFICATE OF OCCUPANCY
DATE july 14! 19 80 PERMIT NO. 3&2
APPLICANT T-00 L,of atmin ADDRESS 23 )jWrop Strs%ek
(NO.) (STREET) (CONTR'S LICENSE)
����"" NUMBER OF
PERMIT TO (yam_) STORY Rpnnvatien DWELLING UNITS I
T PE 0 IMPROVEMENT) NBB (PROPOSED USE)
ZONING
AT (LOCATION) c monroo DISTRICT-un
(NO.) (STREET)
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
rn
dLOT
m SUBDIVISION LOT BLOCK SIZE
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
O REMARKS: Renev4ti'ng existing structure • carraige shed
-si I'lr1 f1 rl �1 �f1 K,±j Kt•l �f.l �Tl ��i �r1��i Krl
� .ST �. q
VOLUME x
(CUBIC/SQUARE FEET) �GGII ��RX,
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OWNER i w.. IiMfnjtt�4n TO BE POSTED ON PREMISES
SEE REVERSE SIDE FOR CONDITIONS.OF,'CERTIFICATE
ADDRESS '7'�Alnnros Qt b0 ton .,
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
CITY OF NORTHAMPTON
MASSACHUSETTS
r
OFFICE of the INSPECTOR of BUIWINGS
'°T Page Plot11� APPLICATION FOR
ZONING PERMIT AND
INSPECTOR j BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
—'r ZONING
I• AT (LOCATION) -� 1 DISTRICT .
LOCATION (N0.) (S REET)
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
rn
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12One 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 Alteration (See 2 above) number of units- - - - -o. 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
415C Repair, replacement or dormitory - Enter number
❑ Wrecking (If multifamily residential, of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 150N Garage-� 23 ❑ Hospital, institutional
Part D, 13)
16 Carport 24 E:] Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other - SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
888 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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 7 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 $
111. 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 ❑ Public or private company 48. Number of stories......./...
�..
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions . �!, �.12-
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1Other - 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 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal �114)
39 ❑ Other - .Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 E❑ No bathrooms
Partial........
IV. IDENTIFICATION — To be completed by all applicants j
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee O
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 age n and we agree to conform to all applicable laws of this jurisdiction.
Signatu aapplicant Address Application date
y-�
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ODate btained Number By Permit or Approval Check ObtainedDt 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bui Iding- Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ ��� /�/l Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee
TIT LE
NOTES and Data — (For department use)
r
L
/ I
i
i
I
yI
t
l
4
fE
yb
ip
t
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ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
i
IX. SITE
OR PLOT
Applicant
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