22B-008 (46) OP BUM= CERTIFICATE ISSUED
212 MN MERT
DATE
� -- _ _ ►• Qj BUILDING PERMIT -
22B _ 8 c , CERTIFICATE OF OCCUPANCY
DATE fttalbw24, 1 9 79 PERMIT N O. 467
APPLICANT�= flan Pease ADDRESS -�)pStreets Florem
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Alteration (-Z—) STORY Porch DWELLR
rING UNITS '
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
,,..��
ZONING 4l
AT (LOCATION) Q8 + DISTRICT
(NO.) (STREET)
a BETWEEN AND
'D (CROSS STREET) (CROSS STREET)
rn
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
a
O 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
o REMARKS: Phrologit,® n4i"hh_for mummar use
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OWNER Maas Pease TO BE POSTED ON PREMISES
ADDRESS 98 Opr!M Stmet• Florence, Ma. 01060 SEE REVERSE SIDE FOR CONDITIONS OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
i 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
DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS Z o
212 MAIN STREET BUILDING
NORTHAMPTON, MA, 0106o PERMIT
VALIDATION
22B — 8 Code x#79
DATE September 24, 19. 9_ PERMIT NO. 467
APPLICANT Peggy Ellen Pease ADDRESS 8 Sprig Street, Florence
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration (--Z—) STORY Porch —DWELLING UNITS 1
(TYPE OFIMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 98 Spring DISTRICT GI
NO.) (STREET)
m BETWEEN AND
(CROSS STREET) (CROSS STREET)
01
IL LOT
® SUBDIVISION LOT BLOCK SIZE
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
g (TYPE)
K
LLO REMARKS: '+ CIO.-ging 13nrah fnr mirranAr LRP
AREA OR PERVOLUME ESTIMATED COST . FEEMIT dr 10.00
(CUBIC/SQUARE FEET) �P
OWNER 'Themw.st Pease
BUILD
ADDRESS 9B Spring Street, Florence, Ma. 01060 BY -4 / _9
(Affidavit on reverse side of application to be completed by authorized agent of owner)
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 AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) - DISTRICT v
LOCATION IN 0.) TREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vf
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -4
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
1 ❑ New building Reidential 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 E] Industrial3Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If 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 F-1Moving (relocation)
17�? Other - Specify '-25❑ Public utility
7 F-1 Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP X27 ❑ Stores, mercantile
84 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,,,,,,,,,,,,,,,, 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 ..................... .I
c. Heating, air conditioning......... r
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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
30Masonry (wall bearing) 40Public or private company 48• Number of stories.....L-:....
31 Wood frame 41'r rI Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based n xterio y
32 Structural steel dimensions
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ublic or private company 50. Total land area, sq. ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
.PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ... �....... t.......
35 ❑ Gas Will there be central air 52. Outdoors...
OW
LY
Oil conditioning? L. RESIDENTIAL BUILDINGS O LY
3`n Electricity 44❑ Yes No 53. Number of bedrooms..............
38 ❑ Coal \
39❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46❑ Yes 47 No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name p Mailing address — Number, street, city, and State ZIP code Tel. No.
1. *c-n�c-a-. `02--L� C'/G /= 6 kif.�r3�ii�
Owner or
Lessee
Builder's
2. License No.
Contractor
�._aJ CiltrJ�'i
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.
Sig"ture of applicant Address Application date
- ( l; ' 6.a 'w
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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dole
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
Building L Use Group
Permit issued 19�
Building ` Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
T
•i 1
ZONING •
DISTRICT r
FRONT YARD
SIDE -. SIDE YARD
REAR YARD
NOTES
IX. SITE
OR PLOT PLAN For Applicant Use
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