18C-031 (10) DEPARTMENT OF BUILDING INSPECTIONS CERTIFICATE ISSUED
2 2 MAIN STREET DATE
NORTHAMPTON, MA. 01060 BUILDING PERMIT -
18C - 31 CERTIFICATE OF OCCUPANCY
DATE June 5, 19 80 PERMIT NO. 296
APPLICANT Patricia J._ Bushey ADDRESS 16 Cook Avenue
(NO.) (STREET) (CONTR'S LICENSE)
.t
NUMBER OF
PERMIT TO Addition (1 1 STORY Storage area DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 16 Conk Avenue DISTRICT SR
(N0.) (STREET)
orn BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
a
LOT
a SUBDIVISION LOT BLOCK SIZE
m
Addition
vp 1 IS TO BE 1.� FT. WIDE BY Z4, FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
y (TYPE)
K
0 REMARKS: Att*th loan-to to existing game.
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VOLUME 5(7 •-Ei • 7 7 ' : E 37 f'37 • 7 •Ei T1 •� • 7 • ? t'7'7 •Ei
(CUBIC/SQUARE FEET) •I111 •I111 ;1111 ;I111 ;1111 ;IIII ,'`ISIII ;I I11 ;1111 'IIII •I111 ;1111 ;1111 / ;1111 ;1111
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OWNER C]jil1�[•P BLLsbly, Jr.. �"' 70 BE P RTEYi1IF�1fTIFICATE
ADDRESS 16 Cook Avenue, Northampton �E
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. 1
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 'o
212 MAIN STREET BUILDING
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
18C - 31
DATE June 5, 19 80 PERMIT NO. 296
APPLICANT Patricia J. Bushey ADDRESS 16 Cook Avenue
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Aririjtinn (1._1 STORY StArAge area DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PR POSED USE)
ZONING
AT (LOCATION) 16 Conk Avenue DISTRICT SR
(NO.) (STREET)
a BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
a
LOT
a SUBDIVISION LOT BLOCK SIZE
m
a Addition
O• ;exxxy,xIS TO BE 18' FT. WIDE BY 941 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
M (TYPE)
Er
0
U REMARKS: Attach lean-to to existing garage.
AREA OR PERMIT
VOLUME ESTIMATED COST 400.00 FEE $ 10.00
(L Ue1W 50 DARE FEET) Ilir `-/`"L=-
OWNER Clarence Bushey, Jr_ B LD �p P
ADDRESS 1 Cook AtiTenue, Nor h p ton B r!
(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 .
— II
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 /571C -3 I PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. 0
/ / 1 . D _ ZONING SR.,
AT (LOCATION) T �L1eZ. ' DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use r
I New building 9 Residential Nonresidential
2 ligl Addition(/)residential, enter number 12 N.One family 18 n Amusement, recreational
of new housing units added, i/any,
in Part D, 13) 13 n Two or more family - Enter 19 n Church, other religious
number of units- - - - --> 20 n Industrial
3 n Alteration (See 2 above)
14 Ti Transient hotel, motel, 21 n Parking garage
4 n Repair, replacement or dormitory - Enter number
5 1 1 Wrecking (I/multifamily residential, of units - -3- 22 n Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) 16 Corport 24 I I Office, bank, professional
6 n Moving (relocation)
7 n Foundation only 17 n Other - Specify 25 n Public utility
•
26 n School, library, other educational
B. OWNERSHIP l!�V XL� 27 n Stores, mercantile
8 Private (individual, corporation, Q 'C1,4�. - _ 28 I—I Tanks, towers
nonprofit institution, etc.) �+� � �^" 'J��'` "7 29 n Other - Specify
9 n Public (Federal, State, or
local government) •
C. COST (Omit cent ) Nonresidential - Describe in detail proposed use of buildings,e.g., food
Yif 0 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 plont.
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.) �j�
11. TOTAL COST OF IMPROVEMENT $ (e"v
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 n Masonry (wall bearing) 40 Public or private company 48. Number of stories
31 CR Wood frame 41 Private(septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 n Structural steel dimensions
33 n Reinforced concrete H. TYPE OF WATER SUPPLY
34 n Other - Specify 42 I Public or private company 50. Total land area, sq. ft.
43 II Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 n Gas Will there be central air 52. Outdoors
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 n Electricity 44 n Yes 45 I I No 53. Number of bedrooms
38 ❑ Coal
39 0 Other- Specify Will there be an elevator? 1 Full
54. Number of
46 n Yes 47 n No bathrooms
Partial
it
NOTES and Data - (For department use)
aeleaeR.) Gr/ & �U " �C '�� � �✓• tre
IV. IDENTIFICATION — To be completed by all applicants
//Name �/� / rMMaailing�addresssss - Number, street, city, and State ZIP code Tel. No.
Owner or C• +sA(L a�/� l6 `� ctA ate..
Lessee 1
Builder's
2, _ ._. License No.
Contractor 'ad� .h
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 pplicant Address ADO Application dote
� �.c�l .av i 6-`S=ere
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 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 47
Building Use Group
Permit issued 19 110
Building Fire Grading
Permit Fee ��`��
$ Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile $
\' ‘..44#-...°4).--b.41
Plan Review Fee $
TITLE
VIII. ZONING PLANE AMINERS NOTES
DISTRICT
USE c___,,i,:,,,ek,, ia,,,,ti..
7 ____
FRONT YARD 36
LCJ
SIDE YARD .D-Of `•-C/ SIDE YARD 01_Qi -<
REAR YARD 3d a•
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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