17D-012 (8) „t- Cit y Northampton of I1. Footings and Walls
v►�I1 �� BUILDING DEPARTMENT 2 . Structural Components in
T = =� Place
3 . Complete Building .
4
No. 646 Office of the Building Inspector
Date 9 -7-89 19 .#
BUILDING PERMIT
THIS MAY CERTIFY THAT Don Warburton Insp. on Site — Foundations
has permission to replace decks Insp. of Plumbing — Rough
situated on Bridge Road Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON TH PREMISES
Certificate of Occupancy
Building Inspector
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
1()) t=.r)j - I stir >><_ 4p r., F3 r} G `t L LO . I I - 0 k:: W ► A . U i f r (,
Owner or J
Lessee
rl, t Builder's
2. ('11 t . +C�t.'12;iT.'t'') t I �r2_...t r S .� License No.
Contractor
NN to- 'It i# : 0t, 0 0102) 314-31i 0
3.
Architect or t
Engineer
I hereby certi y that he propo : d work is authorized by the owner of record and that I have been authorized by the owner to
make t is a licati n as his • thorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signet ye f ' plican / ° ` " "" Address Application date
l i f
i � - - ! / 4 �1 7 � ` ` •
L
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
q Fee By y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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
Building �, Use Group
Permit issued ck ' q 69 19
Building i Fire Grading
Permit Fee $ lQ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: �
Drain Tile $
�
Plan Review Fee $
c� ``
F /' ,TITLE
� CITY OF NORTHAMPTON
MASSACHUSETTS
c fAli "0%.1 OFFICE of the INSPECTOR of BUILDINGS
A I : 4h
Page k 17 Plot 1 Z APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
I. C K.--6
LOCATION DCT U �C.'l6
AT (LOCATION) (,�dJ(.�i�
LOCATION (NO.) (STREET)
OF BETWEEN I1;)L« rsiJ AND 1_er -i ✓SI L -
BUILDING (CROSS STREET) (CROSS STREET)
_ LOT
SUBDIVISION M 1�11s.0. '- Y:a.c._ ,AP 1 -- _ LOT BLOCK SIZE
VI
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 rn
rn
1 1 I New building Residential Nonresidential
2 1 1 Addition residential, enter number
121 !One family 181 1 Amusement, recreational
0/ new housing units added, if any.
in Part D, 13) 13 LJ I Two or more family - Enter 19 Li Church, other religious
number of units- - - - -0.- 20 1_J Industrial
3 n Alteration (See 2 above)
14 L_J Transient hotel, motel, 21 L1 Parking garage
4 Repair, replacement or dormitory - Enter number
5 Wrecking (If multifamily residential, of units - - ._- 22 I r
1 Service station, repair garage
enter number of units in building in 15 L1 Garage 23 LL Hospital, institutional
Part D, 13)
16 L_ i Carport 24 L Office, bank, professional
6 n Moving (relocation)
17 Li Other - Specify 25 1_ 1 Public utility
71 1 Foundation only
26 ` 1 School, library, other educational
B. OWNERSHIP 27 LA Stores, mercantile
8 Private (individual, corporation, 28 [ Tanks, towers
nonprofit institution, etc.) 29 L_ i Other - Specify
9 L_ I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detai proposed use of buildings, e.g., food
/ 1. processing plant, machine shop, laundry building of hospital, elementary
10. Cost of improvement $ 1� 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 /}
a-4.p) to di- - — Col o CZ.(.
b. Plumbing ,--
,..,••.' c. Heating, air conditioning
d. Other (elevator, etc.) S
11. TOTAL COST OF IMPROVEMENT $414`
III. SELECTED CHARACTERISTICS OF BITILDING — 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 I I Masonry (wall bearing) 40 L I Public or private company 48. Number of stories
31 g Wood frame 41 I 1 Private (septic tank, etc•) 49. Total square feet of floor area,
all floors, based on exterior
321 1 Structural steel dimensions
33 LL Reinforced concrete H. TYPE OF WATER SUPPLY
34 LL Other - Specify 42 Ll Public or private company 50. Total and area, sq. ft.
43 1 Private (well, cistern) K. NUMBER OF OFF- STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 I I Gas Will there be central air 52. Outdoors
36 L_1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Cr Electricity 44 L] Yes 45 r - � ., No 53. Number of bedrooms
38 1 coal
39 LL Other - Speci /y Wi I I there be an elevator" Full
54. Number of
46 I 1 Yes 47 F-1 No bathrooms
Partial
•