37-018 (3) CERTIFICATE ISSUED
DEP.A.Ca"14Fxv ' OF BUfl fliG f 5p '.l IONS DATE
212 MAIN SRS`
NORTRAMPTDU, MA. 01060 BUILDING PERMIT -
37 — � � #79 CERTIFICATE OF OCCUPANCY
18 DATE October 12, 19 79 PERMIT NO. 592
APPLICANT Merlyn Emerson ADDRESS 710 Florence Rd.
.ice., (NO.) (STREET) .. (CONTR'S LICENSE)
PERMIT TO Chimney ( 1 ) STORY Fbr wood—burning stove DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING
AT (LOCATION) 71A Florence Rd. D STR CT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION _..__... _ LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE) JI
REMARKS: _ Inetall new metal best)s chimney — existing wood stove
AREA OR __I7mil :1111144 'liSlt! %ti�lll �y•I III pin, :1111 �7 mit S7 Niti :11ut 7uNt s7 g
VOLUME • 7 ki s 1 ?r1 =l 1 7( O ; .ii E1 'r1 7 KEI �`'�`52i�1��1 3 ''TI 11
(CUBIC/SQUARE FEET) :1111 ;1111 :1111 :1111 :1111 111 `:1111 :1Ii11 :1111 1111 ;4111 :1111 :1111 :1 1111 :1111
0,1771 A,T 1I,VT:11 bT911Or7:Tl A' Cr1 tl0AL71A'tll A'S]II.VT11,K.R11 U'ITI rirei1 b 1,7'Cil A'
OWNER 1 ihl ei �t1 St (`hnrc 1 �%� TO B;•'POSTED ON PREN}PSE„S��y`
r7 Wt on. SEE E" . .-FOR '0 DI s,,orCE}IFICATE I
ADDRESS 710 Florence, �.C�..� tea ..:_��.. (..-�"ES�`�.� f���.-��
DEPT. FILE COPY
ZO
DEPARTMENT OF BUILDING INSPECTIONS BUILDING a
212 MAIN STREET acv
NORTHAMPTON MA, 01060 PERMIT �� /y-77
g VALIDATION
37 — 18 Code #79
DATE October 12, 19 79 PERMIT NO. 592
APPLICANT Merlyn Emerson ADDRESS 710 Florence Rd.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO rhimn 7 (_1_) STORY For wood-burning stove DWELLING UNITS 1
(TYPE 0 IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 71G ITICMP loP Rrl_ DISTRICT SR
(NO.) (STREET)
a BETWEEN AND
e (CROSS STREET) (CROSS STREET)
a
LOT
a 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
CD
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
o REMARKS: TnFtall new metal bestos chimney. — existing wood stove
AREA OR FEE
ESTIMATED COST $ 100. MIT 1D.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Bible Baptist Ch,:rrh
.. Or . . / .24;/--"Y
ADDRESS 710 Fl orence, Rd. , N'ton.
(Affidavit on reverse side of application to be completed by authorized agent of owner)
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address - Number, street, city, and State ZIP code Tel. No.
1.Owner or
/21:44- 6.•1/%49- —7 r r �.�P
Lessee
Builder's
2. License No.
Contractor /� /j _�
�'
3.
(/s (J� ^
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 applicant Address y�r/ / Hy/ Application date
i
dd
td
( /U Y�/!�Z (e/ /51e-
DO 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 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 /y
Building !� 19 7r Use Group
Pemit issued -.76--1;2
Building /C2�/ Fire Grading
Permit Fee $ CO Live Loading
Certificate of Occupancy Occupancy Load
A /ed by, /
Drain Tile Weir
Plan Review Fee
ITL �F
NOTES and Data — (For department use)
gz4t/ LL' d—ee.tA
•
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET 37 •- 77 APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
A7, ) _
1�'� ZONING ∎.1
I. AT (LOCATION) �.+� ( DISTRICT �1
LOCATION (NO.) (STREET)
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 'i
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I New building Residential Nonresidential
2® Addition(If residential, enter number 12 I I One family 18 I Amusement, recreational
of new housing units added, iJ any,
in Part D, 13)
13 I I Two or more family - Enter 19, Church, other religious
in
3 I I Alteration (See 2 above) number of units- - - - 20 I Industrial
14 I I Transient hotel, motel, 21 1 Parking garage
4 I I Repair, replacement or dormitory - Enter number
5 I I Wrecking (If multifamily residential, of units - -31.- 22 I Service station, repair garage
enter number of units in building in 15 I Garage 23 1 Hospital, institutional
Part D, 13)
16 I Carport 24 I Office, bank, professional
6 I I Moving (relocation)
7 I Foundation only 17 I I Other - Specify 25 I Public utility
,/ 26 School, library, other educational
B. OWNERSHIP 27 I Stores, mercantile
8 I I Private (individual, corporation, 28 I Tanks, towers
nonprofit institution, etc.) � 29 Other - Specify
9 I Public (Federal, State, or ,"(1(A6/2"-#4"-Q-'^
local government) �r
C. COST (Omit cents) onresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $/OO '— 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 $/00
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 El Masonry (wall bearing) 40 `Public or private company 48. Number of stories
49. Total square feet of floor area,
31 Wood frame 41 I Private (septic tank, etc.)
all floors, based on exterior
32I Structural steel dimensions
33I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other - Specify 42 Public 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
35 I I Gas Will there be central air 52. Outdoors
d'
36 I I Oil con L. RESIDENTIAL BUILDINGS ONLY
37 Electricity I I Yes ■= No 53. Number of bedrooms
38 Coal j
391 I Other - Specify Will there • an elevator? 1 Full l
54. Number of
48 a Yes 47 1 I No bathrooms
Partial