11C-005 (4) DEPT. OF BUILDING INSPECTIONS BUILDING ;_
_s .._ I 212 Main Street Oa (� ' (_%�
' Northampton, MA 01060 PERMIT
11C - 5 p VALIDATION
DATE July 25. ,s 88 PERMIT NO-. 469
APPLICANT Thomas Stanley ADDRESS 4 Heffernan St_ , I PP.SIS Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Above Ground Pool (_, _STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING
AT (LOCATION) 4 Heffernan Street DISTRICT UKA
(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)
REMARKS: above Ground Pool 15' X 24'
��R M
AREA OR 360 sq. ft. 7,00.00 10.00
I
VOLUME ESTIMATED COST $ EE /
(CUBIC/SQUARE FEET)
OWNER SamP as Applicnat �/. '`
ADDRESS Same as Applicant's BYILDII� DePT�� / ,� 1j , ,
4/
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK -, ASSESSORS COPY p•INT SIIp
IV. IDENTIFICATION — To be completed by all applicants
Name a
N Mailing address — Number, street, city, and State ZIP code Tel. No.
O wner or
1, . ./0/PA,k �1 /r Aid t2 1 N,17 �
Lessee
2. a / t ,4 ' f t LBcenser'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 agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
0/./ Z4--1/7i_nog m7ly
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired 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
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
n
Permit number
Building '✓ Use Group
Permit issued ' 19(1
Building 4w- Fire Grading
Permit Fee $ v ' G'I
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved y•- '
Drain Tile yy
Plan Review Fee $ �'
/ TITLE
1
- CITY OF NORTHAMPTON
• MASSACHUSETTS
t'Al _.-■rr.'. ,,,„,,
„...1_,„., ,,, OFFICE of the INSPECTOR of BUILDINGS
.� :�_�r. _ Kt'zol- 9 Plot
as= � Page IK APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT.— Applicant to complete aa/lll items in sections: I, 11, Ill, IV, and IX. yyy��� 0
I. AT (LOCATION) l� fi,�rti/r/" i/% Fr ZON ING
DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 m
rn
1 I I New building Residential Nonresidential
2I Addition(If residential, enter number 12 One family 18 Li Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 L-_ Two or more family - Enter 19 L J Church, other religious
number of units- - - - -* 20 Industrial
3 L i Alteration (See 2 above) L J
14 I I Transient hotel, motel, 21 Li Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (I/multifamily residential, of units - ---).
22 L i Service station, repair garage
enter number of units in building in 15 I I Garage 23 ril H• ospital, institutional
Part D, 13) L g
16 I I Carport 24 n O• ffice, bank, professional
6 I I Moving (relocation)
17 L I Other - Specify 25 L i Public utility
7 I I Foundation only ` 1 26 Li School, library, other educational
/6 '-ei 2 -
B. OWNERSHIP 27 L Stores, mercantile
��rr��11I� �) 28 L J Tanks, towers
8 I I Private (individual, corporation,
nonprofit institution, etc.) `•"[ � -L " c 29 Li Other — Specify
9 Li Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
6,6, y_ processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ l✓ 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 $ 7C) `') �''
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
48.
30 I Masonry (wall bearing) 40 L Public or private company Number of stories
31 I Wood frame 41 L ] Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other - Specify 42 I I Public or private company 50. Total land area, sq. ft.
43 Li 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
36 Fi O• il conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 L-J E• lectricity 44 I 1 Yes 45 I No 53. Number of bedrooms
38 El Cool
r
39 L 1 Other — Spcci/y Will there be an elevators Full
54. Number of
46 I 1 Yes 47 111 I No bathrooms
Partial
5
I DEPT''
. OF BUILDING INSPECTIONS BUILDING �� (-,,,e
212 Main Street
_, > Northampton, MA 01060 PERMIT
11C - 5 ppp VALIDATION
DATE July 25. 19 88 PERMIT NO. 469
APPLICANT Thomas Stanley ADDRESS 4 Heffernan St.. , I Peels Owner
Y (N0.) (STREET) (CONTR'S LICENSE)
M_ Gil��' llnn mi 1 v NUMBER OF
PERMIT TO /4y''Q Q( • " • CANARY - APPLICANT COPY • PINK / ASSESSORS COPY pdxf S'P
o^' Pegs �� C'°
4N116
TO TYPE USE GROUP BASEMENT WALLS OR FOUNOA ON
(TYPE)
REMARKS: ai)OVs:' .1Cod Poo 1 ,5' J' Mi.
AREA OR
VOLUME ESTIMATED COST $
(CUBIC/SQUARE FEET) �/ )12/ 1717$
,r
OWNER l 1,t�' as h l 4�G L ,1 / /.
BUILDING '
ADDRESS Sa,: as `.�yll _C�aiit' s BY / //A / r,4 ., 4 .
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK -' ASSESSORS COPY p jpif SN P
if