29-449 (3) DEPT. FILE COPY
N'ARDIE T OF BUILDING LISPECTIONS z°
W• MATN STREET BUILDING 0 IL
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
29 - 449 CODE # 79
DATE September 25, 19 79 PERMIT NO. k7k1-
APPLICANT Mrs_ Marjorie S. Mareii ADDRESS 16 Crestview Drive
(HO.) (STREET) (CONTR'S LICENSE)
PERMIT TO shed 4 wood stove 2 ) STORY Wood—burning UMBER OF
(TYPE OF IMPROVEMENT) ( NO. (PROPOSED USE)stove, stereo WELLING UNITS 1 shed
AT (LOCATION) 16 Crestview Drive ZONING TT�
(NO.) (STREET) DISTRICT RA-
orn BETWEEN AND
2 (CROSS STREET) (CROSS STREET)
a LOT
m SUBDIVISION LOT BLOCK SIZE
t
u
O BUILDING IS TO BE 8 FT. WIDE BY 8 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
a
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
X
C (TYPE)
o REMARKS: Construct storage shed — Install wood—burning stove in existing chimney,
with separate flue.
AREA OR
VOLUME ESTIMATED COST $ 300.00 FEE $ 10.00
(CUBIC/SQUARE FEET) /'
OWNER Theodore & MA riorje MA.rnil r
ADDRESS 16 Crestview Drive, Northampton, Ma. BYIL//if Pr..et
(Affidavit on reverse side of application to be completed by authorized agent of owner)
\ r'
I hereby certify that the proposed work is authorized by the owner of, record
and 1 have been authorized by the owner to make this application as his
authorized agent.
•
e _SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
. z e
# %
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS cg'7_ ci y 7
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. 0
/
I. AT (LOCATION) f - A�/ ZONING FJ �f/}�
lP �•�.[SI�I.l.�C�+ ��1 iL/.
DISTRICT
LOCATION (N0.) (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 —1
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 fgj New building Residential Nonresidential
2 I Addition(If residential, enter number 12X-1 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious
number of units— — — — 20 I Industrial
3 I Alteration (See 2 above) 14 I Transient hotel, motel,
21 1 Parking garage
4 I Repair, replacement or dormitory — Enter number
5 I Wrecking (If multifamily residential, of units — -* 22 Service station, repair garage
enter number of units in building in 15 [ Garage 23 I Hospital, institutional
Part D, 13)
6 I I Moving (relocation) 16 I Carport / 24 I Office, bank, professional
17X Other — Specify O A pj 25 I Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP -4-- ,---z-411 . O1—...- 27 I Stores, mercantile
8 Private (individual, corporation, , .
28 Tanks, towers
nonprofit institution, etc.) 0 --4)-44.4r� 1 29 I Other — Specify
9 I Public (Federal, State, or '-1•� ,
local government) �../41 CJ2.
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
c. Heating, air conditioning
d. Other (elevator, etc.)
i4
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
30 Li- Masonry (wall bearing) 40 s1Public or private company Number of stories
31 l� Wood frame 41 I I 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 421 [-Public or private company
50. Total land area, sq. ft.
43 I I Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TY E OF MECHANICAL 51. Enclosed
35 I I Gas Will th a be central air 52. Outdoors
36''Oil condition ?
L. RESIDENTIAL BUILDINGS ONLY
37 I Electricity 44 1 I Yes 45 I I No 53. Number of bedrooms
S
38 Coal
39 1 Other — Specify Will there e an elevator? /
Full
54. Number of
46 Yes 47 I I No bathrooms
Partial
1411.1111t
NOTES and Data — (For department use)
Mb. ENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or V2-e'dZ1� U�jVJ
•
Lessee / �� frleacia g�./FBuilder's
License 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
,C171�r: r . /47/e'4.e
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 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 Date
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 Use Group
Permit issued C% c 19
Building Fire Grading
Permit Fee $ r� 67.4761
Live Loading
Certificate of Occupancy Occupancy Load
Appr by:
Drain Tile � Q
Plan Review Fee
TITLE
a # ii _ (rzt. of Northampton
• =_ .
r Cam/. k L/
;''mss't rii -�•$,�� 4 •ffirt of the itspertor of Pnilnings
��= �� 212 Main Street•Municipal Building __,'(
Northampton,Mass. 01060 "`
CERTIFICATE OF OCCUPANCY
June 22, 1 W
Page No. 29 Plot 449
Building (Name) Crestview Drive Address Lot '73
Owner Norman Paulsen Address 48 Wildwood Lane, So. Hadley
Applicant Same as above Address Sams as above
Use: 1st S-i ng1P-farni l y rpsi cienee Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District URA
Required Inspections:
New Building X Existing Building
Elevator Electrical �G � m -e-e-o'7- .0 �
Plumbing fr' ,�� - ...�`.• �
drP, i Fire
Building �� 1M. . = I I Other
U
di ----
i„)__ettit-(1' .
Inspector of Buil. n
T yE,,PR^NTNG PR•E55