32C-111 ; o
X of Xortiaipton o ,
'�b A , lassachusetts
' ra$
—
;V. 4? Office of the inspertur of Auitbxngs
astir,^} .. _ -
'r- -2212 Main Street•Municipal Building =- =ice
Northampton, Mass. 01060
September 13,1977 "" V
CERTIFICATE OF OCCUPANCY
Page No. 32C Plot 111
Building (Name) Sojourn Address 23 Smith Street
Owner Ann Jones Address 107 North Street
Applicant Sojourn Address
Use: 1st Occupancy 424 Community Residence
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District SI
Required Inspections:
New Building Existing Building x
Elevator �r1�� Electrical i---4 C 16A "1"‘\" .
Plumbing . Fire (06.„,(/, g.,>,,e,__ �.,
Building Other l
1eJi Ins for of Buildings
THEa,PRIN,II9 PRESS
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT — 4,-....„_1_,I___I'
J / 7.-/144-7/1-USE ���� _ -7'7°'1-- --x-24 , 02 .40-3
FRONT YARD
SIDE YARD �(� SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant
Applic ant Use
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NOTES and Data — (For deportment use)
. Ani.�w V
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, (-7.0, and .State ZIP code Tel. No.
1
1. r;
Owner or . - -'
Lessee
p / • Builder's
`L. '1\0�� �,i. ~'. _ _ /_ /_ / 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.
Sigryature of applicant Address Application date
t•P 3 �7
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
Permit number
Building
Permit issued 19
Building
Permit Fee $
Certificate of Occupancy S
Approved by:
Drain Tile S
Plan Review Fee S_
TITLE
•
«�
r City of Northampton
$ :., ;, "et
f lxsssdfusetts
k`-=_=� Office of the nspector of IBuil�ings
----ae3- APPLICATION FOR
A Plot 11 ZONING PERMIT AND
Page BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. 0
i ZONING C.+, O
I. AT (LOCATION) ' ? i`` t k-� DISTRICT`(
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Cr)
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
—I
1 I New building Residential Nonresidential
2 Addition(If residential, enter number
I 1 / 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I Two or more family — Enter 19 Church, other religious
number of units— — — — --0.. 20 Industrial
3 14 Alteration (See 2 above)
14 I I Transient hotel, motel, 21 Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential,
of units — -.30- 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
Part D, 13) 24 Office, bank, professional
16I I Carport
6 I I Moving (relocation)
17KOther — Specify &az'at,Z 25 Public utility
7 I I Foundation only 26 School, library, other educational F B. OWNRSHIP 27 Stores, mercantile
28 I Tanks, towers
8 [11 Private (individual, corporation,
nonprofit institution, etc.) 29 I Other — Specify
9 I I Public (Federal, State, or
local government)
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 $ i 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 ../... / C
b. Plumbing
c. Heating, air conditioning
d. Other(elevator, etc.)
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. y
C)
_,-�
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ,t m
48. Number of stories.
30 Masonry (wall bearing) • 40 I'_.'Public or private company
41 I Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame all floors, based on exterior
321 1 Structural steel dimensions
'1.1c:
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other — Specify
42 I:.1 Public or private company 50. Total land area, sq. ft.
43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35 I Gas Will there be central air 52. Outdoors
36 I-1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY --..
37 I I Electricity 44 I i Yes 45 I I No 53. Number of bedrooms ■ `
38 I I Coal
39 Other — Specify Will there be an elevator? Full
54. Number of
46 I I Yes 47 I I No bathrooms Partial
1 hereby certify that the proposed work is authorized by the owner of record
and 1 have been authorized by the owner to make this"oppl:icatioo a's_his
authorized agent.
a Fes.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY) •
APPROVED BY TITLE
DATE 19
•
•
DEPT. FILE COPY
I-
j D
CITY OF NORTHAMPTON BUILDING
NORTHAMPTON, MASS. 01060 PERMIT VALIDATION
320 — 111
DATE September 13, 19 77 PERMIT NO. 41'
APPLICANT "Sojourn', ADDRESS �3 Smith Street
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO (_) STORY 424 Comtnt ntt-Residence
NUMBER OF +
t DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO, (PROPOSED USE)
ZONING
AT (LOCATION) 23 $with DISTRICT ST
(NO.) (STREET)
m BETWEEN AND
O
i (CROSS STREET) - (CROSS STREET)
LOT
n.
m SUBDIVISION LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
X (TYPE)
O:
0 REMARKS: Out-side stairway, repair doors
AREA VOLUME ESTIMATED COST $ 400.00 FEEMIT , 10.00
(CUBIC/SQUARE FEET)
OWNER Awl JOY1E'8
BUILD ....G., , .
ADDRESS 107 North Street, Northampton BY
(Affidavit on reverse side of application to be completed by out orized agent of owner)