29-461 (3) � e �lassttcf�ttsetfs =
Office of the �nsfrertor of Puilbings w
212 Main Street«Municipal Building
Northampton, Mass. 01060 �� v
September 21, 1979
CERTIFICATE OF OCCUPANCY
Page No. 29 Plot 461
Building (Name) Lot #50 — Address Grastvi®w Drive _—_ _-
Owner Norman Pa A sen Address __ 48 Wi 1 dwood TAno, !.-Eadley
Applicant Same Address Same
Use: 1st One-family residence Occupancy ------
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District URA
Required Inspections:
New Building X Existing Building
Elevator Electrical
Plumbin Fire
Building Other
F,�-o o w-A 6-�z")
Inspector of Biullhings
TIE�P 10 C%E S
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. JPENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.Owner or k
ft
Lessee a a! �j
Builder's c'
2. 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 7�> A�ppph ation date
00 NOT WRITE BELOW TH S 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 D
Permit or Approval Check Obta ned Number By Permit or Approval Check Obtta t ed 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 �.:� /Z 19
Building Fire Grading
Permit Fee $ ��r Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TITLE
a �{
NOTES and Data — (For department use)
wi
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS G
212 MAIN STREET APPLICATION FOR �3-
NORTHAMPTON, MA. 01060 PLAN EXAMINATION ANi
v Y't, # y+ BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
_ ZONING
I• AT (LOCATION) r�f�(„•.-4„ DISTRICT§4,P4z1-
LOCATION (N O•) (STREET)
OF BETWEEN elr � AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT qj
SUBDIVISION i. �� - LOT=-+SJBLOCK SIZE 1M1 X
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - --> 20 F-] Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential,
of units ------- - -� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other - SpeciJy 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 U-9rivate (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - SpeciJy
9 ❑ 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................ 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 ..................... V
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUIL ING — 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. Number of stories...............
30❑Masonry (wall bearing) 40L"}•'Public or private company
Wood frame 49. Total square feet n floor area,
31
41 ❑ Private (septic tank, etc.) all floors, based on exterior
/
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 �ublic or private company 50. Total land area, sq. ft. ........... t O r�
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 F-1 Gas Will there be central air
52. Outdoors................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 K;4-Na 53. Number of bedrooms.............. _3
38 ❑ Coo I
39❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 'o bathrooms
........F _j
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application, as his,
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (C)TY).
APPROVED BY TITLE
DATE 19
DEPART14W OF BUILDING INSPECTIONS DEPT. FILE COPY
za
4RT1MAIN'I'fIN 0060 BUILDINGa
�lQ( PERMIT VALIDATION
DATE April 18, i9- 79 -- PERMIT NO, 137
APPLICANT Nordlan Paulsen ADDRESS Wi l'ilmn T.LLTIH. SQF Ha,dley
_ (N0.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO New residence ( I I STORY Residence DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING UR�
AT (LOCATION) Cr'eatyiew Drive DISTRICT
(N0.) (STREET)
a BETWEEN Off Brookwood Drive AND
m (CROSS STREET) (CROSS STREET)
a
LT
m SUBDIVISION Brookwood LOT 5Q BLOCK SIZE 100 X 1W
0 BUILDING IS TO BE 29 FT..WIDE BY 3B LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
It
° REMARKS: COn(S'trUCt one-family residence See plans for Lot #46
AREA OR ,�gypp PER MIT
VOLUME IW8 ESTIMATED COST $ _��0 FEE 66.0o
(CUBIC/SQUARE FEET)
OWNER Norman Paul nen
{,p BUILD
YL7
ADDRESS —_ Wi l dwan d T.me. .'Sj___ Had]-ey BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)