29-460 (3) bti crxt� of ND1rt4am tan
� a� �fassacl}usetts =_
Office of the '31noptrtor of Puilbings
212 Main Street•Municipal Building �<
Northampton, Mass. 01060
V
July 18, 1979
CERTIFICATE OF OCCUPANCY
Page No. 2�_ Plot 460
Building (Name) Lot Vs 51 Address t_'xentada.► Drive
Owner Norman Q.Prsulaen Address T
Applicant Same as shoe Address Same as above
Use: 1st Single—family residence Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District URA
Required Inspections:
New Building X Existing Building
Elevator Electrical
Plumbing L I Fire
Building U)�, Other
Inspector of Buildings
T LE'P IV
�RE55
4W
V111. ZONING PLAN EXAMINERS NOTES
DISTRICT of
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. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, strut, city, and State ZIP code Tel. No.
Owner orb
Lessee
GAG'
Builder's
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 Application date
a /C
/-Yf
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
4 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
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 j FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ - Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ f
TITLE_
NOTES and Data — (For department use)
-y(.o
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING 4
• AT (LOCATION) �l y��'L.I {'tl✓L�. 40 DISTRICT(!/ \
LOCATION y�/1�(�1 r�( 0.) (STREET)
)[�"
OF BETWEEN tr� V -jf),c1 .i IVL AND
BUILDING / (CROSS STREET) (CROSS STREET)
9 LOT
SUBDIVISION LOT%-51 BLOCK SIZE I00)<100
N
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 Eje New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
3 ❑ Alteration (See 2 above)
number of units— — — — --)' 20 E] Industrial
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)
6 ❑ Moving (relocation) 16 ❑ Carport 24❑ Office, bank, professional
7 ❑ Foundation only 17❑ Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
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,,,••••,••.•.... 1 6 c o 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..................... AGO
b. Plumbing ..................... 00
c. Heating, air conditioning......... '
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ at
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❑Masonry (wall bearing) 40 dPublic or private company 48• Number of stories................
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 E?f Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL /
35 ❑ Gas Will there be central air 52. Outdoors........................ y!
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ZNo 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... )
46 ❑ Yes 47 [:�41a bathrooms
Partial.......
hereby certify, that the proposed work is authorized by the owner of record
and I have been authorized by the owner'fo make this application as his
authorized agent.
SIGNATURE .O� 'AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE]
DATE 19
�r DEPT. FILE COPY
ZO
&PT.OF BUILDING INSPECTIONS BUILDING 0 a
212 lulalni�s�egpf� p{�//�� [�_s������ PERMIT
Northampton,Mass.01 060 29-4"11 VALIDATION
DATE October 16, 19 7� PERMIT NO. 48$
APPLICANT NprmAn 01- Pahl Awn ADDRESS 48 Ilildwond TAne, Rn_ Had @y
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO DIOU Reiridanoe (_I STORY Residence DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
`,L,, ZONING
AT (LOCATION) Int #.j1 Crestview Drive #A60 DISTRICT
(NO.) (STREET)
m BETWEEN Off Bro0k3i1 od Drive AND
ro (CROSS STREET) (CROSS STREET)
LOT
EL SUBDIVISION LOT 51 BLOCK SIZE 100 x 100
U BUILDING. IS TO BE 24 FT. WIDE BY 3 FT. LONG 8Y FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
o REMARKS: (jjjQ family rrasidp-nnP — See Plana for Lot A5
AREA VOLUME ESTIMATED COST $ 22,,000 FEEMIT $ 66.00
(CUBIC/SQUARE FEET) P
OWNER Nor-man G Paillsen
BU DIN DEP
ADDRESS 48 141.141moo i Tone, So• Hadley, Ma- B
(Affidavit on reverse side of application to be completed by authorized agent of owner.)