29-463 (9) -
of 'Wart4amptan
$ Offire of th-e )noptrtor of 111nilbings Z
212 Main Street«Municipal Building
Northampton,Mass. 01060 .mot
V
CERTIFICATE OF OCCUPANCY
June 22, 1
Page No._ 2d— Plot 463
Building (Name) Crestview Drive Address Lot ` 8
Owner Norman Paulson Address 48 Wildwood Lane, So. Hadley
Applicant Game as above Address Same as above
Use: 1st One—family residence Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District TJRA
Required Inspections:
New Building I Existing Building
Elevator Electrical
Plumbin ',(t4 --77' Fire
Building Other
L
Inspector of Building
TM wP'"IUJ W PRESS
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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E
BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IDENTIFICATION — To be completed by all applicants
iName Mailing address — Number, street, city, and State ZIP code[ Tel. No.
Owner or
Lessee
Builder's
2, License No.
Contractor
L
3.
Architect or 4 M
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
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtta ned 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
Permit number
Building Use Group
Permit issued 19L
Building G Fire Grading
am, ��_�
Permit Fee $ Lo+(� Live Loading
Occupancy Load
Certificate of Occupancy
z Y* r
Drain Tile $ 1
Plan Review Fee
TITLE
�i
As*
NOTES and Data — (For department use)
� ?�%� Gam' C/.Jw
a
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING ',.
I• AT (LOCATION)
CJ--�.LZLL,!"�— ���— `t'J DISTRICT�
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT 6
SUBDIVISION LOT BLOCK SIZE I O /D CJ
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 New building Residential Nonresidential
2 Addition(If residential, enter number 12 t<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
number of units— — — — --)- 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
22 ❑ Service station, repair garage
5 E:] ——————— —Wrecking (IJ multifamily residential, of units —�
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 — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
4 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
9 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 C,
a. Electrical..................... 0
b. Plumbing ..................... 1500
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is
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 Public 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 F-1 Other — Specify 42�Public or private company 50. Total land area, sq. fT. ........... f(�
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.......................
36�11D iI conditioning?
L. RESIDENTIAL BUILDINGS ONLY Q
37 lec tricity 44 ❑ Yes 45PQ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 No bathrooms Partial........
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hereby certify that the proposed work is authortzed by the, owner of record .
and 1 have been authorized by the owner to rn'ike this application as his
authorized agent.
SIGNATUR"E Ol` AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 - .
DEPT. FILE COPY
.
OF 8uuorNG INSPECTIONS BUILDING 1a
212 Main St im qu3 a
NorthernprW Mass.01060 2g-�
PERMIT VALIDATION
DATE October 4; 19 70 -- PERMIT NO. 469
APPLICANT Nnrman Pail gen ADDRESS 48 WW1 dwnM ,anP, Sn_ T4,gdl ear
(NO.) ISTREET) (CONTR'S LICENSE)
PERMIT TO NPW Regidenne NUMBER OF
(4) STORY RPai dAn . DWELLING UNITS 1
(TYPE OF IMPROVEMENT) N (PROPOSED USE)
AT (LOCATION) Crestview Drive #-4e ZONING iTRA
DISTRICT
(N0.) (STREET)
a BETWEEN AND
'O (CROSS STREET) (CROSS STREET)
LOT
a
m SUBDIVISION LOT ' `BLOCK SIZE IW) X Inc)
a '
0 BUILDING IS TO BE 24 FT. WIDE BY 3_FT. LONG BY FT. IN. HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
0:
m REMARKS: .__._ Cnnstnint. nne-family regic3AnCP
AREA OR ,1 PERMIT
VOLUME ESTIMATED COST $ 24,000 FEE $ 42.00
(CUBIC/SQUARE FEET)
See Permit #505
OWNER Normal BU I I 'PT. for fee explanation
ADDRESS ��� TAt3� iT��'7 LoanP, An. Hadley BY
(Affidavit on reverse side of application to be completed by authorized agen owner)