29-499 (6) 0
�•� ""e Gf ff� oaf 'woz#tlamptan a r
$ d �Ti lassacl�usctte
� o
' DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
...........................-------------------------------- ---------------- -- - ------------------------......-------------........,...................
uUU4NN■■r■.u.nNUU.Na.oaNUau4•■rUU.Nnan uuu.rruNUUin-iiaiN•N.a/.\\.■a.n.rulu.■nu■N•u.NUN.u.....N....■..r..N■s■N,
:mammas::::S:::SSS :::::::::::::::::::::::::SS::S:N::N::::::::::SS::S::::::::$s am:L_C:'t NL:L::::::riL::•:•::S':NS::::S:::::::SSS:::::::::::::::::::HUH
•.s ...a ., \ • ■.t. ■ra.■■■■.a........■■.■.t■■■■..•t■.•■.t,.
.\N'$.�:'N's� .•■ U•S: ::S:ZZ:s: Z• NZ•'"::$Z'a5 \i::NNZ, N1Z:•Z:s: :•0:N: :/ 1r:.•°...'aaa�:N::::NNS ::1 N:NN:NN:.�:N:Z:::::N:::::sss�t::Z:ssf:
.:::$.L.0■..n. N..p..•U1:::::Z:\Z.•a■ZZ %:\ r!!■N::�■:•�•pai•:ZLLZ: L:a:::$L:s:$mssN:aZ $:�� il$:s:f•L::LLi�'JCL:L::I:::::ZLZL:ZL:L:L:�a::SZZ:Z::::Z::Z::LiZ:LZt::
,NaLa HSN• 551•!� •: .�:•�r �.aS.l.�.:$$:!.�!.la '$$\ •N:$.:•:$$$:••.U:is• •.5:•:•$m:i Z:NtSI:I--ki�::f::I:•::Z::.:::/■./s$a:p.$.:/•■.::::::::N.:s:s1
:LZ.:�L/..Zplff:S•a ..$•LLii _.C.iiuSL:$ZLZ:Z$t$lliii$s:$$::: os$$:1! Z•�L:11 HU:: lmi1laisZL$L$:$N::L:i:r:.is::::LLS::s1:$:\:L::L u::S::::::::::::s:::s::::::::::::::
.'s$$LQ.$S$SN:1':S$ S'm N•• ::S:ZrN:gN$Z:::$• :SL$i1$::� $:$•::ar•:$ '••:� 11:SSN:N:•:•::S::o:o:::L:::•NN::LN•N::LN::N:L::NN•s:::C
I :L:LLLL::YZ�:S:: .::LZ�Z$L::$ CI:T_••$$L:s:::_:•1:::La::L�LalC::0088 :$:::�: $:.•:L$in 11:_:ZZZ:::s:_ :$:$::I::::::L:' LZZZ:ZS:: :LS$:Z•:L:S:::::L::'Z:Z:
:$:1$$Gii•m4$ $$':$1='"� : ••: •1•: $':$:•1:11 la •!L'••:•::4:N:: $as::::::: •� •$CC:ss: :$•::::•i HL::::::::$:::::ii::::C::L:CC::::s::::::"•r:::
.ar.:....$... sa�..$ 1.$$1.$.1$$ .. $ s $ .. . . $ s� s s . ..................................
s$Z. r rN .n. •.L: : : U\ur.. Nui�.o.. .N••.s..0 .m .4aruNNUO4NN.a uNNUUmm■rou■
::::$.N $:$ ' �$s' L�=s' H$ �°$$�$$a5= =a$a$$=$: �$$�$$e$$$ N 'a ':�;_�:::V.HS 111 5$$$�$$$$$$$$$$e$$$$$$$9 $$c$$e$$$$$$Se$$$$$$$5$$
�LSa• •.L�N•$:••:� N::::: •:$:L :LNU$■..sames me•L:L::::i::::::",im:asse--%--'1.-:41"1:::C::::Liisa iii:::i$:::::L::::::L:::iii:::::::u::::::
:=�Is:u1,�••=a:��$$�•':1••ii- i•:s°•:":rl �L•", Ni:i°Li•$us::�i:rC:=•::a-,*—a:ii::::ii �=i:' "N"MIN:C::ii:i::::UNN,:::::i:C::::i:::LC:C:::i::::C::::•
:::$1:1 :NL3ii�5: ::$$:$::$$$!° HH.a::::NL Ns ::$1 LN:: ::N:N.::L:S:::i'i d,ad :°.='••:..SS15.1:5.a::::::::::L:L:C::::::::::a°:::::::LN:
;:155 NNN:YRa..!'�a SZ:LS::-:- $$S •::N"':'$N Z. i g:�-��L�::ZL�:a I■�Lt1118 ZZZ:::ZHZL�Z:is:s:::01MUN:N::::::::S:::i:::HUH s::s:s
:'.iL■S$::$$ i.:'.$•ZpSr...-s•L!l.ZfU���t$�iyi..1$p•L$:.°.:ZUa�.:$Z$+r$!wL_:�Z:::$S::N$l!��..L�L$Z.'�1:$E! L N$'.urZi�C::.:.Z:Las:et 14V�A'aIa.,N:Z:SZ::::NS:i C_::::_NLZ_:::::::::::5::::::::5:::::::LN:LH:C
:■-N$N •/•a•N...:•Leiisi$;:L"i$L,■ $:::$ $:$::•Y$$$H1:4 4:NNN::N:::•::11%Y `�1�!ZN:N:::S$N::1 :NZ L 4:::NNZZ::::NZ::N:aZ:::Z:::.:::
1l• 1pZ�=.•.S •LZ:L:LZL:N:S'i:C:LZ;:$:N $:'*r.:.�::ZSa'liLru$$L:N:HL:s:$:Sl:is: ■:i:::N:N:N::::1:ZNZO•: .:ZN:SZ::::::ZZZ:ZZ:_CZ::::Z:C::::ZZ:
sea:r.l.r .N .U• _ ..
'•a$$L$NN •\pN:$Zl1:. •55•\.a5x:���:.s$:.N.S.S•a•a.r1•s.N�• a'::/a:N•:::S:Z:• V,N• ■■N■1:■:••U!• :l.■:MUZ•::.LL::::::::NI:::Z: ::Ns1:a..:U.:
I i•L. .Uf U ..Lai is. �Na a ...O=S.as:s::$NL$5$:$:.�:a::s$s:::::: ::"so S:::::°a:La•:Z::$:$sl:LLNs:$:$:::::::s::ss::::::s::::::...Mus:::::
1 LnL •. $4000 U■U N■as a •.■.0
;=s:•a LS1:,r•SSa55s ••.'s•=$$$ $'s$$ $$$$$s':L.$ :see9 $1.$E$$a$.$$i$$$$$$$$$Ee$$$a a $$$$$$$$$$$$8 e$$$$$$98$$a$$$9$$99$8$$$E$$$$9$$$$eseems". '::::$E
iiswSN�•iN�SS Z■•qp��•Siaa.�i....i$:i$L/ii....:••••ZNL�i:Z:sS:Z::Ci■:•::�.::issL:::Z HH"-----:::ss:Lssomme"munS::s:s$L:L:L:::1 u::n---:--:::Z:!lai :::::: li:s
' a a�$$,,S• �• '$: .:•$LS■r..S•S ZZZS�•.•.s.::::mlZ•NN:..US..as N.NN.....sea: .fSr\a...SHI N/\ .1 NU"N ::SaU:s.:■ZZ\Z.:.N.Y/:a�•asU••
s=i':•rN'a■ $ $'.L"a.L'a$aZ$::LN:1:L•:rN $:N:::Nu= LNN1:::N:L1:::::::N::::::s::::sLZ:LC:iiiiiZ::::::$:I::Z:.\■:::C:LZ:ZL::L:Z:.::::::Z::L::■Z:S.�::
UlN • 1.5"N_:. .NNZ�••S•ZZ:Z• Z:.�L:LN■.•ZS.•.L:/:.:. • .:E... S:N:�t�fl�f�����_�\��..=.r 1::L.N.\I::N:aSZ:-■-::::::::L:::::::::Z:::..::::.5..■
Ia:l�!� 0 5:.1 s La$ $pslee a •L:_$:$:UNU:_"'W a$SS &s:: : ::r.'::.':A::s N$:::: am ::1:::::::SL:::::::::L:::....:::::::SSS:::::5::::a:::LNa:
8 :$ •: 1"'m$"1�1' l:::.: •:::'S::S ':LL:!4:1s::::::4WHI:S H11NO.D....:5::$$$::N:$ ::.:::S:SNS::::::S::N:::::::::::::::::::5:::.'$:
tommms.:::'ri$SiLL$Hia.iii :N• :L::: LLN:a: a La•r■L•N..=u.N..NO.uun.o••r.�rp n•uNn.1N..p�i is::::s::::L:::::::a::::::::i:::::::::::i::C:
Naas. a •uN�i •oN.NUUU•.■ NN.c• ..a� , 9•a_u..N...NU.
" '"� '4 $s= i �11$$5 $ •$:51$=5:$::55$$::i$`s �:s _:_s:::::::i1:s�'a5si�5 :°•ii:::$:::i:::::::ia::s:s::::L:s:::::::::s::::u•::::::::
�i $ .ia-�i : funs.$N:LLr=�ii$LNCCs:LaL:NNL.=1.L�iii.a$N15HUS .3"-.•v..*v : L • Naa1 oom.amnaooarrna..nnuuou.NU\
i .Y ■ .a•U.NN..N•.N•..N000..\oNroouunu.uuas
;$s'a$="' 's::s': ' :1•:11:4$ s1:=N55$:i$'s's`s$5$$$ $:$::'s$9e$s'$$$$e$$$::;::::_:$:::e::HII 111HI -'1 I:c . . .....x....::::: $$55$5$$$5$$
...$$$. :ie$$1$$0. _$$$$$$$$_$$ 1$$5 414:z::::as::s::::4:s:::$:::L:L::N,=ss=:L.ss1.....1....s:;1HIM:4::$:::::$::s$$:$:$:::::::::::::::::::::::::
$•s:::::::5•:15 :$$•:$s:1tun$:_'$$$$ :-':.. .... s'::$$ $$ $eL$9$55$55$$$$5$$SB$$$$59$5 $5$$$$$was c uumm$$$$$5$5$':e:$$$ �$$$$$$$:: $::$$::::::
5555$555$�5$$L.:L!$$s$$ll iss.N■::1:LL..$..$ ...$......__s...r.....i.......................................mm"....r.."m.i aN................::.:N:..:.:::
$. .. .:• .a.:•ii:1.Nr.. ..L.aa.r.i..aa•.a..■.....1....a..r.lrar•:r..a...\...r. •i.■..........a.\i■.....:......\..
:: :s�:as4 s:s;: :5::as$$as:;$•s=•$$$$$'p"L$e$$$$$$$$$$:$::::$�s$'s$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$L$$$$$$$$$$:s:$$$:$$..... $$$$......6$$$$$$.........
$: $ �.sslgl iL $ Ss$$$SN$$$:s ::::s1:: ... . aL::S:.. :..a.....■.•a....• HS . .........:•.a.....•.1:1...$:SSS1•■......................:.....
.aU. • •• 1:r.aL.s1■:1. ......S a•nn■■....n.�nSUL■•nU U.a.■rN...■a•.NN •■U N•U.a.a.UinaNNNnU,
s1 •"sa.»q./.' =a5 $$ $5::$5$:$$s5$$ $$ �ro$1�$$$ L $ 1$$$$$e$$$e$$$$z$i$Y$$$$$$$$$ 5$$$$5$$$$$$'s5$5�85;;55 s$s$$$"$L$$'s$$$$$9$E9$$$$:93$$$$$ 55$
:�� III - ominee $$p�:11: .# 1$$$5$.n. $$'s�a� $$$$ �'$�$ 5a5='$� $$ $$$��_$$$$$5$$$s$° ;$$$$$5.5$: $ $$1 $$:�$s$$$$ a$5$$$$� $$$$5$:555$53
$$ $■1•n1 $. •..N.$:a$.ames:: :ii"•C11111•Li•11 laaa$.1al HHUU•U..U•N■..N..1a.U5.t.1\,
$ 1 $ 1$$5'1$ " $ i55,1 $" ._:$$$$unia555$$$55's'. 's5$$5$"s5$$55:•S::L::::: :::L::s$1:$'1$$5$1$$$$$$$$$$$:5::::::::�::::::
• $ • 5=. ■. "■ ..1•.NHall: • . • .4.1$.11 L1ii 11 H111$11� N."■1"UUN.N•.NUO.auonr,
.. .. . . 1 s 1 s:s:s :.N....... ..,,. . �..... ...........................,
a� 1as $ �! 4 $ _$ $$,$:s$$:��:��$aL:s :$15$$1 $s$5:$ i:::ssS:N::N::NN::•:::::::N:=S:
�' $$ $�$$$$ $ 111�s ��l $$:$$$$$$'s$$�$s 1��:,��s44:r:..spa::s$::1::111$:1=1aL1LSL:::::1:::::L=::::::::N:::�
L i1.- 1 a 1. 51111.:51 11 i:1.N1...m•."m.$....■
.. . a••' p.■ ..• • .■.a•aa.a..■. .••..�
■ 1 • • ■ �AU •:. • . •.U..UNU$.U. $O15.0 Ulal.Uf..UUa
�, 1 s 1�s'1' 1$as" :• 11�Via:=a5111:�:s��::�$=i:;$°°'
� : • .NN:n$.1::SSS�a$u:ua�
nslals ..:a.N. .aL......L;
$ $ $$$$$$$::5.•1$e�$$ $$$ $$$$$$$$$s$$$$$$$$:i
0W� Ham_ 1!! :lZm:1i $$�f ��'. l :i�:�:�:::1:m iW
NOTES and Data — (For department use)
4
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or Grp Trf C" '�C� /�h���/�' TZ
Lessee x
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
✓t( -jam-7
00 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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 -�(\ p � q USeGraup
Permit issued 1 � � '\ � l� 19_ 13
Building 1� Fire Grading
Permit Fee $ �1
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
f OFFICE of the INSPECTOR of BUILDINGS
,, t Page Plot— APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
----
����////�� �y��/l ZONING V
I• AT (LOCATION) `% ie'�e. o �� DISTRICT
LOCATION RO') (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 R i ential Nonresidential
2 ❑ Addition(if residential, enter number 12� One {amity 18 ❑ Amusement, recreational
of new housing units added, if any, `u Y_
in Part D, 13) 13 wo or more family — Enter 19 ❑ Church, other religious
number of units— — — — --> 20 ❑ Industrial
3Iteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parkin g garage
4 Nepair, replacement or dormitory — Enter number
5 ❑ Wrecking (if multifamily residential, of units ——————— — -- 22 L 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 ❑ 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
t� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,•,,,•....,.... J `�`��j Xn 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...................... / 6
b. Plumbing .................... (� 1
c. Heating, air conditioning........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is D
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 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Ej Electricity 44 ❑ Yes 45 7 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevators 54. Number of Full..........
46 C_ 1 Yes 47 I❑ No bathrooms
Partial.......
r
-&" T. OF BUILDING INSPECTIONS BUILDING z° , ( U
212 Main Street 0
Northampton, MA 01060 PERMIT
29 - ",-+ qOr
VALIDATION
DATE Mar. 22, 19 89 PERMIT NO. 161
APPLICANT Q+?n31°A Rniidr1 ADDRESS 68 Gilrain Terr. Ow neFs
IN0.1 (STREET) (CONTR'S LICENSE)
PERMIT TO In-Ground Pool (`) STORY One Family NUMBER OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 68 Gilrain lerr. , Horence ZONING CT URA
DISTR
IND.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS, permit for the installation of a in-ground pool must be surrounded by a 4' fence
with a self-locking gate. Electrical permit is a s st
O be obtained by an electrician 5,000.00
VOLUME 18 1 X 36' = 648 sq.. f t. ESTIMATED COST $ PERMIT 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
ADDRESS Same as Applicants' BYI D
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY P1Nfi` ' F
wommaw