36-184 (6) o� (rxt� of Xort4ampton
�IA65$C{(1TSttfS
Offirt of toe )nsptrtor of 'Pnilbings
212 Main Street•Municipal Building
Northampton,Mass. 01060
CERTIFICATE OF OCCUPANCY
April 5, 1978
Page No. 36 Plot 69
Building (Name) Lot t Address R»rts pit Road
Owner Theodore Towne Address 53 park Hill Read,
Applicant Same Address
Use: 1 st Single—family residence Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building X _ Existing Building
Elevator Electricals ;�� �
Plumbing Fire
Building Other
Inspector of Buildings
TILE E%E.:5
Vill. ZONING PLAN EXAMINERS NOTES
FRONT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - A'umber, strcc°t, crtN, rmd �t[!tc ZIP code TeI.-f;o.
�. Theodore Towne 53 Fark ill Rd. , Nort:amp ton, t;a s. 01060 586-10 1
Owner or
Lessee
�am,e 3u ld�rrs
`L. License No.
Contractor
3. None - -
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
53 Park hill Rd. , Northampton, mass. 11/7/77
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
9 Fee Started y Approved y
BUILDING
PLUMBING ---- � -------- --- - ------------
MECHANICAL vS
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 �.r- -, 19 7 7
Building
Permit Fee �----
Certificate of Occupancy S
A r v e by:
Drain Tile S
L
Plan Review Fee 5—
TITLE
C�ix �1 of Nort4amptou
� � �Isssxchusetfs
T' Office of the �nspertox of jouilbings
APPLICATION FOR
-:�2 ZONING PERMIT AND
Pa e3& Plot BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
O
ZONING
I• AT (LOCATION) 3ubts .tit toad DISTRICT :"R
LOCATION (NO.) (STREET)
OF BETWEEN miles hest from Florence hd. AND
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK SIZE 4 t ,000SC1,. ft
CA
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 ITI
1 F* New building Residential Nonresidential
2 ❑ Addition(IJ residential, enter number 12 Pq 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
of units ----�-- — --� 22❑ Service station, repair garage
5 ❑ Wrecking (If multifamily residential, 23 ❑ Hospital, institutional
enter number of units in building in 15 Garage p.
d
Part D, 13) 1 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) 25 Public utility
17❑ Other — Specify
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private (individual, corporation,
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or k
local government) oo
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
24 000 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 .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is 24,000
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
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
48. Number of stories............... --
30 Masonry (wall bearing) 40 ❑ Public or private company
41 Private (se tic tank, etc.) 49. Total square feet of floor area, 650 S t
31 � Wood frame p all floors, based on exterior }}
32❑ Structural steel dimensions ..................... 1 3oa `�O
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY �.
34❑ Other — Specify
42 Public or private company 50. Total land area, sq. ft. ........... 41 0 000 ft
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
J
51. Enclosed ............. r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35❑ Gas Will there be central air 52. Outdoors..............
conditioning?
36 !i Oil L. RESIDENTIAL BUILDINGS ONLY 3
37❑ Electricity 44 ❑ Yes 45[:2 No 53. Number of bedrooms.............. t\
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 [:;Q No bathrooms Partial........
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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 OE 'AGENT
ADDRESS _.
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
zo
DEPT: FILE COPY
CITY OF NORTHAMPTON BUILDING Q a
NORTHAMPTON, NA. 01060 PERMIT
VALIDATION
36-69A
DATE N0318mtx37, 10, t92- PERMIT NO. 53!9
APPLICANT Thekodom Tome ADDRESS— �K';�-Park Hill RA_
(NO./ (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO HQj� Qaee +¢ (i1=_) STORY DWELLING UNITS-
(TYPE OF IMP OVEME NT) 'T.l� PROPOSED USE)
ZONING �A
AT (LOCATION) DISTRICT
(NO.) (STREET)
rn BETWEEN 1 Mi I R$ Waft fr@j� ri I,o mrlce RA� AND
m (CROSS STREET) (CROSS STREET)
LOT
m SUBDIVISION LOT BLOCK-SIZE 41 .()no an. ft.
a � /
U
O BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
IY
O
4 See REMARKS: pl R Lo A-8-ta3-Is
AREA OR
VOLUME ESTIMATED COST $ 24,000 FEEMIT $
(CUBIC/SQUARE FEET)
OWNER Theodore Towne
ADDRESS. ,53 Park Hill Road BYI T
(Affidavit on reverse side of application to be completed by authorized agent of owner)
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