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212 Main Street•Municipal Building = ��
Northampton,Mass. 01060
CERTIFICATE OF OCCUPANCY
April 5, 1978
Page No. 36 Plot 69
Building (Name) Lot #2 Address Burt9 Pit Road
Owner Theodore Towne Address 53 Park Hill Road, N'ton,
Applicant Same Address
Use: 1st Single—family residence Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building __X___ Existing Building
Elevator Electrical
ell
Plumbing d.AS1. Fire
U�—
Building Other
Inspector of Buildings
THE 'NNG�RF55
ZONING •
FRONT DISTRICT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, strcel, cite, ur„/ Statr ZIP code Tel.;4o.
' Theodore Towne 53 Park Hill Rd. , Nortrampton, Ivla s. 0106 586-1c al
Owner or
Lessee
Builder's
L.
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 ap r licant Address Application date
�9� 53 Park hill Rd. , Nort _ampton, !.,,a ss. 11/7/77
DO 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
q Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approva I Check Obta 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 �j
Permit number S 7I�
Building
Permit issued �7/;T� 19
Building
Permit Fee $ r . OO
Certificate of Occupancy
Approved y•
Drain Tile $
Plan Review Fee _
TITLE
O
(rite of ''axt4amptan
,�IIM58AChltStttB
Offire of the �ns}rertor of 'Puilbin$s APPLICATION FOR
PagePlot c ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
O
ZONING
AT (LOCATION)
Bums Pit );Goad DISTRICTyC ^
I•
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT 31 ,000 +
SUBDIVISION LOT BLOCK SIZE
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 M
1 New building Residential Nonresidential
�-q-
2 ❑ Addition(1/residential, enter number 12 I� One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious
in Part D, 13) number of units— — — — -10- 20❑ 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 ——————— — -- ❑ 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) 25❑ Public utility
17❑ Other — Speci/y
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
28❑ Tanks,'towers
8 aj Private (individual, corporation,
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................ 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 $ 21 t 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 V. y
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 2
48. Number of stories...............
30❑Masonry (wall bearing) 40 ❑ Public or private company
49. Total square feet of floor area,
31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior 2072
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 31 ,000 +
34❑ Other — Specify 42 2 Public or private company
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 0
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors...............
conditioning?
36 � oil L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45® No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 M No bathrooms Partial........
4
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 ids his
authorized agent.
SIGNAYURE OF` "AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
t
Z D DEPT: FILE COPY
CITY OF NORTHAMPTON B U I LD I RIG a s
NORTHAMPTON, MASS, 36 PERMIT VALIDATION
DATE N4113WMbS'r 10, 19 22 PERMIT NO. 4O
APPLICANT Th0nrrgn Tome ADDRESS N+fnn.K ) 1E
(CONTR'S LICENSE)
NUMBER OF
PERMIT TO New resLdenne (-2—) STORY Residence DWELLING UNITS L
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) of Burts Pit Road DIISTR CT SR
(NO. (STREET)
a BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION m SUBDIVISION LOT BLOCK SIZE
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
(TYPE)
LL REMARKS: 1,ggt_jj1 ne for Aat i l g _
AREA OR PERMIT
VOLUME ESTIMATED COST . FEE
(CUBIC/SQUARE FEET)
OWNER Theodore Towne BUI IN
V"t-4,6�
ADDRESS 52 Park Hill RA- -, N'+.en_ BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)