36-208 (4) �LTr�1 of N>QXthbtlllpt0ti
� � �iffiCl(ltftttf - ___
Offirt of the )nsptrtor of Iluilbings
212 Main Street•Municipal Building
Northampton, Mass. 01060
#627
CERTIFICATE OF OCCUPANCY
December 10, 1986
Page No. 36 Plot 77-9
Building (Name) NEW SINGLE F-AMII:Y DWFi i ING Address 10T #9 BIRCH LANE
Owner PATRICK GLEASON Address SAME/71 CRESTVIEW DRIVE
Applicant SAME Address SAME
Use: 1st RE IDENTIAL Occupancy
2nd RESIDENTIAL Occupancy
1/2 FL. RESIDENTIAL
XXXOM Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building ____X_ Existing Building
Elevator Electrical
Plumbing t' l A .� Fire
Building GAS: Other
Inspector of Buildings
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT 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, street, city, and .State ZIP code Tel. No.
1.
Owner or
114rAlck T. 6tZas-441 /' 5�"vi�uJ .,�2, oio6o S�!`-9�'9
Lessee MIi/(/A�//7• CJI+j /�� // o�/7I t��/i�y
But ergs
License No.
Contractor
3. y�
Architect or
Engineer N
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.
Signatur opplica Address Application date
00 NOT WRITE BELOW THIS INE
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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Permit or Approval Check Obtta f ed Number By Permit or Approval Chec Obtta tned 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
Bur(ding. / (1 01-8 19 R4, Use Group
Permit issued ( (i?J
Building � ,�ll Fire Grading
$ /3a2/` G U
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Approve
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
Page Plot Va APPLICATION FOR
INSPECTOR 9 ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
S S r
(• AT (LOCATION) DISTRICT
LOCATION ( 0.1 (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT /iS�CIS
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
M
1 0,11 New building Residential Nonresidential
2 Addition(If residential, enter number 12 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, Se number of units- - - - -�
20 ❑ Industrial
3 ❑ Alteration (See 2 above) 1q ransenoe , motel,
❑ T it htl tl 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -i 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 F-1 Other - Specify 25 E] 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,••,•.••......,, /040'&V 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..................... .?S�r3 ed
b. Plumbing ..................... 3
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT 1 b
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 ;K 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. ........... t',s!iA,ry
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 ❑ Electricity 44 ❑ Yes 4575<1 No 53. Number of bedrooms.............. 5
38 ❑ Coal
39 Other - Specify Will there be an elevator? Full..7.....
�QA �f 54. Number of
�J V 46 P Yes 47 J(I No bathrooms
r— Partial.,/....
a DEPT. OF BUILDING INSPECTIONS BUILDING Z°-
212 Main Street 0< $1324.00
Northampton, MA 01060 PERMIT xmwa
36 - 77-9 VALIDATION
DATE October 28 19 85 PERMIT NO. 627
APPLICANT Patrick Gleason ADDRESS 1 resew Dr. er
(NO.1 (STREET) (CONTR'S LICENSE)
PERMIT TO New Building (_) STORY Single Family Home NUMBER NG UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Lot ZONING
AT (LOCATION) Birch Lane D STR CT
(NO.) (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 construction of a new single family dwelling with 2Z floors
AREA OR 109 500.00 PERMIT It 1324.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET) 1
OWNER Same as Applicant F �J
c BUILD
Same as A
ADDRESS pp liant �
WHITE - FILE COPY . GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY p0-1p