25C-247 (7) IV, IDENTIFICATION — To be completed by all applicants 9
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or I 1 C"K_. `
Lessee
Builder's
License No.
1. _
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
� . — 17 Old Ferry Road, Northampton, MA
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 $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote ate
Permit or Approval Check Obtained Number By Permit or Approval Check obOta ned 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 C' use Group
Permit issued tr>T 19_�__�
Building Fire Grading
Permit Fee $ i � ' 0C)
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ ��
Plan Review Fee $
I T L E
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BU LDINGS
,to r Page y Plot ` APPLICATION FO
INSPECTOR ZONING PERMIT AI
BUILDING P E R M I
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX.
ZONING
AT (LOCATION) 17 01d Ferrer Road , Northampton DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN Off Bridge Street 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
1 ❑ New building Residential Nonresidential
2 F� Addition(// residential, enter number 12 C] One family 18 Amusement, recreational
(i/ new housing units added, if any,
in Part D, 13) 13 �J Two or more family - Enter 19 Church, other religious
number of units- - - - --- 20 Industrial
3 Alteration (See 2 above) 14 n Transient hotel, motel,
21 �� Parking garage
4 p Repair, replacement or dormitory - Enter number
o units -------- - --�.— 22 Service station, repair garage
5 Wrecking (!1 multi/umily residential, _ J
enter number of units in building in 15 L] Garage 23 Hospital, institutional
Part D, 13)
6 � Moving (relocation) 16 � Carport 24❑ Office, bank, professional
7 Foundation only 17 �� Other - 25 Public utility
26 F] School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 LXJ 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,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for
department stare, rental office building, office building at industrial plant.
To be installed but riot included If use of existing building is being charged, enter proposed use.
in the above cost / �)
a. Electrical...................... 112Ae '� --
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$ 100-00
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 emova
30
a - ........Masonry (wall bearing) 40 I_ � Public or private company 48. Number of stories........ 1 Porch
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 L� 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 Electricity 44 l J Yes 45 '. No 53. Number of bedrooms..............
38 Coal -
39 n Other - Specify Will there be an elevator
54. Number of Full..........
46 Yes 47 J No bathrooms
Partial.......
; City of Northampton REQUIRED INSPECTIONS
$
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 826 Office of the Building Inspector
Date November 16. 19 89
BUI DING P RMIT
THIS MAY CERTIFY THAT Jane Bobala Insp. on Site — Foundations
has permission to remove existing porch Insp. of Plumbing — Rough
situated on 17 Old Ferry Road Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE HE PREMISES
Certificate of Occupancy
r Building Inspectbr
plI
Vill. ZONING PLAN EXAMINERS NOT
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
dOwner or
Lessee
2. Build
C er's
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
✓ 17 Old Ferry Road, Northampton, MA
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained y or um PP Date
Number B Permit 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 _ �.�� t� , 19
Bui(ding �—
$ Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
App oiLvd by:
Drain Tile $
Plan Review Fee $ =
ITLE
0
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BU LDINGS
aY T
Page ® Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, Ill, IV, and IX. O
ZONING
I• AT (LOCATION) 17 Old Perry Road , Northampton _ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN Off Bridge Street AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
-a
1 New building Residential Nonresidential
2 Addition([/ residential, enter number 12 One family 18 Amusement, recreational
OX
of new housing units added, if any,
in Part D, 1 3) 13 � Two or more family - Enter 19 � Church, other religious
number of units- - - - -i 20 �� Industrial
Transient
3 Alteration (See 2 above) 14 hotel, motel,
�� 21 � � Parking garage
4 Repair, replacement or dormitory - Enter number
5 Wrecking (If multifamily residential,
of units ------- - -�— 22 �_� Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 E] Carport 24 Office, bank, professional
(
6 C� Moving (relocation) 17 E] Other - Sped/y 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27� Stores, mercantile
� 28 Tanks, towers
8 Lx Private (individual, corporation,
nonprofit institution, etc.) 29 C� Other - Specify
9 D 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 charged, enter proposed use.
in the above cost �/�(Q
a. Electrical....................... ��U!/-Y��'
b. Plumbing ......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT 1$ 100.00
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.
emova
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 1 Porch
48. Number of stories...............
30 ❑ Masonry (wall bearing) 40 [ Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame p all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. 4t. ...........
34 Other - Specify 42 n Public or private company
43 L7_ 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 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 E] Electricity 44 [__ ] Yes 45 _. No 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be an elevator? 54. Number of Full..........
- 47 N
Croom
46 � Yes '�� o bath s Partial,.......
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT - Placetural Components in
3 . Complete Building
No. 826 Office of the Building Inspector
Date November 16. 19 89
BUI DING P RMIT
THIS MAY CERTIFY THAT Jane Bobala Insp. on Site — Foundations
has permission to remove existing porch Insp. of Plumbing — Rough
situated on 17 Old Ferry Road Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE HE PREMISES
Certificate of Occupancy
Building Inspector
PAIN, T SNOP