17C-019 VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or "
Lessee
p._. ., // Builder's
2. o L� r t �„ a .G 1 License No.
Contractor f 4
yJ
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 Applic t�n date
I ctl �-, 'i,.�7`�►a��7���, ��.� � � 79"
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
9 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Approval Check Date Number B Permit or A roval Check Date Number B
pP Obtained y pp Obtained y
Permit or A
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 Ir ` 19 .7 Use Group
Permit issued / "�``'
Fire Grading
Building ! t
Permit Fee Live Loading
Occupancy Load
Certificate of Occupancy $
Appr6ved`�y:
f-
Drain Tile $
Plan Review Fee $ �'
TITLE
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NOTES and Data — (For department use)
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- CITY OF NORTHAMPTON )/
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
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IMPORTANT — Applicant to compl(e�te all items in sections: /J1, 11, 111, IV, and IX. O
I• AT (LOCATION) �,C �" ZONING
w DISTR CT
LOCATION ("O•) (S EET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
t 7 LOT
7 BLOC
SUBDIVISION LOT /14 K��_SIZE
N
Ill. 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 Residential Nonresidential
2 Addition(If residential, enter number
f 12❑ 0 e family 18 E] 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— — — — --)0' 20 ❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1J 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 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) ❑
17 ❑ Other — Specify 25 Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. 0 E SHIP 27 ❑ Stores, mercantile
8 7 Privote (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................. L 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
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 ❑ 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❑ No bathrooms
Partial.......
o� o Grits of Wort4ampton
�B* �°� �Ilassachnsetts --
$ f Office of tot �ngptrtvr of Isuilbings
212 Main Street•Municipal Building
Northampton, Mass. 01060
V
CERTIFICATE OF OCCUPANCY
September 149 1978
Page No. 17C Plot 19
Building (Name) �"r>1 e Street Address 9C, No Tiiagle Street
Owner Go7da1e4n Address Sarne
Applicant Eric Grose Address 33 Aldrich St., N'ton.
Use: 1st
esidenee (2 family) Occupancy Barr' Goldstein
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District
Required Inspections:
New Building Existing Building X Alteration #317
Elevator Electrical
Plumbing Fire
Building `'�-`� Other
Inspector of�B it ngs
TH E.PR...R.Tie.�'PRE55
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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 OF b?,'ENT _
ADDRESS __
(NUMBER) (STREET) (Cl TY)
APPROVED BY TITLE
2
DATE 1g -
.0 e
DEPT. FILE COPY
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DEPT. OF BUILDING INSPECTIONS BUILDING
212 Main Street PERMIT VALIDATION
Northampton, Mass. 01060 17C - 19
DATE August 1 , 1g_7 ___ PERMIT NO. 317
APPLICANT P io Gr044 — ADDRESS
(NO. (STREET) - (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al tp-r ReSi dense (Z_) STORY RPsi denC°e DWELLING UNITS 9
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 96 No Marle Street, Florence DISTRICT
(NO.) (STREET)
n BETWEEN AND
D (CROSS STREET) (CROSS STREET)
n
0 SUBDIVISION LOT BLOCK SIZE
a
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BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
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Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
� (TYPE)
0'
REMARKS: Rer1pni rn k1tnhen Rr hnth nn the first flnar, in4ta11 interior sta'irC'a.SR to the
cellar, install one closet on the first floor, and one closet on the 2nd. fl.
AREA OR ESTIMATED COST $ 5,000.00 FEEMIT . 1 00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Barry Gold-stain
ADDRESS -�h T\T Mq:pl e qt.� TM n � MS
(Affidavit on reverse side of application to be completed by authorized agent owner)