05-029 (3) s OM
City of Northampton REQUIRED INSPECTIONS
• s
1 . Footings and Walls
BUILDING DEPARTMENT 2 - Structural Components in
Place
3 . Complete Building
No. 745 Office of the Building Inspector
Date 10-11-89 19
BUI DING P RMIT
THIS MAY CERTIFY THAT Hoogstraten Builders Insp. on Site — Foundations
has permission to erect screened porch Insp. of Plumbing — Rough
situated on 240 Audubon Rd. 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 ON TH PREMISES
Certificate of Occupancy
Building Inspector
P OP
INP
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE • • 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 — Number, street, city, and State ZIP code Tel. No.
Z qD itvlTxeA-t-4 1�0
Owner or
Lessee ` �., �
Bui 2. it 1Y r,lL� G3ulti� j �� Licenser No.
Contractor _
IZE I v l l� I l U t$y6(3l/a 4 U 1-Z �-
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
c 132 5Huivi13L) r210 /op
00 NOT WRITE BELO THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date y Plans B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
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 t`rt s FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued �� ' t�' � 19
Building 40 EX-:� Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by --� -
Drain Tile
J p
Jr ('
e
o
Plan Review Fee $ '�
t �` j"TITLE
o CITY OF NORTHAMPTON
�. MASSACHUSETTS
e OFFICE of the INSPECTOR of BgUILDINGS
au r
Page Plot z- t APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant�totcomplete all items in sections: 1, 11, /it, IV, and IX. 0
ZONING
• AT (LOCATION)ZqQ A D0 r`� �C'^� S tv',;q D STR CT ;�K
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
IL 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(1 residential, enter number
f 12 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 — linter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — --> 22 1 Service station, repair garage
enter number of units in building in 15 Garage 23 ❑Ij Hospital, institutioncl
Part D, 13) r
16 Carport 24 `-I Office, bank, professional
6 Moving (relocation)
❑ 17 �V� Other — Specify SZfz�� f 25 �_j Public utility
7 ❑ Foundation only
(_z/1L2 26 ❑ School, library, other educational
B. OWNERSHIP 27 � 1 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 [:-1 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....I..... .... O 000 school, secondary school, college, parochial school, parking garage for
department store, rental office building, office building at industrial plant.
7'o 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 $ /0 C v
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.
OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories................ I
E. PRINCIPAL TYPE OF FRAME G. TYPE
30 ❑ Masonry (wall bearing) 40 j Public er private company
31 [✓Wood frame 4-1 _ I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior /
32 [_7 Structural steel ��)� dimensions ..................... I�Z
33 [�j Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...
34 F� Other — Specify 42 F-1 Public or private company "'""�
43 j Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
-,
35 LJ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY
37 ❑_� Electricity 44 i _� Yes 45 _ No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
_
54. fJumber of
46 [ I Yes 47 'D No bathrooms
Partial.......