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06-004 Charles M. Hurley, Associates WESTERN MASSACHUSETTS ADJUSTING FACILITIES 507 BELMONT AVENUE SPRINGFIELD, MASS. PHONE 781-3045 k; 9 S v.ce Representing: DEC 4 Im DEPT,OF BUILDI tG INSPECTIONS N0f?Ttf 1PT0N, MA.01060 z' ,N TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen 712 MATN STRPRT NORTHAMPTON.MASS 01060 addresses Re: Insured: LLOYD & RITA DUPRETT Property Address: 582 HAYDENVILLE RD. ,LEEDS , MASS . Policy No: 2001 371 Loss ofNovember 30 , FIRE 19 83 File or Claim No. 27368 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1 ,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws Ch. 139 Sec. 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. 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N •.aaN u•uuaurauia a aNS so•NUUONSo•1r.•uauuuu•wuaurruau.:r is �:* aa �la\.■■.•ffa.arua..asN..r■a....r.a■.■.■i.ri.NM�ur...rUa..UNN...r\•fu•l N.NNU■■.rl.iuu H.u.Ua s•raa is •. : ' »$»» 'j$ �j'»»»»»a'»» �»»»»». »»�ROO lip. "»»»»»�»»»»»»»»e »»»»a°�»1�::» RN ::::::8ia � �:a»: »»»'s»:� :»»e9»»»:» ::E:ee »aa»■ ras: Ssrio.l�t\f au oar=a•Nf».•lusuo■uM•rraa•u.NaruaaUN/ » N a.a.• • tt .. u•■..■!•u N•.a.■lrNUUU•uNUN•rtu r•lr.r.ar. t ar...N.■■u■■•tl.N••U.a/ua.uubu R■al • ». S .....'•'s'»i�u�s,asaa '•':aaa':::NS:::::isi::m::;,:;assa::as::»»S»SS0N2:NN Laaa':a• aN.........a.......... :....r rf u• Na :aaa■u•ouuuna. our » i a» NOTES and Data — (For department use) r i bay / GT l la r17!7 S'tf C.C.' C9 l> Ce_�� IV. IDENTIFICATION — To be completed by all applicants It Name [; Mailing address — Number, street, city, and State ZIP code r—Tel. No. Owner U wner or `�-f ''� Lessee L j Builder's L License No. Contractor j7 lyr./3 3. G/7e- 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 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 Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dae ate Permit or Approval Check Obtat ed 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 FOR DEPARTMENT USE ONLY Permit number Building- Use Use Group Permit issued ( L% 19 Building `� Fire Grading Permit Fee $ ! /� � Live Loading Certificate of Occupancy $ Occupancy Load App Drain Tile $ f Plan Review Fee $ TITLE o CITY OF NORTHAMPTON «� MASSACHUSETTS OFFICE of the INSPECTOR of B ILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O Q' ,.�// / ZONING I• AT (LOCATION) J �L1 '•7'�� /.''``��� � DISTRIC LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr II. 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 12-;N 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) l l h i ransent hotel, mote , 21 Parking garage ❑ ❑ 4 14 T 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) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — SpeciJy 25❑ Public utility 7 ❑ Foundation only 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,,,,,,,,,,,,,,,, ViceyXlo 7>o 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....................... 'd b. Plumbing ..................... c. Heating, air conditioning.......... d. Other(elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT I$ C>0 III. SELECTED CHARACTERISTICS OF ILDING - 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) 4CQ Public or private company 48• Number of stories.............. 31� Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42,15;� 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? Full.......... 54. Number of 46 [ Yes 47 ❑ No bathrooms Partial........ Department of Building Inspections 212 Main Street ' Northampton, Mass. 01060 BUILDING '° �a 6 _ 4 t PERMIT VALIDATION DATE December 14, 19 83 PERMIT NO. 700 APPLICANT Joseph Chapdelaine &. Sons, In ADDRESS 87XXXXX Shaker Road 017763 (NO.) (STREET) (CONTR'S LICENSE) Repair One Family NUMBER OF Re STORY PERMIT TO p (_) DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 582 Haydenville Road 0ISTRICT SR AT (LOCATION) (N0.) (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: repair damage caused by fire in basement double damaged floor joints build up next to existing beam and add three columns with springfNHKXXNKKXXXXXXYIfXKXYXXXX field plates double up sub floor between floor joints seal wood before starting carpentry work. AREA OR 31 500.001MIR PERMIT $ 12.00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) Loyd & Rita Duprett OWNER oa , ee s, ass. BU ILDIN IT ADDRESS c ay envl e BY V-4"VA I % / - —WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY