17C-305 (8) BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTIONS
FEE 12.00
NO. P 5�-'6/ /�
�(/�✓✓ —� �� APPLICATION FOR PERMIT TO DO PLUMBING V
�veel_l.in Urit
NAME & TYPE OF BUILDING
Ralph Healev
LOCATION OF BUILDING
125 Cbestrut `_- t.
PLUMBER
Ri cha c3 �'rn�l �n�z�r
-
PERMIT GRANTED
DATE 17 �P,C 19 84
George " . t<aples jr.
PLUMBING INSPECTOR
�i
I
APPLICATION FOR PERMIT TO DO PLUMBING
kbz4x�,,kokii MASS. DATE a-C; 19r4 .
WORK MUST BE PERFORMED IN COMPLIANCE WITH ALL PROVISIONS OF THE MASSACHUSETTS STATE
PLUMBING CODE AND CHAPTER 142 OF THE GENERAL LAWS.
F I X T U R E S
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SUB-BASEMENT
BASEMENT
IST FLOOR J /°
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
9TH FLOOR
10TH FLOOR
11TH FLOOR
12TH FLOOR
13TH FLOOR
14TH FLOOR
15TH FLOOR
16TH FLOOR
17TH FLOOR
18TH FLOOR
19TH FLOOR
20TH FLOOR Ll
NAME AND ADDRESS OF BUILDING ia _ / - NAME CERTIFICATE NO.
CORPORATION Richard's Plumbing & Heating, Inc.
PARTNERSHIP
FIRM OR COMPANY
NEW OR RENOVATION ��X�6r6;o C,
NAME OF MASTER OR JOURNEYMAN PLUMBER _
NAME OF OWNER C21A
RICHARD BOULANGER
ADDRESS OF OWNER �-���_<�e_if -/���____
ADDRESS 79 Union St., (rear) Easthampton, Mass.
PLANS SUBMITTED? YES
NO TELEPHONE NUMBERS: BUSINESS 527-0291
ESTIMATED COST OF JOB RESIDENCE 527-4330
1 hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compfig,nce with all pertinent pro-
visions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
(f �
Signat[ e of ,rcensed Phimher
M-7867
Designation and License Nurnher of Piurnher
ZONING •
DISTRICT
US E
FRONT - .
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REAR - .
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address Number, strc°ct, citN, and Stwc ZIP code Tel. No.'
Owner or
Lessee
BUI Ider's
L• 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
'�jewC.. �.2�5' G:�MCi:Q�.-�,e.•� —�E'—�'. �—�-�-�-�� 9 eta.�,
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans jBy D ate Plans
Fee Started Approved B Y Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER - _--
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rovaI Check Date Number $ Permit or Approval Check Dote Number pP Obtained Y PF N b B Obtained Y
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
Permit number ey 3
Building
Permit issued e7X�� �.� 19 _
Building
Permit Fee
Certificate of Occupancy r" 1
A r_ by:
e /
Drain Tile
Plan Review Fee _
TITLE
% of Xort4auiptou
}
�' $ � I�IM58rYCI)1tSCtfB
UT` (office of the �nsptrtor of Auiraings APPLICATION FOR
ZONING PERMIT AND
Page C Plot ��? BUILDING PERMIT
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IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. `` O
ZONING
I• AT (LOCATION) ' t�i� �S7f"iU/l 7�_ ���.AlG DIISTR I Ct
LOCATION (NO.) (STREET)
OF BETWEEN AND (CROSS STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
i
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D Xl
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Residential Nonresidential
2❑ Addition(If residential, enter number 12 gOne family 18 ❑ Amusement, recreational
of new bousing units added, if any, 13 ❑ religious
19 Church, other rein Part D, 13) Two or more family — Enter ❑ 9
number of units— — — — ••-)� 20❑ Industrial
3❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 F-1 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
g ( ❑
6 ❑ Moving (relocation) R ❑
17 Other — Specify 25 Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 4&Vg U /=dam' 27❑ Stores, mercantile
28 F-1 Tanks,'towers
8 ❑ Private (individual, corporation,
nonprofit institution, etc.) �]vGlle 29 El 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................ I school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be insealled 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 $ O
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. D
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
48. Number of stories............... < f
30❑ Masonry (wall bearing) 40 ❑ Public or private company
41 ❑ Private (septic tonk, etc.) 49. Total square feet n Floor ores,
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. ft. ...........
34 F-1 Other — Specify 42 ❑ Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 0
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
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 bathrooms
47❑ No Partial.......
I hereby certify that the proposed war is authorized by the owner of.,record
and 1 have been authorized by the ner-to make this applicafiiori as- his
authorized agent.
_ r
SIGNATURE OF* AGENT'
ADDRESS -
(NUMBER) (ST EET) (CITY)
APPROVED BY TITLE
DATE 19_.
DEPT. FILE COPY
Z
i CITY OF NORTHAMPTON BUILDING 0 a
NOWHIM1P'1'ON, rinse. 17C - 3 05 PERMIT
VALIDATION
DATE September 23, 19 22- PERMIT NO. 483
APPLICANT_ Igayar3j Hess ij ADDRESS ', K CheStrillt S't., Flo.
(N0. (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO tlttta5iciA (�i1i jnj3gv�_(2_) STORY +`( ' W[IA1PROPOM+D lus $FE_11re DWELLING UNITS i F IM '�>
AT (LOCATION) 12,5 Chestnut Street, Florence ZONING
DISTRIC UR$
(NO.) (STREET)
a BETWEEN AND
�O (CROSS STREET) (CROSS STREET)
a
LOT
CL SUBDIVISION LOT BLOCK SIZE
a '
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
O
L- REMARKS: Chimney for wood-bLL=iug -tome
AREA OR VOLUME ESTIMATED COST $ 300.00 FEEMIT $ 1 .00
(CUBIC/SQUARE FEET)
OWNER Ralph r. Hee1V
ADDRESS �--2 r AR } BU DI P
1 h tnut S -reR._.t, Florence
(Affidavit an reverse side of application to be completed by authorized ag t of owner)