17C-316 (10) o �
M a
o�" o Crzt of Wort4anipton
� � �Ixssachn:efts -
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212 Main Street*Municipal Building
Northampton,Mass. 01060
"431
CERTIFICATE OF OCCUPANCY
F ebryway 13, 190`5
Page No. 17C Plot SIG 7276
Building (Name) New Single Fariil.y Home/Attached Address i:-
Garage
Owner Alexander d'�- Harr-et Vesely Address R d., Scxuth "j(verfield
WilliamsWrlg
Applicant John llondro5�en Address 0T. 1 Y.O. Box :R284C
Use: 1st Residnnti.nl ?< iltt�ched Garage Occupancy
2nd MUNWO= Residential Occupancy
3rd Occupancy
4th Occupancy
URA
Zone District
Required Inspections: r'
New Building X Existing Building _
Elevator ' p Electrical �1 —
Plumbing
o1.�ti`. G���d%� Fire
Building ri-' ��_ Other lr[,
Inspector of Buildingi
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR •
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NOTES and Data — (For department use)
C7
IV. IDENTIFICATION To be completed by all applicants
Name Mailing address Number, street, r7t-,, an(l State ZIP code Tel. No.
P,
Owner or
Lessee
Vt'
2. FT- I V; Builder's
License No. 1-4,�!
Contractor
t
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 f a"plica Address Application date
A
L
00 NOT W R I T E 0 E L 0 W T H I S L I N E
V. PLAN REVIEW RECORD For office use
Pion Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL 1$
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date y
Permit or Approval Check Obtai ned Number
.B Permit or Approval Check ObtaiDate 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 Use Group
Permit issued ti . 19
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
A v
,p -e—d-- y:
pr6
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
B. MASSACHUSETTS
r
$ e OFFICE of the INSPECTOR of BUILDINGS
Y T
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. 0
�
ZONING
• AT (LOCATION) 1 �] kl s= �"'-T �1'° ' >+' r `[L- DISTRICT
/.
LOCATION (NO.) ~� (STREET)
OF BETWEEN BED-/Of- R12 AND
BUILDING (CROSS STREET) 7 (CROSS STREET)
LOT
SUBDIVISION LOT 77 BLOCK SIZE
N
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 JZ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12X One family 18 ❑ Amusement, recreational ?'
of new housing units added, if any,
13 ❑ Two or more fomil — Enter 19 ❑ Church, other religious
in Part D, 13) y
number of units— — — — —> 20 ❑ Industrial V_
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ 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)
7 ❑ Foundation only 17 E] Other — SpeciJy 25❑ Public utility
26 ❑ School, library, other educational T
B. OWNERSHIP 27 ❑ Stores, mercantile
8 0 Private (individual, corporation, 28 ❑ Tanks, towers A
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,,,,,,,,,,,,,,,, S la 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..................... 4,vu
b. Plumbing .....................
i .,
e. Heating, air conditioning......... e,:
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 I
30❑ Masonry (wall bearing) 40'X Public or private company Number of stories................ Nc
Total square feet of floor area,
�2R?'
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. all floors, based on exterior '4R
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
"
ft
s
r
d Total land area, q. . ... """
34 [7] Other — Specify 42�,Public or private company 50. i
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 I❑ No 53. Number of bedrooms.............. 3
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. .0106 BUILDING o< / g+ o
17C - 316 & 2 of 276 PERMIT
VALIDATION
DATE September 19, 84 PERMIT NO. 431
APPLICANT John Hondrogen ADDRESS `I�1��ox R284C 039442
(NO.) (STREET) (CONTR'S LICENSE)
7 NUMBER OF
PERMIT TO New Building (_) STORY OnP Fi1 Home DWELLING UNITS 1 -
(TYPE OF IMPROVEMENT) NO. (PROPOSED E)
48 Hillcrest Drive ZONING URA
AT (LOCATION) DISTRICT
(NO.) (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)
,ARKS: permit for the cosntruction of a new one family home with attached garage
Home Garage M M
2256 sq. ft. 528 Sa•ft•ESTIMATED COST $ 120,000.00 PER � 928'80
(CUBIC/SQUARE FEET)
Alexander & Harriet Vesely q36-IVA
Hillside Rd. , Deer ie , ass. BYI`
'E - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY