38B-002 (28) DEPT. OF BUILDING INSPECTIONS gU I LDI NG Z° /G� . 06
212 Main Street o<
Northampton, MA 01060 PERMIT 0
38B - 2
VALIDATION
DATE January i 22, 19 88 PERMIT NO. 28
APPLICANT Arthur Dugas ADDRESS; 19 South St. , Eastham tion 030142
(ND.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alterations (_) STORY Apartm _nt. DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
15 Paquette Ave. DISTRICT DSTRT IIRR
AT (LOCATION) til
(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
(rrpE)
REMARKS:
AREA ORPERMIT
VOLUME ESTIMATED COST $ 2,00 �QQ FEE � 1 e (1�v
�
(CUBIC/SO DARE FEET)
OWNER 6Pra 1 d Wal 1 arP BUILDING
ADDRESS 13P
8 WPCt StrPt , hnrthampten BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pj0P
CITY OF NORTHAMPTON
�• e MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
2/3
Page Plot C;2 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) Q/ ZONING/ + /� ir}U Irk Vim_ DISTRICT Ili
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) ICROSS STREET)
LOT
SUBDIVISION LOT 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 New building Residential Nonresidential
2 Addition(IJ residential, enter number 12 One family 18 Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — — 20 n Industrial
3 � Alteration (See 2 above) 14 � Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (11 multifamily residential, of units —•—————— — 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 r Hospital, institutional
6 Moving ( elocution) 16 Carport 24 —] Office, bank, professional
17 C� Other — Specify 25 Public utility
7 �� Foundation only 26 n School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation,
28 E] 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•,•,•,•,•,,•,,,, e)000 schoo!l, 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 ....................... _
LA /,r%.v
c. Heating, air conditioning..........
.�
d. Other (elevator, etc.)............. AJ
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 e, pri !�comoanv 48• Number of stories..............
31 Wood frame 41 u 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 F_V� Public
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?
X L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 F] Yes 45, No 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevators '1
Full.......... c�--
S4. Number of
�� � No bathrooms
46 Yes 47i Partial........
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
O GFi,erz /c"- LvncL�'S ;" Gti� 7 5'' A,, 7<iAHr/��or�/ d"jia S J/o 0 �J�, /39
Owner or
Lessee
Builder's
2. �'��/(J/� lj(1 ( //S l`j $/J v7t-/ .a 7 C-n!7Lj.I M/�"7 c'�✓ /L)/7 �t'O 7 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.
Signat a of applicant Address Application date
ifi-S7 57- Al0A? ad>��.
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 Is
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 FOR DEPARTMENT USE ONLY
Permit number
Bui Iding ,. Use Group
Permit issued 19
` Fire Grading
Building
Permit Fee $��� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
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