24A-010 (7) City of Northampton REQUIRED INSPECTIONS
$ 1 . Footings and Walls
2 Structural Components in
BUILDING DEPARTMENT
Place
3. Complete Building
No. -90- Office of the Building Inspector
Date Febuary 28 19 90
BUI DING P RMI
THIS MAY CERTIFY THAT-_Frances Kelly Insp. on Site—_Founda ions
has permission to Alteration - porch area Insp. of Plumbing — Rough
situated on 130 Prospect Ave. 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 b,- the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE REMISES
a Certificate of Occupancy
A
gilding Inspector
PRIN. T.SHOP
IV. IDENTIFICATION — To be completed by all applicants 'W
Name Mailing address —i Number, street, city, and State ZIP code Tel. No.
Owner or 70 D /7 —0e
Lessee
�. 0/V7� Builder's p
2. iJ Y1 h t 15 ,J C 7 .3 !/t tJ c. 0— ✓ky.., UiJ 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 i Address x Application date
00 NOT WRITE EL40W THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Stortied By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number Ey 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
V11. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19cf-D
Building $ , µ�`� Fire Grading
Permit Fee (-l�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approv
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g« MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page ;V Plot IID APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
/a / /� ZONING
I• AT (LOCATION)�3a / s�['OS/�C G�7 /T'/ DISTRIC
LOCATION ? N0.) `,STREET)
OF ,N�
BETWEEN °�' % <...'- .� s.
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 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(I/ residential, enter number
❑ 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 I 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 L 1 Carport 24 Office, bank, professional
6 Moving (relocation)
17 r Other - Specify 25 Public utility
7 Foundation only
26 C 1 School, library, other educational
B. OWNERSHIP __ 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 F-1 Other - Specifv
9 n 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,,,,,,,,,,,,,,,, D b,L7 O ^ school, secondary school, college, parochial school, parking garage for,
department store, rental office building office building at industrial plant.
'lo be installed but not included If use of existing building is being charged, enter proposed use.
in the above cost
a. Electrical....................... "I`
✓v�7177
b. Plumbing ......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ SCD "—
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 W.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories................
30❑ Masonry (wall bearing) 40 -J Public or private company
31 L Wood frame 41 i, 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 - Specifv 42 L_ Public or private company 50. Total land area, sq. ft. ...........
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 E Gas Will there be central air 52. Outdoors........................
36 LF__ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
_37 L_ Electricity 44 1 Yes 45Nc 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators Full..........
_ 54. Number of
46 ( Yes 47 I� No bathrooms
Partial......
i
NOTES and Data
— (For department use)
ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR 1
IX. SITE OR PLOT
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