30A-004 (5) ic^8�. CITY OF NORTHAMPTON
A ---i :,
MASSACHUSETTS
Ai
t, .,; ( '" OFFICE of the 'INSPECTOR of BUI DINGS
y 30PIGt �Ly
S > Page ( APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to completeo� all items in sections: I, II, III, IV, and IX. (((]]] ID
AT (LOCATION) AciA---71,1 6) QMONied oIISTR /41
LOCATION I
OF BETWEEN AND
BUILDING (CROSS STREET( (CROSS STREET/
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Ports A — D -1
n.
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
-1
ti
1 I New building Residential Nonresidential
2 gt Addition(If residential, enter number 12 One family 18
of new housing units added, i/ any, Amusement,of recreational
in Part D, 13) 13 Two or more family - Enter 191 I Church, other religious
number of units- - - - y 201 I Industrial
31 I Alteration (See 2 above) 4 Li Transient hotel, motel,
4 Repair, replacement or dormitory - Enter number 21 Parking garage
5 n Wrecking (ll mull it amily residential, o/ units y 22 I I Service station, repair garage
enter number of units in building in 15 Garage 23 til Hospital, institutional
Part D, 131
6 Moving (relocation)
16 Carport 24 I I Office, bank, professional
7 LJ Foundation only 17 Other - Specify 25 Li Public utility
��/
/f �� y 26 School, library, other educational
B. OWNERSHIP 271 I Stores, mercanttle
B 0 Private (individual, corporation, n e�� �p�/ /J 28 OtherTanktowers
nonprofit institution, etc.) Od -7/R`-7 /'(.. 29 n Other _ Specify
9 n P• ublic (Federal, State, or U
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
/�-����11 processing plant, machine shop, laundry building at hospital,•lementary
10. Cost of improvement $t67,1 0 - 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
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $SVCR- -'
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports 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 r1 M• asonry(wall bearing) 40 I I Public or private company 48. Number of stories
31 Wood frame 41 7 Private (septic tank, etc.) 49. Total square Feet of floor area,
32 Structural steal all floor, based on exterior
dimensions
33 In R• einforced concrete H. TYPE OF WATER SUPPLY
341 I Other - Specify 421 Public or private company 50Total land area, sq. ft
4317 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enclosed
35 I I Gas Will there be central air 52. Outdoors
361 I Oil conditionings
L. RESIDENTIAL BUILDINGS ONLY
37 E, E• lectricity 44 Li Yes 45 _TT, No - 53. Number of bedroom
38 LI1 Coal
39 til Other- Specify Will there be an elevator' { Full
54. Number of
46 [I yes 47 I No bathrooms Parr of
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling 9 "2address — .Numhrr. street. cit‘. and Clare sZ I P code Tel No.
Lessee or 3 teof
Lse
Lessee2. (140(y1 I,
Lice a Na.
Contractor
3.
Architect or
Engin er
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 lows of this juri sdi[lion.
Signature of applicant Address Application dote
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Rte Pl
Plans Review Required Check Plan Feeview D Startedns By Dote ApprovePlands By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DDate
Permit or Approval Check Obttaitned 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 FOR DEPARTMENT USE ONLY
Permit number
Building. /� / we croup
Permit issued at tP 19 E11Building J E �.1 Fire Grading
Permit Fee $ /6 r 0 V
Live Loading
Certificate of Occupancy $ Occupancy Load
A.. .Y . by:
Drain Tile $ // v
Plan Review Fee $ /
TITLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES —
DISTRICT
USE
FRONT YARD
SIDE
YARD YARD
REAR YARD
NOTES
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yn'Q DEPT. OF BUILDING INSPECTIONS212 Main Street. BUILDING 9 (it (-±Th
, � r )ampton, MA 01060 PERMIT a"
30A - 4 VALIDATION
465
DA August Fl P RM T NO.
Stephen H. Fine ADDness Zi, orence ioad� Owner
APPLICANT
IND.) 41vStrI (SORTAY LICENSE(
New Building Detached 2 car Garage NUMBER OF
PERMIT TO I STORY DWELLING UNITS
('VIE of IMMNovEMENT) NO. INRONOSCE OM
292 Florence Road ZONING ORA
AT (LOCATION) DISTRICT
010.) (ETRE ET)
BETWEEN AND
6Rol, AMMO. (CROSS •TSE/T)
LOT
SUROtVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE SY 24 FT. LONG 8Y FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ttnp
REMARKS: permit for the construction of a 2 car garage (detached)
AREA OR $ PERMIT $
VOLUME 5 6 sq. ft. ESTIMATED COST .p STGCD IMA
y ��
ICUEICIEOVAEE run
OWNER Same as Applicant400J
ADDRESS Same as Applicant's BUIL M �✓ 1 `I.
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Fiji' P
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-:y--7 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal BuildingS'11C.
INSPECTOR Northampton,, Mase. 01080els
Paul J. Duclos
August 18, 1988
Mr. David A. Heflich
Asst. Cooridinator
Housing Allowance Project, Inc.
145 State Street
Springfield, Mass. 01103
Dear Mr. Heflich:
I have inspected the basement living space located at 292 Florence Rd. ,
Florence, Mass. 01060. In my opinion it meets all applicable State Building
Codes and State Sanitary Codes.
It is suitable for occupancy by two (2) persons. There are sufficient
means of egress also. If there are any further questions regarding this
matter please feel free to contact me at 586-6950 ext. 240.
AteA, acie44.0-Les-
P-ier c r aln Pa 3. Duclos
Director Building Commissioner
Board of Health . . ,City of Northampton
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-71y DEPARTMENT OF BUILDING INSPECTIONS -`((_ �/g
INSPECTOR 212 Main Street ' Municipal Building _
Northampton, Mass. 01060 m�
Paul J. Duclos
August 18, 1988
Electrical Inspector
John J. Glenowicz
City Hall Annex
212 Main St.
Northampton, Mass. 01060
Dear John:
This is to confirm that I am ordering John J. Glenowicz, Electrical Inspector
for the City of Northampton to issue an Electrical Permit for 292 Florence Road,
Florence, Mass. 01060, for a second kitchen in the basement of the existing single
family dwelling.
I understand that John is issuing this permit under protest. All requests for
inspections at the above listed will be given to you in writing from me.
401(
Re :•c 'u •mi ted,
•61 J. ucl•s
Buildi Co •ssioner
City o Northampton
PJD/lb
pc: File
Legal Dept.
Mayor
8/23/88
As of this date I am requesting that a rough electrical inspect'. .e ilon• at 292
Florence Rd. , as long as the Electrician has also made this r•.u' t.
. Pu• os, :ul .ing Commissic
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a,�'3i;, it r of 3Tnrthetttp#on 1 _
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s
�s DEPARTMENT OP BUILDING INSPECTIONS �_`_
INSPECTOR 212 Main Street • Municipal Building
Northampton, Mass. 01060 Is
Paul J. Duclos
August 18, 1988
Electrical Inspector
John J. Glenowicz
City Hall Annex
212 Main St.
Northampton, Mass. 01060
Dear John:
This is to confirm that I am ordering John J. Glenowicz, Electrical Inspector
for the City of Northampton to issue an Electrical Permit for 292 Florence Road,
Florence, Mass. 01060, for a second kitchen in the basement of the existing single
family dwelling.
I understand that John is issuing this permit under protest. All requests for
inspections at the above listed will be given to you in writing from me.
Re .-c 'u ill.mi ted,
/ A /
ul J. ucl.s
Alef
Buildi Com ssioner
City o Northampton
PJD/lb
pc: File
Legal Dept.
Mayor
8/23/88
As of this date I am requesting that a rough electrical inspect', ee gone at •292
Florence Rd. , as long as the Electrician has also made this r-.u: t.
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EFFICIENCY.. 23.007 250 SNL DISPENSER BOX
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