06-032 __ p—� 7 ` n �L�/s r DEPT. FILE COPY
DWARTPERYT OP 1^2 Kim STREET ZSif Zt33P8f7PZ BUILDING 20.
,
NORTHAMPTON, MA. 01060 PERMIT rn ua.TIDN
6 - 32 p
DATE ante 91, 18 19M PERMIT NO. 258
APPLICANT Fred Labbe ADDRESS 59 Leonard Street, Seeds
(NO.) (STREET) - ICONTWS LICENREI
Al for reel dorm® DWELLI OF
PERMIT TO
S 1 Y STORY Caner over �$r, tic dank NUMBER G UNITS 1
{TYPE Of IMPROVEMENT) RQ. (PROPbSEo UBE)
G
AT (LOCATION) 54 Leonard Street Taaflr DISTRI
C110.1 oISTR ICT
NO.1
BETWEEN AND —..
C.
(CROSS STNEED tcaoss si REET)
6 LOT
e- SUBDIVISION LOT BLOCK ._SIZE_.. ._
0
O BUILDING 15 TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT ANO SHALL CONFORM IN CONSTRUCTION
la
O
2 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Y (TYPE/
Oe
u
REMARKS: leer. nvs istio dewt.L161 Y 161)AREA OR
_. �.� y�
VOLUME ESTIMATED COST $ 'TTWL/.Q( FEEMIT $ 10.00
ICUSIC/SQUARE FEET/
OWNER Fred Lapbe y / / ,
ADDRESS S9 tonsured Street, Teede -- aB t f Jam..
(Affidavit on reverse side of application to be completed by authorized agent a owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent. _
SIGNATURE OF `AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19_.
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 / - 'J 2 PLAN EXAMINATION AND
l0 J BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
AT (LOCATION) /AM-Ref S 7-03 N 2 yrS SPDITi(/?4
LOCATION (No.) (STREET)
OF BETWEEN AND
BUILDING ICROss STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
U,
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — O a
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking“ most recent use ^I
rn
-I
I I New building Residential Nonresidential
2 1 I Addition(I/ residential, enter number 12 1 ..hone family 18 Amusement, recreational
ofin Part D.
13)new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious
umber of units-
3 Alteration (See 2 above) n 20 Parkin Industrial
L
14 1 1 Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory - Enter number Service :moon,
5 Wrecking (If multifamily residential, of units - y repair garage
enter number of units in building in 15 I Garage 23 L Hospital, institutional
Part D. l3) 16 F I Carport 24 -
Office, bank, professional
6 J Moving (relocation)
Foundation only 17 I I Other - Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP C O ✓ CP C/ 1/La 27 Stores, mercantile
8 Private (individual, corporation, A� 28 Tanks, towers
nonprofit institution, etc.) t` A-770 D /. c �l 29 Other - Specify
9 I F 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
L
10, Cost of improvement $ T C d,qd school, secondary school, college, parochial school, parking garage for,
deportment 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
a. Heating, air conditioning
d. Other(elevator, em ) A/
11. TOTAL COST OF IMPROVEMENT $ 7 09.'d
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — Li
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 LJ Masonry (wall bearing) 40 r•EOpony
Public or private cont 48. Number of stories G X./‘49. Total feet of floor area,
31 L-?�WOod frame 41 Private (septic tank, etc.) all floors, based on exterior
321 I Structural steel dimensions
331 I Reinforced concrete H. TYPE OF WATER SUPPLY
341 Other - Specify 421 Public or private company 50. Total land area, sq. ft
•I
431_L Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPALI� TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enclosed
)�I mas Will there be central air 52. Outdoors
36 I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 1 Electricity 44 I I Yes 451.J No 53. Number of bedrooms
38 PT Coal
39 I 1 Other- Specify Will there be an elevator? { Full
54. Number of
46 I Yes 47 I No bathrooms
Partial
NOTES and Data — (For department use)
IV. IDENTI FICATION — To be completed by all applicants
Name Moiling address — Number, -x-neec coy, and Stare ZIP code Tel. No.
owner or LA-Fot Fn� 39 . 2 eJ4ACf q ;, Lrc�(serr 0/uC3SPY-,/ /3
Lessee
Builder's
2. License No.
Contractor LA-Fde. FIV; cQ
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 lows of this jurisdiction.
Signatsire of app li c,ojh� �/////) Address Application date
// DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required CheckBy Plan Review Date Plans Date Pions By Notes
Fee StartedApproved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtainedttned 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 07S'1i
Building use Group
Permit issued � I ( 19 7
Building ��r Fire Grading
laPermit Fee _ LJ Live Loading
Certificate of yc cupancy $ Occupancy Load
Com/d by:
Drain Tile $ 4^\\\
Plan Review Fee $ f
��V// TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant Use } ,�+
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B OCA FORM AP ESP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.