23A-004 (2) rtment of Building Inspections ,-,(/
Main Street BUILDING o°,( / 6 , on
:thampton, Mass. 01060
PERMIT
/ /y%)
:P
23A - 4 VALIDATION
DATE May 2, 19 84 PERMIT NO. 171
APPLICANT William LaChance ADDRESS 25 Meadow Street Owner
1x0.1 (STREET/ ICONTR'S LICENSE(
INGROUND POOL One FamilyHome NUMBER OF
- PERMIT TO (_I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
25 Meadow Street ZONING
AT (LOCATION) DISTRICT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET/ (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
POOLYVVV
VVYY
BV21t•NV KS TO BE 16 FT. W IDE BY 32 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I TYPE)
REMARKS) permit for the installation of an inground swimming pool 16 x 32.
AREA OR 512 sq. ft. ESTIMATED COST $ 4.000.00 PERMITEE .p 16.00
VOLUME //////
(CUBIC/SQUARE
Stye If ETI /� 1�1
William Lachance �� /,////�// %;/'/'
OWNER
ADDRESS 2S Meadow Street BYIL/ '
i
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR o£ BUILDINGS
I*,. res
Cc.M"a.rvr- B 7 APPLICATION FOR
= � Page a ✓�" Plot
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. o
AT (LOCATIONI S //y1 //e a id k) /.} ZONINGOleo
n
LOCATION `ST
(RE
E
T
) P�
OF BETWEEN C 0 r o r n1 2, J �/ t. AND
BUILDING 'CROSS TB ICROEs sceEET)
SUBDIVISION LOT BLOCK 04E - 8 •�j
9d -i . rt.
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I
As
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use ^f
-1
—1
I I I New building Residential Nonresidential
2 1J Addition(If residential, enter number 12 I I One family
of arta housing units added, if any, 18 Amusement, recreational
in Part D. Id) 13I Two or more family — Enter 19 7 Church, other religious
n
mnber 0/units----HA' 20 Industrial
3 ❑ Alteration (See 2 above) CI
141. 1 Transient hotel, motel,
4 I I Repair, replacement or dormitory — Enter number 21 I _ Parking garage
5 I 1 Wrecking flf multifamily residential, of units —y 221 I Service station, repair garage
enter number of units in building in 15 1 : Garage 23 7 Hospital, institutional
Part D, 13)
6 moving Gelocotl onl 16 fl Carport 24 I I Office, bank, professional
7 Foundation only 17 N4 Other — Specify -PO elf 25 L i Public utility
26 f^,I� School, library, other educational
B. OWNERSHIP /6 X J A 27 7, Stores, mercantile
B xi Private (individual, corporation, 28 G Tanks, towers
nonprofit institution,r u etc.) 29 r Other — Specify
9 Li Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
/ 000. c
processing
plant, machine shop, laundry n
building of hospital, elementary
IG. Cost of improvement
$ `1 —9 school, secondary school, college, parochial school, poking garage for
deportment store, rental office building, office building at industrial plant.
To be Ins(ailed but not included If use of existing building is being changed, enter proposed use.
in the abovecost
ost
e. Electrical ( '^ (AQry N \ p_ - /
b. Plumbing ' l till 4d- 1VC�-�
c. Heating, air conditioning
d. Other (elevator, etc.) 17(00V,
I
11. TOTAL COST OF IMPROVEMENT b TU V. OV
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L;
for wrecking, complete only Part J, (or all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
4830 Masonry (wall bearing) 40 Public orprivateNumber of stories
9 company
31 Wood home 41 Private (septicetc.) 49. Total square feet of floor area,
tank, all floors, based on exterior
32 i I Structural steel dimensions
33 7 Reinforced concrete H. TYPE OF WATER SUPPLY
34 fl Other — Specily 42 t H Public or private company 50. Total land area, sq.ft
—
43 `. Private (well, cistern) K. NUMBER OF OF F-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enclosed
35 L1central Gas Will there be oir 52. Outdoors
L .36 . conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44H Yes 45 No 53. Number of bedrooms
38 Coal
39 I Other — Cppr il., 'x4' there be an ebveepr? { Full
54. Number cf .-_—
<5 i l Yes 47 —I Na o brooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and Stare ZIP code Tel. No.
owner or 0.01- L4 Cjcpce r ,J 1; F/orence /+is 0/060 4n,-
Lessee
2. —rue"( uec.r LA/ Ecir sr CX,.e,tree Pa//r /'k6 L,;enser No. S94c-26f6
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 ,-, Address Application dote
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Pions Date Plans ByNotes
quire Fee Started By Approved
•
BUILDING $ •
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dat
Permit or Approval Check Obtaitned Number By Permit or A pprova I Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR
R
ELECTRICAL ■--. SIGNE OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building / 7/ FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued
i 1 ,�.{ { 19_4
Building Fire Grading Permit Fee $ ) Cr ' Or) Live Loading
' Certificate of Occupancy $ Occupancy Load
A ed by: eg
Drain Tile
Plan Review Fee $
TITLE
NOT ES and Data — (For department use)
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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SOCA FORM APEBP - 669 C1969 BOILOIH6 OFFICIALS 6 COPE ADMINISTRATORS INTERNATIONAL, INC