07-009 (2) DEPT. FILE COPY
DQP!l31DlWt'P OP BOnDINO INSPECTIONS �O
2t2 mat sonuer BUILDING =a
MA. O106o PERMIT
VALIDATION
7 - 9
'{� DATE Earth 261 is 79 PERMIT NO. 82
APPLICANT Waheel A Wade ADDRESS 217 Nnnatnek St.
NO.) (STREET) (CONTE," LICENSE)
NUMBER OF
PERMIT TO C(TYPE Or I4 new home ( 7 ) STORY Residence DWELLING UNITS�_...
(TYPE OF IMPROVEMENT) XO. (PROPOSED uEEt
ZONING
AT(LOCATION) Marti Faf9e tOaaA DISTRICT RR
0.0.1 ISTRRETI
BETWEEN AND
(CROSS STREET) )CROSS STREET)
LOT 5
m sUROrvlssMi _ 'L LOT ,_._BLOCK SIZE Acre +
O BUILDING IS TO BE 30 FT. WIDE BY ZLS FT. LONG BY _FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
03
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
S (TYPE)
C
O
IL REMARKS: Constructs sew }leveARA OR (.
VOLUME ESTIMATED COST $ 30,000 FFEEEMIT Q. 90060
(CIIBIC/SQUARE FEET) W TT
OWNER sseutetIjan St k rer. Tv Wade
ADDRESS 217 Nenstnak Street, Pile. BY
ILDI /01011W ^
(Affidavit on reverse side of application to be completed by authorized
agent of 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 NORTHAMPTONET
OFFICE OF THE INSPECTOR OF BUILDINGS n,� -
'�
212 MAIN STREET AK.'/?N APPLICATION FOR
NORTHAMPTON, MA. 01060 '/ '/ PLAN EXAMINATION AND
'/ BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
AT (LOCATION)
7.Y?-��. t°— c :S..' IY(• DISTRICT ; ;
LOCATION (NO.} `STREET'
OF BETWEEN AND
BUILDING ICROss STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK SIZE ,T e 'K./\L
an
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -i
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
-f
1 New building ResidentialC}�_ Nonresidential
21 1 Addition(1/residential, enter numberIr—ra
12 ne family 18 L I Amusement, recreational
of new housing units added, if any,in Part D, 13) 13 I Two or more family — Enter 191 I Church, other religious
number of units— — --y 20 El Industrial
3I I Alteration (See 2 above)
14 I I Transient hotel, motel, 21 LJ Parking garage
4 n Repair, replacement or dormitory — Enter number
5 I Wrecking (U multi/amity residential, of units — y 22 El Service station, repair garage
enter number of units in building in 15 n Garage 23 I I Hospital, institutional
Part D. 13)
16 In Carport 24 El Office, bank, professional
6L Moving (relocation)
Foundation only 17 Li Other — Specify 25 L Public utility
7 I I261 I School, library, other educational
B. OWNERSHIP 27 I Stores, mercantile
8 [tiPrivate (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Li Other — Specify
9 IT Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
�Qq processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement $ d+J. C k s
school, secondary school, college, parochial school, parkinggarage
departmentstore, 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 ` c
b. Plumbing r.
c.Heating, air conditioning i i i y t
d. Other(elevator, etc )
11. TOTAL COST OF IMPROVEMENT S •;L/,c ty cc
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 LL Masonry (wall bearing) 40 I I Public or private company
48. Number of stories A. VC
31Woad frame 41 Private(septic tank, etc.) 49. Total square feet of floor area,
floors, based on exterior
32 1 I Structural steel dimensions
331 I Reinforced concrete H. TYPE OF WATER SUPPLY
341 Other — Specify 42 Public or private company 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 I Gas Will there be central air 52. Outdoors
36 I Oil conditioning?
37 n Electricity 44 n Yes 45 Lr�No L. RESIDENTIAL BUILDINGS,QNLY
53. Number of bedrooms -r
381 Coal
39 I Other— Specify Will there be an elevator? 1 Full x —
54. Number of
46 I I Yes 47 Lnj'No bathrooms
Partial
NOTES and Data — (For department use)
° //G 7�yo �ji
IV. IDENTIFICATION – To be completed by all applicants
Name Mailing address — \Cumber, mete, city, and State ZIP code Tel. No.
Owner or � - / 70_,„„a",:-J.,
Lec;nse No.
ContractorT �; a (c _. ,[ _ i
Architect
or
L-. '
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 applicantAddress Application date
// iL
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD – For office use
Plans Review Required Check Plan Review Date Plans Date Plans
quire Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
e D
Permit or Approval Check Obtained Number By Permit or Approve I 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 115E ONLY
Permit number grs7,
Building Use Group
Permit issued /2L4 _i c.? 19 9
Building - / Fire Grading
Permit Fee $ qz; — E Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee � jn
l/ j^
l/ -'41TLF
VIII. ZONING PLAN EXAMINERS NOTES
�yyf TC
DISTRICT Jam,. �USE
`
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN ForApplinUe
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80CA FORM APES - S69 Ct969 EOLLOINO OFFICIALS 8 CODE ADMINISTRATORS INTERNATIONAL. INC.
No Fits
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF NORTHAMPTON
Appitratton for Qth}1anal Mirka Tattstrurttutt lnrttttt
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
System at:
NORTH...FARM HUAA
Location i Address
ROBERT WADE 146 MAPLE ST., 1Va* AMPTON
W Owner Address
cza moaner Address
U Type of Building Size Lot.35 AVMS tAX%4 E
Dwelling—No. of Bedrooms THREE Expansion Attic ( ) Grinder (X )
W Other—Type of Building No. of persons Shot TNQF feria ( )
a, Other fixtures
Design Flow 50 gallons per person per day. Total daily flow 4. ltt
Mons.
Septic Tank—Liquid capacity 1000 gallons Length Width D Dett&'�j�
Disposal Trench—No. 4 Width 3 Total Length 75 To' :. kizet s ft
un / -7 q.
Seepage Pit No Diameter Depth below inlet To 1 J.. lung al-69,5j 4-7 sq. ft.
Z Other Distribution box ( X) Dosing tank ( ) 21 -0 YsTisD"
• Percolation Test Results Performed by PHARMER ENGINEERING CORP. - . "^ga v'a74
,.i Test Pit No. I IC minutes per inch Depth of Test Pit 36" Depth to gr rNC
Test Pit No. 2 minutes per inch Depth of Test Pit 12" Depth to ground water NO
Description of Soil SANR.Y...CLA.Y
o• Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code--The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Date
Application Approved By
Application DisapprovedDate
for the following reasons'
Date
Permit No Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH