24C-083 (10) ' DEPT. FILE COPY
ZO
DEPARTMENT OF INILDING INSPECTIONS BUILDING
212 MAIN STREET PERMIT
NORT AMPTON, MA. 01060 VALIDATION
2�+C - 83 Code #79 DATE September 17, 19 79 PERMIT NO. 449
APPLICANT Jeffrey W. Flower ADDRESS 9 Massasoit
(NO.) (STREET) (CONTR•S LICENSE)
/ NUMBER OF
PERMIT TO Altersetion (_2_) STORY ! Residence DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 15 Ma asSk)
ZON ING
DISTR ICT URB
(NO.) (S E
a BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
a
a LOT
m SUBDIVISION
\,_B to SIZE
a
O
O BUILDING IS TO BE FT. WIDE Y T. ON BY , FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE _ USE GROUP �� BASEMEN , •LLS OR FOUNDATION
f (TYPE)
c:
o REMARKS: New kitchen - patio doors & remove wall, cabinets & cosmetic changes
n ew sheet rock & insulation.
UAOA s-fA,e7�ed �1`% 3- 01 /e�J3
AREA OR VOLUME ESTIMATED COST $ PER MIT
_ 7,000 FEE $ 21.00
(CUBIC/SQUARE FEET)
OWNER Mr. & Mrs. Andrew Phillips BUIL ING EPtr. .,..2.44. .........„
ADDRESS 15 Massasoit St., N'ton., Ma. BY sr.
(Affidavit on reverse side of application to be completed by aut orized agent of owner)
f
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 .
CERTIFICATE ISSUED
LiSPARDONT OF logWINO rP +� DATE
212 MAIN STREW BUILDING PERMIT -
NOMEAMPTONI Wk. 0Cods #19 1060
CERTIFICATE OF OCCUPANCY
..24C83
DATE 3ipteMber lit 1979 PERMIT NO. '
149
APPLICANT Jaffrory W. ADDRESS 9 t
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO #,;' rk ( 2 ) STORY DWELLING UNITS I
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 15 idaitaassit DISTRICT
(NO.) (STREET)
o. BETWEEN AND
b (CROSS STREET) (CROSS STREET)
01
a LOT
m SUBDIVISION „ LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
ce
2 REMARKS: I tebss `r patio doors it rescfre wail., cabinet* I ccasstie amass'
a sit shoot rook & ,,yi m�*i..ys7 yy77 yy�� ,y7 .y� y� y7 �7 y� y7 �7
kri KE tri 115 Kr1 ii*=i ;id lig M �ri �r19E�1 ? Kri 0.1
AREA OR ;n_n ,,py;1.�1117 :t III►l 'm it :1111 tp,I III ;Mil :nll 'II 7 �f yy1;;IIIII11 ?IIII 'III ;IIII A
VOLUME • 11 1r1 • 111 ? II •EI\ 14:4.1cIII •I II •r1 II T1 11•1 Il 'l � •T1
(CUBIC/SQUARE FEET) ;'�•^i
;IIII ;IIII ;IIII ;IIII ;IIU ;IIII ,IIII ;IIII "`IIII ;IIII `111 ;ilu ;IIII ;IIII ;IIII ;IIII
O.ril rve-ri.dt11 bl71 b TTIA'YTIbPTI• _ IlG1'C T_fI RY flN,t.•fI O'.1;'fl l(yi-ii A 1[YTI SCT r0 7l
OWNER Mee & , Phillips /TO BE POSTED'ON PREMISES
T
EMISES
ADDRESS i5 Massasoit st IP' .. Ma. SEE,FFEV SIDE„FOR CONDITIOµ QF GfRTIFICATE
416 DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
o.
VIII. ZONING PLAN EXAMINERS NOTES 1 k
CITY OF NORTHAMPTON
DISTRICT / Y /- OFFICE OF THE INSPECTOR OF BUILDINGS
i /� 212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060
��,�f � � PLAN EXAMINATION AND
FRONT YARD / "/C. - -- > BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARD SIDE YARD -
I• AT (LOCATION) //1 ��-'e�i �� r D STR CT A 12
REAR YARD � 4 (/? ��' �_ej---.--../ „��!�., w1 LOCATION (No.) (STREET) III
�� OF BETWEEN AND
BUILDING
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK _ _SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —I
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
—I
1 I _I New building 9 Re Idential Nonresidential
2 I. I Addition(If residential, enter number 12 One family 18 I Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN For Applicant Use _ - -- .` aww.. in Part number units— — —�e-* Industrial re g us
D, 13) 13 I I Two or more family Enter r 19 Church, other li io
b of t20
1i' ' ■u 3 I Alteration (See 2 above) 14 I I Transient hotel, motel,
rsr r rr ssrerr.rrrrerrrr•r.rrrrrrrr'.r•user•era•serrrrmererrrasumeessrswess.r»essseemen • 4 I Repair, replacement or dormitory — Enter number 21 I Parking garage
5 I I Wrecking (If multifamily residential, of units — .- . 22 Service station, repair garage
■em enter number of units in building in 15 I I Garage 23 I Hospital, institutional
• r
Part D, 13) 16 n
s ` Carport 24 Office, bank, professional
6 I I Moving (relocation)
7 I Foundation only 17 I I Other — Specify 25 n Public utility
26 I I School, library, other educational
B. OWNERSHIP __ 27I I Stores, mercantile
. 8 Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 I I Other — Specify
9 I I 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
W. Cost of improvement $ /f /i t'' 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
..47-"------ -'
Zsr r err as. re •u s • •area urs�r •su• • s. •r. rs ■ rar . . � n i a. Electrical
r.
rmat
r -.�-$p-�1-4 .af r �:z¢ `' : ! , + tti 1, b. Plumbing7e--- 2-'
3 `.¢ ',..;.i-t : -t - - t P i i^Y d-A t't"' -(` y MI ni. F Y Le.. It,* -3 i s i
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $/j l/ t
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 p7
30 Masonry (wall bearing) 40 Public or private company48 Number of stories
31 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterl`�
32 I Structural steel dimensions :4r.r /L.1
33 I I Reinforced concrete H. TY E OF WATER SUPPLY
34 I I Other — Specify 42 Public or private company 50. Total land area, sq. ft.
43 IJ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
ss.suasaa:�� ' 51. Enclosed
�yurrarinirr" ,-p ,. :„, F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
»saltaisinettiaa aaaaiaa ,. - a
Gas Will there be central air 52. Outdoors
arise asaaamaaaaara .us . ererr a... tea s 35 conditioning?
• •aaau•r 36 Oil L. RESIDENTIAL BUILDINGS ONLY
.as.aasass.aa.••asasauas•.. a. . ..a .. . , a.,r d' •
sr • •rr s• •asses • n. •r.r sasssr•s. srrr r • r ea . it<
aasaasassaar.rarrm as • Pull"' 1 ■u • .suss.ss .sass I 37 Electricity 44 I I Yes 45 No
a a.5:a:a :iaa`s�ia: aaa�arr�l•rrasiai r��aa� sass• aslaow •rrsaaaaraa�ias sia �'a=ur■ a ai 38 I I Coal / \\ 53. Number of bedrooms
„,,,„ a „4 , rs. rsl •sr. sues i Other — Specify Willtherebe an elevator? u
t,� k , . F ,. wr.. ..,�,., Q_� •r..e S� — .aaIININwErsss.p ) 3 I th r Full
l
� , : 9
54. Number of
46 I I Yes 47No bathrooms
Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
j + IV. IDENTIFICATION — To be completed by all applicants
i
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use) 1.
p�
Owner or IIJ. cl1i(( �&ilaLe'bt, 1`1l1lt-ti j I.. KAI'Icy'iCC'i f lk. /IlAtA ,. ''vv--
�J��//'' �t i / Lessee
iJ,L x./ /� Li��• li'z/c- ; f 2 Le , .�/1,•✓i :,h /1 '/ l I / _ • ( • I Builder's
L �`L 2. it..DEL Le •/, �Q�I.Ar. (�K�F.` I L St�ct , 1 •� � �) �!1 s q�) License No.
G�4_,s4=. ti � ��. .� — ./ ./t.-ta_� /7.;•„,..A7� Contractor
i j
;�j.�� � ) 3 �C y Vic L/ �w (_, 1, l IN 1 r'f1 41367
7
��,4,r,-- _._��C:E :r � / ,�,41: d— /' �J L/�.' Architect or I' K- �� �V
v 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.
Sigrrtu of applicant Address Application date
j
1�11► I��c�!��� I t ` I ' 1 ( 1 j l
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans By Date Plans
Plans Review Required Check By Notes
Fee Started Approved
BUILDING $
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained 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 DEPARTMENT USE ONLY
Permit number
Building Apr Use Group
Permit issued s�_(i . /7 19
Building Fire Grading
Permit Fee $ eQ I.' �r� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ j- /
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