22D-090 4 City of Northampton REQUIRED INSPECTIONS
�E Jvt, 1 . Footings and Walls
2 . Structural Components in
BUILDING DEPARTMENT
Place
3. Complete Building
No. 778 Office of the Building Inspector
Date October 26, 19 89
BUILDING PERMIT
THIS MAY CERTIFY THAT Denis & Beth Daly Insp. on Site — Foundations
has permission to construct single family dwel ling/2flrs./garage Insp. of Plumbing — Rough
situated on 137 Florence RnadJl ot#3 Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date.
Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy -��
Building Inspector
PRIN. T SNOP
o- -. _ CITY OF NORTHAMPTON•
VIII. ZONING PLAN EXAMINERS NOTES A•� MASSACHUSETTS
• .A`�4 li,ll
,8.:1; OFFICE of the INSPECTOR of ILD GS
DISTRICT T W �1) .
Page (� Plot APPLICATION FOR
USE INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
FRONT YARD �O y 1 0 d
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
SIDE YARD .. r. z0 l SIDE YARD P lac`•' r 20 x -lc / ( li '
3 7 •
�p,A a /r� ZONING (}%,(/.��'
I. AT (LOCATION) ����Z/"`LC \�[J DISTRICT�r"1 r
(NO.) (STREET)
115 1 /
LOCATION n\ h ` q�� p
REAR YARD 60 F OF BETWEEN �C_Avg 1{1� RUC AND N r(�" iJ+/0 `Uri JL
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT 1
f X ZOO
t
SUBDIVISION LOT BLOCK SIZE V�J 1- L✓ll
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —i
xi
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 'New buildingbuilding Residential Nonresidential
2 I I Addition(If residential, enter number 12'One family 18 I Amusement, recreational
of new housing units added, if any,in Past D, 13) 13 I 1 Two or more family - Enter - 19 L_J Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number of units- - - -
3 [I Alteration (See 2 above) 20 I Industrial
a••: •a. : s 14 I I Transient hotel, motel, 21 Li Parking garage
!••• ■ : 4 I Repair, replacement or dormitory - Enter number
i:::u.....u....�■ •••• • ..:sa..a.....::::•:::=i:if■a••■•a o•■ aa••a••.N•■■.•■a •a 5 I Wrecking (If multifamily residential, of units — -.� 22 Service station, repair garage
lr•a■ ee enter number of units in buildiyg in I I 23 I Hospital, institutional
lNN■ospass jN•N•Nam•■NN_N•■!U•N••=•_ :�:•_••■..sowooOs:•...e.••'S: "' Part D, 13) 15 Garage 24 I Office, bank, professional
Na■S••■NN s�u..u.. .e... N •: ■N•■•s\.::•• s• �: s 16 I I Carport P ii..::ss•:::s:..a...a..u::N • : ri .. : a ai ■a 6 I I Moving (relocation)
• ■:••0••:■ i• i... : a:••a•N•S•N•N•■ s : :■■ •
■'•i 25 Public utility
w• •u. • .•::.ue •�..•au... ::a: uN•oN■ ••• •: •• • 17 Other S ecz y -.
:s : i s ii••a::■ai.::: =s _ :! : a. :. i ! : : I I - P / 26 School, library, other educational
:■•� • ■a• N• a•:: •Sis:ss•::•:•• s■■uu■•••::•■■ ••: ■•1Ngs:■NN••.s■•N••a• :
"i •• •�= :�S'•�N■•l.�1 •N■ : • Nu NN 27 Stores, mercantile
:asa:5N •i�•r���'•••U•'!.:iiII.ifii■. :!ifl:5fl::U5:.a::.S...5 ■••■:■aii1:•= ■=■.N:.•••:Z : B. OWNERSHIP
•s�:_: : ii i�■'ti: ::a i i •'• '=:i'• ■■'.i■�a::: :•i: :::•::: •:au a:■:N■•: uliiiN••: 28 l Tanks, towers
:■aN ■ ii.■_...uu.N•N Na.• 2Of SOOaSUO•ul SOS SOS i•uueusi•NNNNUN:iaiiii7•Niu1�• -a••. 8 Private (individual, corporation,
'ii••ii7:ii�■�•�■■iT�iii :__ _ _ _OOOOO_ _ ••OiN■N■N•NN+4 = nonprofit institution, ett.) - 29 I Other - Specify
: ::r'aNy.■...:i■isiSUSS..pa=:::iIIII.UIS..:• ••ar■�N ■ourl-. : ■■■ ::••::••:••:rarrr::::•i:__:: N■N•..■•.N■.c •. 9 I I Public (Federal, State, or
l:a:SM.■.u.... N NU:S::::NN•NN.•a• -� ••••■pp•••...�•.�a.�•.■■a.p■■••■..NN ■•■ local government)
NSN•• ■ ..•■•u.a ••f....aaa a; as• S.N•■■Ns••■.. • ■
::•••••i::�r•'rr' :i=::::i=:=•••.•■■■:_:::::;::_•.■■••f.' .�:: ::�N • :.....N■ 1.., C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
i:"i suu...iiiii•Gii i..... •i.i:ic'is:::•a.3••C s...a.•�. ••"'ii:::.....:
�p Tc7 $E processing plant, machine shop, laundry building at hospital, elementary
a•::■l�■ ■ aa•:aa■••.••: ::•!■•a ::•N■fa1•■.N..Y� school, secondaryschool, college, parochial school, parkinggarage for,
ass::ii iii•iii i•�i:::•a::s:N'ri••.•:=u:i•N•••ai::•N•i•ir�i'.Z1i:::■••ri=:•r■■■::i:::::�i="S• 10. Cost of improvement $]�Q'r[O�fm.(I� 9 9 9
■••!!■■•NN•••N••.aia■=aa:a••.::iN■M■N ••N■•■.•NN:i1' �A /1/1 department store, rental office building, office building at industrial plant.
••a:•i■•"� • '•:i•a • w'N• •'••:;:�• :••aa:a' ��`1■■N�■••�I�Nu:Ni a:::::iiNNaawoNN•N.•r.tr•N • To be installed but not included I rF/C/ If use of existing building is being changed, enter proposed use.
:Nis N ::•••!! �::■••■:a:: ::: f;:::°i. 'i 'i• •t :•S
S��■y •■ •• i�La•:••N.•■•NN■OsSOOO •r• ■■�i■� r/ rem in the above cost
•::•NNU:: •u■uuuseasa:uu:esionmasss.■■/�Nmuse .•.•.:H.S:C.:•.•::s I.N•t: s■N•N■•■:!s■■..Hale\i aQ :i a. Electrical
s.Lasee asuusaUuuss:s: :a :. ;:sN.•s:p:r.::s ••N•Nu.■■■t \......
aa'•:■ : .•u.aa'i : pp :: i _ : ■: b. Plumbing
11�:1■sss • ■■ N•• •NN■.N.N S•N:.■N■N.:•■•F:•:::: •N•••....:reals•!•a'• 1■■. ;•1•■■■iiim • •-• L ex c. Heating, air conditioning
_ a::usuae'sss: :N: • •...Si ■ •■N •Nry •a.ua :a:. •N• ■.:•N.■■■ *il�,:•NC .
:: ... •N•■..'.••N_suu•...■ ■ N •■/!■•■N•.■•■■■■■■■.1 �.■■■ ,•'••■i■•t It l�
.-
15 S i : lu.aa.0 .12 ■...j...1::::.....::::::.:,::iiie•a• 1••■■ .•: l.••■■ 1 i 1•' _;,, d. Other (elevator, etc.)
miessorlielra• • :: a•us •.■ . l
•••: •. :a`■.■ .s:.::::= .,.a. :::.••••■•■:::.. :: ...uii:i....5.e.55::5:a:::a:,.�ii.. : 11. TOTAL COST OF IMPROVEMENT $
ji�i .■••�Ni �i�N.N�SN•■ .. i�•.:Niiai
.. 'iP •pl':NM:•'!•■:::::::::::::::=•'in`•s••• ••1=•is••r ....„ L ' [l 1III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
:::• ii::" •:a:• =='•=i•i:==•=•:i•: i:i :S:.........a::s ::s . . .:UM I::::: ■ :a: a for wrecking, complete only Part J, for all others skip to IV.
•s'•=is:�L.iitsi'!!••;ss s:isi:1i■:11::Iiii:ii=i M:::iV = i s ..as■i■S.■!3 w:s:�:.sac s : i.
.. i ■. 1
s■ ■■ • :jaii■u..'=••••..:■■..•=i_:■a:sss::1:::_ : •• :•aa a■• :'S•■:■•••• a.: _■••:::a:::Ua■ '1 i" : E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS y ��
eLeeeeee ee ee:::::9Iu::•.Na::: :::::::'1g:•••lmeeee...•..N■.,•I : :; v
N• •■rN • N• u1 48. Number of stories
: is ::a:s::::� ::::: :aaa:a::::::: ::.Ni �1N•••'••'i••••'aaeus.vi is : i:::s:::iii' ::: 30 I I Masonry (wall bearing) 40KPublic or private company
i R_i n,a ligi : i1 ii• ■= ::::....i_.s......�!!=i:_ii : as.. .=•��i .. ......::::::pp p ; I 49. Total square feet of floor area,
i 31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
N ■NN■ ■ • a.• ■ rani::
N ••e •
as ::: iii :i•aa.a;:. a•:a••:•1 •::•:'•': ifi•:•.a■:■■■:::::•h#:::�:::::: . 32 I I Structural steel dimensions x�
::: :::: ..0 ::• : ■N a ■ • ■ ■ aN• N• •
"inn .� s as s■3u.•..: ssss .sa:.: s s:sass.ss .a :.....s....s..a...a:.: ,�
,�• • .a•:• • .NNa: .:. • ':■• • • • • ■a.■ • •N•• ••••• •• ■ •. • • ••• • . 33 I Reinforced concrete H. TYPE OF WATER SUPPLY
•: : ■ ; . . . ■s.....•■■ia• k•::■ 1■a::N• u.■ a...... e. :• •u.•uLaa■:•■.i.: a . •■ een::■::aa: •■N■
' = a : s : • : • : :: _: = a ia••sa�:•��•aaa: : 42 Public or private company50. Total land area, sq. ft. l ) 03 lit,.
i_= . • •� • • •�• • N■ • :■ • •:: ::: _•• i=a: :a=a:••'i��i�i� • •• a■ • • •• :■•■■: 34 I I Other - Specify P tLJ ME.�CSY
�.il�i�iii�i : _.lagi .■■:ssi:$:ig $•::s s:•: : :• ss•a:.s —
Ill .. •.• •N■ .■.. N .. .. . . .... :::.ass. ..
: ui : ei- :_� : $ ...a.aasa:�i �.5.l...su.1 ::.i i�•ee i •■ •. •a • a■ • 43 I�I Private (well, cistern) K. NUMBER OF OFF-STREET
'_ iiiii a : ISS.au:i"L: 5....a::''s•'a 5 s':s:::'•i sa•a■:a_al�al5...ua':::::. :': z. : as PARKING SPACES
•• su ■:: .N.•:■ .. u. • ■. • N •• u ..aa•••a•T...w ..• .. •
s t+s a ss'� ;. .. s ss...sssaas :�s:3:a::s s:.a.:..� 1.auuu..Naas. s. -it,.)■ • •■ 51. Enclosed
1'� WI 1?# : : :a=iii:s::■::::■:;■•:x:NN■riin::a ..N::1:::::::::: :: F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
1.✓• NI, i I. ■• • }. i +i t.1 '
i tt + . 1 ee • •Ni •..:i • pp■•:■ : is•p fs`Si '\•■ :i•:H :i:••::::::1::::ms:■■N..••.: I+, •:#.i i tram
:�,. + " ') ... .,t' i . �i la ■sf ; ••• , ► usuu• .:� ss:a:gs:::::::e: 35 Gas Will there be central air 52. Outdoors
• • • .. t :+. ... L ■ sss: :is■..__• •■ ■•• ■N•N •N•a •us (�/
' + i.:2 .?'■ .f+ ; j .... jt. +;I• �{L ; i • ; ?• t _ • : •i : a I:: ':•••"• :• :aa::s:a ss•■a: s 36 Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY
# �t I i E sd sss i. s s -�s �
• t tt t� r +. a$ t� } ;. t + t �. t tt ii•'�i � ' "�:� � a s• i:1�:::..::_■::::a:M■•i: 37 I— f Electricity 44 Li Yes 45 No 53. Number of bedrooms
is rf ♦i 1't. , i fI f 4 a .r+ '*Iy� t '1
.�-+. - r ;,� _ ::::: \ i�iii .. ■ N • •••N•
r' i t: tt t+ .2f7 t� f1 4 . : 1 ' ul.=su e11111111111151111111111111
sa:s.11 5Uu ..U.ISy S5' ..i•• a■_.aa. 1 f 1
Zt i r . + N,■•- . f+ '' 4 „ "- *• t +'I . t I- ....u1•■�■•..I�i" i :::i:a■■:iii:s 11SI:::UUa. ••uu..aa::i 38 Coal *�
:♦ ..
't.."1111311111 , N , t•, ..,ice Ll} .}.t , }t r +�. , i? Mlll!ll�d:Hl!l_!■!==wi:i:s:al.nnn!!::,p,..uu!:u.eu.■::ssai:::a: 39 L_I Other — Specify Will there be an elevators Full O 1V
!! 54. Number of
46 [ I Yes 47 'No bathrooms jj j� J�
Partial -"NJ 0
P INT�N P --
A
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
```` 1 e?i j 2 rRpt� i r Yv o o cO ,s- 7k7o NOTES and Data - (For department use)
Owner orhV�1�l.\�1 tfr1`I C.�� �•\1 < &l•/ o1i ,Y1 .
Lessee 11
cc`` 9 �` Laps �p Builder's
2. ED e�AZA6 SN��P HI1RD5 kot-LD w / Laps ` 1/'i. 01053 License No. 050O99
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.
Si
nature of applicant Addrejss Application dote
Z t f lIvCQN(e_ OAK
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans By Date Plans 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 7 ' FOR DEPARTMENT USE ONLY
Permit number
Building �'^ /fJQ Use Group
Permit issued CO-- " 19 �J( /
Building �y G I Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �7
Plan Review Fee $
TITLE
II
BOARD OF PUBLIC WORKS
DRIVEWAY PERMIT
GENERAL INSTRUCTIONS AND REGULATIONS
1. A "Driveway Permit" is needed in all cases where a new curb
cut, or an alteration to an existing curb cut, is proposed
on a city public way.
2. Said "Driveway Permit" is issued by the Board of Public Works
(B.P.W.) , shall be attached to and become part of the "Build-
ing Permit" issued by the Building Inspector.
3. Prior to the issuance of a "Building Permit" the owner of any
lot to be serviced by a new driveway shall apply to the B.P.W.
for a "Driveway Permit" by completing the pertinent portions
of said permit (attached) . Once the location of said driveway
is approved by the B.P.W. a building permit may be issued.
4. The Building Inspector shall issue no "Occupancy Permit" unless
the driveway to said lot has been approved by the B.P.W.
CITY OF NORTHAMPTON, MAS S.
September 11, 1989 19
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at 153 Florence Road
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be
disturbed. All drainage shall be directed off the driveway surface to
adjacent land and not on the existing roadway. Driveway surface to be
paved if the grade of the proposed driveway exceeds 3% or more.
'Driveway entrance to be at right angleckith Florence Road.
Gravel base inspection before final blacktop is applied.
By:
Eli beth Daly
27 Park Street
Florence, MA
Proposed Location .
Inspected by: /14j0N j
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
Paul 0. Hadsel, Director of Public Works/
City Engineer
(SUBJECT TO ATTACHED CONDITION 1 & 2)
Conditions: Driveway Permit
In lieu of plan approved by City Engineer
I agree to the following added conditions:
1) I will contact the Department of Public Works and have
an inspector check and approve the graded gravel base
prior to paving to insure compliance with slope and
location;
2) I further agree that if in the inspections any of the
permit conditions are not met that I will at no expense
to the City remove and replace the driveway as directed
by the City Engineer.
By' -� �4
Peti oner
NOTE: The Public Works Department recommends that you provide a
plan showing the proposed driveway with grades and location
in the future to avoid possible expense which you will incur
by not getting approval of actual plans in advance.